Harpersfield, NY · Delaware County

No notary required

Application for Well Permit

Town property owners and contractors use this application to request a well permit and provide property, contractor, and lot information.

What this form is

The Town of Harpersfield’s well permit application requests information about the property owner, contractor, property location, tax map number, and building lot acreage. It requires a plot plan showing all structures and/or the septic system, and includes an agreement to follow applicable health and other state or local regulations. The listed permit fee is $75.

Who needs it

A property owner seeking a well permit in Harpersfield, with the contractor also providing contact information and signing the application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed and dated without a notary; the owner and contractor sign, and the form mentions no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Harpersfield Application for Well Permit.

  2. 2

    Complete The Application

    Enter the owner, contractor, and property details requested, then have the owner and contractor sign and date it.

  3. 3

    Gather The Plot Plan

    Include a plot plan showing all structures and/or the septic system.

  4. 4

    Submit To The Town

    Submit the application and plot plan to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Harpersfield well permit application?
No. The application has signature and date lines for the owner and contractor but no notary block. It mentions no sworn or notarized attachment.
What information does the application request?
It asks for owner and contractor contact details, the property location, tax map number, and acreage of the building lot.
What attachment does the well permit application require?
The application says to include a plot plan showing all structures and/or the septic system.
How do I submit the Harpersfield well permit application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Application for Well Permit doesn’t need a notary — but if you have another Harpersfield form that does, a commissioned online notary can help.