Dutchess County, NY · Dutchess County
Application for Approval of a Residential Sewage Disposal System
This application is for applicants and building inspectors seeking Dutchess County Health Department approval of a residential sewage disposal system.
At a glance
- Issued by
- City of Dutchess County · Dutchess County, Dutchess County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- dutchessny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The application records details about a residential property and its proposed sewage disposal system for Dutchess County Department of Health review. The applicant and building inspector complete Section 1, including the town or village, property and tax map information, and number of bedrooms; the Health Department completes Section 2 with its review and action details.
Who needs it
Applicants and building inspectors use this form to request county health review for a residential sewage disposal system.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This document is signed without a notary; the form includes a building inspector signature, and the signer just signs and dates it.
How to submit this form
- 1
Download the Application
Download the Application for Approval of a Residential Sewage Disposal System.
- 2
Complete Section 1
The applicant and building inspector complete Section 1 with the requested applicant, property, and building permit information.
- 3
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Do I need a notary for the Residential Sewage Disposal System application?
- No. This application has no notary block; it includes a building inspector signature, and the signer just signs and dates it.
- Who completes the application?
- The form instructs the building inspector and applicant to complete Section 1. The Dutchess County Department of Health completes Section 2.
- What information does the application ask for?
- Section 1 asks for applicant and property details, the town or village, subdivision or plan name, lot information, tax map number, and number of bedrooms.
- How do I submit the application?
- Submit it to the county department named on the form; check the county website for current contact details.