Dutchess County, NY · Dutchess County
Application for Approval of Plans for a Wastewater Disposal System
This application is for applicants seeking approval of wastewater disposal system plans for a project in Dutchess County.
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 Dutchess County Department of Behavioral and Community Health application requests information about the applicant, project, engineer, site, proposed wastewater system, environmental review, and related permits. It also asks about nearby water and sewage systems, soil tests, wetlands, and potential contamination. The form says an authorization letter must accompany the application when someone other than the applicant signs it.
Who needs it
Applicants seeking approval of wastewater disposal system plans for a project should complete this application and provide the requested project details.
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 signer affirms the information under penalty of perjury, and an authorization letter is required if someone else signs.
How to submit this form
- 1
Download the Application
Download the wastewater disposal system plan approval application.
- 2
Complete the Application
Provide applicant, project, engineer, site, wastewater system, and other requested information.
- 3
Gather Required Authorization
If someone other than the applicant signs, include a letter of authorization.
- 4
Submit to the County
Submit the completed application to the Dutchess County Department of Behavioral and Community Health.
Frequently asked questions
- Do I need a notary for the wastewater disposal system application?
- No. The form has a signature and an affirmation under penalty of perjury, but no notary block. If someone other than the applicant signs, include a letter of authorization.
- How do I submit the wastewater disposal system application?
- Submit it to the Dutchess County Department of Behavioral and Community Health. Check the county website for current contact details.
- What information does the application ask for?
- It asks for applicant and project details, information about the engineer and site, the proposed system, environmental review, nearby water and sewage systems, soil tests, and related permits.
- When is a letter of authorization required?
- The form says to include a letter of authorization if the application is signed by someone other than the applicant listed in Item 1.