Jay, NY · Essex County
Application for New Connection to Public Sewer System
This application is for residents seeking a new connection to Jay’s public sewer system and sets out the Town’s installation terms and applicant responsibilities.
What this form is
Applicants use this form to request a new connection to the Au Sable Forks Community Wastewater System. It asks for applicant, site, contact, tax map, and contractor details, and explains estimated costs, installation responsibilities, and connection conditions. The signed application and full payment must reach the Town at least 10 business days before the desired installation; a building permit is also required.
Who needs it
Anyone applying for a new connection to the Au Sable Forks Community Wastewater System must complete and sign this application.
How to submit it
Return the signed application with full payment to the Town no later than 10 business days before the desired installation, at P.O. Box 730, Au Sable Forks, NY 12912. Make checks payable to Town of Jay.
About notarization
This document is signed and dated without a notary; it identifies no attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Application
Download the public sewer connection application.
- 2
Complete The Applicant Details
Enter the applicant, site, contact, tax map, and contractor information requested.
- 3
Review And Sign
Review the terms and conditions, then sign and date the application.
- 4
Submit With Full Payment
Return the application with full payment to the Town at least 10 business days before the desired installation.
Frequently asked questions
- Do I need a notary for the public sewer connection application?
- No. The application has a signature and date line but no notary block; the applicant signs and dates it.
- How do I submit the public sewer connection application?
- Return the signed application with full payment to the Town at P.O. Box 730, Au Sable Forks, NY 12912, no later than 10 business days before the desired installation.
- What information does the application request?
- It asks for the applicant’s name, site address, contact number, tax map number, and contractor’s name and contact number.
- Does this application replace a building permit?
- No. The form says it is required in addition to, and does not replace, any building permit requirement.
Need something notarized?
This Application for New Connection to Public Sewer System doesn’t need a notary — but if you have another Jay form that does, a commissioned online notary can help.