Coxsackie, NY · Greene County
Application for Septic Permit
Owners, engineers, and contractors use this application to request a permit for new, replacement, or relocated septic systems in Coxsackie.
What this form is
This application requests a Town of Coxsackie septic permit for construction of a new system, replacement, or relocation. It asks for applicant, owner, engineer, and contractor contact details, property address, system specifications, and bedroom and bathroom counts. Engineered plans must accompany the application, and the inspector must be contacted before work starts and must inspect the system before backfill.
Who needs it
Owners, engineers, or contractors applying for a permit for a new, replacement, or relocated septic system need this application.
How to submit it
The form lists the Town address at 56 Bailey Street, Coxsackie, and a $75 fee; engineered plans must be submitted with the application.
About notarization
This application is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Septic Permit.
- 2
Complete The Application
Provide applicant and property details, choose the system work type, and fill in the requested septic system and room information.
- 3
Gather Engineered Plans
Prepare engineered plans to submit at the time of application.
- 4
Submit The Application
Submit the application and plans to the Town address listed on the form; the form lists a $75 fee.
- 5
Contact The Inspector
Contact the Sewer & Subdivision Ordinance Inspector before work starts; leave specified system areas uncovered for inspection before backfill.
Frequently asked questions
- Do I need a notary for the septic permit 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 septic permit application?
- The form lists 56 Bailey Street, Coxsackie, and a $75 fee. Engineered plans must be submitted at the time of application.
- What information does the septic permit application request?
- It requests applicant, owner, engineer, and contractor contact details, the property address, system type and specifications, and the number of bedrooms and bathrooms.
- When must I contact the inspector?
- The form says to contact the Sewer & Subdivision Ordinance Inspector before any work starts. The system must also be inspected before backfill.
Need something notarized?
This Application for Septic Permit doesn’t need a notary — but if you have another Coxsackie form that does, a commissioned online notary can help.