Black River, NY · Jefferson County
Sewer Connection Application
Property owners use this application to request a new connection to the Route 3 Sewer System and provide details about the property and proposed service.
What this form is
This application requests a new sewer service connection in the Route 3 Sewer Corridor. Property owners submit it to the Town or Village Clerk where the service will be located, with the connection fee and a location sketch. The form asks for owner, property, contractor, and proposed service details, along with the owner's certification and municipal and technical review sections.
Who needs it
Property owners seeking a new Route 3 Sewer System connection must complete the application for the location where the proposed service will be installed.
How to submit it
Submit the completed application, connection fee, and location sketch to the Clerk in the Town or Village where the new service will be located. The Clerk forwards the application for technical review.
About notarization
This application is signed and dated by the property owner without a notary; the document does not identify any notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Sewer Connection Application and review the included instructions.
- 2
Complete The Application
Type or legibly print all required information, complete every section, and have the property owner sign and date it.
- 3
Gather Required Items
Prepare the connection fee and a location sketch with the property, building, lateral, cleanout, and tie-in details.
- 4
Submit To The Clerk
Submit the application, fee, and sketch to the Clerk in the Town or Village where the new service will be located.
Frequently asked questions
- Do I need a notary for the Sewer Connection Application?
- No. The property owner signs and dates the application without a notary. The document does not identify any notarized or sworn attachment or related step.
- How do I submit the Sewer Connection Application?
- Submit the completed application with the connection fee and a location sketch to the Clerk in the Town or Village where the proposed service will be located.
- What should I include with the application?
- Include the proper connection fee and a location sketch showing property boundaries, buildings, the approximate lateral length with reference dimensions, cleanouts, the mainline tie-in point, and other relevant information.