Philadelphia, NY · Jefferson County

No notary required

Sewage Disposal Permit Application

Property owners or applicants use this application to request a Town of Philadelphia permit for a new or replacement sewage disposal system.

What this form is

Use this application to request a sewage disposal permit for a new septic system, leach field replacement, septic tank replacement, or another project. It asks for applicant and contractor details, test dates and results, household bedroom count, tank size, and leach line length. Applicants must diagram the system and nearby wells, buildings, and property lines; the form states that the system cannot be covered or used before final inspection and a certificate of compliance.

Who needs it

An applicant seeking a permit for a new or replacement sewage disposal system in the Town of Philadelphia should complete this application.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This application is signed without a notary; the applicant signs and dates it, and the Enforcement Officer also has a signature line.

How to submit this form

  1. 1

    Download The Application

    Download the Sewage Disposal Permit Application.

  2. 2

    Complete The Application

    Enter applicant and contractor details, project type, test information, household bedrooms, tank size, and leach line length.

  3. 3

    Draw The System Diagram

    Diagram the system and show distances to wells, buildings, and property lines, along with the placement of system components.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Sewage Disposal Permit Application?
No. The application has no notary block; the applicant signs and dates it, and the Enforcement Officer has a separate signature line.
How do I submit the Sewage Disposal Permit Application?
The document does not provide a submission address or contact details. Submit it to the city department named on the form; check the city website for current contact details.
What information does the application ask for?
It asks for applicant and contractor details, project type, test dates and results, household bedroom count, septic tank size, leach line length, and a diagram of the sewage disposal system and nearby features.
Can the sewage disposal system be covered or used before inspection?
No. The application states that the system cannot be covered with soil or used before final inspection and issuance of a certificate of compliance.

Need something notarized?

This Sewage Disposal Permit Application doesn’t need a notary — but if you have another Philadelphia form that does, a commissioned online notary can help.