Philadelphia, NY · Jefferson County

No notary required

Sewage Disposal Permit Application

This application requests a Town of Philadelphia sewage disposal permit and collects system details from applicants and their contractors.

What this form is

Use this application to request a permit for a new septic system, leach field replacement, septic tank replacement, or other sewage disposal work. It asks for applicant and contractor contact information, test dates and results, household bedrooms, tank size, leach line length, and a system diagram showing nearby wells, buildings, and property lines. The form warns that the system cannot be covered or used before final inspection and a certificate of compliance.

Who needs it

Applicants seeking a sewage disposal permit for a new septic system, replacement work, or other sewage disposal work 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 and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

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, test information, system measurements, and the requested sewage disposal work.

  3. 3

    Draw The System Diagram

    Show the system placement and distances to wells, buildings, and property lines in the space provided.

  4. 4

    Sign And Submit

    Sign and date the application, then submit it using the city’s current instructions.

Frequently asked questions

What work does this sewage disposal permit application cover?
The form lists a new septic system, leach field replacement, septic tank replacement, and other work as application options.
What information does the application ask for?
It asks for applicant and contractor details, percolation and deep hole test information, bedroom count, tank size, leach line length, and a diagram of the system and nearby features.
Do I need a notary for the Sewage Disposal Permit Application?
No. This application is signed and dated without a notary, and it does not identify an attachment or related step that must be notarized or sworn.
How do I submit the Sewage Disposal Permit Application?
The form does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.

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.