Monroe County, NY · Monroe County

No notary required

Driveway Culvert & Piping Installation Certification

Engineers, surveyors, or contractors complete this certification after installing a driveway culvert or pipe to verify the work for a Monroe County permit.

At a glance

Issued by
City of Monroe County · Monroe County, Monroe County, New York
Notarization
Not required: file this form without a notary.
Official source
monroecounty.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This form certifies that a driveway culvert or pipe was installed according to the approved design plan or within the specified relationship to adjacent culvert elevations. The permit applicant’s engineer, surveyor, or contractor completes it after installation. Monroe County DOT requires the form before it can close out the permit and release the security deposit; it asks for permit and property details, installation verification, and signer information.

Who needs it

The permit applicant’s engineer, surveyor, or contractor completes this form after installing the driveway culvert or pipe.

How to submit it

Return the form to Monroe County Department of Transportation, Attn: Permits, CityPlace, Suite 6100, 50 W. Main Street, Rochester, NY 14614.

About notarization

This certification is signed and dated without a notary; the engineer, surveyor, or contractor simply signs and dates it.

How to submit this form

  1. 1

    Download the Form

    Download the Driveway Culvert & Piping Installation Certification.

  2. 2

    Complete the Certification

    After installation, enter the permit and property details and certify the culvert or pipe installation against the approved plan.

  3. 3

    Sign and Date

    The engineer, surveyor, or contractor signs and dates the certification and provides the requested contact details.

  4. 4

    Return It to Monroe County DOT

    Send the completed form to the Monroe County Department of Transportation, Attn: Permits, at the address printed on the form.

Frequently asked questions

Who completes the driveway culvert installation certification?
The permit applicant’s engineer, surveyor, or contractor completes the form after the driveway culvert or pipe has been installed.
Do I need a notary for the Driveway Culvert & Piping Installation Certification?
No. The document is signed and dated without a notary; the engineer, surveyor, or contractor simply signs and dates it.
How do I submit the driveway culvert certification?
Return it to Monroe County Department of Transportation, Attn: Permits, CityPlace, Suite 6100, 50 W. Main Street, Rochester, NY 14614.
When must this certification be returned?
Return it to Monroe County DOT before the permit can be closed out and the security deposit released.

Need something notarized?

This Driveway Culvert & Piping Installation Certification doesn’t need a notary, but if you have another Monroe County form that does, a commissioned online notary can help.