Orange County, NY · Orange County
Application for Approval of a Subsurface Sewage Disposal System
This application requests Orange County Health Department approval of a subsurface sewage disposal system and is completed by the applicant and engineer.
At a glance
- Issued by
- City of Orange County · Orange County, Orange County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- orangecountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request approval for a proposed subsurface sewage disposal system in Orange County. It asks for project and site details, applicant and engineer contact information, design flow and soil test results, system design information, and signatures. Attach a copy of the SPDES application submitted to NYSDEC if the design flow exceeds 1,000 gallons per day; an authorization letter is required when someone other than the applicant signs.
Who needs it
Applicants and engineers seeking approval for a subsurface sewage disposal system complete and sign this application.
How to submit it
Submit it to the Orange County Department of Health; check the county website for current contact details.
About notarization
This application is signed and dated without a notary; attach a copy of the SPDES application when design flow exceeds 1,000 gallons per day and an authorization letter when required.
How to submit this form
- 1
Download the Application
Download the subsurface sewage disposal system application PDF.
- 2
Complete the Application
Fill in project, site, applicant, engineer, system design, and soil test information.
- 3
Gather Required Attachments
Attach a copy of the SPDES application if design flow exceeds 1,000 gallons per day, and an authorization letter when required.
- 4
Sign and Submit
Have the applicant and engineer sign and date the form, then submit it to the Orange County Department of Health.
Frequently asked questions
- Do I need a notary for the sewage disposal system application?
- No. The application calls for applicant and engineer signatures and dates, not notarization. Attach an authorization letter if someone other than the applicant signs.
- How do I submit the sewage disposal system application?
- Submit it to the Orange County Department of Health. Check the county website for current contact details.
- What information does the application request?
- It requests project and site details, applicant and engineer contact information, design information, soil test results, and signatures.
- What attachments may be required?
- Attach a copy of the SPDES application submitted to NYSDEC if design flow exceeds 1,000 gallons per day. An authorization letter is required if someone other than the applicant signs.