Clifton, NY · St. Lawrence County

No notary required

Septic System Permit Application

Property owners or their agents and contractors use this application to request a septic system permit and provide property, dwelling, and system details.

What this form is

This application requests a septic system permit and collects the property owner’s contact information, property location, tax map number, and contractor details. It also asks about the dwelling, septic tank, leach field, fill, infiltrator system, and perk test results. The form includes space for a plot plan showing structures, system locations, property lines, a well, and distances.

Who needs it

Property owners, agents, or contractors use this application to provide information about a property and its proposed septic system.

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 lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download The Application

    Download the Septic System Permit Application.

  2. 2

    Complete The Form

    Enter the owner, property, contractor, dwelling, septic tank, and leach field information requested.

  3. 3

    Prepare The Plot Plan

    Indicate structures, the septic tank, leach field, property lines, well, and distances on the plot plan.

  4. 4

    Sign And Date

    The owner, agent, or contractor signs and dates the application.

  5. 5

    Submit To The City

    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 Septic System Permit Application?
No. The application has a signature and date line but no notary block, and it lists no notarized attachment or sworn step.
How do I submit the Septic System Permit Application?
The form does not give submission instructions. 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 owner and contractor contact details, the property location and tax map number, dwelling details, septic tank and leach field information, perk test results, and a plot plan.

Need something notarized?

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