Bloomingburg, NY · Sullivan County

No notary required

Sewer Permit Application

Property owners or contractors use this application to request permission to connect a property to the Village of Bloomingburg public sewer.

What this form is

This application requests a permit to connect a property in the Village of Bloomingburg to the public sewer and includes a completion certification and space for village approval. It asks for the property location, owner and contractor contact information, and signatures. The form lists a $250 tap-in fee and a $300 inspection fee, and says connections must be inspected before backfilling.

Who needs it

A property owner or contractor seeking to connect a property in the Village of Bloomingburg to the public sewer needs this permit 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 document is signed without a notary; the signer just signs and dates it, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Application

    Download the Sewer Permit Application PDF.

  2. 2

    Complete The Application

    Provide the property location and owner and contractor information, then sign the application.

  3. 3

    Review The Attachment

    Read and initial Part B on the reverse side, which contains sewer connection requirements.

  4. 4

    Submit The Application

    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 Sewer Permit Application?
No. The document is signed without a notary; the signer signs and dates it, and no notarized or sworn attachment is mentioned.
How do I submit the Sewer Permit Application?
The form does not provide submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
What fees does the Sewer Permit Application list?
The form lists a $250 tap-in fee and a $300 inspection fee.
When must a sewer connection be inspected?
The form states that all sewer connections must be inspected before backfilling.

Need something notarized?

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