What does the Sewage Disposal System Application request?

It requests a sewage disposal permit and collects applicant, property, proposed work, system design, soil, and percolation test information.

What should I include with the application?

The instructions call for two copies of plans and one application, plus proof of required insurance coverage or an applicable exemption certificate. A nonrefundable $75 application fee is also required.

Do I need a notary for the Sewage Disposal System Application?

No. Sign and date the application without a notary. The applicant swears that the statements are true, but the document provides no notary block.

How do I submit the Sewage Disposal System Application?

Send the application and all documents to Washington County Department of Code Enforcement, 383 Broadway, Fort Edward, NY 12828. Include two plan copies, one application, and the $75 fee payable to Washington County Treasurer.

Jackson, NY · Washington County

No notary required

Sewage Disposal System Application

Property owners or their representatives use this application to request a sewage disposal permit from the Washington County Department of Code Enforcement.

What this form is

Use this application to request a sewage disposal permit for a proposed system or work on an existing one. It asks for applicant and property details, proposed work and system design information, and soil and percolation test results. Submit it with two copies of plans and required insurance documents; the form also describes plan contents and system testing requirements.

Who needs it

Property owners or their representatives applying for a sewage disposal permit for new construction, repairs, replacement, or other listed work need this application.

How to submit it

Send the application and all documents to Washington County Department of Code Enforcement at 383 Broadway, Fort Edward, NY 12828; include two plan copies, one application, and the nonrefundable $75 fee payable to Washington County Treasurer.

About notarization

This application is signed and dated without a notary; the applicant also swears its statements are true, but the document provides no notary block.

How to submit this form

1
Download The Application
Download the Sewage Disposal System Application and review its instructions before completing it.
2
Complete And Sign The Form
Answer all applicable questions, then sign and date the application.
3
Gather Plans And Documents
Include two copies of your plans, required insurance documents, and the nonrefundable $75 fee payable to Washington County Treasurer.
4
Send The Application
Send the application and all documents to Washington County Department of Code Enforcement, 383 Broadway, Fort Edward, NY 12828.

Frequently asked questions

What does the Sewage Disposal System Application request?: It requests a sewage disposal permit and collects applicant, property, proposed work, system design, soil, and percolation test information.
What should I include with the application?: The instructions call for two copies of plans and one application, plus proof of required insurance coverage or an applicable exemption certificate. A nonrefundable $75 application fee is also required.
Do I need a notary for the Sewage Disposal System Application?: No. Sign and date the application without a notary. The applicant swears that the statements are true, but the document provides no notary block.
How do I submit the Sewage Disposal System Application?: Send the application and all documents to Washington County Department of Code Enforcement, 383 Broadway, Fort Edward, NY 12828. Include two plan copies, one application, and the $75 fee payable to Washington County Treasurer.

Need something notarized?

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