Kings Mountain, NC · Cleveland County
Appendix H Affidavit of On-Site Wastewater Existing System
This affidavit lets a property owner affirm that proposed construction meets on-site wastewater system setback requirements when applying for a permit exemption in Kings Mountain.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Kings Mountain requires this affidavit with a permit application only when the applicant is seeking the exemption described on the form. The property owner affirms that proposed construction will meet local and state on-site wastewater setback requirements and will not increase the existing system’s design daily flow or wastewater strength. The form also says the owner may consult an authorized evaluator or inspector before signing.
Who needs it
A property owner applying for the permit exemption identified on the form must complete this affidavit and provide it with the permit application.
How to get this notarized
- 1
Download the Form
Get Appendix H, the affidavit of on-site wastewater existing system, from the City of Kings Mountain.
- 2
Fill In the Property Details
Provide the real property address and parcel identification, print your full name, and review the statements.
- 3
Book an Online Notary
Arrange a notary appointment and ask whether the notarization method will be accepted for this city form.
- 4
- 5
Submit It to the City
Include the completed affidavit with your permit application if you are applying for the exemption described on the form.
Preview the form
The blank PDF straight from Kings Mountain. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I complete the on-site wastewater affidavit?
- Enter the property and parcel details, print your full name, review the affirmations, and sign and date the affidavit before a notary.
- Do I need to submit this affidavit with every permit application?
- No. The form says it is required with a permit application only when the applicant is applying for the stated exemption.
- Can I notarize this affidavit online?
- North Carolina’s enacted remote electronic notarization program has not launched. Emergency video notarization is separate and requires the signer and notary to be inside North Carolina. Ask about a commissioned online notary and confirm city acceptance.
- Can I consult someone before signing?
- The form says the property owner may consult an authorized on-site wastewater evaluator or an inspector to locate the existing system and verify setback requirements. Confirm with the city or town if unsure.