Kernersville, NC · Forsyth County
Affidavit of On-Site Wastewater Existing System
This affidavit states that proposed construction will meet wastewater system setback requirements and not increase the existing system’s design flow or wastewater strength; the property owner files it with a permit application.
- 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
The affidavit lets a property owner affirm that proposed building construction will meet local and state on-site wastewater system setback requirements and will not increase the existing system’s design daily flow or wastewater strength. The form is required with a permit application only when the applicant is seeking the exemption described in the form. It also says the owner may consult an authorized evaluator or inspector before signing.
Who needs it
A property owner applying for a building permit exemption described on this form may need to submit the affidavit with the permit application.
Why it needs a notary
The form has a sworn-to and subscribed jurat; the property owner, as affiant, signs and swears or affirms before the notary public.
How to get this notarized
- 1
Download The Affidavit
Get the Affidavit of On-Site Wastewater Existing System form for your permit application.
- 2
Fill In Property Details
Complete the property address and parcel identification, and review the owner affirmation.
- 3
Book An Online Notary
Arrange an appointment with a commissioned online notary and confirm the city’s submission requirements.
- 4
- 5
Submit To The City
Include the completed affidavit with your permit application if you are applying for the stated exemption.
Preview the form
The blank PDF straight from Kernersville. 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 existing wastewater system affidavit?
- Enter the property and parcel information, review the affirmation, then sign and swear or affirm before a notary. Submit the completed affidavit with your permit application if you are seeking the form’s stated exemption.
- 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 exemption described on the form. Confirm with the city or town if unsure.
- Can I use online notarization for this affidavit?
- North Carolina’s remote electronic notarization program has not launched. Rush Notary can connect you with a commissioned online notary; check with the city about accepting the notarized affidavit before booking.
- Can I consult someone before signing?
- Yes. The form says the property owner may consult an authorized on-site wastewater evaluator or a qualifying inspector to locate the existing system and verify setback requirements before executing the affidavit.