Mount Gilead, NC · Montgomery County

No notary required

Sewer System Authorization Application

Property owners, occupiers, or their approved applicants use this application to request authorization to connect an address to Mount Gilead’s public sewer system.

What this form is

The application records a request to connect a site to the Town of Mount Gilead sewer system and identifies the owner or occupier and any applicant authorized to act on their behalf. It asks for contact and address details, confirms that the connection will discharge sewage only, and includes agreements to follow sewer-use ordinances and utility billing policies. The form also provides signature and date lines for the applicant and government representatives.

Who needs it

An owner, occupier, or applicant approved to act on their behalf uses this application for a proposed connection to the public sewer at a site.

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 applicant and listed government representatives sign and date the application.

How to submit this form

  1. 1

    Download The Application

    Download the Sewer System Authorization Application PDF.

  2. 2

    Complete The Application

    Enter the application date, applicant and property contact details, and complete the confirmations on the form.

  3. 3

    Sign And Date

    The applicant signs and dates the application; the form also has signature and date lines for government representatives.

  4. 4

    Submit To The City

    Submit the completed application 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 System Authorization Application?
No. The application has signature and date lines, but no notary block; the applicant and listed government representatives sign and date it.
Who can apply to connect a property to the sewer system?
The form identifies the owner or occupier and says an applicant may act on their behalf with the owner's or occupier's approval.
What information does the application ask for?
It asks for applicant and property contact details and includes confirmations about sewage-only discharge, compliance with sewer-use ordinances, and utility billing policies.
How do I submit the Sewer System Authorization Application?
The document does not give submission instructions. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

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