Who can apply for the sewer backflow valve grant?

The agreement describes assistance for single-family Village homeowners with qualifying basement connections and proof of sewer backup due to extreme flow conditions.

Do I need a notary for the Sewer Backflow Valve Grant Agreement?

No. The agreement does not require notarization; the homeowner signs and dates it. The document lists no notarized attachment or sworn step.

What proof is required for reimbursement?

The agreement says applicants must submit a copy of the bills proving the valve was installed. It also requires proof of testing for downspouts, sump pumps, and footer drains, or a request for the Village to test them.

Smithville, OH · Wayne County

No notary required

Sewer Backflow Valve Grant Agreement

Smithville homeowners use this agreement to request a partial grant reimbursement for an eligible sewer backflow valve installation.

What this form is

This agreement sets the eligibility rules and conditions for Smithville’s limited grant, which reimburses eligible homeowners up to $250 toward a sewer backflow valve. Homeowners must obtain Village approval and sign the agreement before installation. The document covers eligibility, installation, inspection, proof of costs, and homeowner responsibilities for maintenance and operation.

Who needs it

Single-family homeowners seeking grant assistance for an eligible sewer backflow valve must obtain Village approval and sign this agreement before installation.

How to submit it

Obtain prior approval from the Village before installation and submit the required installation documents. The agreement lists the Village’s address as 207 W. Main Street, PO Box 517, Smithville, Ohio 44677.

About notarization

This agreement is signed without a notary; the document lists no notarized attachment or sworn step, so the homeowner signs and dates it.

How to submit this form

1
Download The Agreement
Download the Sewer Backflow Valve Grant Agreement PDF.
2
Review Eligibility And Conditions
Read the eligibility rules, installation requirements, and maintenance conditions in the agreement.
3
Obtain Prior Approval
Obtain Village approval and sign the agreement before installing the backflow valve.
4
Submit Installation Proof
After installation, submit the required installation documents and a copy of the bills proving the valve was installed.

Frequently asked questions

Who can apply for the sewer backflow valve grant?: The agreement describes assistance for single-family Village homeowners with qualifying basement connections and proof of sewer backup due to extreme flow conditions.
Do I need a notary for the Sewer Backflow Valve Grant Agreement?: No. The agreement does not require notarization; the homeowner signs and dates it. The document lists no notarized attachment or sworn step.
How do I submit the Sewer Backflow Valve Grant Agreement?: Obtain Village approval and sign the agreement before installation. Submit the required installation documents; the agreement lists the Village address as 207 W. Main Street, PO Box 517, Smithville, Ohio 44677.
What proof is required for reimbursement?: The agreement says applicants must submit a copy of the bills proving the valve was installed. It also requires proof of testing for downspouts, sump pumps, and footer drains, or a request for the Village to test them.

Need something notarized?

This Sewer Backflow Valve Grant Agreement doesn’t need a notary — but if you have another Smithville form that does, a commissioned online notary can help.