Do I need a notary for the On-Lot Sewage System Permit Application?

No. The owner or authorized agent signs and dates the application without a notary. The form does not specify a notarized or sworn attachment.

How do I submit the On-Lot Sewage System Permit Application?

Arrange an on-site evaluation with the local agency Sewage Enforcement Officer, then submit the completed application and required supporting documents to the local agency.

Who completes the on-lot sewage system permit application?

The property owner or an authorized agent completes Part I and signs Part IV, item 22. The local agency Sewage Enforcement Officer completes the agency and system review sections.

What documents should accompany the application?

The form calls for soil-test records, system design plans, and an on-lot sewage system design report. Other documents may be required depending on the conditions described in the application.

Matamoras, PA · Pike County

No notary required

Application for an On-Lot Sewage System Permit

Property owners or their authorized agents use this application to request a permit for a proposed on-lot sewage system.

What this form is

This application requests a permit for a new on-lot sewage system or a repair or modification to an existing system. The applicant completes the property and site information and signs after arranging an on-site evaluation with the local agency Sewage Enforcement Officer (SEO). The application also calls for soil-test records, system design plans, a design report, and other supporting documents when applicable.

Who needs it

A property owner or authorized agent seeking a permit to install, repair, or modify an on-lot sewage system needs to complete the applicant sections.

How to submit it

Arrange an on-site evaluation with the local agency Sewage Enforcement Officer, who completes the agency sections. Submit the application and required supporting documents to the local agency.

About notarization

This application is signed and dated without a notary; the owner or authorized agent signs, and no notarized or sworn attachment is specified.

How to submit this form

1
Download the Application
Download the on-lot sewage system permit application and its instructions.
2
Complete Applicant Information
Fill in Part I with applicant and site details, then sign and date item 22 in Part IV.
3
Arrange the Site Evaluation
Make an appointment with the local agency Sewage Enforcement Officer for an on-site evaluation of site and soil conditions.
4
Gather Supporting Documents
Attach required soil-test records, design plans, the system design report, and any other applicable documentation.
5
Submit to the Local Agency
Submit the completed application and attachments to the local agency for review by the Sewage Enforcement Officer.

Frequently asked questions

Do I need a notary for the On-Lot Sewage System Permit Application?: No. The owner or authorized agent signs and dates the application without a notary. The form does not specify a notarized or sworn attachment.
How do I submit the On-Lot Sewage System Permit Application?: Arrange an on-site evaluation with the local agency Sewage Enforcement Officer, then submit the completed application and required supporting documents to the local agency.
Who completes the on-lot sewage system permit application?: The property owner or an authorized agent completes Part I and signs Part IV, item 22. The local agency Sewage Enforcement Officer completes the agency and system review sections.
What documents should accompany the application?: The form calls for soil-test records, system design plans, and an on-lot sewage system design report. Other documents may be required depending on the conditions described in the application.

Need something notarized?

This Application for an On-Lot Sewage System Permit doesn’t need a notary — but if you have another Matamoras form that does, a commissioned online notary can help.