Do I need a notary for the pipeline crossing application?

No. The application has a signature and date line but no notary block or sworn attachment; the signer just signs and dates it.

How do I submit the pipeline crossing application?

Attach a check for $500 per road crossing payable to Jackson County Treasurer and mail it to 115 W. Main, Edna, Texas 77957. The application also calls for proof of agreement with affected landowners before approval.

What information does the application ask for?

It asks for the number of pipelines, transported product, pipe and bore-hole sizes, affected county roads, and company and signer details.

What must be included with the application?

Attach the required $500-per-crossing check. Before Commissioners’ Court approval, the applicant must furnish proof of agreement with the landowners whose property the pipeline crossing affects.

Jackson County, TX · Jackson County

No notary required

Application for County Road Crossing (Pipeline)

Pipeline companies or public-serving applicants use this application to request permission to install or maintain a pipeline crossing under a Jackson County road.

At a glance

Issued by: City of Jackson County · Jackson County, Jackson County, Texas
Notarization: Not required: file this form without a notary.
Official source: co.jackson.tx.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This application requests Jackson County Commissioners’ Court permission to construct, operate, maintain, repair, replace, or remove a pipeline crossing under county roads or public lands. Applicants identify the product, pipe and bore-hole sizes, and affected county roads, and agree to the listed construction and maintenance conditions. The application requires proof of agreement with affected landowners before approval and a $500 payment for each road crossing.

Who needs it

A pipeline company or applicant installing a pipeline for public convenience must submit this application for each requested county road crossing.

How to submit it

Attach a check for $500 per road crossing, payable to Jackson County Treasurer, to the application. Mail the check to 115 W. Main, Edna, Texas 77957; the form also requires proof of agreement with affected landowners before approval.

About notarization

This document is signed without a notary; it contains no sworn attachment or related notarized step, so the signer just signs and dates it.

How to submit this form

1
Download the Application
Download the Jackson County Application for County Road Crossing (Pipeline).
2
Complete the Application
Enter the pipeline, product, pipe and bore-hole details, affected county road, and company and signer information.
3
Gather Required Items
Attach a check for $500 per road crossing; prepare proof of agreement with affected landowners for Commissioners’ Court approval.
4
Submit to Jackson County
Mail the application and attached check to Jackson County Treasurer, 115 W. Main, Edna, Texas 77957.

Frequently asked questions

Do I need a notary for the pipeline crossing application?: No. The application has a signature and date line but no notary block or sworn attachment; the signer just signs and dates it.
How do I submit the pipeline crossing application?: Attach a check for $500 per road crossing payable to Jackson County Treasurer and mail it to 115 W. Main, Edna, Texas 77957. The application also calls for proof of agreement with affected landowners before approval.
What information does the application ask for?: It asks for the number of pipelines, transported product, pipe and bore-hole sizes, affected county roads, and company and signer details.
What must be included with the application?: Attach the required $500-per-crossing check. Before Commissioners’ Court approval, the applicant must furnish proof of agreement with the landowners whose property the pipeline crossing affects.

Need something notarized?

This Application for County Road Crossing (Pipeline) doesn’t need a notary, but Texas residents can notarize other documents online with a commissioned online notary.