Pine Island, TX · Waller County
Application for Development (On-Site Sewage Facilities Permit)
Property owners or their agents use this application to request development approval for a residential project involving on-site sewage facilities in Pine Island.
What this form is
The application collects owner, property, structure, water supply, septic system, and professional contact information for a residential development permit. Submit it with the required design or planning material, site evaluation, floor plan, and water documentation; the form lists a $100 permit fee for a single-family dwelling. It also includes an ownership declaration and agent authorization.
Who needs it
Property owners or their authorized agents seeking a residential development permit for a property in Pine Island should complete this application.
How to submit it
Submit the completed application and required forms in person, by mail to 36722 Brumlow Rd, Hempstead TX 77445, or by email to [email protected]. The listed single-family dwelling permit fee is $100, payable by cash, check, money order, or cashier’s check.
About notarization
This application is signed without a notary; it includes a sworn ownership declaration, but no notary block, and the signer signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Development PDF for Pine Island.
- 2
Complete The Application
Fill in the owner, property, structure, water supply, septic system, and professional information, then sign and date the required sections.
- 3
Gather Required Materials
Include design or planning material and site evaluation, a floor plan, and a well log or proof of a public water provider.
- 4
Submit To The Town
Submit the completed application and required forms in person, by mail to the listed address, or by email to the listed address.
Frequently asked questions
- Do I need a notary for the Application for Development?
- No. The application has no notary block. It includes a sworn ownership declaration that the owner signs and dates.
- How do I submit the Application for Development?
- Submit it in person, by mail to 36722 Brumlow Rd, Hempstead TX 77445, or by email to [email protected].
- What documents must accompany the application?
- The form lists design or planning material and site evaluation, a floor plan, and a well log or proof of a public water provider. A legal description must also be attached if metes and bounds are not depicted on the site plan.
- What is the listed permit fee?
- The application lists a $100 permit fee for a single-family dwelling. It says payment may be made by cash, check, money order, or cashier’s check.
Need something notarized?
This Application for Development (On-Site Sewage Facilities Permit) doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.