On-Site Sewage Facilities Permit Application

For more information or questions regarding our OSSF application, email publicworks@kaufmancounty.net or visit us in person at: 101 N. Houston St, Kaufman, TX 75142.

OSSF Permit Application

  1. Kaufman County Development Services On-Site Sewage Facilities (OSSF) Application

  2. APPLICANT INFORMATION
  3. PROPERTY IDENTIFICATION
  4. Single-Family Residence
  5. Put N/A for ALL Single-Family Residence fields if you are applying for a Commercial Application.

  6. Commercial (Includes Multi Family)
  7. Put N/A for ALL Commercial fields, if you are applying for a Single-Family Application.

  8. The undersigned applicant certifies that all information supplied herein is true and correct to the best of my knowledge and no incorrect information was provided for purposes of obtaining a permit to construct an on-site sewage facility and applicant either owns and/or has authority to construct an on-site sewage facility on this property. Permission is hereby-granted to a designated representative of the licensing authority, Kaufman County Public Works Department, to enter said property for purposes of inspection, to determine compliance with applicable laws, standards, rules and regulations.

  9. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  10. AGENT INFORMATION

    COMPLETE THIS PAGE ONLY IF THE APPLICANT IS ACTING AS AN AGENT FOR THE OWNER.
  11. OWNER IDENTIFICATION

  12. AGENT INFORMATION

  13. The undersigned applicant further certifies that if they are acting as an agent for an entity identified above, specifically.

  14. Check at least one that applies
  15. IF NONE OF THE ABOVE APPLY THEN YOU ARE NOT THE AGENT THAT SHOULD BE COMPLETING THIS APPLICATION. THIS APPLICATION MUST BE COMPLETED BY A PERSON WITH SUFFICIENT AUTHORITY LISTED ABOVE.

  16. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  17. SUBMIT APPLICATIONS: 101 N. Houston St., Kaufman, TX 75142 OR publicworks@kaufmancounty.net

  18. If you check the box: Receive an email copy of this form. You’ll receive an e-mail from NoReplyCivicPlus.com.

  19. Leave This Blank:

  20. This field is not part of the form submission.