Sewerage-related Forms

Please use the PDF file format for printing.
Note: It is recommended to use plain paper for printing, and the print size is A4.
Thermal printers cannot accept thermal paper.

Reservations for construction consultation regarding public sewer facilities and drainage equipment installation

　In order to reduce the burden on everyone visiting the Sewerage Division at City Hall for construction consultations and to ensure smooth operation of the consultation window, we will trial the introduction of a reservation form for the consultation window.

　Please let us know your consultation details, reference materials, and preferred date and time for in-person consultation from the link below. If we determine that we can respond by phone or other means based on the consultation details, a staff member from the Sewerage Division will contact you. In that case, it is not necessary for you to come to the office.

　Due to changes in window service, starting from May of the 7th year of Reiwa, consultations regarding construction will be available on weekdays from 9 AM to noon. We appreciate your understanding and cooperation (except when the Sewerage Division specifies other times).

　You can make a reservation for dates after 3 business days from the reservation form, but if you have an unavoidable reason and wish to consult for an earlier date, please contact us by phone.

• Make a reservation for construction consultation here(external link)

Application for Approval of Public Sewerage Facility Construction (Self-Funded Construction)

The period until approval usually takes about one week, but depending on the content, it may take more than a month, so please apply with ample time.

• (Diagram) Flow of Application for Approval of Public Sewerage Facility Construction (Self-Funded Construction) (PDF 66.8KB)
• (Example) Application Form for Approval of Public Sewerage Facility Construction (Self-Funded Construction) (PDF 259.9KB)
• Application Form for Approval of Public Sewerage Facility Construction (Self-Funded Construction) (PDF 173.2KB)
• Application Form for Approval of Public Sewerage Facility Construction (Self-Funded Construction) (Word 33.8KB)

Note: The "Application Form for Approval of Public Sewer Facility Construction (Self-Funded Construction)" must be submitted printed on both sides.

• (Example) Notification of Start and Completion of Public Sewerage Facility Construction (Self-Funded Construction) (PDF 395.9KB)
• Notification of Commencement and Completion of Public Sewerage Facility Construction (Self-Funded Construction) (PDF 351.1KB)
• Notification of Commencement and Completion of Public Sewerage Facility Construction (Self-Funded Construction) (Word 43.1KB)

Mast / Installation Pipe Correction Template

Note: Please submit the following correction template for the manhole/connection pipe along with the above self-funded construction completion notification.

• Mast / Installation Pipe Correction Template (PDF 71.0KB)
• Mast / Installation Pipe Correction Template (Excel 14.9KB)

Application for Public Restroom Installation (Public Works)

If you are unsure about whether the public manhole extraction within your property is at your own expense or public expense, please prepare the relevant guide map, public ledger, and registered copy of the property, and consult with the Sewerage Division at the counter.
Please allow approximately 5 business days for us to provide information on self-funded and publicly funded options, so we recommend coming with some time to spare.

• Public Water Meter Installation Application Form (PDF 177.2KB)
• Public Water Supply Installation Application Form (Word 113.0KB)

Sewerage work related to road occupation

If the work involves the occupation of a public road, please be sure to check "Regarding the Occupation of Public Roads" and submit the "Road Occupation Procedure Power of Attorney."

• Regarding Road Occupation Construction (PDF 124.6KB)
• Road Occupation Procedure Delegation Document (Word 33.5KB)

Note: The "Public Water Installation Application Form" must be submitted printed on both sides.

Application for Designated Sewerage Construction Shops

• Guidelines for Applications to Designated Sewerage Construction Shops (PDF 165.8KB)
• Application Form for Designation of Sewerage Construction Shops (PDF 301.4KB)
• Application Form for Designation of Sewerage Construction Shops (Word 35.6KB)

• For new and renewal applications, as well as notifications of changes, we will review the submitted documents in advance to shorten the processing time at the counter.
• For the procedure flow and necessary submission documents, please refer to the "Guidelines for Various Applications and Notifications for Designated Sewerage Construction Shops in Inagi City."

Please download the application form, fill it out, and submit it as a PDF or JPEG (photographed data of the attached documents, etc.) using the form below.

• New and Change Application Application Form Pre-application is here(External Link)
• Notification of Transfer/Change Application Form can be submitted here（External Link）

Application for Permission to Occupy Public Sewerage Facilities

• Application Form for Public Sewer Occupancy Permission (PDF 162.7KB)
• Application Form for Public Sewer Occupancy Permission (Word 68.0KB)

Water Quality

• Water Quality (PDF 288.7KB)
• Water Quality (Word 208.0KB)
• Installation Guidelines for the "Disposer Drainage Treatment System, etc." (PDF 150.8KB)
• Disposal Drainage Treatment System Notification (PDF 212.6KB)

Please be sure to check the "Installation Guidelines for Disposal Drainage Systems, etc." regarding the installation of disposers.
In Inagi City, only products certified based on the "Performance Standards for Disposal Drainage Systems for Sewers (Draft) (March 2013)" created by the Japan Sewerage Association can be newly installed.

Drainage Equipment Related

The Application Form for drainage facility planning confirmation (envelope type) is provided at the Sewerage Division counter according to the number of planned constructions.

• Completion Notification of Drainage Equipment Construction (PDF 133.8KB)
• Completion Notification of Drainage Equipment Construction (Word 57.0KB)
• Application Form for Viewing Drainage Facility Completion Drawings (PDF 107.7KB)
• Power of Attorney for Viewing Drainage Facility Completion Drawings (PDF 81.4KB)

For viewing the drainage facility completion drawings at the Sewerage Division, please use this Application Form and the power of attorney.

• Notification of Start of Use of Public Sewerage (PDF 207.1KB)
• Notification of Start of Use of Public Sewerage (Word 105.5KB)

If you print the Public Sewer Use Start Notification Form on both sides, a table for multiple households and apartment water numbers will be printed on the back of the Public Sewer Use Start Notification Form. If there are two or more water meters (such as in apartment buildings or two-family houses), please fill out the table for multiple households and apartment water numbers for all meters located at the installation site.

• Example: Start Public Sewer Usage Notification Form (PDF 213.4KB)

You can apply using the form below.

• LoGo Form "Public Sewer Use Start Notification"(External Link)

Sewerage Fees Related

• Application Form for Exemption from Sewerage Usage Fees (PDF 200.1KB)

You can apply using the form below.

• LoGo Form "Application Form for Exemption from Sewerage Charges"(External Link)