Get Nyc Dep: Application For Approval Of Backflow Prevention Devices - Home Nyc

Filling out the NYC Department of Environmental Protection's application for approval of backflow prevention devices is an essential step for ensuring safe water systems. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete your application.

1. Press ‘Get Form’ button to obtain the application and open it for completion.
2. Complete items 0 through 4a by entering the block and lot numbers as well as the county of the facility.
3. In section 5, specify the exact location of the facility, providing detailed directions if necessary. This helps in accurately identifying the site.
4. Fill in part 5a, 5b, and 5c with the number of respective services (fire, domestic, combined) your facility has, summing these numbers in 5d for the total number of services.
5. Document the location of the backflow devices in section 6, including the manufacturer, model number, and size.
6. In part 7, provide the name, title, and contact information of the owner, ensuring to include correct zip code and original ink signatures.
7. Complete section 8 and check the appropriate boxes to confirm the mailing address and signify the owner's approval.
8. In part 9, print the name of the design engineer or architect clearly and include their full mailing address.
9. Provide the nature of the work being performed in section 10, checking the relevant boxes and entering the necessary professional license information.
10. Enter the water system pressure at the connection point in section 11.
11. Indicate the estimated installation cost in part 12; ensure that all fields are filled with no blanks, using fair market value where applicable.
12. Select the degree of hazard in section 13 and provide details in the area provided, ensuring compliance with DEP requirements.
13. Complete section 14 with the water supplier's details and confirm that additional sheets are attached if needed.
14. Review all fields for completeness and accuracy. Once finalized, you can save changes, download, print, or share the completed form.

Complete your application online today to ensure your backflow prevention devices are approved.