Get Suffolk County Certification Of Sewage Disposal System Abandonment

This guide offers a clear and structured approach to completing the Suffolk County Certification Of Sewage Disposal System Abandonment form online. By following these steps, users can ensure proper submission and compliance with local regulations.

Follow the steps to effectively complete the form for sewage disposal system abandonment.

1. Press the ‘Get Form’ button to access the form and open it for editing.
2. Fill in the Health Department Reference Number in the designated field at the top of the form.
3. Enter the Suffolk Tax Map number, including the district, section(s), block(s), and lot(s) numbers as applicable.
4. Provide the project name or address clearly in the given space.
5. If applicable, include the subdivision name and lot number in the appropriate section.
6. Complete the applicant's name field with your full name.
7. In the certification section, check each statement (1-5) to confirm that you have followed the steps outlined regarding the abandonment of the sewage disposal system.
8. Specify the details of the first septic tank or leaching pool, including diameter, depth, and type (precast, block, or other).
9. Provide details for the first overflow pool using the same format as the septic tank.
10. Continue to add any additional overflow pools as necessary, detailing dimensions and type.
11. If the company that pumped out the sanitary system differs from the certifying company, include the name, address, and Consumer Affairs License number.
12. Complete the contractor signature, print name/company, date, and phone number in the corresponding fields.
13. Finish by including your address and Consumer Affairs License number in the last provided fields.
14. Once all sections are filled, save your changes, and download or print the completed form for submission.

Start completing your Suffolk County Certification Of Sewage Disposal System Abandonment form online today.