Does or will the business (es) have more than 250 gallons of drum storage? If yes, indicate number of drums and amount of gallons 4. 5. Does or will the business (es) have collection sumps, troughs, floor drains, boiler drains, etc.? If yes explain 6. Does or will the business (es) involve any manufacturing processes or use of any chemicals? If yes explain If the answer to any of the above questions in section 3 is yes, then permit(s) for hazardous material storage or discharge may be nece.

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How to fill out the NY DHS WWM-004 online

Completing the NY DHS WWM-004 online form is essential for applying for sewage disposal facilities and water supply systems. This guide provides clear, step-by-step instructions to help users navigate and fill out the form accurately.

Follow the steps to fill out the NY DHS WWM-004 online.

  1. Click the ‘Get Form’ button to obtain the NY DHS WWM-004 and access it for editing.
  2. In the application section, check all applicable boxes for the type of application you are submitting, such as new construction or food establishment.
  3. Provide a brief description of your proposal and the intended uses of the building.
  4. Fill in the facility name, location details (including hamlet and town), and property location specifics.
  5. Enter the contact information for the applicant, including their name, telephone number, and address. If applicable, also provide details for the design professional, property owner, and agent.
  6. Indicate the current status of the site (vacant or improved) and enter the occupancy rating, gallons per day of sewage discharge, and total parking spaces.
  7. Answer questions regarding hazardous material storage or discharge if this applies to your business, providing detailed explanations as necessary.
  8. Complete the environmental quality and health review section by answering each of the questions about impacts, existing conditions, and requirements for any necessary permits.
  9. Ensure all signatures are completed from the property owner, applicant, and design professional before final submission.
  10. Once the form is fully filled, you can save your changes, download, print, or share the completed document as needed.

Complete your application today by filling out the NY DHS WWM-004 online.

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NY DHS WWM-004 Form

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