Get Ny Wwm-080 - Suffolk County 2012-2026

This guide provides clear and supportive instructions for filling out the NY WWM-080 form, which is essential for certifying the abandonment of sewage disposal systems in Suffolk County. Follow each step carefully to ensure accurate completion of the form.

Follow the steps to complete the NY WWM-080 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in an online editor.
2. In the 'Health Department Reference Number' field, enter the reference number provided by the health department for your application.
3. Fill in the 'Suffolk Tax Map #' section, including the district, section(s), block(s), and lot(s) as applicable to your project.
4. Provide the 'Project Name or Address' where the sewage disposal system is located.
5. Enter the 'Subdivision Name & Lot #' if applicable, ensuring to accurately describe the subdivision associated with your project.
6. In the 'Applicant Name' field, provide your full name or the name of the entity applying for the abandonment certification.
7. Certify the abandonment by checking all applicable statements regarding the inspection and abandonment process you followed.
8. In the section certifying the specifics of the sanitary system abandoned, specify the dimensions of each tank/pool and indicate the type of each structure (e.g., precast, block, other).
9. If a different company pumped the sanitary system, provide the 'Name of Company', 'Address', and 'Consumer Affairs License Number' if applicable.
10. Have the contractor sign in the designated 'Contractor Signature' area and complete the 'Print Name/Company', 'Phone', and 'Address' fields.
11. Finally, review your completed form for accuracy. Save your changes, download a copy, and print it if needed before submission.

Complete your NY WWM-080 form online today to ensure proper handling of your sewage disposal system abandonment.