Get Sample Certification Statement For Septic Tank Accounts - Waterbury

Filling out the Sample Certification Statement For Septic Tank Accounts - Waterbury is essential for individuals and businesses using septic systems. This guide provides a step-by-step approach to complete the form accurately and efficiently online.

Follow the steps to complete your certification statement online.

1. Click ‘Get Form’ button to access the certification statement document and open it in your web browser.
2. In the 'Reporting Period' section, fill in the starting and ending dates for the reporting period, such as from December 2004 to December 2005.
3. Enter the company name, and if applicable, the Federal Tax ID number in the corresponding fields.
4. In the 'Dates of Estimated Quantity of Wastewater' section, fill in both the start and end dates for estimated wastewater quantities.
5. List the discharge outlets under 'Description of Waste Discharge Outlets.' Fill in details for at least one outlet, noting if additional outlets are necessary.
6. Complete the volume of water discharged in million gallons for each outlet under the specified categories, including Waterbury Water Department, well water, and any other sources.
7. Provide measurements for discharge to locations other than the sanitary sewer, ensuring to attach any necessary documentation.
8. Input details regarding measurements and sampling procedures, including the name of the laboratory and sampling methods, in the designated sections.
9. Indicate the status of any toxic or hazardous substances discharged, and check the appropriate classification of the facility.
10. Complete the user charge computations, and ensure all charges are totaled accurately.
11. In the certification section, the authorized user must sign, provide their name, title, and date of signing.
12. Save your changes or download the form once completed. You may also choose to print or share the document as needed.

Complete your Sample Certification Statement For Septic Tank Accounts - Waterbury online today.