Get Ny Dhs Wwm-004 2012-2025

The NY DHS WWM-004 is a crucial form used for applications regarding sewage disposal facilities and water supply systems for establishments other than single-family residences. This guide provides step-by-step instructions to assist users in accurately completing the form online.

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

1. Click ‘Get Form’ button to obtain the form and open it in your form editor.
2. Begin filling out the application by checking all applicable boxes for the type of application you are submitting, such as new construction, addition to building, or other relevant categories.
3. Provide a brief description of your proposal and the intended uses of the building.
4. In Section 1, enter the business or facility name, location, and contact details of all relevant parties, including the applicant and current property owner.
5. Specify whether the site is vacant or improved, along with zoning information and the estimated gallons per day of sewage discharge.
6. For Section 2, answer questions specific to existing buildings or food establishments, detailing changes in use, previous business names, and tenant space information.
7. In Section 3, provide information regarding hazardous materials storage or discharge, including any potential wastewater impacts.
8. Complete Section 4 by indicating if other permits are required for your proposal, such as permits from the NYSDEC.
9. Finally, fill out Section 5 regarding environmental quality and health review, answering all questions accurately to ensure compliance.
10. Review your completed form for accuracy and completeness, then save your changes. You may download, print, or share the form as needed.

Start filling out the NY DHS WWM-004 online to ensure your application is submitted correctly.