Oyster Bay Cove, NY · Nassau County
Affirmation of Non-Leaking Tank
This affirmation states that a property owner’s underground oil tank and piping are not leaking, and is sent to the Nassau County Department of Health before a job.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
A property owner uses this form to affirm that an underground tank and associated piping used solely for on-site space or water heating are not leaking and have never leaked, to the best of the owner’s knowledge. The form cannot be used if water repeatedly accumulates in the tank. The Nassau County Department of Health must receive the notarized affirmation at least seven days before the job; the form directs owners to return it by U.S. mail.
Who needs it
Property owners with an underground oil tank used solely for on-site space or water heating submit this affirmation to the Nassau County Department of Health before a job.
Why it needs a notary
The form has a “Sworn to before me” jurat, and each property owner signing the affirmation must do so before the notary.
How to get this notarized
- 1
Download The Form
Get the Affirmation of Non-Leaking Tank form from the Oyster Bay Cove website.
- 2
Fill In The Form
Enter the property address and owner information, and review the tank conditions stated on the form.
- 3
Book An Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign On Video
Sign the affirmation during the online session and complete the jurat.
- 5
Mail The Form
Return the notarized form by U.S. mail to the Nassau County Department of Health as instructed; allow at least seven days before the job.
Preview the form
The blank PDF straight from Oyster Bay Cove. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit the non-leaking tank affirmation?
- Sign it before a notary, then return it by U.S. mail to the Nassau County Department of Health, Bureau of Environmental Protection, at the address printed on the form.
- Do I need to sign this form in front of a notary?
- Yes. The form says it must be signed and notarized before returning it by U.S. mail, and it includes a “Sworn to before me” jurat.
- Can I use this form if water repeatedly collects in the tank?
- No. The form states that it may not be used where there is any re-occurring accumulation of water in the tank.
- Can I complete the notarization online?
- New York authorizes remote online notarization by a commissioned online notary under Executive Law §135-c. Confirm with the city, town or village if unsure whether the receiving office accepts your notarized document.