Do I need a notary for the Small Tank Abandonment Notification Form?

No. The form has no notary block and identifies no sworn or notarized attachment.

Which tanks does this form cover?

The form is for individual storage tanks with a capacity of 1,100 gallons or less.

When must the department receive the notification?

The form says the notification must be received by the Nassau County Department of Health seven days before the job.

No notary required

Small Tank Abandonment Notification Form

Contractors or property owners use this form to notify the Nassau County Department of Health about abandonment of a small storage tank.

What this form is

This form notifies the Nassau County Department of Health about a storage tank abandonment and applies only to individual tanks with a capacity of 1,100 gallons or less. It requests the job date, contractor and property owner contact details, existing tank size and fill material, and a tank location diagram. The document says the notification must arrive seven days before the job and include a $70 fee per tank.

Who needs it

A contractor or property owner arranging abandonment of an individual storage tank with a capacity of 1,100 gallons or less should use this form.

How to submit it

Return the form by U.S. mail to the Bureau of Environmental Protection, Nassau County Department of Health, Attention: Article XI, 200 County Seat Drive, Mineola, NY 11501. Attach a $70 check per tank.

About notarization

This form has no notary block; it requests a job date and tank details and identifies no sworn or notarized attachment.

How to submit this form

1
Download The Form
Download the Small Tank Abandonment Notification Form.
2
Complete The Form
Enter the job date, contractor and property owner details, existing tank information, and a tank location diagram.
3
Attach The Fee
Attach a $70 check for each tank.
4
Mail The Form
Mail it to the Bureau of Environmental Protection, Nassau County Department of Health, Attention: Article XI, in Mineola.

Frequently asked questions

Do I need a notary for the Small Tank Abandonment Notification Form?: No. The form has no notary block and identifies no sworn or notarized attachment.
How do I submit the Small Tank Abandonment Notification Form?: Return it by U.S. mail to the Bureau of Environmental Protection, Nassau County Department of Health, Attention: Article XI, 200 County Seat Drive, Mineola, NY 11501. Attach a $70 check per tank.
Which tanks does this form cover?: The form is for individual storage tanks with a capacity of 1,100 gallons or less.
When must the department receive the notification?: The form says the notification must be received by the Nassau County Department of Health seven days before the job.

Need something notarized?

This Small Tank Abandonment Notification Form doesn’t need a notary — but if you have another Oyster Bay Cove form that does, a commissioned online notary can help.