Onondaga County, NY · Onondaga County

No notary required

Water Supplier Backflow Prevention Device Approval Map and Drawing Review Checklist

Water suppliers and project applicants use this checklist to review map, drawing, and supporting-document items for a backflow prevention device submission.

At a glance

Issued by
City of Onondaga County · Onondaga County, Onondaga County, New York
Notarization
Not required: file this form without a notary.
Official source
onondaga.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

This checklist accompanies a backflow prevention device submission and helps reviewers check the project’s site plan, plan view, elevation view, engineer’s report, and device specifications. It asks for project and location details, plumbing approval and application documents, and information about water services, meters, drains, and the device. The checklist says to mark items that do not apply as N/A and to return it with the backflow submission.

Who needs it

Water suppliers and project applicants preparing a backflow prevention device submission use this checklist to identify required plans, reports, and supporting materials.

How to submit it

Return it with the backflow submission. Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This checklist is signed and dated without a notary; the final submittal calls for an engineer’s stamp and signature, but no sworn or notarized attachment is listed.

How to submit this form

  1. 1

    Download the Checklist

    Download the checklist to prepare it with the backflow submission.

  2. 2

    Complete the Checklist

    Enter the project and location details, and mark items that do not apply as N/A.

  3. 3

    Gather Plans and Attachments

    Gather the listed plans, engineer’s report, device specifications, approval letter, and application materials.

  4. 4

    Return With the Submission

    Return the checklist with the backflow submission; check the county website for current contact details.

Frequently asked questions

What does the backflow review checklist cover?
It lists items for the site plan, plan view, elevation view, engineer’s report, and device specifications, along with related project and location details.
How do I submit the backflow review checklist?
Return it with the backflow submission. The checklist does not give a destination, so check the county website for current contact details.
Do I need a notary for the backflow review checklist?
No. The checklist is signed and dated without a notary; the final submittal calls for an engineer’s stamp and signature.

Need something notarized?

This Water Supplier Backflow Prevention Device Approval Map and Drawing Review Checklist doesn’t need a notary, but if you have another Onondaga County form that does, a commissioned online notary can help.