Onondaga County, NY · Onondaga County
Application for Approval of Backflow Prevention Devices
Facility owners and design professionals use this application to request approval of backflow prevention devices for projects in Onondaga County.
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 application requests approval of backflow prevention devices for a facility, including initial installations, replacements, and work involving new services, existing services, or renovations. It asks for facility and owner details, device and service information, project costs, hazard information, and water system pressure. Applicants must include plans, specifications, and an engineer’s report describing the project.
Who needs it
Facility owners seeking approval for backflow prevention devices must complete the application with information from the project’s design engineer or architect.
How to submit it
Submit the project first to the water supplier, which will forward it to the local public health engineer. Prepare four copies of the form and four copies of the plans, specifications, and descriptive literature.
About notarization
This form is signed and dated without a notary; include the required engineer’s report, with the engineer’s original ink signature and seal on all copies.
How to submit this form
- 1
Download the Application
Download the application for approval of backflow prevention devices.
- 2
Complete the Application
Print or type entries, complete the requested facility, owner, device, project, hazard, and water system details, and sign and date the form.
- 3
Gather Project Materials
Include plans, specifications, and an engineer’s report; prepare four copies of the form and four copies of the accompanying materials.
- 4
Submit to the Water Supplier
Submit the project first to the water supplier, which will forward it to the local public health engineer.
Frequently asked questions
- What is the backflow prevention device application for?
- It requests approval of backflow prevention devices for a facility project, such as an initial installation or replacement.
- What attachments are required?
- The application must be accompanied by plans, specifications, and an engineer’s report describing the project in detail. Four copies of each are required.
- Do I need a notary for this application?
- No. This form is signed and dated without a notary; the engineer’s original ink signature and seal are required on all copies.
- How do I submit the application?
- Submit the project first to the water supplier, which will forward it to the local public health engineer. Prepare four copies of the form and required project materials.