Suffolk County, NY · Suffolk County
Application for Sewage Disposal Facilities and Water Supply Systems for Other Than Single Family Residences
This application is for property owners or applicants seeking a permit for sewage disposal facilities or water supply systems serving non-single-family residences.
At a glance
- Issued by
- City of Suffolk County · Suffolk County, Suffolk County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- suffolkcountyny.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a permit for sewage disposal facilities or water supply systems for a commercial or other non-single-family project. It asks about the property, proposed use, buildings, water and sewage systems, hazardous materials, other permits, and environmental conditions. The application also requests surveys and plans and is used when the Department requires an application under the referenced standards and Sanitary Code.
Who needs it
Property owners or applicants proposing sewage disposal facilities or water supply systems for buildings other than single-family residences should complete this application.
How to submit it
Submit the application to the Suffolk County Department of Health Services, Office of Wastewater Management, 360 Yaphank Avenue, Suite 2C, Yaphank, NY 11980. The form lists [email protected] and (631) 852-5700.
About notarization
This document is signed and dated without a notary; the property owner, applicant, and design professional sign, and the form does not identify a notarized attachment or related step.
How to submit this form
- 1
Download the Application
Download the Suffolk County application for sewage disposal facilities and water supply systems for non-single-family residences.
- 2
Complete the Application
Provide project, property, building, water supply, sewage disposal, hazardous materials, permit, and environmental review information.
- 3
Gather Plans and Surveys
The application refers to surveys and plans submitted with the application; consult its referenced application requirements bulletin.
- 4
Sign and Date the Form
The property owner, applicant, and design professional each sign and date the application.
- 5
Submit to the County
Submit the application to the Suffolk County Department of Health Services, Office of Wastewater Management, at the address printed on the form.
Frequently asked questions
- What is the Suffolk County sewage and water supply application for?
- It requests a permit for sewage disposal facilities and water supply systems serving residences or projects other than single-family residences.
- Who should complete this application?
- Property owners or applicants seeking a permit for a non-single-family project should complete the form, which also collects information from a design professional.
- Do I need a notary for this application?
- No. The application has signature and date lines for the property owner, applicant, and design professional, but no notary block or notarized attachment is identified.
- How do I submit the sewage and water supply application?
- Send it to the Suffolk County Department of Health Services, Office of Wastewater Management, at the Yaphank address printed on the form. The form also lists an email address and phone number.