Suffolk County, NY · Suffolk County

No notary required

Application for Sewage Disposal and Water Supply Facilities for a New Single Family Dwelling

This application is for applicants seeking a Suffolk County permit for sewage disposal and water supply facilities for a new single-family dwelling on vacant property.

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

The application requests a permit to construct water supply and sewage disposal systems for a new single-family residence on vacant property. It asks for applicant, property, design professional, and agent details; the proposed water and sewage methods; bedroom count; and information about other agency approvals. Applicants must include site plans, floor plans, a completed checklist, and applicable fees, along with any required approvals.

Who needs it

Applicants seeking a Suffolk County permit for sewage disposal and water supply facilities for a new single-family dwelling on vacant property need this application.

How to submit it

Submit the completed form with three site plan prints and the required attachments to the Office of Wastewater Management, 360 Yaphank Avenue, Suite 2C, Yaphank, NY 11980. The form lists [email protected] and says fees accompany each application.

About notarization

This document is signed without a notary; the property owner or developer signs and dates the affidavit if claiming an Article 6 density exemption.

How to submit this form

  1. 1

    Download the Application

    Download the Suffolk County application for sewage disposal and water supply facilities for a new single-family dwelling.

  2. 2

    Complete the Application

    Complete all sections with applicant, property, design professional, water supply, sewage disposal, bedroom, and other-agency approval information.

  3. 3

    Gather Required Attachments

    Include three site plan prints, floor plans for all structures, the completed WWM-202 checklist, and any required agency approvals.

  4. 4

    Submit to the County

    Submit the completed application and attachments to the Office of Wastewater Management at the address listed on the form.

Frequently asked questions

What is the Suffolk County sewage and water application for?
It requests a permit to construct sewage disposal and water supply systems for a new single-family residence on vacant property.
Do I need a notary for the sewage and water application?
No. This form has no notary block. If claiming an Article 6 density exemption, the property owner or developer signs and dates the affidavit.
How do I submit the sewage and water application?
Send the completed form with three site plan prints and required attachments to the Office of Wastewater Management at 360 Yaphank Avenue, Suite 2C, Yaphank, NY 11980.
What attachments does the application require?
Instructions call for three site plan prints, floor plans for all structures, and a completed Application Checklist for a Single-Family Residence. Other agency approvals may also be required.

Need something notarized?

This Application for Sewage Disposal and Water Supply Facilities for a New Single Family Dwelling doesn’t need a notary, but if you have another Suffolk County form that does, a commissioned online notary can help.