Suffolk County, NY · Suffolk County

No notary required

Application for Sewage Disposal and Water Supply Facilities for a Residential Accessory Apartment

Suffolk County’s application requests approval of sewage disposal and water supply facilities for a residential accessory apartment from the applicant or their representative.

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 water supply and sewage disposal facilities for a residential accessory apartment. It asks for applicant, property, design professional, and agent details; the proposed water and sewage systems; and information about related permits. The instructions require supporting plans, floor plans, a completed WWM-202 checklist, and applicable fees.

Who needs it

Applicants seeking a Suffolk County permit for water supply and sewage disposal facilities for a residential accessory apartment need this application.

How to submit it

Submit the completed application and required materials 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 says applications require a check or money order; VISA and MasterCard are also accepted online.

About notarization

This document is signed and dated without a notary; the applicant, agent, or design professional signs, and no notarized or sworn attachment is specified.

How to submit this form

  1. 1

    Download the Application

    Download the Suffolk County application PDF and read the instructions on the reverse side.

  2. 2

    Complete the Application

    Fill in all sections, provide the requested property and system details, and sign and date the form.

  3. 3

    Gather Required Attachments

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

  4. 4

    Submit to the County

    Send the application, attachments, and applicable fee to the Office of Wastewater Management at the address on the form.

Frequently asked questions

What is the Suffolk County accessory apartment sewage application for?
It requests a permit to construct water supply and sewage disposal facilities for a residential accessory apartment.
What must I include with the application?
The instructions call for three site plan prints, floor plans, a completed WWM-202 checklist, applicable agency approvals, and fees. Other requirements depend on the proposed systems and site.
Do I need a notary for the accessory apartment sewage application?
No. The application is signed and dated without a notary, and no notarized or sworn attachment is specified.
How do I submit the accessory apartment sewage application?
Submit the completed application and required materials to the Suffolk County Department of Health Services, Office of Wastewater Management, at the Yaphank address printed on the form.

Need something notarized?

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