Suffolk County, NY · Suffolk County

No notary required

Sewer Agency Application

Developers and property applicants use this application to request formal approval or conceptual certification for a project from the Suffolk County Sewer Agency.

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 formal approval for projects that have completed SEQRA, conceptual certification for projects that have not, or a time extension for certain previously approved projects. It asks for applicant, property, ownership, development, sewer connection, and affordable housing information. Applicants must include the listed supporting materials and a $1,000 check; incomplete applications will not be processed.

Who needs it

Applicants seeking Suffolk County Sewer Agency approval, conceptual certification, or an eligible time extension for a development project should complete this application.

How to submit it

Mail the completed application and required materials to Suffolk County Sewer Agency, 335 Yaphank Avenue, Yaphank, NY 11980, Attn: Douglas Haussel. Include a $1,000 check payable to Suffolk County Comptroller.

About notarization

This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.

How to submit this form

  1. 1

    Download the Application

    Download the Sewer Agency Application PDF and print it on legal-size paper, as instructed on the form.

  2. 2

    Complete the Application

    Choose the application type and provide the requested applicant, property, ownership, project, and development information.

  3. 3

    Gather Required Materials

    Include the listed supporting documents and a $1,000 check payable to Suffolk County Comptroller.

  4. 4

    Mail It to the County

    Send the application and materials to Suffolk County Sewer Agency, 335 Yaphank Avenue, Yaphank, NY 11980, Attn: Douglas Haussel.

Frequently asked questions

Do I need a notary for the Sewer Agency Application?
No. The application calls for the applicant's signature and date, but does not require a notary or identify a notarized attachment.
How do I submit the Sewer Agency Application?
Mail it with the required materials to Suffolk County Sewer Agency, 335 Yaphank Avenue, Yaphank, NY 11980, Attn: Douglas Haussel.
What should accompany the application?
The form lists a $1,000 check payable to Suffolk County Comptroller, a deed copy, the Lead Agency’s SEQRA Declaration, SCDHS submission information, and other pertinent information.

Need something notarized?

This Sewer Agency Application doesn’t need a notary, but if you have another Suffolk County form that does, a commissioned online notary can help.