Suffolk County, NY · Suffolk County

No notary required

Application for Sewage Disposal and Water Supply Facilities for Single-Family Property Modifications

This application is for applicants seeking county approval of sewage disposal and water supply facilities for modifications to a developed or previously developed single-family residential 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

Use this application for projects such as an addition, renovation, rebuild, accessory building, or sanitary system replacement or upgrade on a developed or previously developed single-family property; accessory apartments are excluded. It asks for applicant, owner, agent, and design professional details, property information, project purpose, bedroom count, water and sewage methods, and related approvals. Instructions also require a site plan, floor plans, and a completed WWM-202 checklist.

Who needs it

Applicants seeking approval for sewage disposal and water supply facilities for a modification to a developed or previously developed single-family residential property 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 also lists [email protected].

About notarization

This document is signed and dated without a notary; it requires original signatures, and the signer must initial that they have read and understand the instructions.

How to submit this form

  1. 1

    Download the Application

    Download the Suffolk County sewage disposal and water supply facilities application.

  2. 2

    Complete All Sections

    Enter the applicant, property, project, water supply, sewage disposal, and other agency approval information requested.

  3. 3

    Gather Required Attachments

    Include three site-plan prints, floor plans for all structures, and the completed WWM-202 checklist, plus other applicable approvals.

  4. 4

    Submit to the County

    Send the completed application and materials to the Office of Wastewater Management at the address listed on the form.

Frequently asked questions

What projects does this application cover?
It covers modifications to developed or previously developed single-family residential properties, including additions, renovations, rebuilds, and sanitary system replacements or upgrades. Accessory apartments are excluded.
What supporting documents are required?
Instructions call for three site-plan prints, floor plans for all structures, and a completed Single-Family Residence Application Checklist (WWM-202). Additional items may apply depending on the project.
Do I need a notary for this application?
No. The application requires original signatures and a date, but has no notary block. The signer must also initial that they read and understand the instructions.
How do I submit the application?
Send 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 Single-Family Property Modifications doesn’t need a notary, but if you have another Suffolk County form that does, a commissioned online notary can help.