Application for Sewage Disposal and Water Supply Facilities for Modifications to a Developed Single Family Residential Property
Permit application for additions, renovations, rebuilds, sanitary replacements or upgrades, and replacement of failed systems with I/A OWTS on existing single-family residential properties.
- Form
- WWM-057
- Jurisdiction
- Suffolk County, New York
- Fields
- 48
- Includes
- Signatures
Create a free account to fill this form, sign it and download it ready to file. No card needed.
- Your answers print onto the health department's own PDF
- Sign on screen: phone, tablet or laptop
- Save it and come back to it
Fill it online
Type into the real county form. No printing, no retyping.
The county's own PDF
Your answers print onto the health department's document, not a lookalike.
Download and file
Get the finished PDF and hand it in exactly as they expect it.
What this form asks for
Have these to hand before you start.
- Name Of Applicant
- Phone
- Mailing Address
- Email Address
- Check Box1 Indicate If This Project Is To Replace A Failing Or Failed Septic System With An I/A OWTS
- Name Of Design Professional
- Phone 2
- Mailing Address 2
- Email Address 2
- Name Of Current Property Owner
- Phone 3
- Mailing Address 3
- Check Box2 Indicate If This Project Is Part Of The County I/A OWTS SIP Grant/Loan Program
- Email Address 3
- Grant ID
- Name Of Agent
- Phone 4
- Mailing Address 4
- Email Address 4
- Program Town NYS Etc
- District
- Section
- Block
- Lot
…and 24 more.
Where it goes
Submit with 3 prints of a site plan sealed by a NYS licensed design professional; include Tax Map Number on all correspondence.
Filed with HealthWWM@suffolkcountyny.gov.
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Filling this permit is free and stays free. What you pay for is everything that happens around it: the filing, the chasing, the paperwork that piles up behind every install.
Free
no cardEnough to get a permit out the door today.
- 3 forms a month, filled and signed
- The county's own PDF, not a lookalike
- Site sketch and on-screen signatures
- Saved for 6 months
- Send to the property owner to sign
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