Sewage Pumping Station Annual Report
Annual operations report that sewage pumping station operators must file with the WCDOH documenting station operations for the year.
- Jurisdiction
- Westchester County, New York
- Fields
- 42
- 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.
- PUMP STATION ANNUAL REPORT FOR THE YEAR
- PUMP STATION NAME
- PUMP STATION OWNER’S NAME
- PUMP STATION OWNER’S ADDRESS
- PUMP STATION OPERATOR’S NAME
- PUMP STATION OPERATOR’S ADDRESS
- CONTACT PERSON AND PHONE Number
- EMERGENCY 24 HOUR CONTACT PHONE Number
- WHO DOES THIS PHONE NUMBER CONTACT?
- WILL AN EMERGENCY CALL BY WCHD BE RETURNED WITHIN 1 HOUR?
- PUMP STATION LOCATION: Section
- Block
- Lot
- Municipality
- Address/Nearest Street Or Intersection
- COUNTY SEWER DISTRICT
- LOCAL SEWER DISTRICT
- SERVICE AREA
- NAME OF RECEIVING TREATMENT WORKS
- NAME OF WATERSHED AREA IN WHICH PUMP STATION IS LOCATED
- DATE OF ORIGINAL CONSTRUCTION OF PUMP STATION
- DESIGN CAPACITY
- AVERAGE DAILY FLOW
- NUMBER OF PUMPS
…and 18 more.
Where it goes
Form is provided by WCDOH; obtain directly from the department at (914) 813-5000 and submit annually.
SepticSync runs the rest of the job too
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
A paid plan
from $99/moFor anyone doing this more than occasionally.
- Unlimited forms, filed to the county for you
- Permits, inspections and parcels in one place
- Scheduling, jobs, customers and invoicing
- AI diagnostics and failure prediction
- Your whole crew, with roles and permissions
14 days of everything, free and without a card.
What a plan actually does
Filed for you
We send the finished form to the health department at the address you set per form, and keep the receipt.
Permits tracked
Every application followed from submission to approval, so nothing sits waiting on someone without you knowing.
Scheduling and dispatch
A drag-and-drop calendar, crews assigned, and a service record written the moment a job is finished.
Invoicing and QuickBooks
Invoice straight from a completed job with labour and materials pulled in, take payment online, sync to QuickBooks.
AI diagnostics
Photograph a tank or field and get cracks, corrosion and root intrusion flagged, with failure risk at 6, 12 and 24 months.
Parcels and compliance
Every property with a permanent record of pumping, inspections, and the paperwork that goes with them, on a map coloured by compliance status.
Built for the truck
Timestamped photos, GPS pins and signatures captured in the field, on a phone, without a signal babysitter.
Any form, not just ours
Upload a PDF, a Word file or a photo of a paper form and it comes back fillable, checked and ready to use.