Doh 5025-2026

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  1. Click ‘Get Form’ to open the doh 5025 in the editor.
  2. Begin by entering the Public Water System Name in the designated field. This is crucial for identifying your project.
  3. Fill in the Project Location, specifying the City, Town, or Village where the project is situated.
  4. Indicate whether this is a Drinking Water State Revolving Fund (DWSRF) Project by selecting 'Yes' or 'No'. If 'Yes', provide the DWSRF Project Number.
  5. Check if plans have been approved by NYSDOH BWSP and select all applicable options from NYSDOH Regional Office, District Office, or County Health Department.
  6. Enter the Construction Start Date and Substantial Construction Completion Date accurately.
  7. Provide a brief Project Description that outlines key details of your project.
  8. Affix your seal and signature to certify completion as per NYS Sanitary Code requirements. Ensure you include any deviations from approved plans in the provided section.
  9. Finally, enter your Engineering Firm's name and contact details before submitting the form to the appropriate office as indicated.

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Versions Form popularity Fillable & printable
2012 4.8 Satisfied (37 Votes)
2011 4.3 Satisfied (55 Votes)
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