Suffolk County Certification of Sewage Disposal System Abandonment 2026

1. Click ‘Get Form’ to open the Suffolk County Certification of Sewage Disposal System Abandonment in the editor.
2. Begin by entering the Health Department Reference Number at the top of the form. This is essential for tracking your submission.
3. Fill in the Suffolk Tax Map number, including District, Section(s), Block(s), and Lot(s) as applicable. Accurate details ensure proper identification of your property.
4. Provide the Project Name or Address along with Subdivision Name and Lot number if relevant. This information helps clarify the location of the abandoned system.
5. Complete the Applicant Name field to identify who is certifying the abandonment. Ensure this matches any official documentation.
6. In the certification section, check off each item confirming that all necessary steps were taken during abandonment, such as pumping and inspecting tanks.
7. Detail the specifications of each tank/pool abandoned, including dimensions and materials used. This information is crucial for compliance.
8. If a different company pumped out the sanitary system, provide their name and address along with their Consumer Affairs License Number.
9. Finally, have the contractor sign and date the form, ensuring all contact information is filled out accurately before submission.

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