Wwm 078 2025

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The document is a certification form for sewage disposal system installations by the Suffolk County Department of Health Services. It outlines the necessary information required from the installer, including details about the system components, materials used, and compliance with health department standards. The form must be signed by the installer and includes sections for project identification, system specifications, and installer credentials.

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Click ‘Get Form’ to open the wwm 078 document in the editor.
Begin by entering the Health Department Reference Number at the top of the form. This is essential for tracking your submission.
Fill in the Suffolk Tax Map details, including District, Section(s), Block(s), and Lot(s). Ensure accuracy as this information is crucial for local records.
Provide the Project Name or Address where the sewage disposal system is installed. This helps identify the location of your project.
Enter your name as the applicant and date of system installation. These fields confirm who is responsible for the installation.
Sketch or attach a separate sketch showing measurements from building corners to access covers/ports of the disposal system.
Complete sections regarding I/A OWTS Treatment Unit and Septic Tank, including make, model, rated daily treatment capacity, volume, and material type.
If applicable, fill out details for Distribution Leaching Pools and other leaching structures, ensuring all dimensions and materials are accurately noted.
Finally, sign and date the document at the bottom. An original signature from you as the installer is required for validation.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (53 Votes)
2012	4.1 Satisfied (52 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the 30 000 grant for Suffolk County?

Grant funding, of up to $30,000, will be provided toward the purchase and installation of Suffolk County Department of Health Services approved Innovative and Alternative nitrogen removal onsite wastewater treatment system (I/A OWTS) and leaching structure.

How to apply for septic tank grant Suffolk County, NY?

The online application portal for the Septic Improvement Program (SIP) has been migrated to the Suffolk County Citizens Portal (Accela). Please go to the website, register for an account if you have not already done so, and click on the Environmental Quality tab and then click on Create an Application.

How much does a new septic system cost in Suffolk County, NY?

Suffolk Countys strict 2025 mandate requires all new installations and major replacements to include nitrogen-reducing technology. While their upfront costs range from 15,00025,000, Suffolks septic improvement program rebates of up to $30,000 can cover mostor even allexpenses.

Who is eligible for the Suffolk County Septic Grant?

Grant Eligibility: The residence must be single family, owner-occupied year round. The residence cannot be connected to a sewer system or located within a proposed sewer district. Property may not be used as a rental property. No home based business on the property or in the residence.

How do I get a septic plan?

A septic system permit is issued by your local permitting authority (i.e., local health or environmental department). You can apply for the permit yourself, or the contractor hired to build the system can obtain it on your behalf.

Can you replace a cesspool in Suffolk County, NY?

The use of cesspools in new construction has been banned since 1973, and they cannot be used as replacements for old ones. Homeowners are not required to replace their current systems, but if they decide to do so, the new systems must meet the same standards as those established in 1973.

Wwm 078 2025

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