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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 property identification.
Provide the Project Name or Address where the sewage disposal system is installed. This helps in associating your certification with a specific location.
Enter your name as the applicant and the date of system installation. This verifies who completed 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, Septic Tank, Distribution Leaching Pools, and other leaching structures by filling in all applicable fields and selecting material types.
Finally, ensure you sign and date the document at the bottom. An original signature is required for validation.

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