THE CITY
OF NEW YORK
DEPARTMENT
OF ENVIRONMENTAL PROTECTION
Forms
Water and Sewer Forms
 Application
for Permit to install single/multiple premise(s) sewer House connection(s)* (109
Kb)
This form shall be filed by Licensed Master Plumber to apply for new sewer
house connection permit associated with a certified Site Connection proposal,
House Connection Proposal or Building Department Alteration Repair Application
(ARA) to install a new house sewer connection to a City/private sewer.
Application
for Permit to repair/relay Sewer House Connection*
(92 Kb)
This form shall be filed by Licensed Master Plumber to obtain a permit for repair or relay for an existing sewer house connection.
Application
for Permit to plug single/multiple premise(s) sewer House Connection(s)*
(109 Kb)
This form shall be filed by Licensed Master Plumber to obtain a permit for a plug for an existing sewer house connection.
Application
for Permit to install Manholes/Catch Basins and Basin Connections/Seepage
Basins*
(91 Kb)
This application shall be filed by Licensed Master Plumber, in connection with an approved Builders Pavement Plan or a DEP field investigation report to obtain a permit to install Manholes, Catch Basins & Basin Connections, and Seepage Basins in a street.
Application
for Permit for Tap, Plug, Wet Connection, Repair/Relay of Water Service
Line*
(56 Kb)
This application shall be filed by Licensed Master Plumber to obtain a permit to a install a tap or plug or to repair or relay a Water Service Line.
DEP
Cross Connection Control Risk Assessment (Revised November 1999)*
(65 Kb)
This is a guideline for Professional Engineers/ Registered Architects for filing Cross Connection Control Device plans for any property.
Form
for Backflow Preventer exemption for a facility with one Domestic Service
only
(157 Kb)
This is a guideline form that shall be used by Professional Engineers, Registered Architects or Licensed Master Plumbers to apply for a backflow preventer exemption for a facility with one domestic service only.
Form
for Backflow Preventer exemption for a facility with one existing Domestic
Service and one Fire Service only
(163 Kb)
This is a guideline form that shall be used by Professional Engineers, Registered Architects or Licensed Master Plumbers to apply for a backflow preventer exemption for a facility with one domestic service and one fire service only
Application
for Approval of Backflow Prevention Devices
(151 Kb)
This form shall be used by Professional Engineers and Registered Architects to apply for approval of plans for backflow prevention devices.
Form
for Report on Test and Maintenance of Backflow Prevention Device
(162 Kb)
This form shall be filed by Licensed Plumbers for the initial test report of a backflow prevention device. Also it shall be used by Licensed Plumbers for an annual test report of a backflow preventer device.
Application
for Permit to build a Private Sewer/Drain
(77 Kb)
This form shall be filed by the owner of the proposed private sewer/ drain to obtain approval from the Division of Review & Construction Compliance and permit approval from the Division of Permitting and Connections to build a private sewer/drain.
Application
for approval to build a Private Water Main
(101 Kb)
This form shall be filed by the owner of the proposed private water main to obtain approval from the Division of Review & Construction Compliance to build a private water main.
Missing
owner Private Sewer affidavit
(76 Kb)
This affidavit can be used by an applicant for a sewer house connection to a private sewer/drain, where the owner of the private sewer cannot be found.
Missing
owner Private Water Main affidavit
(77 Kb)
This affidavit can be used by an applicant for a house connection to a private water main, where the owner of the private water main cannot be found.
Request
for information form
* (89 Kb)
This form shall be used by the public to obtain Water Main Maps, Drainage Plans, Inflow/Infiltration study records, or interceptor sewer information from the Central Mapping and Records office.
Reuse
of existing Sewer Connection
(42 Kb)
This form shall be used by a Licensed Master Plumber, a property owner and a Professional Engineer/Registered Architect to certify that that an existing sewer connection can be reused.
Approval
to discharge into sewers (Dewatering)*
(129 Kb)
This form shall be used by Licensed Master Plumbers to obtain a permit for temporary discharge of groundwater into the City sewer system.
Guidelines
for franchise of revocable consent submittals to DEP
(56 Kb)
These guidelines are for the Professional Engineers and Registered Architects who are submitting requests for approval of franchise consents (including the force mains) to DOT.
Guidelines
for swimming pool discharge submittals to DEP
(53 Kb)
These guidelines are for the Professional Engineers and Registered Architects who are submitting swimming pool discharge requests.
Guidelines
for application for temporary sewer connection for construction trailers
to DEP
(48 Kb)
These guidelines are for Professional Engineers and Registered Architects who are submitting requests for temporary sewer connections for construction trailers.
Guidelines
for submittals of Sidewalk Café to DEP
(67 Kb)
These guidelines are for Professional Engineers and Registered Architects who are submitting requests for sidewalk café approvals to the Department of Consumer Affairs.
Guidelines
for submittal of certified check(s) or money order(s) on lieu of a
private sewer connection bond to DEP
(58 Kb)
These Guidelines are concerning the procedure for house sewer connection to a private sewer, and the submittal of certified check or money order on lieu of private sewer connection bond, in cases where the owner of the private sewer cannot be located.
DEP
Self-Certified Site Connection Proposal application & guidelines*
(180 Kb)
The Self-Certified Site Connection Proposal form shall be filed to obtain sewer information certification for all developments other than fee simple 1, 2, or 3 family dwellings without commercial use, with individual connections to existing sewers fronting the property.
DEP Site Connection Proposal application & guidelines*
(160 Kb)
The Site Connection Proposal form shall be filed to obtain sewer information certification for all developments other than fee simple 1, 2, or 3 family dwellings without commercial use, with individual connections to existing sewers fronting the property.
DEP
Self-Certified House Connection Proposal application & guidelines*
(145 Kb)
The Self-Certified House Connection Proposal (HCP) form shall be filled out for fee simple 1, 2, or 3 family dwellings without commercial use, with individual connections to existing sewers fronting the property and should be without any common drainage facilities.
DEP
House Connection Proposal application & guidelines*
(131 Kb)
House Connection Proposal (HCP) form shall be filed to obtain sewer information certification for fee simple 1, 2, or 3 family dwellings without commercial use, with individual connections to existing sewers fronting the property and should be without any common drainage facilities.
Filing
Engineer’s Check List for the Submission of Private Sewer/Drain Plans
(55 Kb)
Owners proposing to construct a Private Sewer according to Drainage
Plan or to construct a Private Drain according to an approved Drainage
Proposal shall submit private sewer/drain plan to the Department. All Private
Sewer/Drain Plans shall be prepared by or under the supervision of a Professional
Engineer or Registered Architect licensed by the State of New York.
Consultant
Engineer’s Check List for the Submission of Drainage Proposals (79
Kb)
Owners proposing to construct a Private Drain to serve a proposed
development shall submit a Drainage Proposal to the Department. All
Drainage Proposals shall be prepared by or under the supervision
of a Professional Engineer or Registered Architect licensed by the
State of New York.
Checklist
for Submission of Amended Drainage Plan
(56 Kb)
Changes to an area due to mapping, demapping, and/or rezoning requires
an amendment to the Drainage Plan. All Amended Drainage Plans shall be prepared
by or under the supervision of a Professional Engineer or Registered Architect
licensed by the State of New York.
Criteria
for Determination of Detention Facility Volume
(117 Kb)
In connection with filing the Site Connection Proposal (SCP)/House Connection Proposal (HCP) when the developed storm flow from the property development exceeds the allowable storm flow then the excess flow shall be retained or detained. Following is the method of determination of the required detention facility volume.
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* - These forms are legal size (8.5" x 14")
Last updated
May 15, 2006
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