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Public Works Online Forms

This page serves as a central hub for accessing essential forms, applications, and templates related to Department of Public Works services. The library is organized by type and division for easy navigation. Each entry includes a brief description, form number (if applicable), and lead division contact for support. Use the search filters to quickly locate specific documents or browse by category. Simply click on form name to open the file. Please note, some forms may require Adobe Acrobat Reader.

If you have any questions or issues accessing any forms, please email us at public.works@suffolkcountyny.gov .

Form Name Description Doc # Type Lead Division
Exhibit A Contract Sample for Professional Services/Consultants Contracts Central Procurement
Exhibit B Minority/Woman Business Enterprise Requirements. Contracts Central Procurement
Exhibit C Contract Compliance package required for all County contracts Contracts Central Procurement
Exhibit D Contract Compliance package required for all County contracts DOL-LHE1-2 Public Disclosure Lobbying Cert LL52-2012 FTS DOL-L01 DOL-LW1/38 Contracts Central Procurement
Exhibit E Department of Labor Subcontractor Living Wage and Lawful Hiring forms. DOL-LE1-2 DOL-LW1/38 Contracts Central Procurement
Exhibit F General Design Guidelines for Suffolk County Facilities. Contracts Central Procurement
Fleet Vendor Enrollment Fleet Vendor Partner Connect form to enroll as a Holman registered service provider. Vendor Fleet Services

Form Name Description Doc # Type Lead Division
Certify Compliance Certification of compliance with Suffolk County's lawful hiring requirements. LHE-1/2 Contracts Central Procurement
Complaint Form to report violations of lawful hiring practices. LHE-4 Contracts Central Procurement
Appeal Form to appeal decisions related to lawful hiring compliance. LHE-5 Contracts Central Procurement
Non-Applicability Declaration that lawful hiring requirements do not apply to the organization or contract. LHE-6 Contracts Central Procurement
Sign-in Sheet Attendance record for meetings or events related to lawful hiring compliance. LHE-7 Contracts Central Procurement
Volunteer Not-For-Profit Paperwork Reduction Requirements Certification for not-for-profit organizations to reduce paperwork related to lawful hiring. LHE-10 Contracts Central Procurement
Notice of Application for County Compensation Living Wage Certification/Declaration Certification of compliance with Suffolk County Living Wage requirements. LW1/38 Contracts Central Procurement
Request for General Living Wage Exemption Application to request a general exemption from living wage requirements LW4 Contracts Central Procurement
Request for Specific Living Wage Exemption Application to request a specific exemption from living wage requirements. LW5 Contracts Central Procurement
Notice of Incomplete Submission Notification of missing or incomplete documentation for living wage compliance. LW6 Contracts Central Procurement
Covered Employee Complaint Form Form for employees to report non-compliance with living wage laws. LW8 Contracts Central Procurement
Application for Public Access to Records Application to obtain public access to records. SCEX 8 Foil Commissioner
Application for Building / Demolition Permit Application, instructions, and design checklist examples Permits Building Design
Use of Suffolk County Property Application to request use county property for non-county purposes. SCEX 65 Permits Commissioner
Adopt a Highway / Adopt a Spot Adopt a Highway / Adopt a Spot Program Agreement Permits Highway Maintenance
Non-Utility Highway Work Permit Package Application for Highway Work permits for: new or modified driveway access, sidewalks, Curbs, Drainage, Signals, Signs, Temporary Signs/Banners etc. within County Right of Way. Permits Highway, Structures & Waterways
Utility Highway Work Permit Application package Application for Utility Highway Work permit within County Right of way Permits Highway, Structures & Waterways
Utility Highway Work Permit Application package Application for Utility Highway Work permit within County Right of way Permits Highway, Structures & Waterways
Hauling and Oversized Vehicle Permit Application for Hauling and Oversized Vehicle Permits along Suffolk County Highways and across County bridges. Permits Highway, Structures & Waterways
Special Sewer Connection Permit Application for Sewer connection to a parcel within Suffolk County sewer boundaries. Packet includes Pool Abandonment, Environmental Site Assessment and Commercial Special Sewer Permit Application. Sewers Sanitation
Final Sewer Approval Form Final approval issued by the Department when sanitary sewers and appurtenances, and sewerage disposal facilities are fully constructed and inspected. S-9 Sewers Sanitation
General Building Sewer Connection and Discharge Permit Residential application for General Building Sewer Connection and Discharge Permit Sewers Sanitation
Sanitation - County Owned Guidelines Capital Project Design and Review Guidelines Sewers Sanitation
Sanitation Division - Non County Owned - Non Capital Project Non - Capital Project Design and Review Guidelines Sewers Sanitation
Suffolk County Sewer Agency Application Suffolk County Sewer Agency Application Sewers Sanitation
Owners Affidavit of Project Completion Sewer Agency property owner affidavit and certification owner of cost and completion of facilities pursuant to agreement with Suffolk County Sewer Agency. Sewers Sanitation
Contractors Affidavit of Project Completion Sewer Agency contractor's affidavit and certification of cost and completion of facilities and release of lien. Sewers Sanitation
Suffolk County Sewer Agency Sewer Capacity Letter Request to Sewer Agency for determination of sewers availability for a parcel(s). Sewers Sanitation
Dental Dischargers Compliance Reporting Form Dental facilities must submit this form as part of the one-time compliance report as required by the “Effluent Limitations Guidelines and Standards” for the Dental Office Category (“Dental Amalgam Rule”). CFR 441.50 Industrial Waste Sanitation
Objectionable/Prohibited Waste-removal Reporting Form Form to report waste that is not discharged to the sewer and hauled off-site by a licensed waste hauler. Industrial Waste Sanitation
Grease Interceptor Maintenance Cleaning Log Grease Interceptor Maintenance Procedure & Cleaning Log for the proper tracking of grease disposal. Industrial Waste Sanitation
Industrial Chemical Survey Log of chemicals a facility has used, produced, stored, distributed, or otherwise disposed of in ‘significant quantity’ in the past five (5) years. Industrial Waste Sanitation
Slug Discharge Control Plan Plan template for documenting any discharge of a non-routine, episodic nature, including but not limited to an accidental spill or a non-customary batch discharge. Industrial Waste Sanitation
Brewery Operations Survey Survey required for breweries connected to Suffolk County sewers to provide information related to their operation and wastewater discharge. Industrial Waste Sanitation

Document Name Description Doc # Type Lead Division
General Sewer Use Conditions General provisions and guidance for sewer use. Sewers Sanitation
Baseline Monitoring Report Requirements for baseline monitoring for discharge of industrial wastewater to a county sewer. Industrial Waste Sanitation
Mercury Information Flyer Informational flyer on mercury in Suffolk County waterways. Industrial Waste Sanitation
Sewer Discharge Concentration Limits Listing of sewer discharge concentration standards and common definitions. Industrial Waste Sanitation
Federal Categorical Industries National standards for industrial wastewater discharges to surface waters and publicly owned treatment works (municipal sewage treatment plants) as set by the US EPA. Industrial Waste Sanitation
Certified Commercial Laboratories Search tool for finding ELAP accredited laboratories that perform environmental analyses on samples originating from New York State. Industrial Waste Sanitation
Flow Meter Specification Requirement Standards for installation of a flow meter to measure water usage that does not discharged to the sewer, such as cooling water (which discharges to ground), lawn irrigation, product consumption, etc. Industrial Waste Sanitation
Baseline Monitoring Reporting Requirements Requirements if your facility is generating an industrial wastewater that you are proposing to discharge to the county sewer. Industrial Waste Sanitation
Grease Do’s & Don'ts Guidelines Guidance document for proper disposal of grease. Industrial Waste Sanitation
Industrial Chemical Survey Tables 6-10 Monitoring results pollutants believed present in the discharge from any outfall at your facility. NY-2C Industrial Waste Sanitation
Sanitary Sewer Standard Detail sheets (.DWG) Sanitary Sewer Standard Detail sheets - DWG file format. PDF Sewers Sanitation
Sewer Discharge Concentration Limits Industrial Waste Pretreatment Program sewer discharge limits table providing parameters, daily average and monthly average standards for wastewater discharge. Chapter 740 – Article V §740-25 Industrial Waste Sanitation

Document Name Description Doc # Type Lead Division
Adult Mosquito Control Products
Anvil 10 10 ULV Label SDS - Safety Data Sheet Vector
Duet ULV Label SDS - Safety Data Sheet
Evergreen ULV (5-25) Ground Label SDS - Safety Data Sheet
Larval Mosquito Control Products
Altosid ALL 20 Conc Label SDS - Safety Data Sheet
Altosid XR Briquet Label SDS - Safety Data Sheet
Aquabac 200G Label SDS - Safety Data Sheet
FourStar Briquets 90 Day Label SDS - Safety Data Sheet
VectoBac 12AS Label SDS - Safety Data Sheet
VectoPrime FG MSDS Label SDS - Safety Data Sheet
VectoMax FG Label SDS - Safety Data Sheet
VectoMax WSP Label SDS - Safety Data Sheet
VectoLex FG Label SDS - Safety Data Sheet

Suffolk County Government

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Riverhead County Center

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