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Suffolk New York Form 637: What You Should Know
Form 637 — Owner/Operator Inventory of Subsurface Injection Wells (7022-6-14) (Rev. 11/14) (Docket No. 7063-1) Owners and Operators are responsible for reporting their underground injection wells and storage tanks to DSS on a quarterly basis. Owners and Operators may download the online form, or you may return an attached printed copy, along with a copy of DSS' Quarterly Inventory Report. DSS also offers an inventory service for disposal wells. Operators who plan to dispose of waste directly to their wells or their storage tanks must provide a signed and dated “Deposit of Hazardous Waste” statement from their service provider when submitting DSS' Quarterly Inventory Report. The signature must be presented on DSS' printed copy of the Inventory Report. Owners and Operators should include their own signature(s) on their own deposit statement. Subsurface Injection Wells or their storage tanks may not be removed from government land or other private property without the written consent of the owner or operator. All information regarding the presence or presence not only of a waste disposal well, but underground injection wells as well and storage tanks in the proximity of such wells, must be reported on the Quarterly Inventory Report of the Subsurface Injection Wells Inventory, Form 637. This form must be included with a list of all underground injection wells for each county. The Form 637 is electronically updated on a quarterly basis. The quarterly report is available to all Federal, State, and local governmental authorities. The form is available online at the following: About Form 637, Application for Registration (For Certain — EPA) Form 637 (Rev. August 2012) A copy of this form may be viewed and downloaded at the following: About Form 637, Application for Registration (For Certain — IRS) Form 637 forms can only be downloaded from the New York State Department of Social Services. DSS maintains one website for filing applications for the registration of disposal wells, Subsurface Injection Wells, and storage tanks.
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