westchestergov.com In an emergency, let us contact you subscribecommentsfaq search home

                       Home   

A-Z
Listing

Webpage
Directory
Current
News
Services
and
Locations
Data
and
Reports
Calendar
of
Events
Physicians
Corner
Need
a
Form?
 
Contact Us
Email Us

Cross Connection Control Program

 

The Cross Connection Control Program’s goal is to protect the public water supply by preventing the flow of non-potable water into the distribution system. The water purveyors are required by Part 5 of the New York State Sanitary Code to protect the distribution system by requiring customers with potential cross connections to install a backflow prevention device.

For more information regarding the Cross Connection Control Program, please visit the Environmental Protection Agency and the New York State Department of Health websites.

What to do next?
Customers are required to contact their local water purveyor for the proper type of the backflow prevention device required for their facility. Prior to installation of the device, an application packet, which must be prepared by a New York State licensed and registered professional engineer or registered architect, is submitted to the water purveyor for their original endorsement and signature and thereafter is forwarded to the Westchester County Department of Health (WCDOH) for review and approval. Upon completion of the installation of the device, customers are required to have the device tested by a New York State licensed tester and to submit the completed form DOH-1013 to the water purveyor and WCDOH.

Application Packet Information

Instruction to Request to Install and Completed Works for a Backflow Prevention Device


Form DOH-347 Application for Approval of Backflow Prevention Device


Form DOH-1013 Report on Test and Maintenance of Backflow Prevention Device


Instructions for completing DOH-1013


Certificate of Resolution for Authorization


Letter of Authorization


Additional Information
Please click on the links below for information regarding acceptable devices by the NYSDOH:

List of NYSDOH Approve Backflow Prevention Devices

Revisions to the List of NYSDOH Approved Devices