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The DEQ 641 581Cert form is a crucial document for anyone involved in the installation or modification of on-site sewage treatment systems in Oklahoma. This form serves as a certification tool that ensures compliance with environmental regulations, specifically under 27A O.S. Section 2-6-403 A. 1. Property owners must provide essential information, including their name, mailing address, and the legal description of the property. Additionally, the form requires details about the number of bedrooms in a residence or the water usage for a business, which are vital for accurately sizing the sewage treatment system. The form also includes a section for the estimated or actual flow rate of the sewage system, expressed in gallons per day. By signing this document, the individual certifies that all provided information is true and accurate, reinforcing the importance of transparency and accountability in environmental management. Understanding the nuances of this form can significantly impact the effectiveness and legality of sewage treatment installations, making it essential for property owners and contractors alike to be well-informed about its requirements.
Document Example
ENVIRONMENTAL COMPLAINTS AND LOCAL SERVICES DIVISION
CERTIFICATION DOCUMENTATION FORM
Work Order No.
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System No. |
(PLEASE PRINT OR TYPE) |
Date Rec’d |
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GENERAL INFORMATION:
Name and Mailing Address of Property Owner:
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First Name |
Last Name |
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Street Address |
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City |
Zip Code |
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Owner’s |
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Property Address: |
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, Oklahoma |
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Street Address |
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City |
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Zip Code |
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County |
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Legal Description: |
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Lot Size in: |
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ft2, or |
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acres |
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Finding Location:
(Blocks or miles from a given point)
Please check the applicable certification that applies and sign below.
FLOW CERTIFICATION:
27A O.S. Section
This individual sewage treatment system will serve an individual residence or duplex with the following # of
bedrooms: .
The estimated flow or actual flow for this small public sewage system is |
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gal/day and is a |
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Type of Facility |
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I hereby certify under penalty of law that this document contains no willful or negligent misrepresentation or falsification and that all information is true, accurate and complete.
Print First Name |
Last Name |
Signature |
Date Signed |
Revised 4/30/2010 |
DEQ Form |
Dos and Don'ts
When filling out the DEQ 641 581Cert form, it is important to follow specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do:
- Do print or type all information clearly to avoid any misunderstandings.
- Do double-check the property owner's name and mailing address for accuracy.
- Do ensure that the number of bedrooms or water usage is correctly stated for proper system sizing.
- Do provide a valid signature and date to certify the information.
- Don't leave any sections blank; all fields must be filled out completely.
- Don't use abbreviations or shorthand that may confuse the reader.
- Don't submit the form without reviewing it for any potential errors.
- Don't forget to include the legal description and lot size, as these details are crucial.
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Detailed Instructions for Filling Out Deq 641 581Cert
Completing the DEQ 641 581Cert form is essential for ensuring compliance with environmental regulations regarding sewage treatment systems. After filling out the form, it will be submitted to the appropriate authority for processing. Follow these steps to accurately complete the form.
- Begin by locating the section labeled Work Order No. and System No.. Print or type the necessary information in these fields.
- In the Date Rec’d field, enter the date the form is being filled out.
- Move to the GENERAL INFORMATION section. Fill in the Name and Mailing Address of Property Owner with the owner's first name, last name, street address, city, and zip code.
- If applicable, provide the Owner’s E-Mail Address. This step is optional.
- Next, fill in the Property Address with the street address, city, zip code, and county.
- Complete the Legal Description section and include the Lot Size in square feet (ft²) or acres.
- Identify the Finding Location by indicating blocks or miles from a specific point.
- Check the appropriate certification that applies to your situation.
- For FLOW CERTIFICATION, specify the number of bedrooms for the residence or the water usage for the business that the sewage treatment system will serve.
- Provide the estimated or actual flow for the small public sewage system in gallons per day (gal/day) and indicate the type of facility.
- Finally, print your first name and last name, sign the document, and include the date signed.
Documents used along the form
The DEQ 641 581Cert form is an essential document for certifying the specifications of on-site sewage treatment systems. However, several other forms and documents are commonly used in conjunction with this certification. Each of these documents plays a crucial role in ensuring compliance and facilitating the installation or modification of sewage systems.
- Application for Permit to Install: This form is required to obtain permission from the local health department or environmental agency before starting any installation or modification of a sewage treatment system.
- Site Evaluation Report: This report assesses the suitability of the proposed site for a sewage treatment system. It includes information about soil conditions, groundwater levels, and proximity to water sources.
- Construction Plans: Detailed diagrams and specifications outlining the design and layout of the sewage treatment system. These plans must adhere to local regulations and standards.
- Bill of Sale Form: This form is essential when transferring ownership of assets related to the sewage treatment system. For more details, you can refer to arizonapdfs.com/bill-of-sale-template/.
- Installation Checklist: A practical guide used by installers to ensure all necessary steps are followed during the installation process. This checklist helps maintain compliance with regulatory requirements.
- Operation and Maintenance Manual: This document provides instructions for the ongoing care and upkeep of the sewage treatment system. It includes guidelines on routine inspections and troubleshooting.
- Inspection Report: After installation, an inspection report is generated to verify that the system meets all regulatory standards and functions correctly. This report is crucial for final approval.
- Compliance Certificate: Issued after a successful inspection, this certificate confirms that the sewage treatment system complies with all applicable regulations and is safe for use.
- Change of Ownership Form: If the property changes hands, this form notifies the relevant authorities of the new owner. It ensures that the new owner is aware of the existing sewage treatment system and its maintenance requirements.
- Annual Monitoring Report: This report documents the performance of the sewage treatment system over the year. It helps identify any issues that may need attention and ensures ongoing compliance.
Understanding these documents is vital for property owners, installers, and regulators alike. Each form serves a specific purpose, contributing to the overall effectiveness and safety of sewage treatment systems. Properly managing these documents ensures a smoother process and compliance with environmental standards.
Your Questions, Answered
What is the purpose of the DEQ 641 581Cert form?
The DEQ 641 581Cert form is used to certify the details of an on-site sewage treatment system. This includes information about the property owner, the property itself, and specific details regarding the sewage system being installed or modified. The form ensures that the system is appropriately sized based on the number of bedrooms in a residence or the water usage of a business.
Who needs to fill out the DEQ 641 581Cert form?
This form must be completed by the person contracting with an installer who is modifying or installing an on-site sewage treatment system. This could be a homeowner, a business owner, or a contractor acting on behalf of the property owner.
What information is required on the form?
The form requests several key pieces of information, including:
- Name and mailing address of the property owner
- Property address and legal description
- Lot size
- Finding location
- Number of bedrooms for residences or water usage for businesses
- Estimated or actual flow for the sewage system
Additionally, the form requires the signature of the person completing it, along with the date signed.
What does the certification statement mean?
The certification statement on the form indicates that the signer is affirming the accuracy of the information provided. By signing, the individual acknowledges that the details are true and complete, and they understand that providing false information could lead to legal consequences.
How is the flow of the sewage system determined?
The flow for the sewage system is determined based on either the estimated or actual water usage. For residential properties, this is typically based on the number of bedrooms, while for businesses, it is based on the expected water usage. This information is crucial for sizing the sewage treatment system appropriately.
Is there a deadline for submitting the DEQ 641 581Cert form?
While the form does not specify a strict deadline, it should be submitted as soon as possible to avoid delays in the installation or modification of the sewage treatment system. Timely submission helps ensure compliance with environmental regulations and proper system sizing.
What happens after the form is submitted?
After submission, the relevant environmental agency will review the information provided. They may reach out for additional details if needed. Once approved, the information will be used to ensure that the sewage treatment system is installed correctly and functions as intended.
Can the form be submitted electronically?
The form may have specific submission guidelines, which can vary by location. It's advisable to check with the local environmental agency or the entity requiring the form to see if electronic submission is accepted. If not, a printed version must be completed and mailed or delivered in person.
Common mistakes
Filling out the DEQ 641 581Cert form can be straightforward, but many people make common mistakes that can lead to delays or complications. One of the most frequent errors is failing to provide complete information. When it comes to your name and mailing address, every detail matters. Omitting a middle initial or using an incorrect zip code can create issues.
Another mistake involves the legal description of the property. Some individuals might skip this section or provide vague descriptions. It’s crucial to be as specific as possible to avoid confusion. If the legal description is unclear, it can lead to significant delays in processing your application.
Many people also overlook the flow certification section. This part requires you to accurately state the number of bedrooms or the estimated flow for your sewage system. Providing incorrect figures can result in improper sizing of the system, which can cause problems down the line.
Additionally, it’s important to remember to check the applicable certification box. Neglecting to do this can lead to your form being returned for corrections. Always double-check that you’ve marked the right option before submitting.
Signature errors are another common pitfall. Some individuals forget to sign the document or may sign it without dating it. A signature without a date can create confusion about when the certification was made, which is critical for legal purposes.
Lastly, many people don’t take the time to review their form before submission. A quick review can catch simple mistakes like typos or missing information. Taking a moment to ensure everything is filled out correctly can save you time and hassle later.
Misconceptions
The DEQ 641 581Cert form is often misunderstood. Here are ten common misconceptions about this certification document:
- It is only for residential properties. The form can be used for both residential and business properties that require on-site sewage treatment systems.
- Only licensed contractors can fill it out. While contractors typically complete the form, property owners can also provide the necessary information.
- It is not legally binding. The form includes a certification statement, making the information provided legally binding under penalty of law.
- It does not require accurate information. Accuracy is crucial, as the form must reflect the true number of bedrooms or water usage for proper system sizing.
- Submitting the form guarantees approval. Submission does not guarantee approval; the information is subject to review by the appropriate authorities.
- It is only needed for new installations. The form is also required for modifications to existing on-site sewage treatment systems.
- There is no deadline for submission. Timely submission is essential, especially when changes to a property’s sewage system occur.
- It can be submitted electronically. Currently, the form must be printed and submitted in hard copy; electronic submission is not an option.
- The form is the same across all states. The DEQ 641 581Cert form is specific to Oklahoma and may vary from forms used in other states.
- Once submitted, it can be easily modified. Changes after submission may require additional documentation or a new form altogether.
Understanding these misconceptions can help ensure compliance with local regulations and facilitate the proper functioning of sewage treatment systems.
Document Attributes
| Fact Name | Description |
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| Purpose | The DEQ 641 581Cert form is used to certify the proper sizing of on-site sewage treatment systems based on the number of bedrooms or water usage. |
| Governing Law | This form is governed by 27A O.S. Section 2-6-403 A. 1, which outlines the responsibilities of individuals contracting with installers of sewage treatment systems. |
| Signature Requirement | Individuals must sign the form, certifying that all information provided is true and complete, under penalty of law. |
| Revision Date | The form was last revised on April 30, 2010, indicating that it may be updated periodically to reflect changes in regulations or procedures. |