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Certification of Fill for Sewage Disposal Systems DUTCHESS COUNTY DEPARTMENT OF HEALTH 85 Civic Center Plaza, Suite 106 Poughkeepsie, NY 12601 8454863404/8454863545 (fax) Instructions: Engineer Complete
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Certification of fill is for verifying the accuracy of information related to the amount and type of material being used to fill a particular area or excavation.
The contractor or individual responsible for the fill operation is required to file certification of fill.
To fill out certification of fill, one must provide detailed information about the fill material, quantity, location, and purpose of the fill operation.
The purpose of certification of fill is to ensure compliance with regulations and standards regarding proper land use and environmental protection.
Information such as type of fill material, quantity used, location of fill operation, purpose of fill, and date of fill must be reported on certification of fill.
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