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Dam Safety Forms

Dam Safety Annual Certification Form (PDF) (102 KB)
Dam Safety Annual Certification Form (Word) (115 KB)

The Dam Safety Regulations (Part 673.8) require dam owners of Class C - High Hazard, or Class B - Intermediate Hazard dams, to submit an annual certification to the NYSDEC by January 31 of each year. This form provides a means to transmit the required information to the DEC.

EAP-C Instructions and Template - High Hazard Dams (PDF) (2.9 MB)
EAP-C Instructions and Template - High Hazard Dams (Word) (3,769 KB)

The Dam Safety Regulations (Part 673.7(d)) require dam owners of Class C - High Hazard dams to submit an Emergency Action Plan (EAP) to the NYSDEC and to local emergency responders. This form provides a template that can be used in the development of an EAP for High Hazard dams.

EAP-B Instructions and Template - Intermediate Hazard Dams (PDF) (471 KB)
EAP-B Instructions and Template - Intermediate Hazard Dams (Word) (4,894 KB)

The Dam Safety Regulations (Part 673.7(e)) require dam owners of Class B - Intermediate Hazard dams to submit an Emergency Action Plan (EAP) to the NYSDEC and to local emergency responders. This form provides a template that can be used in the development of an EAP for Intermediate Hazard dams.

Sample Promulgation and Concurrance Form (PDF) (21 KB)
Sample Promulgation and Concurrance Form (Word) (37 KB)

A Promulgation and Concurrence Form must be submitted for all EAP's to indicate that consultation with local emergency managers has been completed.

Dam Safety Emergency Action Plan (EAP) Requirement of Services of a Professional Engineer - Waiver Application Form (PDF) (77 KB)
Dam Safety Emergency Action Plan (EAP) Requirement of Services of a Professional Engineer - Waiver Application Form (Word) (124)

The Dam Safety Regulations (Part 673.7(d)) require that owners of Class C - High Hazard dams have a Professional Engineer licensed in NYS prepare their EAP. The dam owner is allowed to make a written request of the DEC to waive this PE requirement with respect to some or all of the components of an EAP. This form serves as the application form for such a waiver.

Dam Safety Property Transfer Form (PDF) (53 KB)
Dam Safety Property Transfer Form (Word) (134 KB)

The Dam Safety Regulations (Part 673.11) require that when a dam is sold, or otherwise transferred, both the seller (or transferor) and the buyer (or transferee) must submit one or more "Property Transfer Notices." This form may be used for such notices.

Inspection & Maintenance Plan for Dams - Template (PDF) (56 KB)
Inspection & Maintenance Plan for Dams - Template (Word) (139 KB)

The Dam Safety Regulations (Part 673.6) require that dam owners develop and implement an Inspection & Maintenance Plan (I&M Plan) for their dam. This document may be used to assist the dam owner in developing an I&M Plan. The I&M Plan should be tailored for each specific dam and its unique characteristics. The I&M Plan must be implemented by the dam owner and kept on file, but does not need to be submitted to the DEC, unless requested.

Dam Post Incident Report Form (PDF) (63 KB)
Dam Post Incident Report Form (Word) (113 KB)

The Dam Safety Regulations require dam owners, of Class C - High Hazard, or Class B - Intermediate Hazard dams, to submit a written Incident Report to the NYSDEC, within 5 days of either of the following:

  • Activation of the Emergency Action Plan (Part 673.7(h))
  • Flow through an erodible auxiliary spillway (Part 673.9)

This form provides a means to submit the incident information to the DEC if either situation should occur.


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  • Contact for this Page
  • NYSDEC, Division of Water
    Bureau of Flood Protection and Dam Safety
    625 Broadway 4th Floor
    Albany, NY 12233-3504
    518-402-8185
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