Dam Safety Forms
Dam Safety Annual Certification Form (PDF) (52 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.
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)
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 of more "Property Transfer Notices." This form may be used for such notices.
Inspection & Maintenance Plan for Dams - Template (PDF) (56 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)
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.
