Contact the NYSDEC Regional Permit Administrator (RPA) if you have questions concerning filling out the permit application or permit requirements. CEO (or Designee) Approval Form.Instructions: Download form and obtain required signatures. A complete application should include the following (at least 3 copies of each item): 1. 1. Enter the CEO's printed name in the designated field. The owner's signature is required on the application. Org and fill out the form. In completing this form employees will be acknowledging in writing that their second job is subordinate to their employment with Nassau County. Org and fill out the form. A message from Town Supervisor Don Clavin.