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Commercial Wastewater Discharge Permit Application (CWDP)

  1. CITY OF MILTON
  2. Commercial Wastewater Discharge Permit (CWDP) Application
  3. New
  4. Renewal
  5. Section I. - General Information
  6. Establishment Physical Address
  7. Billing Address (If different from above) DO NOT USE P.O. BOX
  8. Section II. - Facility Operation Characteristics
  9. Please choose a description from the list below that best describes the facility:*
  10. Please indicate each item currently connected to the City's Wastewater Facility presntly in the establishment:*
  11. Section III. - Pretreatment Device
  12. Indicate the type of pretreatment device(s) currently in operation at the above facility address:*
  13. Please provide the Grease Trap, Grease Interceptor, or Oil/Water Separator specifications below:
  14. Are there any additives placed into the plumbing facilities or pretreatment device (i.e., enzymes, bacteria, etc.)?*
  15. If the answer to the above was in the affirmative, please provide the following information:
  16. Section IV. - Renewal Facility Information
  17. Have there been any changes, expansions, or modifications to the above establishment's pretreatment device since the issue date of the establishment's last Commercial Wastewater Discharge Permit?
  18. Have there been any changes, expansions, or modifications to the above establishment's physical characteristics, including but not limited to the kitchen, seating capacity, plumbing, and general strucutre since the issue date of the establishment's last Commercial Wastewater Discharge Permit?:
  19. Section V. - Disposal (Applicable to Grease Interceptors and Oil/Water Separators)
  20. Does the above establishment recycle any used fryer/yellow/tallow oil or grease produced on site?*
  21. Section VI. - Authorized Signature
  22. I certify the I understand that pursuant to Article V. Division 5. of the Chapter 48, The City of Milton, Fats, Oils, and Grease Management Program, of the CIty of Milton Code of Ordinances, that all food service establishments and automotive related enterprises must have installed a fats, oils, and grease pretreatment/removal device prior to discharging into the CIty's Wastewater Treatment System/Sanitary Sewer System. I further certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personne gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware there are significant penalties for submitting false or misleading information, including but not limited to the possibility of fine and imprisonment.
  23. STOP - BELOW IS FOR CITY USE ONLY
  24. Leave This Blank:

  25. This field is not part of the form submission.