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Click ‘Get Form’ to open it in the editor.
Begin with Section A by entering the legal name of your company, facility name, and addresses. Ensure all contact information is accurate for effective communication.
Move to Section B and check the appropriate boxes regarding your facility's connection to the City’s sanitary sewer and water systems. If unsure, refer to your water billing statement.
In Section C, indicate business operation days and hours. Provide details about your facility's activities and wastewater generation, ensuring clarity on processes and chemicals used.
Complete Sections D through F by checking applicable boxes related to material storage, stormwater management, and any expansion plans. Be thorough in detailing hazardous waste information if applicable.
Finally, sign and date Section G before submitting via email or the provided envelope. Ensure all information is accurate to avoid penalties.

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