Wastewater Discharge Survey - Tipp City - tippcityohio Preview on Page 1

Wastewater Discharge Survey - Tipp City - tippcityohio 2026

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  1. Click ‘Get Form’ to open the Wastewater Discharge Survey in the editor.
  2. Begin by filling out the GENERAL INFORMATION section. Enter your facility name, physical address, city, state, zip code, contact person, daytime phone number, fax number, and email address.
  3. Move on to the BUSINESS ACTIVITY section. Provide a brief description of your operations and list all applicable SIC or NAICS identification numbers. Indicate the number of employees and your normal operating schedule.
  4. Answer questions regarding production seasonality and scheduled plant shutdowns. Specify the type of discharge and whether you have any environmental permits.
  5. In the WATER/SEWER SERVICES section, check all applicable water sources and indicate if your facility discharges wastewater other than domestic wastewater.
  6. Complete the CERTIFICATION section by signing and dating the form to confirm accuracy before submission.

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