New Industrial Users Questionnaire

Business Information

Primary Contact Information

Facility Address

Is the facility address the same as the business address?

Is this a food service establishment or cafeteria? If not, we will need some additional information.

Is this an existing building or new construction?

Is your industrial activity a dry process or will you process wastewater?

Will your industry discharge more than 625 gallons per day on average?

Will you be generating hazardous waste?

Do you use any chemicals that will be discharged into your wastewater?

Will any activities be conducted outside?