Berkeley, CA · Alameda County

No notary required

Engineering Permit Supplement – Discharge Permit

This supplement provides discharge details and supporting requirements for applicants seeking an Engineering Permit for temporary water discharge to the sanitary sewer.

What this form is

Berkeley requires this supplement with Engineering Permit Application form #300 for temporary discharge of water to the sanitary sewer system. It requests permit numbers, discharge volume and flow rate, discharge dates, laboratory results, site and facility plans, and treatment and monitoring plans. The permittee also certifies that they have read and accept the applicable requirements.

Who needs it

Applicants seeking a permit for temporary water discharge to the sanitary sewer submit this supplement with Engineering Permit Application form #300.

How to submit it

Provide the listed information to the Engineering Division for review as part of the permit process, and submit this supplement with Engineering Permit Application form #300.

About notarization

This supplement is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer simply signs and dates it.

How to submit this form

  1. 1

    Download The Supplement

    Download the Engineering Permit Supplement – Discharge Permit.

  2. 2

    Complete The Form

    Enter the requested permit, discharge, and project information, then sign and date the certification.

  3. 3

    Gather Supporting Materials

    Gather applicable permits, laboratory results, site and facility plans, and treatment and monitoring plans listed on the form.

  4. 4

    Submit To The Engineering Division

    Submit the supplement with Engineering Permit Application form #300 and provide the listed information to the Engineering Division for review.

Frequently asked questions

What is the Discharge Permit Supplement for?
It provides information and supporting requirements for temporary water discharge to the sanitary sewer system as part of the Engineering Permit process.
Who submits this supplement?
Applicants seeking a permit for temporary discharge of water to the sanitary sewer submit it with Engineering Permit Application form #300.
How do I submit the Discharge Permit Supplement?
Provide the listed information to the Engineering Division for review as part of the permit process, and submit the supplement with Engineering Permit Application form #300.
Do I need a notary for the Discharge Permit Supplement?
No. The supplement is signed and dated without a notary and identifies no notarized or sworn attachment.

Need something notarized?

This Engineering Permit Supplement – Discharge Permit doesn’t need a notary — but if you have another Berkeley form that does, a commissioned online notary can help.