What information does the Waste Discharge Application request?

It asks about the business site, contacts, hours, activities, wastewater sources, chemicals, pretreatment, and hauled waste. Applicable applicants also provide food-service details or diagrams.

Who completes Sections B and C?

Applicants preparing or serving food complete Section B. Applicants discharging wastewater other than from food service or a restaurant, or having on-site hazardous materials, complete Section C.

Do I need a notary for the Waste Discharge Application?

No. The form calls for a responsible party’s signature and date, and includes a certification under penalty of law, but it does not request notarization.

How do I submit the Waste Discharge Application?

The form lists the City of El Centro Public Works Department at 307 W. Brighton Ave., El Centro, CA 92243. It does not specify a submission method; contact IPP at (760) 337-3177 with questions.

El Centro, CA · Imperial County

No notary required

Waste Discharge Application

Businesses submit this application to provide El Centro with information about their operations, wastewater discharges, and hazardous materials.

What this form is

The City of El Centro uses this application to gather information about a business site, its activities, and its wastewater or hazardous-materials practices. All applicants complete Sections A and D; food-service applicants complete Section B, while applicants discharging certain wastewater or having on-site hazardous materials complete Section C. The application requests operational details, discharge and chemical information, diagrams, and a responsible party’s certification.

Who needs it

Businesses applying about a site with food service, wastewater discharge, or on-site hazardous materials should complete the applicable sections and the certification.

How to submit it

The form identifies the City of El Centro Public Works Department at 307 W. Brighton Ave., El Centro, CA 92243. For questions, it lists IPP at (760) 337-3177.

About notarization

This application is signed and dated without a notary; its certification is under penalty of law, but the form does not request notarization.

How to submit this form

1
Download The Application
Download the Waste Discharge Application PDF.
2
Complete The Applicable Sections
Complete Sections A and D, and complete Section B or C when its stated criteria apply.
3
Gather Diagrams And Attachments
Provide the requested diagrams; attach additional sheets or detailed interior plumbing plans if available or needed.
4
Sign And Contact The City
Have the responsible party sign and date the certification. The form lists the Public Works Department address and IPP phone number.

Frequently asked questions

What information does the Waste Discharge Application request?: It asks about the business site, contacts, hours, activities, wastewater sources, chemicals, pretreatment, and hauled waste. Applicable applicants also provide food-service details or diagrams.
Who completes Sections B and C?: Applicants preparing or serving food complete Section B. Applicants discharging wastewater other than from food service or a restaurant, or having on-site hazardous materials, complete Section C.
Do I need a notary for the Waste Discharge Application?: No. The form calls for a responsible party’s signature and date, and includes a certification under penalty of law, but it does not request notarization.
How do I submit the Waste Discharge Application?: The form lists the City of El Centro Public Works Department at 307 W. Brighton Ave., El Centro, CA 92243. It does not specify a submission method; contact IPP at (760) 337-3177 with questions.

Need something notarized?

This Waste Discharge Application doesn’t need a notary — but if you have another El Centro form that does, a commissioned online notary can help.