Rialto, CA · San Bernardino County
Non-Residential Sewer Service Application
This application screens businesses for wastewater impacts and is completed by the business owner or an agent for a facility in Rialto.
What this form is
The City uses this application to identify new sources of industrial wastewater and screen businesses that may affect its wastewater treatment plant. The business owner or agent provides facility and owner information, describes business activities and wastewater, and answers questions about wastestream characteristics. A wastewater discharge permit is required before discharge if the facility plans to discharge more than 25,000 gallons per day.
Who needs it
A business owner or agent should complete this application for a new facility whose business activities may generate wastewater discharged to the sewer.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; the signer certifies the information is true, accurate, and complete.
How to submit this form
- 1
Download The Application
Download the Non-Residential Sewer Service Application PDF.
- 2
Complete The Form
Provide facility, business, owner, business activity, and wastewater details, and answer the wastestream questions.
- 3
Gather Additional Pages
Attach additional pages or write on the back if needed to describe business activities and wastewater.
- 4
Sign And Submit
The owner or agent signs and dates the application, then submits it to the city department named on the form.
Frequently asked questions
- Do I need a notary for the Non-Residential Sewer Service Application?
- No. The form has a signature and date line but no notary block; the owner or agent signs and dates it.
- Who completes this application?
- The business owner or an agent completes the application for the business that will occupy the facility. It asks for business, facility, owner, and wastewater information.
- How do I submit the Non-Residential Sewer Service Application?
- The document does not provide a submission address or method. Submit it to the city department named on the form; check the city website for current contact details.
- When is a wastewater discharge permit required?
- The form states that a wastewater discharge permit is required before discharge if the facility plans to discharge more than 25,000 gallons per day.
Need something notarized?
This Non-Residential Sewer Service Application doesn’t need a notary — but if you have another Rialto form that does, a commissioned online notary can help.