Escondido, CA · San Diego County

No notary required

Industrial User Discharge Permit Application

Businesses discharging industrial wastewater into Escondido’s sewer system use this application to provide information for the city’s industrial waste permit review.

What this form is

The City of Escondido uses this application to determine which industrial users must obtain a permit for wastewater discharged into the city sewer system. Everyone completes Sections A through E; facilities generating wastewater beyond restrooms or cafeterias, or discharging to storm drains, must complete Sections E through L. It asks about facility operations, water use, chemicals, wastewater, pretreatment, and waste handling.

Who needs it

Businesses discharging industrial wastewater into Escondido’s sewer system should complete the application; facilities with other wastewater or storm-drain discharge must complete Sections E through L.

How to submit it

The form lists the City of Escondido Industrial Waste Program at 1521 S. Hale Ave., Escondido, CA 92029, and gives phone and fax numbers; it does not state a submission method.

About notarization

This application is signed and dated without a notary; the signer certifies under penalty of perjury that the information is accurate and complete.

How to submit this form

  1. 1

    Download the Application

    Download the Industrial User Discharge Permit Application PDF.

  2. 2

    Complete the Required Sections

    Everyone completes Sections A through E. Complete Sections E through L if wastewater is generated beyond restrooms or cafeterias, or there is storm-drain discharge.

  3. 3

    Gather Additional Information

    Attach additional sheets if needed for chemicals, sewer connections, or facility layout, as directed by the application.

  4. 4

    Sign and Date

    The signing official prints their name and title, signs, and dates the certification.

  5. 5

    Send to the City Program

    The form lists the City of Escondido Industrial Waste Program address and fax number; it does not specify a submission method.

Frequently asked questions

Who uses the Industrial User Discharge Permit Application?
Businesses discharging industrial wastewater into the City of Escondido sewer system use the application to provide information for the city’s permit review.
What information does the application request?
It asks about the business, facility operations, water use, chemicals, wastewater sources and flows, discharge characteristics, pretreatment, and non-discharged waste.
Do I need a notary for the Industrial User Discharge Permit Application?
No. The application is signed and dated without a notary, but the signer certifies under penalty of perjury that the information is accurate and complete.
How do I submit the application?
The form lists the City of Escondido Industrial Waste Program at 1521 S. Hale Ave., Escondido, CA 92029, and provides a fax number, but does not state a submission method.

Need something notarized?

This Industrial User Discharge Permit Application doesn’t need a notary — but if you have another Escondido form that does, a commissioned online notary can help.