Dimondale, MI · Eaton County
Industrial User Discharge Permit Application
Industrial facilities complete this application to request a permit for discharging non-domestic wastewater to the Dimondale/Windsor wastewater treatment plant.
What this form is
The application collects facility, business, wastewater, flow, treatment, chemical storage, and water-supply information for a proposed industrial discharge. Non-domestic industrial users must submit it with required materials at least 90 days before discharge and include the non-refundable $100 fee. It also requests test results, site plans, and other supporting materials when applicable.
Who needs it
Businesses and industrial facilities planning to discharge non-domestic wastewater to the Dimondale/Windsor wastewater treatment plant need to complete the application.
How to submit it
Return the completed application and supplementary materials to the Village of Dimondale at P.O. Box 26, Dimondale, MI 48821, or 136 N. Bridge, Dimondale, MI 48821. Include the $100 non-refundable fee.
About notarization
This application is signed and dated without a notary; the signer certifies the information under penalty of law, and the form does not request a notarized attachment.
How to submit this form
- 1
Download The Application
Download the Industrial User Discharge Permit Application for the Dimondale/Windsor wastewater treatment plant.
- 2
Complete The Form
Fill in the facility, business activity, wastewater, treatment, chemical, water-supply, and certification sections that apply.
- 3
Gather Supporting Materials
Include the requested wastewater test results, stamped approved site plans, and any applicable supplemental information or attachments.
- 4
Submit To The Village
Return the application and materials to the Village of Dimondale at either listed address with the $100 non-refundable fee.
Frequently asked questions
- Do I need a notary for the Industrial User Discharge Permit Application?
- No. The signer completes the signature and date fields without a notary. The application includes a certification under penalty of law but does not request a notarized attachment.
- How do I submit the Industrial User Discharge Permit Application?
- Return the application and supplementary materials to the Village of Dimondale at P.O. Box 26 or 136 N. Bridge, Dimondale, MI 48821, and include the $100 non-refundable fee.
- What information does the application ask for?
- It asks about facility operations, wastewater flows and constituents, treatment processes, chemicals, water supply, and other details. It also calls for test results and approved site plans.
Need something notarized?
This Industrial User Discharge Permit Application doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.