Butte, MT · Silver Bow County
Grease Interceptor Variance Request
Food-service facilities use this form to request an exception to Butte-Silver Bow grease interceptor requirements under the local fats, oils, and grease program.
What this form is
This form lets a food-handling facility request a variance from grease interceptor requirements or pumping frequency under the Butte-Silver Bow fats, oils, and grease policy. It asks for facility and contact details, the type of variance requested, and a written explanation. For a pumping-frequency request, it requires two consecutive grease interceptor pump-out reports; the city records its review and decision on the form.
Who needs it
A food-handling facility seeking an exception to grease interceptor requirements or pumping frequency under the Butte-Silver Bow fats, oils, and grease policy needs this form.
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 without a notary; the authorized representative signs and dates it, and the form requires two consecutive pump-out reports for a pumping-frequency request.
How to submit this form
- 1
Download the Form
Download the Grease Interceptor Variance Request.
- 2
Complete the Form
Enter the facility and contact information, select the variance requested, and provide a written explanation.
- 3
Gather Attachments
For a pumping-frequency variance, include two consecutive grease interceptor pump-out reports.
- 4
Submit to the City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Grease Interceptor Variance Request?
- No. The authorized representative signs and dates the form without a notary. A pumping-frequency request must include two consecutive grease interceptor pump-out reports.
- Who uses the Grease Interceptor Variance Request?
- Food-handling facilities use the form to request a variance from grease interceptor requirements or pumping frequency under the Butte-Silver Bow fats, oils, and grease policy.
- What attachments are required for a pumping-frequency variance?
- The form requires two consecutive grease interceptor pump-out reports with an application for a pumping-frequency variance.
- How do I submit the Grease Interceptor Variance Request?
- The form does not give submission instructions. Submit it to the city department named on the form and check the city website for current contact details.
Need something notarized?
This Grease Interceptor Variance Request doesn’t need a notary — but if you have another Butte form that does, a commissioned online notary can help.