Selinsgrove, PA · Snyder County
Industrial User Permit Application
Industrial facilities use this application to provide Selinsgrove Borough with information about their operations, water supply, sewer connections, and wastewater discharges.
What this form is
The application gathers information about a facility’s operator, business activities, water use, sewer connections, and wastewater. Facilities with wastewater discharges beyond restroom use are directed to complete the remaining wastewater sections; new facilities may estimate some flow and production information. Read the attached instructions before completing the application, and include requested supporting information where applicable.
Who needs it
Industrial facilities applying for a permit should complete this application and provide information about their operations and wastewater discharges to the borough.
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 application does not require notarization; the designated facility signatory completes it, and the document text identifies no notarized or sworn attachment.
How to submit this form
- 1
Download The Application
Download the Industrial User Permit Application and read the attached instructions before completing it.
- 2
Complete The Facility Sections
Provide the requested information about the facility, operator, business activities, water supply, sewer connections, and applicable wastewater discharges.
- 3
Gather Supporting Information
Include requested supporting information, such as operator responsibility documents where applicable, and additional sheets if needed.
- 4
Submit To The Borough
Submit the completed application to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the Industrial User Permit Application request?
- It asks about the facility, operator, business activities, water supply, sewer connections, and wastewater flows and processes.
- Who should complete this application?
- Industrial facilities applying for a permit should provide facility and operations information, including wastewater discharge details when applicable.
- Do I need a notary for the Industrial User Permit Application?
- No. The application does not require notarization, and the document text identifies no notarized or sworn attachment.
- How do I submit the Industrial User Permit Application?
- Submit it to the city department named on the form; check the city website for current contact details.