Ennis, TX · Ellis County
Wastewater Discharge Permit Application Characteristics of Discharge Pollutant Form
This form records pollutant data for industrial users applying for a wastewater discharge permit or reporting characteristics of proposed waste streams.
What this form is
The form provides tables for reporting pollutant detection levels, daily maximum values, averages, analytical methods, and units. Current industrial users use it to provide monitoring data for pollutants regulated for their processes; new or proposed dischargers indicate which pollutants are expected, may be present, or will not be present in proposed waste streams. The form also requests company, facility, and authorized representative details.
Who needs it
Current industrial users and new or proposed dischargers completing wastewater discharge permit information use this form to report pollutant characteristics.
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 authorized representative signs it, and no notarized or sworn attachment or related step is mentioned.
How to submit this form
- 1
Download The Form
Download the wastewater discharge pollutant characteristics form.
- 2
Complete The Pollutant Tables
Enter required monitoring results or, for proposed discharges, indicate pollutant presence using the instructions on the form.
- 3
Add Facility Information
Enter the company name, facility name, authorized representative name, date, and signature.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What information does the wastewater discharge pollutant form request?
- It requests pollutant detection levels, maximum daily values, averages, analytical methods, and units, along with company, facility, and authorized representative information.
- Who uses this pollutant characteristics form?
- Current industrial users provide monitoring data for pollutants regulated for their processes. New or proposed dischargers indicate which pollutants are expected, may be present, or will not be present.
- Do I need a notary for the wastewater discharge pollutant form?
- No. The authorized representative signs and dates this form without a notary. No notarized or sworn attachment or related step is mentioned.
- How do I submit the wastewater discharge pollutant form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Wastewater Discharge Permit Application Characteristics of Discharge Pollutant Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.