Form A Applicants Questionaire

FORM A: APPLICANT QUESTIONNAIRE. This form is used by companies applying for, renewing, revising, or amending an Industrial Wastewater Discharge Permit. It is required by local sanitation districts or regulatory agencies to gather detailed information about a facility’s industrial processes and wastewater discharges. The form collects the company’s contact information and requires applicants to indicate the purpose of the submittal—whether it is a new permit, a permit revision, an addendum, or a renewal. Depending on the selection, the form prompts the applicant to provide specific details, such as changes in ownership, facility modifications, production processes, or wastewater quantity and quality. It also requests information about connections to the public sewer system and requires documentation for changes in equipment, operations, or pollution prevention strategies. The form ensures that all necessary technical documents, plans, and environmental data—such as discharge flow calculations, tank and spill containment data, chemical safety data sheets, and baseline monitoring results—are submitted in compliance with applicable wastewater regulations. All submittals must include the following forms, Form A - Applicant Questionnaire Form B - Calculation of Industrial Wastewater Discharge Flow Rate Form C - Tank Schedule and Spill Containment Calculations Form D - Check List. www.FormsWorkflow.com