Industrial Pretreatment Program

Any Commercial or Industrial business that requires non-sanitary waste discharge into the Town of Bristol’s wastewater handling facility  (WPCF) is required a permit to do so. New applicants should complete the Industrial Pretreatment Program Application and submit it to the Pretreatment Coordinator. The application can be filled out online or downloaded below.

Thank you for your submission. You will receive a confirmation email shortly.

Industrial Pretreatment Program Application

Business Name:

Business Address:

City:

State:

Zip Code:

Mailing Address:

City:

State:

Zip Code:

Business Contact Person:

Email Address:

Phone Number:

Total Number of Employees:

Hours of Operation:

Location of Discharge:*

Do you have a Waste Hauler?*

Yes

No

Name of Waste Hauler:*

Hauling Frequency:*

Floor Drain(s):

Yes

No

Grease Trap(s):*

Yes

No

Oil Separator(s):

Yes

No

Seating Capacity:

Approximate Water Usage Per Year:

Well Water:

Yes

No

Please indicate any changes that were made to your process this year.

Please explain the nature of your business; the services, operations, and/or manufacturing processes that occur at your facility (please provide an attachment if needed):

Do you have any pretreatment steps in your process? If yes, please explain:

Are chemicals used?*

Yes

No

Chemicals Used (Supply MSDS Sheets):*

List all expected pollutants and process wastestreams:*

MSDS Sheets*

 Upload

% Completed0

Grease Interceptor Service/Maintenance Log.*

 Upload

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Required for discharge permit renewal by all businesses that prepare food.

Hazardous Waste/ Waste Disposal Manifest Copy*

 Upload

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Name & Title of Authorized Personnel:*

Signature of Authorized Personnel:*

Current Date:*

 

Submit

Water Pollution Address: 2 Plant Avenue, Bristol, RI 02809
Hours of Operation: By Appointment
Phone: (401)-253-8877