Download Environmental Services Forms

Applications and forms related to inspection, compliance, and enforcement of the City’s Wastewater Pretreatment Program are listed below.

Accidental Spill Prevention Plan and Slug Control Planaccidental-spill-prevention-plan-and-slug-control-plan.pdf138 KB
Authorized Representative and Total Toxic Organics Statementauthorized-representative-and-total-toxic-organics-statement.pdf30 KB
Biannual Compliance Report Requirementsbiannual-compliance-report-requirements.pdf24 KB
Determining Permit Duration Statusdetermining-permit-duration-status.pdf19 KB
Final Compliance Reportfinal-compliance-report.pdf78 KB
Industrial Sewer Charges and Permit Feesindustrial-sewer-charges-and-permit-fees.pdf51 KB
Pretreatment Manualpretreatment-manual.pdf246 KB
Septic Haulers Discharge Applicationseptic-haulers-discharge-application.pdf292 KB
Septic Haulers Discharge Permit Guidelinesseptic-haulers-discharge-permit-guidelines.pdf237 KB
Septic Haulers Manifestseptic-haulers-manifest.pdf213 KB
Total Toxic Organics Certification Statementstto-certification-statement.pdf42 KB
Total Toxic Organics List Part 433total-toxic-organics-list-part-433.pdf28 KB
Total Toxin Organics List Part 469total-toxic-organics-list-part-469.pdf19 KB
Toxic Organics Management Plan Guidelines for Non TTO Userstoxic-organics-manangement-plan-guidelines-for-non-tto-users.pdf23 KB
Toxin Organics Management Plan Guidelines for TTO Userstoxic-organics-manangement-plan-guidelines-for-tto-users.pdf22 KB
Trash Area Management PlanTrash Area Management Plan.pdf136 KB
Trash Area Management Plantrash-area-management-plan.pdf136 KB
Wastewater Discharge Permit Applicationwastewater-discharge-permit-application.pdf749 KB
Wastewater Discharge Permit Renewal Applicationwastewater-discharge-permit-renewal-application.pdf376 KB
Water Conservation and Sewer Pretreatment Grant Applicationwater-conservation-sewer-pretreatment-grant-application.pdf175 KB
Zero Wastewater Discharge Permit Renewal Applicationwastewater-permit-zero-discharge-application.pdf357 KB

Contact us

Environmental ServicesPublic Works Department
Monday–Friday
8:00 a.m.–4:30 p.m.
1410 20th ST SE Building 2
Salem OR 97302
Phone: