Download Environmental Services Forms

Applications and forms related to inspection, compliance, and enforcement of the City's Wastewater Pretreatment Program are listed below in PDF form. If you have questions, please call the Environmental Services Department at 503-588-6311.


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
One Time Compliance Report for Dental Dischargers (fillable)one-time-compliance-report-for-dental-dischargers.pdf335 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.pdf85 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.pdf937 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: