2. Application for Waste Discharge Permit

4. Use this form to apply for, renew, or modify a Waste Discharge Permit required for facilities that discharge wastewater containing grease, oil, or other pollutants through a pretreatment device.

   • Complete all sections as accurately as possible. Incomplete applications may delay permit approval.
   • Submit this form when applying for a new permit, renewing an existing permit, or when any changes occur that may affect your discharge, ownership, or pretreatment system.
   • If your business operates multiple pretreatment devices (such as grease removal devices (GRD), or oil-water separators), provide complete information for each unit as instructed in the form.
   • A signature certifying that the information is true and correct is required before submission.

   ¿Preguntas? Para información en español, haga el favor de llamar al (650) 522-7300  有任何問題嗎? 如需索取更進一步的中文資訊, 請致電 650.522.7300

   
   

   Need help completing this form?

7. Instructions & FAQ (English PDF)
8. Instrucciones / 說明 (Spanish & Chinese PDF)

13. Application Information

15. 1. Business Type:*
    -- Select One --Automotive (car wash, repair shop, dealership, fleet yard)Food Service (restaurants, bakeries, cafés, caterers)
16. 2. Application Type:*
    -- Select One --New Permit (first-time submittal for a facility not currently permitted)Permit Renewal (existing permit approaching expiration)Permit Modification (changes to ownership, operations, or pretreatment device)
18. Permit Number:*
19. Describe the change(s) requiring modification:*

25. Business Information

27. 3. Business Name (Corporation):*

    Provide the legal name of your business, as it appears on your business license.

28. 4. "Doing Business As" (DBA) Name:

    Provide the customer-facing name if different from the legal name (e.g., store front name).

30. 5. Street Address (Location of Business):*
31. City:*
    -- Select One --San MateoFoster City
33. State:*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
34. Zip Code:*
35. 4. Business Phone:*
39. 6. Mailing address different from above?*

    1. Yes

    1. No (skip section)
41. Mailing Street Address:*
43. Mailing City:*
44. Mailing State:*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
45. Mailing Zip Code:*
49. 7. Manager/Owner Information
51. First Name*
52. Last Name*
53. Title:*
55. Phone:*
56. Email:*
60. 8. On-site contact information different from above?

    1. Yes

    1. No (skip section)
62. First Name:*
63. Last Name:*
64. Contact Title:*
66. Contact Phone:*
67. Contact Email:*

71. Business Operation Details

73. 9. Type of Automotive Facility (check all that apply):*

    1. Automatic Car Wash
    2. Self-Serve Car Wash

    1. Dealership / Fleet
    2. Auto Repair Shop

    1. Body / Detail Shop
    2. Tire / Lube Shop

    1. Equipment Wash
    2. Other (describe below)
75. Facility Type Description (if Other):*
77. 10. Days of Operation (check all that apply):*

    1. Monday
    2. Thursday
    3. Friday

    1. Tuesday
    2. Saturday

    1. Wednesday
    2. Sunday
78. 11. Vehicles Serviced (check all that apply):

    1. Passenger Vehicles
    2. Trucks / Vans
    3. Heavy Equipment
    4. Other
80. Other types of vehicles serviced:*
82. 12. Number of Wash Bays or Service Areas:*
83. 13. Estimated Wastewater Volume (gal/day):*
85. 14. Description of Operations:*

    Describe the typical washing or maintenance activities that generate wastewater. Include where and how vehicles or equipment are washed, any indoor/outdoor wash areas, and whether wash water is recycled or discharged to the sanitary sewer.

87. 9. Days of Operation (check all that apply):*

    1. Monday
    2. Thursday
    3. Sunday

    1. Tuesday
    2. Friday

    1. Wednesday
    2. Saturday
88. 10. Meals Served During:*

    1. Breakfast
    2. Lunch
    3. Dinner
90. 11. Seating Capacity:*
91. 12. Estimated Meals Per Day:*
93. 13. Establishment Type (check all that apply):*

    1. Cafeteria
    2. Full-Service Restaurant
    3. Take-out

    1. Drinks Only
    2. Grocery/Retail
    3. Bakery

    1. Coffee Shop
    2. Catering Service

    1. Food Manufacturing
    2. Other (describe below)
95. 14. Description of Food Establishment:*

    Describe the type of food service provided. Some examples include “Medieval Sushi Tavern serving raw fish on wooden shields” … “Yoga Diner serving only stretch-inspired salads and meditation smoothies”.

99. Pretreatment Information

101. 15. Do you have a Pretreatment Device (PTD):*

     1. Yes

     1. No (skip section)

     If you are renewing a WDP you have a PTD, you must mark Yes.

102. 16. Number of PTDs:*
     -- Select One --1234+
104. 17. PTD #1 Type:*
     -- Select One --Oil/Water SeparatorOil/Sand SeparatorRecycling/Filtration SystemSediment or Grit TrapHolding TankOther (describe below)
105. 18. PTD #1 Maint. Freq:*
     -- Select One --WeeklyMonthlyQuarterlySemi-AnnuallyAnnuallyAs Needed
106. 19. PTD #1 Volume:*

     If unknown, provide dimensions (HxWxD).

107. Manufacturer/Model:
109. Describe PTD #1 Device Type:*
111. 20. PTD #1 Location & Connected Drains/Areas:*

     Provide the physical location of the pretreatment device on the property (e.g., inside building, near wash bay, behind garage, or underground). Include any identifying details that help locate it during inspection, and describe which drains, wash bays, or areas are connected to the device.

115. PTD #2 Type:*
     -- Select One --Oil/Water SeparatorOil/Sand SeparatorRecycling/Filtration SystemSediment or Grit TrapHolding TankOther (describe below)
116. PTD #2 Maint. Freq:*
     -- Select One --WeeklyMonthlyQuarterlySemi-AnnuallyAnnuallyAs Needed
117. PTD #2 Volume:*
118. Manufacturer/Model:
120. Describe PTD #2 Device Type:*
122. PTD #2 Location & Connected Drains/Areas:*
126. PTD #3 Type:*
     -- Select One --Oil/Water SeparatorOil/Sand SeparatorRecycling/Filtration SystemSediment or Grit TrapHolding TankOther (describe below)
127. PTD #3 Maint. Freq:*
     -- Select One --WeeklyMonthlyQuarterlySemi-AnnuallyAnnuallyAs Needed
128. PTD #3 Volume:*
129. Manufacturer/Model:
131. Describe PTD #3 Device Type:*
133. PTD #3 Location & Connected Drains/Areas:*
137. If you have more than three pretreatment devices, describe remaining devices here:

     If your facility has more than three PTDs, list all remaining units. Include the following details for each one:

     • Type
     • Maintenance Frequency
     • Size (gallons)
     • Location
     • Connected Drains or Areas
139. 15. Do you have a Grease Removal Device (GRD):*

     1. Yes

     1. No (skip section)

     A GRD is a Grease Trap or Interceptor. If you are renewing a WDP you have a GRD, you must mark Yes.

140. 16. Number of GRDs:*
     -- Select One --12345+
142. 17. GRD #1 Type:*
     -- Select One --Grease TrapInterceptorAutomatic Grease Trap
143. 18. GRD #1 Maint. Freq:*
     -- Select One --Every DayEvery 2 DaysEvery 3 DaysEvery WeekEvery 2 WeeksEvery 3 WeeksEvery MonthEvery 2 MonthsEvery 3 MonthsEvery 4 MonthsEvery 5 MonthsEvery 6 MonthsEvery 7 MonthsEvery 8 MonthsEvery 9 MonthsEvery 10 MonthsEvery 11 MonthsEvery Year
144. 19. GRD #1 Size:*

     If unknown, provide dimensions (HxWxD).

145. Manufacturer/Model:
147. 20. GRD #1 Location:*

     If indoors, specify whether the unit is in the floor or above it and identify the nearby fixture. If outdoors, specify which side of the building it is near.

149. 21. Fixtures Connected to GRD #1 (check all that apply):*

     1. All Kitchen
     2. Tri-well Sink
     3. Dual-well Sink

     1. Pre-wash Sink
     2. Prep Sink
     3. Mop Sink

     1. Dishwasher
     2. Floor Drains

     1. Wok Range
     2. Other (specify below):
151. Other Fixture Connected to GRD #1:*
155. GRD #2 Type:*
     -- Select One --Grease TrapInterceptorAutomatic Grease Trap
156. GRD #2 Maint. Freq:*
     -- Select One --Every DayEvery 2 DaysEvery 3 DaysEvery WeekEvery 2 WeeksEvery 3 WeeksEvery MonthEvery 2 MonthsEvery 3 MonthsEvery 4 MonthsEvery 5 MonthsEvery 6 MonthsEvery 7 MonthsEvery 8 MonthsEvery 9 MonthsEvery 10 MonthsEvery 11 MonthsEvery Year
157. GRD #2 Size:*

     If unknown, provide dimensions (HxWxD).

     
     

158. Manufacturer/Model:
160. GRD #2 Location:*
162. Fixtures Connected to GRD #2 (check all that apply):*

     1. All Kitchen
     2. Tri-well Sink
     3. Dual-well Sink

     1. Pre-wash Sink
     2. Prep Sink
     3. Mop Sink

     1. Dishwasher
     2. Floor Drains

     1. Wok Range
     2. Other (specify below):
164. Other Fixture Connected to GRD #2:*
168. GRD #3 Type:*
     -- Select One --Grease TrapInterceptorAutomatic Grease Trap
169. GRD #3 Maint. Freq:*
     -- Select One --Every DayEvery 2 DaysEvery 3 DaysEvery WeekEvery 2 WeeksEvery 3 WeeksEvery MonthEvery 2 MonthsEvery 3 MonthsEvery 4 MonthsEvery 5 MonthsEvery 6 MonthsEvery 7 MonthsEvery 8 MonthsEvery 9 MonthsEvery 10 MonthsEvery 11 MonthsEvery Year
170. GRD #3 Size:*

     If unknown, provide dimensions (HxWxD).

171. Manufacturer/Model:
173. GRD #3 Location:*
175. Fixtures Connected to GRD #3 (check all that apply):*

     1. All Kitchen
     2. Tri-well Sink
     3. Dual-well Sink

     1. Pre-wash Sink
     2. Prep Sink
     3. Mop Sink

     1. Dishwasher
     2. Floor Drains

     1. Wok Range
     2. Other (specify below):
177. Other Fixture Connected to GRD #3:*
181. GRD #4 Type:*
     -- Select One --Grease TrapInterceptorAutomatic Grease Trap
182. GRD #4 Cleaning Frequency:*
     -- Select One --Every DayEvery 2 DaysEvery 3 DaysEvery WeekEvery 2 WeeksEvery 3 WeeksEvery MonthEvery 2 MonthsEvery 3 MonthsEvery 4 MonthsEvery 5 MonthsEvery 6 MonthsEvery 7 MonthsEvery 8 MonthsEvery 9 MonthsEvery 10 MonthsEvery 11 MonthsEvery Year
183. GRD #4 Size (gal):*

     If unknown, provide dimensions (HxWxD).

185. GRD #4 Location:*
187. Fixtures Connected to GRD #4 (check all that apply):*

     1. All Kitchen
     2. Tri-well Sink
     3. Dual-well Sink

     1. Pre-wash Sink
     2. Prep Sink
     3. Mop Sink

     1. Dishwasher
     2. Floor Drains

     1. Wok Range
     2. Other (specify below):
189. Other Fixture Connected to GRD #4:*
193. If you have more than 4 devices, describe remaining devices here:*

     If your facility has more than four GRDs, list all the remaining devices. Include the following details for each one:

     • Type
     • Cleaning Frequency
     • Size (gallons)
     • Location
     • Fixtures Connected
195. Waste and Disposal Information
197. 21. Waste Hauler Used:*

     Provide the name of the company that services/cleans your pretreatment systems.

198. 22. Chemicals or Cleaning Agents Used:*

     List the primary cleaning products, detergents, or degreasers used in vehicle washing or maintenance. Include brand names if known.

200. 22. Do you generate GRD waste?

     1. Yes

     1. No (skip section)

     If you are renewing a WDP you have a GRD and you create GRD waste, you must mark Yes.

     
     

201. 23. Do you generate used cooking oil waste?

     1. Yes

     1. No (skip section)

     If you cook food in oil you generate used cooking oil waste, you must mark Yes.

203. Waste Hauler Used (or Self-Maintained):*

     Provide the name of the company that services/cleans your GRD.

204. Waste Hauler Used:*

     Provide the name of the company that picks up your used cooking oil.

     
     

208. Certification & Signature

210. APPLICANT FOR WASTE DISCHARGE PERMIT MUST READ THIS MATERIAL
     
     

     BY SIGNING THE PERMIT APPLICATION BELOW THE APPLICANT AGREES:

      

     1. To furnish any additional information on industrial wastewater discharges as required by the City of San Mateo (City)/City of Foster City(EMID).

      

     2. To accept and abide by all provisions of ordinances, policies and guidelines of the City, including the Sanitary Sewer Use Ordinance (San Mateo Municipal Code Section 7.38)/City of Foster City(EMID) Code Section 8.37 and prohibitions against illegal discharges of wash waters and other wastes to the City’s storm drain system as specified in the Stormwater Ordinance (San Mateo Municipal Code Section 7.39) /City of Foster City(EMID) Code Section 8.04;

      

     3. To train employees to abide by all provisions of ordinances, policies and guidelines of the City/EMID as specified in (2.) above.

      

     4. To maintain required pretreatment/grease removal devices at the frequency listed on the permit.

      

     5. To keep records of pretreatment/grease removal device maintenance on-site and make these records available upon request by City/EMID personnel.

      

     6. To cooperate at all times with City/EMID personnel, or their representatives, in the inspection, sampling and study of pretreatment/grease removal devices and plumbing fixtures that discharge into them.

      

     7. To provide immediate access to authorized City personnel to any facility directly or indirectly connected to the City’s sanitary sewer system under emergency conditions and at all other reasonable times.

      

     8. To immediately notify the City at (650)-522-7300 (during normal working hours or after hours/on weekends and holidays) in the event of any accident, negligence or other occurrence that causes the discharge to the sewer or storm drain system of any material whose nature and quantity might be reasonably judged to constitute a hazard to the public health, environment, City personnel or wastewater treatment facilities;

      

     9. On an annual basis, pay to the City/EMID the required Waste Discharge Permit annual fee; per the fee schedule (City/EMID will mail an invoice to the business mailing address.) 
         Fee schedule URL: https://www.cityofsanmateo.org/1030/Comprehensive-Fee-Schedule

      

     10. To submit additional pages as required to furnish the necessary information if there is adequate room to complete the submittal of requested information.

      

     11. To apply for a renewed Waste Discharge Permit at least 30 days prior to the expiration date specified on the Permit.

      

     12. To notify the Regulatory Compliance Division at [650] 522-7300 within 30 days of an owner name change or business name change.

      

     13. To comply with all requirements and conditions of the Waste Discharge Permit specified by City personnel in accordance with San Mateo Municipal Code section 7.38/City of Foster City(EMID) Code Section 8.37. Failure to do so invalidates the permit approval.

      

     The owner of every food service facility shall install or cause to be installed a pretreatment system for grease removal which meets or exceeds minimum sizing requirements of the Uniform Plumbing Code (SMMC 7.38.160(a)).

     The owner of every automotive or vehicle maintenance facility shall operate and maintain pretreatment systems in accordance with SMMC 7.38.170.

212. Need this information in another language?

     The Terms and Conditions are also available for reference in:

215. Español / Spanish (PDF)
216. 中文 / Chinese (PDF)
219. Applicant Certification Statement*

     I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment or both.

     1. I Agree to the Terms & Conditions
221. Name (Typed Signature):*

     By typing your full name, you acknowledge your digital signature. 

     Note to Signing Official: Information provided in this application is public information and shall be available to the public without restriction. Signature indicates agreement to comply with conditions above.

222. Title:*
223. Date*
     Date
Leave This Blank:


225. 1. Receive an email copy of this form.
226. Email address

     This field is not part of the form submission.

227. Submit

* indicates a required field