APPLICATION TO DISCHARGE TRADE WASTE TO SEWER

November 2017 Page 1 of 4

Under the Liquid Trade Waste Management Plan, the owner of a property will be the Trade Waste Approval holder, and will be responsible for ensuring that Trade Waste discharged to sewer meets council requirements, and for the payment of trade waste fees. Any arrangement for passing on those fees to a tenant will be the responsibility of the property owner. By submitting this form, you confirm that the property owner is aware of this application.

Property owner/s

Name of property owner/s (first and last name if individual/s, or corporation/incorporated association name) _____________________________________________________________________________

___________________________________________________________________________________

Australian Company Number if Corp/Incorp. Association: __________________________________

Postal address ______________________________________________________________________

___________________________________________________________________________________

Phone number/s ____________________________________________________________________

Business details where discharge to sewer will occur

Trading name _______________________________________________________________________

Physical address where the activity will be carried out (i.e. NOT a post office box) _________________

___________________________________________________________________________________

Hours of operation __________________________________________________________________

Postal address ______________________________________________________________________

Name of business owner _____________________________________________________________

Daytime phone number ______________________________________________________________

Email address ______________________________________________________________________

Name of nominated representative (if different) ___________________________________________

Nominated representative’s phone _____________________________________________________

Nominated representative’s email ______________________________________________________

Version: 1, Version Date: 02/11/2017Document Set ID: 16633515

November 2017 Page 2 of 4

Type of business activity

Food service (café, restaurant, etc.)

School/childcare/community facility

Food/beverage processing (e.g. butcher)

Laundry cleaning service

Shop

Animal care

Multiple generators

Major industrial activity

Hairdressing and/or personal care

Medical, dental or health service

Manufacturing and/or construction

Mechanical and/or automotive

Bin or vehicle wash hub

Home based business

Other _______________________________________________________________________

Start date

____/ ____ / ____Anticipated date discharge will commence, or date discharge did commence.

Pre-treatment servicingGrease traps and hold tanks require regular servicing by an approved service contractor. The service frequency will be determined as part of the assessment of the application. Environmental Health and Regulatory Services Team will liaise with your nominated service contractor to ensure that the pre-treatment device is being serviced as required.

Nominated service contractor __________________________________________________________

Business name (all on premises as relevant)

Capacity/volume(e.g. 1000L, 1500L

p/h)

Type & brand of pre-treatment device

(e.g. grease trap, oil/water separator)

BarcodeNo.

(for existing approvals

only)

Version: 1, Version Date: 02/11/2017Document Set ID: 16633515

November 2017 Page 3 of 4

Charging criteria

The annual charge for discharge of trade waste to sewer includes an annual access fee (to cover inspection and administration costs) plus a volume charge (to cover the cost of transport, treatment and disposal of the waste).

As a default, the volume charge is based on the water consumed (as measured at the incoming water meter), less an allowance for each toilet pedestal, multiplied by a discharge factor to take into account the water consumed on the premises (e.g. irrigation, cooling, towers, soups, ice).

If alternative measuring of trade waste volume is available, then a more accurate estimate of trade waste volume can be made.

How many toilet pedestals discharge to council sewer from the property? ____________________

Which main water meter feeds this trade waste activity? ___________________________________

Do you have any alternative direct method of measuring trade waste discharge? Yes /No (e.g., discharge meter, pump hours, sub-meter for water consumption. If yes, please give details below).

___________________________________________________________________________________Is there any irrigated area or pool on your property? Yes /No

If yes, what is the size of the irrigated area/volume of the pool? _____________

Is there any significant domestic consumption of water on the property (e.g. hotel units)? Yes /No

What percentage of the water consumed, as measured at the meter (or alternative measure) is discharged as trade waste? _____% (If unknown, the Environmental Health and Regulatory Services Team will estimate.)

The Environmental Health and Regulatory Services Team will forward any approval /permit issued to both the property owner and business owner.

Food businesses only

Number of fixtures discharging to sewer (e.g. sinks, basins, dishwashers, woks, combi ovens, bain maries, floor wastes, tundish, etc.) ____________ Sink Baskets: Yes /No

Fixtures will be used to estimate required grease trap size (minimum 1000 litres) and/or service frequency. Note that glass washers are preferred to not be connected to the grease trap due to high temperatures that affect the efficacy of the grease trap.

Version: 1, Version Date: 02/11/2017Document Set ID: 16633515

November 2017 Page 4 of 4

Major industrial only

Major industrial activities (Category 2 Applicants), should also include the following information: A description of the effluent quantity and quality, including the anticipated type, concentration and load

of pollutants, and range of temperature and pH An estimate of peak trade waste flow rate (litres per hour), including information on how the flow rates

were determined, and clarification of flow to each pre-treatment device Type of pre-treatment proposed including design details and performance criteria Strategy for operating and maintaining the pre-treatment A plan for regular monitoring and reporting of discharge quantity and quality Location, nature and chemical composition of all substances stored/used on site and relevant MSDS

sheets Methods of disposal for other wastes that are not to be discharged to the sewerage system Any relevant environmental impact assessments.

Applicant declarationI declare that all the information provided in this form is true and correct, and that the property owner is aware of this application. I acknowledge that it is my responsibility to ensure all contact details and postal addresses are up-to-date and current. I give permission for the Environmental Health and Regulatory Services Team to liaise with the nominated service contractor regarding the details of servicing the pre-treatment device.

First name: ________________________ Surname: ________________________________________

Position ____________________________________________________________________________

Signature: _________________________________________ Date: ___________________________

For further trade waste information, go to https://www.townsville.qld.gov.au/water-waste-and-environment/waste-water/trade-waste/trade-waste-approvals.

Lodge form

Return completed form via email at enquiries@townsville.qld.gov.au, or post to Environmental Health and Regulatory Services Team, PO Box 1268, Townsville, Queensland, 4810.

For more information, contact council on 1300 878 001.

PRIVACY COLLECTION NOTICE: You are providing information which will be used for the purpose of delivering services and carrying out council business. Your personal information is handled in accordance with the Information Privacy Act 2009 and will be accessed by persons who have been authorised to do so. Your information will not be given to any other person or agency unless you have given us permission or the disclosure is required by law.

Version: 1, Version Date: 02/11/2017Document Set ID: 16633515