Section IV Wastewater Characteristics: – Answer questions 1 or 2 below, as applicable. 1. Municipal facilities: Not Applicable Collection system: Separate (sanitary sewer only) a. Combined (sanitary sewer & storm water) Both separate and combined Does your facility accept septage? b. No Yes Provide average monthly daily volume (gal/day): – Is the facility receiving process wastewater from industrial customers? c. No Skip questions 1.d & 1.e below and go to Section V – Yes Provide information for the industrial customers: – Name: i. SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day Name: ii. SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day Name: iii. SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day
Section IV – Wastewater Characteristics: Answer questions 1 or 2 below, as applicable. 1. Municipal facilities: Not Applicable a. Collection system: Separate (sanitary sewer only) Combined (sanitary sewer & storm water) Both separate and combined b. Does your facility accept septage? No Yes – Provide average monthly daily volume (gal/day): c. Is the facility receiving process wastewater from industrial customers? No – Skip questions 1.d & 1.e below and go to Section V Yes – Provide information for the industrial customers: i. Name: SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day ii. Name: SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day iii. Name: SIC code(s): SIC Description: Flow: Average: gal/day, Peak: gal/day