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Discharger Information Report

DS14 Pollution Prevention - Form 1

DS14 Halifax Water Pollution Prevention Abbreviated Discharger Information Report - Form 1

Required fields are marked with an asterisk (*)

The completion of this form, and providing satisfactory responses to any concerns resulting from this submission, satisfies Section 73.(1) of Halifax Water Regulations to allow Discharge from an ICI premises in Halifax Water’s Wastewater and Stormwater Systems. Halifax Water requires you to file an updated copy of this form if you make any changes that will affect the quality of your Wastewater under Section 73.(2).

Location Information

Business Address Information

Please provide information specific to the property that the information below applies to.

Is the mailing address the same as the business address?
Please enter your mailing address

Business Activities

If your property does have a Grease Interceptor, please send the specification sheet and model number information in an email to p2@halifaxwater.ca.

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

Halifax Water requires that all grease interceptors be CSA certified.

If your property does have an Oil Interceptor, please send the specification sheet and model number information in an email to p2@halifaxwater.ca.

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

If your property does have an Wastewater Sediment Interceptor, please send the specification sheet and model number information in an email to p2@halifaxwater.ca.

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

If your property does have an Stormwater treatment unit, please send the specification sheet and model number information in an email to p2@halifaxwater.ca.

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

If yes, please indicate type(s) of pretreatment below:

Please send maintenance records and waste disposal records for all applicable pretreatment systems/methods listed above in an email to p2@halifaxwater.ca.

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

Please send the following information/documents (if applicable) in an email to p2@halifaxwater.ca.

  • Internal proposed mechanical/plumbing drawings
  • Specification Sheets for all Interceptors
  • Fixture sizes in any kitchens
  • Number of hose bobs and flow rates in the vicinity of any Oil Interceptors
  • A copy of your spill prevention plan

Be sure to reference the submission ID number in the subject line of your email. (You will receive your submission ID for this business in an email following the submission of this form.)

Please be prepared to provide the following documentation on request:

  • Existing data on monitoring, flow metering, or sampling of any Wastewater Discharges
  • Record drawing of property showing buildings, Pretreatment Facility or Interceptors, property boundaries, effluent lines, and connections to Wastewater, Combined, and/or Stormwater Systems
  • Locations of existing Wastewater and/or Stormwater Monitoring Access Points
  • A copy of your SDS Binder
  • Flow diagrams of site flows/processes
  • Pump run times and size of pumps (include any relevant operational data)

Contact Information

If you have any questions or concerns regarding this form please contact P2@halifaxwater.ca.

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