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*Required Fields
*Transaction is on hold until the permit number is issued.:
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*Applicant Name First:
Applicant Name Middle:
*Applicant Name Last:
Company Name:
*Is this a Company Credit Card?:
Yes
No
Phone #:
Street:
Street 2:
City:
State: -- AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYAAAEAPASFMGUMHMPPRPWVIABBCMBNBNLNSNTNUONPEQCSKYT
Zip:
Applicant's Email:
*Work Location Address:
*APN # (eg. 123-123-123):
*Owner Name:
City:
Yes
No
County:
Yes
No
*Certificate Of Insurance:
Yes
No

*Permit #:
Description of Work to be Performed & Location of Work:
*Permit expires 60 days from date of issuance unless Certificate of Insurance (COI) effective date expires first. This transaction constitutes an agreement to comply with all District Ordinances. COI is required prior to commencement of work.:
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*Permit is final only after District Inspection is completed. Advised to contact County of Monterey Environmental Health Department regarding health regulations.:
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*Call 831-521-1475 or 831-917-1426 for District Final Approval and sign off for the completion of work.:
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Annual Wastewater Discharge Permit Application. Note: Completion of the permit application alone does not constitute issuance of the permit.:
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Name of Business:
Type of Business:
New Business (Connection Fee and Building Plans need to be filed with CAWD office)
Existing Business (Renewal)
Physical Location:
Street:
Street 2:
City:
State: -- AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWYAAAEAPASFMGUMHMPPRPWVIABBCMBNBNLNSNTNUONPEQCSKYT
Zip:
Assessor Parcel Number (APN):
E-mail Address:
Phone Number:
Owner's Name:
Contact Name or Title:
Emergency Contact:
Emergency Phone Number:
Service/ Business Activity:
Days of Operation:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours for Breakfast (From ___ to ___):
Hours for Lunch (From ___ to ___):
Hours for Dinner (From ___ to ___):
Seat Count: Indoor:
Seat Count: Outdoor:
Seat Count: Bar:
Seat Count: Banquet:
Estimated meals serving: Breakfast:
Estimated meals serving: Lunch:
Estimated meals serving: Dinner:
Grease Trap Material Disposed by:
Garbage
Grease Trap Service
Fume Hood Steam Cleaning Schedule (____ times per ____):
Fume Hood Cleaning Company:
Grease Trap / Interceptor Brand:
Grease Trap / Interceptor Size:
Grease Trap / Interceptor GPM:
Grease Trap / Interceptor Lbs:
Number of baffles required:
Flow Restrictor Installed:
YES
NO
The information contained in this application is familiar to me and to the best of my knowledge and belief; such information is true, complete and accurate.:
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A fee of one hundred fifty dollars ($150.00) will be paid to Carmel Area Wastewater District for the Discharge Permit valid for a one (1) year period. Please see office hours and location to complete the application.:
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I am the Business Owner and am checking this box as my Signature:
I understand
I do not want to continue to make a payment