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2. The purpose of this program is to aid in preventing the introduction and accumulation of Fats, Oils, and Greases into the City’s wastewater collection system. All food service establishments are required to participate in this program. Please submit the following information.
   Note: Please read City of Rock Hill’s Fats, Oil and Grease Control Policy prior to completing this application.
4. City of Rock Hill’s Fats, Oil and Grease Control Policy
   https://nam01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.cityofrockhill.com%2Fdepartments%2Futilities%2Fmore%2Futilities%2Fsewer-service%2Fpretreatment-program&data=02%7C01%7CKPoulsen%40t
6. Business Name*
7. GDP No.
9. Phone Number*
10. Ext.
12. Designated Facility Contact Name*
14. Contact Email*
15. Phone Number*
17. Business Physical Address *
19. City*
20. State*
21. Zip*
23. Mailing Address*
25. City*
26. State*
27. Zip*
29. Have there been any operational characteristic changes to your facility since your last permit was issued?*
    -- Select One --YesNo1st Time Applying for Permit
31. If yes, describe changes:
33. Have you upgraded or added food service equipment to your facility since your last permit was issued?*
    -- Select One --YesNo1st Time Applying for Permit
35. If yes, please indicate the item(s) that have been added to your operation:
37. Have changes or expansions altered the wastewater volumes or characteristics of your facility since your last permit was issued?*
    -- Select One --YesNo1st Time Applying for Permit
39. If yes, describe changes:
41. Grease Removal Device (GRD) - Grease Interceptor and/or Grease Trap*

    1. Concrete Grease Interceptor 500-999 Gallons
    2. Concrete Grease Interceptor 1000 Gallons
    3. Concrete Grease Interceptor 1001-1500 Gallons
    4. Concrete Grease Interceptor 1501-2500 Gallons
    5. Concrete Grease Interceptor Greater Than 2500 Gallons
    6. Scheir GB-250
    7. Grease Trap Less Than 25 Gallons
    8. Grease Trap 25-100 Gallons
    9. Grease Trap 101-200 Gallons
43. GRD Servicing Information - Grease Hauler*

    1. 1st Choice Service, Inc
    2. Carolina By Products-Valley Proteins
    3. Hudson Septic
    4. L&L Environmental
    5. Liquid Environmental Solutions
    6. Providence Environmental
    7. Stanley Environmental Solutions
    8. Other (Please Specify)
45. Other:
47. GRD Pumping Frequency (As stated on previous issued permit)*

    1. Weekly
    2. Monthly
    3. Quarterly (Every 3 months)
    4. Semi-Annual (Every 6 months)
    5. Annual
    6. Other (Please Specify)
49. Other:
51. I certify that I have read the City of Rock Hill's Fats, Oil, and Grease Control Policy found at Establishments (FSE) must have a Grease Removal Device before discharge of fats, oils, and grease to the City of Tega Cay's sanitary sewer system. I further certify under penalty of law that this document and all attachments were prepared under my direct 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, or those persons directly responsible for gathering the information, the information submitted 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/or imprisonment for knowing violations.
53. I further certify by typing my name below that I am signing this application electronically as an authorized representative of the business.
55. First Name*
56. Last Name*
Leave This Blank:


58. 1. Receive an email copy of this form.
59. Email address

    This field is not part of the form submission.

60. Submit

* indicates a required field