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Form PA-W3: Industrial wastewater to a treatment facility

Permit Application for Authorization to Discharge Industrial Wastewater to an Industrial Wastewater Treatment Facility.

RCER-2025, Volume II. Water forms. 6 pages.

Who needs it

Facilities that will discharge industrial wastewater to an industrial wastewater treatment facility.RCER-2025 Vol. II, Form PA-W3, pages W3-1 to W3-6

What the form covers

  • Industrial wastewater generation
  • Discharge rate
  • Wastewater pre-treatment system
  • Wastewater quality in normal operations
  • Wastewater quality in upset conditions and turnarounds
  • Holding pond
  • Discharge location
  • Sampling
  • Sludge generation

SourceRCER-2025 Vol. II, Form PA-W3, pages W3-1 to W3-6

Before you submit

  • Answer every question. Where one does not apply, write “None” or “NA”.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Put the forms in the order of Figure 2.RCER-2025 Vol. II, Section 2, Figure 2 (page 9)
  • An authorised representative of the facility signs and stamps the Statement of Certification.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Submit the application in electronic and printed form, with the printed copy signed.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
  • Drawings go in as A3 hard copies and as PDF files.RCER-2025 Vol. II, Section 1.3.1 (page 3)
Getting the official form

The Royal Commission provides the electronic copy of the forms. This page explains the form. The RC's version is the one to fill in and submit.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)

This page summarises the form as published in RCER-2025, Volume II. It is general information, not legal advice. The Royal Commission's official form and regulations always prevail. Spotted something out of date? Request a change.