Pool Discharge Permit Application

In the Central Contra Costa Sanitary District, a permit is required to discharge pool, spa or fountain water to the sanitary sewer system.

It's easy and free to obtain a permit. Simply complete this form and submit it to the CCCSD Source Control Section for review. Permits are reviewed within 72 hours of receipt. Approved permits will be valid for a two-week period. We will contact you if there are questions regarding your application.

Have questions or need help? You may contact the CCCSD Source Control Section.

Hours of operation: Monday-Friday, 8am-5pm
(925) 229-7288
sourcecontrol@centralsan.org

Pool/Spa Location

Address:*
Address 2:
City:*
State:*	CA
Zip:*

Pool/Spa Owner Information

First Name:*
Last Name:*
Phone:*	Example: 555-555-1212
Fax:	Example: 555-555-1212
Email:

Is the mailing address the same as the Pool/Spa location? No Yes

Preferred Permit Delivery Method:

Certified Mail
E-Mail
Fax
Hand Delivery
Pick-up

Discharge Quality

Is this a saltwater pool/spa? No Yes
Is there a large amount of solids in the water? No Yes What's this?

Have copper algaecides been used to treat this pool/spa or is there potential for high concentrations of copper in the water? No Yes What's this?

What is the pH of the water?*

(0-14 units) What's this?

Discharge Details

Will a maintenance company or contractor be handling the discharge? No Yes

Select a maintenance company:*

When do you plan to discharge the water?*

Permits will be automatically issued for a two-week period.

Would you like to request a longer time period? No Yes

Discharge will be into a:*
Note: Discharge to a sanitary sewer manhole is prohibited.

Volume of discharge:*

gallons

Discharge Flow rate will automatically be set to a maximum of 20 gallons/minute. Requests for flow rates greater than 20 gpm will take more time to review, may delay permit issuance and may not be approved (depends on volume of discharge, sewer pipe size, etc.). Requests for flow rates greater than 50 gpm may be charged a permit fee. If you request a higher flow rate, an inspector will contact you to discuss the circumstances.

Would you like to request a higher flow rate? No Yes