Application Type: (select one)
New Business/Operator
Transfer of Ownership or Name Change of Existing Permitted Facility
Modification of Existing Permitted Facility (includes modifications to FOG control devices, modifications to facility
size/area and changes of use)
Applicant Information
Applicant (corporation, LLC, LLP, sole proprietor)**:
Email**: Phone No.**:
If applicant is a company, corporation, partnership or similar, the name specified shall match the name of that approved by the Planning Board.
A fictitious name specified on the form shall be preceded by the name of the entity or individual (if sole proprietor) that owns said fictitious name
Facility Information
Facility Address (Street, City, Zip, Unit)**:
Facility Phone No.**: Facility Email:
Days and Hours of Operation**:
Facility Use Information
Select/Describe Use that best describes the Facility**
Apartment/Condo/Club House
Banquet Hall
Child/Adult Day Care
Full Service Restaurant
Assisted Living
Café/Coffee Shop
Commercial/Industrial Bakery
Bakery (non-commercial)
Convenient Store/Gas Station
Butcher/Fish/Meat Market
Fast Food Restaurant
Take-Out Restaurant
**Indoor Area: sq. ft. **Outdoor Area: sq. ft. No. of Seats:
Details of Kitchen Fixtures
Fryolators: Yes No How Many
Grills or Ovens: Yes No How Many
Dishwashers: Commercial: Yes No How Many
Kitchen Sinks: How Many Number of Compartments in Each
Dinnerware: Pre-rinsing: None Sinks Station
Ice Making Machines: Yes No How Many
Garbage Disposal Units: Yes No How Many
Exhaust Hoods with Automatic Cleaning System: Yes No How Many
Exhaust Hoods without Automatic Cleaning System: Yes No How Many
If exhaust hoods are without an automatic cleaning system, how are hoods cleaned? (i.e., in three (3) bay sink, off site):
Denotes Required Field
Fee $75.00
v. 2018
Fats, Oils & Grease Control Device Information
List all FOG control devices serving the facility**
Make & Model
Material (Metal, Plastic,
Concrete, other)
Capacity (gpm or
Location (indoor or
Note: An operating permit will not be issued until the facility has a department approved control device.
Certification by Applicant
The undersigned authorized representative of (name of applicant)
is fully aware that the statement made in this application for an operating permit are true, correct and complete. The
undersigned understands that discharges of Fats, Oils and Grease to the public sanitary sewer that exceeds 200
milligrams per liter of FOG is a violation of the town regulations. The undersigned certifies that he/she is fully aware
that the submittal of a permit application does not guarantee issuance of a Grease Discharge Control operating
permit until it is determined that the permit application is complete and a Fats, Oils & Grease Control Device(s) is/are
approved by the department for the facility. It is further acknowledged that a permit, if granted by the Department is
not transferable and that notification shall be provided to the Department upon sale, change of ownership or relocation
of the permitted facility.
Name of Authorized Representative Signature of Authorized Representative Date
Accompanying Documents for Permit Application
Floor plan of kitchen area showing all fixtures, floor drains, as well as all direct and indirect waste.
Plumbing layout prepared by licensed plumbing contractor or plumbing designer.
Specifications sized on all fixtures and equipment from which grease may be introduced to the plumbing system.
Sizing procedure and cut sheet showing manufacturers recommendations for proper installation of the
indoor/outdoor grease interceptor.
Signed contract with a registered waste hauler for periodic cleaning of the indoor/outdoor.
Permit Application Submittal Checklist
All required fields of permit application are completed.
Applicant has read the instruction provided in the permit guidelines sheet.
FOG control device information is specified.
Zoning Certificate of Use/Occupational License Application Form (if new establishment).
Permit Fee (see guidelines sheet and fee schedule).
Form is signed.
**Denotes Required Field
v. 2018
click to sign
click to edit
Grease Interceptor/Automatic Grease Trap Fact Sheet
Permit Application Form When is the submittal of a permit application required?
The submittal of a permit application is required for:
Any new business/operator (FOG generator) intending to operate within East Longmeadow.
Transfers of ownership or name changes of an existing permitted entity (i.e., permit holder).
Updates to permit or facility information, including (but not limited to) modifications to FOG Control Devices,
modifications to facility size/area and changes of use.
Why are grease interceptors/automatic traps required at foodservice establishments?
Both plumbing code and health regulation require the installation of a device, or devices to contain grease at
all foodservice establishments. Grease must be properly contained to prevent blockage of piping in the
buildings plumbing system, and in the public sewer system. Such blockages cause sewerage to back up and
can result in unsanitary conditions; moreover, such blockages present costly and unnecessary maintenance
What types of plumbing fixtures are subject to the requirements for grease containment?
The Town of East Longmeadow FOG regulations require that any plumbing fixture that may discharge grease
into the plumbing system must have provisions in place to contain the grease. Included in such fixtures are
pot sinks, hand sinks, mop sinks, food preparation sinks, floor drains, floor sinks, dishwashers, WOK stove
drains, steam tables, and hood drains.
What other factors need to be considered when planning for installing an automatic grease trap?
Installation of an automatic grease trap requires consideration of several factors. For large units it may be
necessary to recess the interceptor outside or into the floor to provide proper drainage from the sinks. The
unit also may need to be recessed into the floor to serve floor drains and floor sinks. Other factors that must
be considered are location and access for cleaning, proper venting of the plumbing system and provision of
flow control where required.
When do current requirements for a grease control system apply to existing food service establishments?
All foodservice establishments that are remodeled, plumbing equipment changed, or change of ownership are
required to meet the updated regulations for proper grease containment. In addition, when the operations of
an existing establishment result in a grease problem, that establishment may be required to meet current
How often should my grease containment device be cleaned?
Available in the office are grease maintenance logs. The logs should be completed by a professional drain
cleaner, licensed plumber, or permitted septage hauler monthly, and remain available for 1 year for inspection
by an agent of the board (DPW, Building or Health). Because of the unsanitary nature of the cleaning
operation, it can only be performed when the food preparation area is not in use.