The purpose of this form is to update the BWPCA data base with accurate information about each commercial customer. Accordingly, BWPCA is asking that you provide some specific information about your commercial operation such as size of your leased space and type of use. This information will be used to better estimate the distribution of sanitary sewage flows throughout the Brookfield sanitary sewer system and will ultimately help the Authority better serve you better.
Please provide the following information about your specific commercial operation in the Town of Brookfield.
Question 1: Please provide the actual name of the commercial operation.
Question 2: Please do not provide a P.O. Box for the physical address. If necessary, provide the physical address and then provide a mailing address which can be a P.O. Box.
Question 4: The primary contact name preferably would be someone who works at the physical address.
Question 13 (Description of Use): Please be specific when completing this question. Some examples of how you might fill out this question are as follows these are examples only. The more specific you are the more beneficial it is to the BWPCA.
“The use is a sit-down restaurant with XX seats in the dining room and xx seats at the bar. We provide take out service”
“The use is an office space with xx employees.”
“The use is a hair salon or barber shop and we have xx chairs”
“The use is a retail space and we typically have xx number of employees in the space”
Please try to complete the entire survey. If you do not know the size of the leased space, your landlord might be able to provide that information.
THE OPTIONS FOR SUBMITTING THE FORM ARE AS FOLLOWS:
BY MAIL: Brookfield WPCA, P.O. Box 5106, BROOKFIELD, CT 06804
BY EMAIL: email@example.com (Scan as a pdf file and send.)
You may also go online to the Brookfield website and complete the form and submit it electronically. Refer to the link below for access to the form electronically.