HomeMy WebLinkAbout2850 S Bristol St - Misc. Permit (2)CITY OF SANTA ANA
FOOD SERVICE ESTABLISHMENT
WASTEWATER DISCHARGE NOTICE
AND CONDITIONAL WAIVER
Effective Datei November 14, 20'16
FSE Owner
FSE Name
FSE Address
FSE City, State, Zip
CALIFORNIA FOOD I\,4AMAGEMENT, LLC
BURGER KING RESTAURANT
2850 SOUTH BRISTOL STREET
SANTA ANA, CA 92704
(lf Box ls Marked) Refer to Specific Conditional Waiver Requirement(s)
Effective December 15,2004, the City of Santa Ana adopted Ordinance Number NS 26-70 amending Chapter
39 of the Santa Ana l/unicipal Code adding fats, oils and grease (FOG) conkol regulations applicable to Food
Service Establishments (FSES). The ordinance requires all new and remodeled FSES to install and maintain
grease interceptors. FSEs without grease interceptors and that meet certain criteria are hereby issued a
conditional waiver under the terms of this Notice and Conditional Waiver.
FSEs will be routinely inspected to evaluate the effectiveness of their grease control measures. Existing FSES
that discharge FOG and are out of compliance with the Ordinance provisions will be required to install grease
interceptors. All FSES must implement Kitchen Best Management Practices (BMPs) to remove FOG from the
waste stream entering the sewer system.
Program Rules and Regulations
The City has established Rules and Regulations for the FOG Program. Refer to the City website at
httn:ii wr'vll .$anta-ana.orr:/p'"va/foq/cloqlrqqnts/fog rules and regulations.pdf or contact the FOG
Conkol Program Manager al (714], 647 -3320 for copies of the Rules and Regulations. Also refer to these
sources for the Fats, Oils, and Grease Control Regulations (Section 39-56 of the City's Municipal Code) and
for copies of forms and educational material.
Conditional Waiver
A Conditional Waiver to the requirement to install a grease interceptor is hereby granted. This waiver may be
revoked at any time upon a determination of one or more of the following:
Quantity of fats, oils and grease (FOG) discharge as measured or as indicated by the size of the food
service establishment (FSE) based on seating capacity, number of meals served, menu, water usage,
amount of on-site consumption of prepared food and other conditions have changed since the
granting of said waiver such that the FSE is contributing to FOG discharges.
ldentification of the FSE as a significant contributor of FOG into the Sewer System, which is based on
inspection or sampling of the FOG discharged from the FSE'S sewer lateral to the Sewer System.
Adequacy of implementation and compliance with Kitchen Best Management Practices (BlvlPs).
Change in sewer size, grade, and condition based on visual information.
Changes in operations that significantly affect FOG discharge.
Failure to comply with any of the specific requirements set forth below in this Conditional Waiver.
Any other condition deemed reasonably related to the generation of FOG discharges by the FOG
Control Program Manager.
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FSE ID:
FSE Owneri Rep Email:FSE Owner/Rep Phoner 8 j8-631-757i
A gravity grease interceptor is NOT required at this FSE:
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Specific Conditional Waiver Requirement(s)
The developer/owner shall install a Hydro-mechanical Grease lnterceptor (HGl), in accordance
with the UPC and with the Orange County Health Care Agency requirements.
The developer/owner shall design the plumbing system to separate all kitchen drains, floor drains and
fixtures from other domestic drain fixtures to facilitate the future installation of a grease interceptor.
Other
Current FSE Equipment and Configuration
FSE acknowledges that below is the existing cooking equipment and seating capacity of the facility and that
no changes will occur.
E UI ment #E UI ment #Equipment #Equipment #
Broile r 0 Grill 0 0 Stove 1
Cha r Broiler 0 Ke tt le 0 Tilt Skillet05 killet
Deep Frye r 0 Ove n 0 Smoker 0 Wok 0
1,Griddle 0 Pressure Cooker 0 Steamer 0 Hood
Locatron Location #Locat on
Notice and Conditional Waiver Amendment Notice
The Developer/owner acknowledges that no tenant improvements that include change of kitchen equipment,
expansion of dining area, and or change in type of operations or use, are being performed at this time. The
developer/owner has been notified that any improvements, that include what is mentioned above, will result in
the revocation of this waiver to install a grease interceptor. The City may amend this Notice and/or
Conditional Waiver at any time. Compliance with the requirements contained in this Notice and Conditional
Waiver does not relieve the FSE of its obligation to comply with the Fats, Oils, and Grease Control
Regulations, any applicable pretreatment regulations, standards or requirements under local, State, and
Federal laws, including any such regulations, standards, requirements or laws that may become effective
during the term of this Conditional Waiver. Non-compliance with any term or condition of this Notice and
Conditional Waiver constitutes a violation of the Fats, Oils and Grease Conkol Regulation and may result in
revocation of the Conditional Waiver.
Print Name (F Ow /Representative)ame (FSE Owner/Representative)Datener
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Taig Higgi S , P-E
lnside Seating Outside Seating
lr Principal Civil Engineer
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E
Rotisserie
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BY signing, FSE owner agrees to all terms and conditions of this Notice and Conditional Waiver.
Other: