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Food Service Establishment (FSE) Grease Control Device (GCD) Registration Form

  1. GCD
  2. Remember to complete a separate form for each Grease Control Device (GCD) in your establishment.
  3. Enter the Food Service Establishment (FSE) Information
  4. HR FOG Best Management Practices (BMP) Certified*
  5. FSE Location*
  6. Food *
    Mark all that apply
  7. Enter Used Cooking Oil (Yellow Grease) Recycling Information
  8. Will the FSE be frying foods?*
  9. Enter the Grease Control Device (GCD) Information
    Grease Control Device (GCD) shall mean a device used to collect, contain, or remove food waste and grease from the wastewater while allowing the remaining wastewater to be discharged to the City/County/Town’s sanitary sewer system by gravity. Devices include: hydromechanical grease interceptors(HGI), automatic grease removal devices (AGRD), or gravity grease interceptors (GGI).
  10. Is there a GCD located inside or outside of the FSE?*
  11. Select all that Apply
  12. Check One
  13. Certification
    I hereby certify that I am the owner/authorized representative to make entries and that the information on this sheet is correct. Any falsification, misrepresentation, or misleading information VOIDS this registration form.
  14. Type name
  15. 6040 Waterworks Rd., Norfolk, VA 23502
    Call or Text: 757-620-2688 Fax: 757-441-5639 Email:
  16. Water and Sewer Main Break 24-HR Emergency (757) 823-1000
  17. Leave This Blank:

  18. This field is not part of the form submission.