Thank you.

Please reference tracking number UNKNOWN for related correspondence.

An error occurred. Please contact a Customer Service Representative at Contact Us or by calling 865-524-2911.

* Required Field

Mobile Food Unit Information

Owner's Name:

Salutation *

Owner's Physical Address (cannot be a P.O. Box):

Owner's Mailing Address Same as Above? *

Owner's Mailing Address

Is this mobile food unit designated as a corporation? *

Corporation Information:

Corporation Mailing Address:

To which address should program information and official correspondence be mailed? *
What will be served from this Unit? (Mark all that apply) *

How many of each of the following types of equipment are or will be installed in this mobile food unit (not including the restrooms)?

Enter a zero if none:

Will a dishwasher be used within this unit? *

Provide the following information for each dishwasher

Will this unit only serve pre-packaged food that is prepared and cooked outside of the unit? *
Will this unit only serve food on disposable packaging with disposable utensils? *

Provide the address where the wastewater holding tank will be disposed of, not the grease trap waste (Street, City, and Zip)

Does this unit have an existing grease trap? *

Provide the following for each trap installed:

Trap #1: Capacity Units
Trap #2: Capacity Units

Provide the address where the grease trap waste will be disposed of (not the holding tank waste) if the unit is required to have one. (street, city, zip)

IMPORTANT IF YOU PLAN TO DISCHARGE YOUR HOLDING TANK OR GREASE TRAP WASTE INTO AN EXISTING FOOD SERVICE FACILITY'S GREASE INTERCEPTOR, THAT INTERCEPTOR MUST BE 500 GALLONS OR LARGER AND A LETTER OF PERMISSION SIGNED BY THE FOOD SERVICE FACILITY'S OWNER MUST BE SUBMITTED TO KUB PRIOR TO A KUB PERMIT BEING ISSUED.

Application Submittal

By checking this box and submitting this application form, I certify that I am, or have been authorized by the business and/or mobile vending unit's owner, to sign this document and acknowledge that I have read KUB's Grease Control Program. I also understand that if the unit's operations change or there is a change in ownership of the business, I must immediately submit to KUB in writing such changes or possibly be in violation of my Grease Control Permit, which is nontransferable. I am aware that there are penalties for submitting false information, including the possibility of enforcement actions in accordance with KUB's Rules and Regulations for the Wastewater Division, KUB's Grease Control Program and its associated Enforcement Response Guide.
My electronic signature above indicates that I am the person responsible for ensuring that the business listed on this Grease Control Permit Application is compliant with KUB's Rules and Regulations for the Wastewater Division and KUB's Grease Control Program. I agree that the business listed on this Grease Control Permit Application will abide by all applicable provisions of KUB's Rules and Regulations for the Wastewater Division and understand that failure to do so may cause disconnection of water service or other enforcement actions in accordance with the Grease Control Program Enforcement Response Guide. I also understand that I am responsible for the grease control equipment and meeting the requirements of the Grease Control Program, even if I do not own the property.
NOTICE: Failure of the responsible party for the mobile food unit business listed on this Grease Control Permit Application to sign this application does not relieve the mobile food unit business from any compliance requirements of KUB's Rules and Regulations for the Wastewater Division or KUB's Grease Control Program.