|
INFORMATION & INSTRUCTIONS FOR COMPLETING A SANITARY PERMIT
<br /> APPLICATION
<br /> TO THE APPLICANT:
<br /> 1. This sanitary permit is valid for two (2) years,
<br /> 2. Your sanitary permit may be renewed before the expiration date, and at the time of renewal any new
<br /> criteria in the Wisconsin Administrative Code will be applicable;
<br /> 3. All revisions to this permit must be approved by the permit issuing authority. A new permit may be needed
<br /> if there is a change in your building plans, system location, estimated wastewater flow (number of bed-
<br /> rooms, etc.), depth of system, or type of system;
<br /> 4. Changes in ownership or plumber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be
<br /> submitted to the county prior to installation;
<br /> 5. Private sewage systems must be properly maintained. The septic tank(s) should be pumped by a licensed
<br /> pumper whenever necessary, usually every 2 to 3 years,
<br /> 6. If you have questions concerning your private sewage system, contact your local code administrator or the
<br /> State of Wisconsin, Bureau of Plumbing, 608-266-3815.
<br /> To be complete and accurate this sanitary permit application must include.
<br /> I. Property owner's name and mailing address. Provide the legal description where the system is to be
<br /> installed;
<br /> II. Type of building or use served: It public is checked, indicate type of use (i.e. 10 unit apartment, 30 seat
<br /> restaurant, etc.). Fill in number of bedrooms if building is a one or two family dwelling,
<br /> III. Purpose of application: Check only one in #1. Complete #2 if permit is for tank replacement, reconnection or
<br /> repair;
<br /> IV. Type of systemcheck all appropriate boxes depending on system type. Check experimental only if project
<br /> is in conjunction with University of Wisconsin;
<br /> V. Absorption system information: Provide all information requested in #1-6;
<br /> VI. Tank information: Fill in the capacity of every new and/or existing tank, list the total gallons to be installed,
<br /> number of tanks and manufacturers name. Indicate prefab or site constructed and tank material. Complete
<br /> for a//septic, lift/siphon chamber and holding tanks for this system. Check experimental approval only if
<br /> tanks received experimental product approval from DILHR;
<br /> VII. Responsibility statement: Installing plumber is to fill in name, license number with appropriate prefix (e.g.
<br /> MP, etc.). address and phone number. Plumber must sign application form. Fill in designer name if
<br /> applicable;
<br /> VII{. Soil test information. Certified soil tester's name, certification number, address, and phone number.
<br /> IX. County/Department Use Only,
<br /> X Comment area for use by county or resaon given when application is disapproved.
<br /> Complete plans and specificatiore no' smaller than 8'-_ = '1 inches must be submitted to the count} —n ,
<br /> plans must include the following AI plot Plan drawn to scale or with complete dimensions, o,;aba•, v,
<br /> holding tank's). septi, tank(s' o, the., t eabr:ent tanks b,iilding sewers. we'lC, wc:ter ma,nsrwater service
<br /> streams and lakes dosing or pumping chambers dnstnbuticr boxes sot' ibscrp roc systems" rep'aceme^
<br /> system areas i.d ,- serve- B; nor z,1--ta and vert'gid' eleva'to eferert , ani nrs.
<br /> n
<br /> C1 cim�PIE. �par;ifications for pt,'Dnp and controls dose volume eievatior dl'+erenses frwt,o- lost. ppm^
<br /> performance curve ;uf-L. mude� dnu o rr ., ••id-,,'ae:urer, D; cross _section v4 thi,
<br /> requ red by ^ne o..^ty; E, su test .-.e _ a - ,c 'crn-..
<br /> On play „ .a..; .15
<br />
|