1994/11/03 - SANITARY - SAN - Other

Home Browse Search

INSTRUCTIONS ^. dour sanitary permit may be renewed before the lixpiration date, and at the time of renewal any new criteria in fhe Wisconsie A.dm:nistrative Coda :v14 be applicable. Ail revisions to this permit roust be approved by the permit issuing authority. =1. Changes in ownership or pl.-giber requires a Sanitary Permit Transfer/Renewal Form (SBD 6399) to be submitted to the county prior to installation. _ :. Onr;Ite, sewage systems must he properly maintained. The septic tank(s; must be pumped by a licensed wt,:. ever nucuasary . ijdtly eve:) 2 .' yeai'a. h. If you have questions concerning your onsite sewage system, contact your local code administrator or the Efate cf Wisconsin. Safety & Bulldings Division, 608-266-3815. To be complete and accurate this sanitary permit application most include. Property ownc-,'s narne and mailing address Prov,& the legal description and parcel tax m!mber(s) of wh.�;e th system. is to be instalieu. Type of wilding being served. Check only one and c( mplctc # of bed:earns if 1 or 2 Family Dwelling. Ili. Building use if building type is Public, check all appropriate boxes that apply. I'd. Type of permit. Check only one in line A. Complete line B if permit is for tank replacement, reconnection, or repair Type of systern. Check appropriate box depending mr system type. VI. Ahsorption system information. Provide all information requested in ##1 7_ 'iii. Tank information- Fill in the capacity of every new and/or existing tank, list the total gallons, number of tanks and manufacturer's name. Indicate prefab or site constructed and tank material. Complete for all septic, pump/siphon and holding tanks for this system. Check experimental approval only if tanks received experimental product approval from DILHR. VIII. Responsibility statement. Installing plumber is to fill in name, license number with appropriate prefix (e.g. MP, etc.), address and phone number. Plumber must sign application form. IX. County/Department Use Only. X. County/Department Use Only. Complete plans and specifications not smaller than 8Y: x 11 inches must be submitted to the county. The plans must include the following: A) plot plan, drawn to scale or with complete dimensions, location of holding tank(s), septic tank(s) or other treatment tanks, building sewers, wells; water mains/water service, streams and lakes; pump or siphon tanks; distribution boxes; soil absorption systems; replacement system areas; and the location of the building served, B) horizontal and vertical elevation reference points; C) complete specifications for pumps and controls; dose volume; elevation differences; friction loss; pump performance curve; pump model and pump manufacturer; D) cross section of the soil absorption system if required by the county; E) soil test data on a 115 form; and F) all sizing information. ------------------------------------------------------------------------------------------------------------------------------------------------------- GROUNDWATER SURCHARGE 1983 Wisconsin Act 410 included the creation of surcharges (fees) for a number of regulated practices which can effect groundwater. The monies collected through these surcharges are used for monitoring groundwater, ground- water contamination investigations and establishment of standards. SBD-6396 18.11/86;