FRONT OF ALLOTMENT #Please note: For clarification, applications with larger properties should show the whole allotment on one plan, and submit a close-up extract of the building envelope, showing the septic plan in closer detail. Endorsement of Plumber Endorsement of Owner Signature: Signature: ………………………………………… …………………………………………. Date Date Name: Name: Septic Tank Application Checklist Property Address Applicant’s Name Owner’s Name Application Form completed signed and dated. Land Capability Assessment (LCA) required See attached Information Sheet – Planning Permit required YES NO – Attachments to septic tank system application form: Copy of Title attached Copy of Planning Permit (if required) attached A detailed floor plan of the proposed dwelling Land Capability Assessment (if required) attached Site Plan attached A general locality map, including directions on how to locate and identify the property and any other relevant information. Please provide a stake or landmark on the property indicating where the septic tank is to be installed. If gates to the property are locked please liaise with the Environmental Health Officer to arrange access to the property. If there is a guard dog on the property you will need to provide details to the Environmental Health Officer to arrange for the dog to be restrained during inspection times. Please note: For Permits to Alter the above information is also required with the application. However you will also need to include details of the existing system on the site plan and a detailed floor plan of the existing dwelling. Also provide details of the proposed changes to be made to both the septic system and the dwellings floor plan. It is advisable that the plumber provides details on the existing systems operating status and details of how fall from the proposed new fixtures to the septic tank can be achieved. Major alterations as described in the application form include replacement or relocation of septic tank, treatment plant, sand filter, effluent dispersal system or any component of the septic tank system, or the installation of extra trenches/irrigation (may be required for dwelling extensions).
FRONT OF ALLOTMENT #Please note: For clarification, applications with larger properties should show the whole allotment on one plan, and submit a close-up extract of the building envelope, showing the septic plan in closer detail. Endorsement of Plumber Endorsement of Owner Signature: ………………………………………… Date Signature: …………………………………………. Date Name: Name: Septic Tank Application Checklist Property Address Applicant’s Name Owner’s Name Application Form completed signed and dated. Land Capability Assessment (LCA) required – See attached Information Sheet Planning Permit required – YES NO Attachments to septic tank system application form: Copy of Title attached Copy of Planning Permit (if required) attached A detailed floor plan of the proposed dwelling Land Capability Assessment (if required) attached Site Plan attached A general locality map, including directions on how to locate and identify the property and any other relevant information. Please provide a stake or landmark on the property indicating where the septic tank is to be installed. If gates to the property are locked please liaise with the Environmental Health Officer to arrange access to the property. If there is a guard dog on the property you will need to provide details to the Environmental Health Officer to arrange for the dog to be restrained during inspection times. Please note: For Permits to Alter the above information is also required with the application. However you will also need to include details of the existing system on the site plan and a detailed floor plan of the existing dwelling. Also provide details of the proposed changes to be made to both the septic system and the dwellings floor plan. It is advisable that the plumber provides details on the existing systems operating status and details of how fall from the proposed new fixtures to the septic tank can be achieved. Major alterations as described in the application form include replacement or relocation of septic tank, treatment plant, sand filter, effluent dispersal system or any component of the septic tank system, or the installation of extra trenches/irrigation (may be required for dwelling extensions).
Internet_Form_-_Application_To_Install-Alter_a_Septic_Tank_System_-_1_July_2014.DOCX