Onsite Wastewater Construction Permit

Onsite Wastewater Construction Permit
Important Information

The wastewater drainfield area needs to be determined before ANY other plans are made. The following items MUST be completed BEFORE a construction permit application can be reviewed:
1. Site Assessment must be completed by TriCounty Health Department.
2. All issues stated on Site Assessment must be addressed.
3. Drinking water sources must be approved by TriCounty Health Department. *Well water will need to be tested prior to health department approval, which takes approximately 4 to 6 weeks.
4. Site/plot plan must be submitted - this is a plot of the lot showing property lines with dimensions, house/structure location, driveway/parking area, location of onsite wastewater system, location of drinking water source and protection buffer for source. This must be signed by the property owner.
5. A certified individual must design the onsite wastewater system (see list).
6. TriCounty Health Department requires that a registered or "in-process" installer be the one to install the onsite wastewater system. A homeowner may install their own onsite wastewater system if they are trained by TriCounty Health Department. A training fee of $100.00 will apply. This training does not qualify a homeowner as an installer, it only allows you to install your own system. Please note that a $100.00 fee will be assessed for EACH ADDITIONAL inspection due to incorrect installation.
7. Fill out this application completely, including all required attachments. You can save it and come back later if needed.
8. Submit the following (as prompted) with your application:
  - Proof of drinking water (will serve letter, well permit, spring rights)
    
    If more than one connection, a shared well/spring agreement will be needed
  - Detailed System Design
  - Plot Plan
  - Official floor plan of each building level
  - Current Tax ID Form (if information changed since site assessment was completed)
  - Fee - $590.00 for conventional system, $640.00 for deep trench or absorption bed system, $740.00 for alternative system. (Non-refundable and subject to change)
    
    Property/homeowner install training fee in addition $100.00 (if applicable)

Application
Property Serial #*
Date*

MonthDayYear
Date
Property Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant
Are you the Current Property Owner?*

YesNo
Applicant Name*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

System Designer
Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

System Installer
Who will install the system?*

Registered/In-process InstallerHomeowner ($100.00 training fee)
Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Drinking Water Source
What is your drinking water source?*

Well/SpringPublic Water Connection
Number of Connections*
Proof of Water Rights

Cancelof
"Will Serve Letter" Stating Availability

Cancelof

Detailed System Design
Instructions

Plans must be prepared and signed by a state certified individual and include their certification number. Plans must be prepared in such a manner that the installer can read and follow them in order to install the system properly. Construction shall not commence until the plans have been approved. Uploaded designs must be legible.

Materials
- Schedule, material, and size of pipe to be used
- Septic tank manufacturer, size of tank, and maximum burial depth of tank
- Type of gravel to be used (3/4" minimum to 2 1/2" maximum)
- Type of separation material to be used (straw or fabric)
- Type of chambers to be used: manufacturer, model, size
Details
- Shall be drawn to scale (not to exceed 1 in = 30 ft), indicate scale used
- Must include risers, clean-outs, and sampling ports as required by rule
- Location and distance from water supply lines
- Location of private water source including 200' protection zone
- Location of 100' protection zone must be indicated on a County Plat showing property line, water source location and 100' in all directions with no source of contamination
- Locations and distance of any watercourse, lake, pond, or reservoir within 200'
- Location and distance from curtain drains
- Location and distance of property lines
- Location of raodways, driveways, and parking areas
- Location of easements or right-of-ways affecting property
- Location and distance from and down slope, cut bank, or top of embankment
- Location of soil exploration and perc. test holes
- Location and size of replacement area
- Distance from any building foundation
- Distance between trenches and length of distribution lines
- Slope of building sewer (must not be less than 1/4" per foot). Includes pipe from building to tank, and tank to drainfield.
- Slope of distribution laterals (should be level)
- If required onsite assessment form, relative evaluations MUST be provided. Indicate the original grade and trench bottom for both ends of each distribution lateral.
Cross Section of Trench
- Depth and width of excavation
- Depth of pipe or chamber inlet
- Depth of filter material
- Separation material
- Depth of backfill
- Maximum DIG depth of trenches
Installation Instructions
- Please provide detailed installation instructions to enable the owner or third party contractor to install the system. Examples: how to enter/exit chamber end caps, orientation of perforated pipe, etc.
Type of Wastewater System*

Conventional SystemDeep Trench or Absorption Bed SystemAlternative System
Type of Alternate System
PLANS MUST BE PREPARED AND SIGNED BY A LEVEL 3 STATE CERTIFIED INDIVIDUAL
If you do not know your system type then STOP. Please figure out your system type before continuing. Contact your system installer or engineer if necessary.
System Design (as described above)*

I will upload the design to this application (preferred if possible and legible)I will bring the System Design to TriCounty Health Department within 5 business days of submitting my application
System Design File Upload

You can upload as many files as you need to
Cancelof

Other Required Documents
Plot Plan*

You can upload multiple files if needed
Cancelof
I cannot upload the plot plan. I will bring it to TriCounty within 5 business days of submission.
Official Floor Plan of EACH level of the building*

You can upload multiple files if needed
Cancelof
I cannot upload the floor plan. I will bring it to TriCounty within 5 business days of submission.
Current Tax ID Form (only if this info has changed since your site assessment)

Cancelof
Any additional comments

Payment and Fees
Cost Calculation

My Products*

USDDescription

Payment Methods

Credit Card

Apple Pay

Should be Empty:

Onsite Wastewater Construction Permit

Application

Applicant

System Designer

System Installer

Drinking Water Source

Detailed System Design

Other Required Documents

Payment and Fees

Payment Methods