SEWAGE SYSTEM PERMIT APPLICATION INSTRUCTIONS FOR COMPLETION

Transcription

1 SEWAGE SYSTEM PERMIT APPLICATION INSTRUCTIONS FOR COMPLETION Incmplete applicatins will nt be prcessed. Accepted applicatins must include the fllwing cmpleted frms: Prvincial Frms: Applicatin t Cnstruct r Demlish, Schedule 1-Designer & Schedule 2-Installer Septic Permit Wrksheets (building infrmatin & calculatins) Site Plan and Crss-Sectin (dimensins & setbacks - refer t applicatin fr cmplete requirements) Lt Grading Plan (if required) Service & Maintenance Agreement fr any Tertiary installatins Hlding Tank Pump-ut Cntract (Class 5 installatins nly) NOTE: The permit applicatin will be held fr prcessing until the required fee* is paid. (*fees current as f March 1 st, 2015) New/replacement sewage system (Class 4) $ Hlding tank system (Class 5) $ Replacement septic tank nly $ DON T FORGET! Owner infrmatin (mailing address and cntact number) must be cmpleted in full. If yu (installer) are cmpleting the applicatin, yu are cnsidered t be the applicant/authrized agent f the wner. Designer must be licensed and registered with the Ministry f Municipal Affairs & Husing. Prpsed Tertiary Installatins must include a cpy f the Service & Maintenance Agreement between the wner and authrized service prvider (as per Ministry apprval and BMEC authrizatin). If the site is affected by any easements, NPCA r NEC jurisdictin, clearances will be required prir t sewage permit apprval. Any questins? Cntact us at: Andrew Fetter ext Tanya Killins ext Caitlin Wd ext. 3323

2 Planning & Develpment Services Infrmatin fr Septic Permit Applicatin Ontari Building Cde Part 8 DATE: PERMIT #: PERMIT #: RECEIPT #: MUNICIPAL ADDRESS OF PROPOSED SYSTEM: OWNER: CONTRACTOR/INSTALLER/HAULER: LOT #: PART LOT #: CONC. #: PLAN #: ROLL #: New Cnstructin Repair/Alteratin Niagara Escarpment File #: Other: 1. Lt Dimensins: Lt Area: 2. Use f Building: Existing: After Cnstructin: 3. Ttal. f Dwelling Units in Building: Existing: After Cnstructin: 4. Finished Flr Area f Building: Existing: After Cnstructin: 5. Number f Bedrms: Existing: After Cnstructin: 6. Municipal Sewers Available n Street? Municipal Water Available n Street? 7. Indicate Water Supply: Municipal Well Cistern 8. Indicate number f plumbing fixture units within building served by sewage system: 9. Ttal daily design sanitary sewage flw litres/day 10. Site Evaluatin Prepared by: Telephne #: Fax #: Address: Signature: Date f Evaluatin:

3 Depth t Bedrck/Hardpan: Descriptin f Native Sil: Depth t Zne f Sil Saturatin (water table): Sil Permeability Test: 11. Descriptin f sewage system: Class 4: In grund Leaching Bed Filter Bed Raising Leaching Bed Other Tertiary System BMEC Authrizatin Included Class 5: Hlding Tank 12. Descriptin f Treatment Unit(s): Septic Tank Manufacturer and Mdel: Other Manufacturer and Mdel: 13. Descriptin f Pump: Head: Run: HP: 14. Descriptin f Hlding Tank/Alarms: Cpy f agreement with hauler prvided

4 Applicatin fr a Permit t Cnstruct r Demlish Sewage System Fr use by Principal Authrity This frm is authrized under subsectin 8(1.1) f the Building Cde Act. Applicatin number: Permit number (if different): Date received: Rll number: Applicatin submitted t: (Name f municipality, upper-tier municipality, bard f health r cnservatin authrity) A. Prject infrmatin Building number, street name Unit number Lt/cn. Municipality Pstal cde Plan number/ther descriptin Prject value est. $ Area f wrk (m 2 ) B. Purpse f applicatin New cnstructin Prpsed use f building Additin t an existing building Alteratin/repair Demlitin Cnditinal Permit Current use f building Descriptin f prpsed wrk C. Applicant Applicant is: Owner r Authrized agent f wner Last name First name Crpratin r partnership Street address Unit number Lt/cn. Municipality Pstal cde Prvince Telephne number Fax D. Owner (if different frm applicant) Last name First name Crpratin r partnership Street address Unit number Lt/cn. Municipality Pstal cde Prvince Telephne number Fax E. Builder (ptinal) Last name First name Crpratin r partnership (if applicable)

5 Street address Unit number Lt/cn. Municipality Pstal cde Prvince Telephne number Fax F. Tarin Warranty Crpratin (Ontari New Hme Warranty Prgram) i. Is prpsed cnstructin fr a new hme as defined in the Ontari New Hme Warranties Plan Act? If n, g t sectin G. ii. Is registratin required under the Ontari New Hme Warranties Plan Act? iii. If yes t (ii) prvide registratin number(s): G. Required Schedules i) Attach Schedule 1 fr each individual wh reviews and takes respnsibility fr design activities. ii) Attach Schedule 2 where applicatin is t cnstruct n-site, install r repair a sewage system. H. Cmpleteness and cmpliance with applicable law i) This applicatin meets all the requirements f clauses (5) (a) t (d) f Divisin C f the Building Cde (the applicatin is made in the crrect frm and by the wner r authrized agent, all applicable fields have been cmpleted n the applicatin and required schedules, and all required schedules are submitted). Payment has been made f all fees that are required, under the applicable by-law, reslutin r regulatin made under clause 7(1)(c) f the Building Cde Act, I992, t be paid when the applicatin is made. ii) This applicatin is accmpanied by the plans and specificatins prescribed by the applicable by-law, reslutin r regulatin made under clause 7(1)(b) f the Building Cde Act, iii) This applicatin is accmpanied by the infrmatin and dcuments prescribed by the applicable bylaw, reslutin r regulatin made under clause 7(1)(b) f the Building Cde Act, 1992 which enable the chief building fficial t determine whether the prpsed building, cnstructin r demlitin will cntravene any applicable law. iv) The prpsed building, cnstructin r demlitin will nt cntravene any applicable law. I. Declaratin f applicant I declare that: (print name) 1. The infrmatin cntained in this applicatin, attached schedules, attached plans and specificatins, and ther attached dcumentatin is true t the best f my knwledge. 2. If the wner is a crpratin r partnership, I have the authrity t bind the crpratin r partnership. Date Signature f applicant Persnal infrmatin cntained in this frm and schedules is cllected under the authrity f subsectin 8(1.1) f the Building Cde Act, 1992, and will be used in the administratin and enfrcement f the Building Cde Act, Questins abut the cllectin f persnal infrmatin may be addressed t: a) the Chief Building Official f the municipality r upper-tier municipality t which this applicatin is being made, r, b) the inspectr having the pwers and duties f a chief building fficial in relatin t sewage systems r plumbing fr an upper-tier municipality, bard f health r cnservatin authrity t whm this applicatin is made, r, c) Directr, Building and Develpment Branch, Ministry f Municipal Affairs and Husing 777 Bay St., 2nd Flr. Trnt, M5G 2E5 (416)

6 Schedule 1: Designer Infrmatin Use ne frm fr each individual wh reviews and takes respnsibility fr design activities with respect t the prject. A. Prject Infrmatin Building number, street name Unit n. Lt/cn. Municipality Pstal cde Plan number/ ther descriptin B. Individual wh reviews and takes respnsibility fr design activities Name Firm Street address Unit n. Lt/cn. Municipality Pstal cde Prvince Telephne number Fax number C. Design activities undertaken by individual identified in Sectin B. [Building Cde Table f Divisin C] Huse Small Buildings Large Buildings Cmplex Buildings HVAC Huse Building Services Detectin, Lighting and Pwer Fire Prtectin Building Structural Plumbing Huse Plumbing All Buildings On-site Sewage Systems Descriptin f designer s wrk D. Declaratin f Designer I declare that (chse ne as apprpriate): (print name) I review and take respnsibility fr the design wrk n behalf f a firm registered under subsectin f Divisin C, f the Building Cde. I am qualified, and the firm is registered, in the apprpriate classes/categries. Individual BCIN: Firm BCIN: I review and take respnsibility fr the design and am qualified in the apprpriate categry as an ther designer under subsectin f Divisin C, f the Building Cde. Individual BCIN: Basis fr exemptin frm registratin: The design wrk is exempt frm the registratin and qualificatin requirements f the Building Cde. Basis fr exemptin frm registratin and qualificatin: I certify that: 1. The infrmatin cntained in this schedule is true t the best f my knwledge. 2. I have submitted this applicatin with the knwledge and cnsent f the firm. Date Signature f Designer NOTE: 1. Fr the purpses f this frm, individual means the persn referred t in Clause (1) d).f Divisin C, Article f Divisin C, and all ther persns wh are exempt frm qualificatin under Subsectins and f Divisin C. 2. Schedule 1 is nt required t be cmpleted by a hlder f a license, temprary license, r a certificate f practice, issued by the Ontari Assciatin f Architects. Schedule 1 is als nt required t be cmpleted by a hlder f a license t practise, a limited license t practise, r a certificate f authrizatin, issued by the Assciatin f Prfessinal Engineers f Ontari.

7 Schedule 2: Sewage System Installer Infrmatin A. Prject Infrmatin Building number, street name Unit number Lt/cn. Municipality Pstal cde Plan number/ ther descriptin B. Sewage system installer Is the installer f the sewage system engaged in the business f cnstructing n-site, installing, repairing, servicing, cleaning r emptying sewage systems, in accrdance with Building Cde Article , Divisin C? (Cntinue t Sectin C) (Cntinue t Sectin E) Installer unknwn at time f applicatin (Cntinue t Sectin E) C. Registered installer infrmatin (where answer t B is ) Name BCIN Street address Unit number Lt/cn. Municipality Pstal cde Prvince Telephne number Fax D. Qualified supervisr infrmatin (where answer t sectin B is ) Name f qualified supervisr(s) Building Cde Identificatin Number (BCIN) E. Declaratin f Applicant: I declare that: (print name) I am the applicant fr the permit t cnstruct the sewage system. If the installer is unknwn at time f applicatin, I shall submit a new Schedule 2 prir t cnstructin when the installer is knwn; OR I am the hlder f the permit t cnstruct the sewage system, and am submitting a new Schedule 2, nw that the installer is knwn. I certify that: 1. The infrmatin cntained in this schedule is true t the best f my knwledge. 2. If the wner is a crpratin r partnership, I have the authrity t bind the crpratin r partnership. Date Signature f applicant

8 REPLACEMENT TANK CALCULATIONS TOTAL DAILY DESIGN SANITARY SEWAGE FLOW Size = Q X 2 = X 2 = Litres n-residential = X 3 = Litres New C.S.A. Standard: Treatment Unit Other than Septic Tank: Wrking Capacity: Litres Pump Required: Cncrete: Plyethylene: Other:

9 SEWAGE SYSTEM DESIGN SITE PLAN Owner: Address: (Street) (City/Twn/Twp) (Pstal Cde) Designer: Outline prperty with all dimensins include setbacks frm existing/prpsed dwelling and bed area, prperty line, all structures, wells and cisterns (including neighburs), water curses/wetland areas. Include details f sewage system (dimensins f bed/mantle, tank lcatin(s), pump chamber). Include crss-sectin design fr raised systems indicate existing grade, depth f material. Indicate existing r prpsed driveways, easements, right-f-ways, drainage patterns. Measurements must be in metric (nt t scale). Three Stages f Inspectins Required: 1) Prir t cnstructin, grading and scarifying befre additin f fill. 2) Inspectin f fill prir t backfilling (prf f apprved fill material t be submitted). 3) Final grading filter bed systems require tpsil n tp and sides and bed t be sdded/seeded prir t issuance f Use Permit. ANY CHANGES TO APPROVED DESIGNS MUST BE REVIEWED AND APPROVED BY THE NIAGARA REGION PLANNING & DEVELOPMENT DEPARTMENT PRIOR TO CONSTRUCTION. REVISED: Jan 2015