APPLICATION FOR RESOURCE CONSENT ONSITE SEWAGE WASTEWATER DISCHARGE TO LAND. Office Use Only. Location

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APPLICATION FOR RESOURCE CONSENT Office Use Only ONSITE SEWAGE WASTEWATER DISCHARGE TO LAND Location Please provide details/a detailed map of where the activity will occur. You must supply a location map or diagram on a separate sheet of paper that shows the site of your activity and its local environment. This helps us determine what or who may be affected by your proposal. Please show: orientation (rth arrow and scale) site location the location of proposed waste water system the location and name of the nearest road or state highway, and any roads, tracks, buildings location/s of the activities for which you are applying for consent (point of discharge, to air or water, areas for disposal) property boundaries and neighbouring properties (as well as neighbouring property owners names) if applicable, a Certificate of Title location and names of any nearby natural features such as geothermal activity, waterways (rivers, stream/creeks and drains), wetlands or wildlife habitats historic or waahi tapu sites the location of any wells/bores te: West Coast Regional Council can help you create a base map to assist with your location plan. Please call us on (03) 768 0466 or 0508 800 118 during office hours for assistance, or call in to our office at 388 Main South Road, Paroa, Greymouth. Site Plan Please show on a scale plan: Treatment System Location Distance from land application area Distance from dwelling/s Land Application Area Location Area Dimensions Distance from boundaries Location of effluent lines Distance between effluent lines Reserve Area Location Area Dimensions Distance from boundaries Stormwater Management Location of stormwater drains Bore/well (if relevant) Location Distance to land application area Distance to reserve area Surface water body (if relevant) Location Distance to land application area Distance to reserve area Property Boundary dimensions Cross Section Lines (e.g. Section A A, as per next page) N Extra tes: the information required here could be 1. drawn up by your contractor/waste engineer &/or superimposed on an enlarged property map from Council 1

Cross Section Drawings NOTE: See APPENDIX II at the end of this document for drawing examples As relevant to your system, please show: Location of ground level with dominant slope angle Location of effluent lines Depth of effluent lines Dimensions of pipes Dimensions of soakage trench Height of raised bed Type of trench/raised bed fill material Depths of any fill materials Use of trench liners Any other buried pipes/drains N Is this consent application seeking to replace an existing one? If yes, please ensure you complete the section Value of Consent Holder Investment on Form 1: Administration. If yes, what is the current consent number? 2

Description of Activity Planning Information Is this application for a communal subdivision sewage system? If yes, how many lots will the system be servicing? Is there a public reticulated system nearby or is one being proposed nearby? Don t know If yes, why aren t you connecting to this? Key site details What is the area of the property? Square Metres Hectares Are there any other dwellings on the property? If yes, give brief description of any other wastewater systems already in place What will the distance from the proposed disposal field to the nearest dwelling be? What is the slope of the proposed disposal field area? (tick the appropriate box) Less than 12 degrees (almost flat) Between 12 and 25 (moderate slope) More than 25 degrees (steeper slope) NOTE: see APPENDIX I at end of this document for tips on working out your slope angle 3

Site Drainage & Soakage Capacity NOTE: Accurate establishment of the soakage capacity of the receiving medium will be vital to your plans. If you need help ask a WCRC Consents Officer for advice or/and engage a drainage expert. Which of these methods did you use to establish the soakage capacity of your proposed disposal field? Permeameter testing Percolation testing Engaged an engineer to do a report NOTE: Attach all Test Results and/or your Engineer s Report to the end of this form. Under what conditions was soakage capacity, as per your chosen method, carried out? Include the following: weather on the day/s tests were done, rainfall data for the previous 7 days, state of the ground visually (dry damp, wet etc) Was any groundwater encountered during this test? If yes, at what depth? mm Metre What is the estimated winter groundwater level for the disposal area? How did you calculate this level? What is the main soil type for your proposed disposal area? (Tick appropriate box/es) NOTE: the soil types given here are from the AS/NZS Industry Standard 1547:2000. If necessary ask a WCRC Consents Officer if you need help with determining your soil type. gravel and sand sandy loam loam clay loam light clay medium to heavy clay peat Complete a soil profile to a depth of 4-5 metres as part of your explanation. 4

NOTES: Utilise list from above to mark in Soil Types Under tes, mark at what levels you encountered groundwater, any iron pans and any other comments Photograph/s taken of the test pit showing soil structure, iron pan levels, groundwater etc would be advantageous for this section: label and attach to the application Depth Category Soil Description 0m 1m 2m 3m 4m 5m tes How will stormwater runoff be managed for this site? Describe below and ensure drains are marked on a Location Map. NOTE: it is imperative that stormwater runoff is diverted away from any proposed sewage disposal field 5

Are there any bores/wells within 100m of the edge of the disposal field? If yes, ensure these are marked on a Location Map and Site Plan, then list the details here: Are there any surface water bodies or drains within 50m of the edge of the disposal field? If yes, ensure these are marked on a Location Map and Site Plan, then list the details here: Discharge Volume To ensure the proposed system will cater for the loading on it, accurate user information is necessary. What is the source of the wastewater? Tick the box beside your residence type and put the maximum number of people who will use the system per day in the space Use House Number of bedrooms if applicable Occupancy (number of people/guests) Bach/holiday home Motel/hotel Cafe/Restaurant Motor Camp/camping ground Educational Institution/School Community hall/marae/sports Club Other Please describe in the space below 6

What volumes of wastewater will be discharged as per your selection above? Maximum volume per day? (Litres) Maximum volume per week? (Litres) How did you calculate this? What will the maximum discharge rate be? litres/day Treatment System Details Which type of wastewater system do you intend to use? Make a choice then answer the associated questions in the spaces provided. Septic tank/s Aerated Wastewater Treatment System (AWTS) Other type of system Explain here why you made this choice. Septic tank/s Will the septic tank system have more than one tank? If yes, how many tanks are proposed? Will there be a filter in the tank/s? What will the total capacity of the septic tank/s? be? litres Aerated Wastewater Treatment System (AWTS) What brand will your AWTS be? 7

Other Type of System Give a brief description of your other wastewater treatment system here then attach the details of this system to this application. Who will be responsible for the regular servicing/cleaning/maintenance of your chosen wastewater treatment system? The supplier of the system The property owner/s If relevant, please attach a copy of your service or maintenance contract to this application and note here when will this Start? Terminate? Outline the proposed maintenance programme, including tasks to be undertaken and frequency. Will you be carrying out any further effluent treatment? If yes, which one will you use? UV Disinfection Chlorination Sand Filter Other additional treatment ( outline here) 8

What is the expected quality of the discharged effluent? BOD 5 Faecal coliforms Suspended Solids Total Nitrogen milligrams/litre cfu/100ml milligrams/litre milligrams/litre Where did you get this data from? Write any other information/comments about the discharge quality here: Disposal System Which system for disposing of wastewater to land have you chosen? Choose one of the 3 options then answer the associated questions. Soakage Trench/Bed System Irrigation Lines Other Disposal System Soakage Trench/Bed System What are the dimensions of the proposed soakage trenches/beds? Width Metres Depth Metres What is the total length of all the soakage trenches/beds? Metres 9

How will the soakage trench/bed be loaded? (tick appropriate box) Trickle Dose-loaded via: Pump Flout Siphon Has a reserve area of undeveloped land, the same size as the proposed disposal area, been allowed for in the disposal system design? If no, what percentage has been allowed and why less than 100%? What is the proposed effluent loading rate to the trenches/beds? mm/day Irrigation Lines Type of irrigation system (tick appropriate box) Pressure Compensating Dripper Irrigation (PCDI) Low Pressure Effluent Distribution (LPED) What is the total length of the irrigation lines? What is the distance between adjacent irrigation lines Metres Metres What is the distance between adjacent drip emitters along the irrigation line? Metre What brand is the irrigation line? What is the proposed loading rate to the disposal area? mm/m 2 /day Other Disposal System (please describe or/and attach details) 10

What vegetative groundcover are you planning for the disposal area once the system becomes operational? (Use the space below to list any existing cover and all other species you intend to plant. The remaining space could also be used for sketching these plans). Assessment of Environmental Effects Read this statement: Onsite sewage and wastewater discharges have the potential to cause significant environmental effects and health issues. As an applicant you need to identify all the possible effects the proposed discharge could have and then show how you can avoid causing them or how you can mitigate them (i.e. reduce the effects to a level the council will approve of). Identification of Environmental Effects Has your proposal got the potential to cause: (Read the list below and tick the boxes relevant to this application) Reduction of downstream water quality? If no, explain why not Contaminate groundwater supplies If no, explain why not. 11

Reduction in the public amenity value of a well used local recreational area? If no, explain why not. Any adverse effects on an area valued by iwi/hapu for food gathering or other cultural activities? If no, explain why not. Any adverse effects on a known significant site (i.e. archaeological, historical, heritage, geopreservation, Maori or other special site)? If no, explain why not. Effects other than those listed above? (give a short explanation) 12

Avoidance - Mitigation Methods List below the items you ticked to in the previous question (one item per set of lines). These are the environmental effects you have identified which your proposed operation has the potential to cause. Briefly describe against each of the items you have identified, the method/s you will use to avoid causing those effects OR to mitigate them. You should refer back to other parts of this application form as relevant and attach any extra sheets to the end of this form. Monitoring Who will be monitoring the discharge system to ensure it is working satisfactorily? How often will this be done? 388 Main South Road, Paroa, Greymouth 7805 PO Box 66, Greymouth 7840 Telephone (03) 768 0466 Toll Free 0508 800 118 Facsimile (03) 768 7133 Email info@wcrc.govt.nz Website www.wcrc.govt.nz 13

Appendix I Dominant Slope Angles This information is to help you work out the dominant slope angle for your proposed disposal field site. Basically the dominant slope angle is the overall slope of the land when you have ironed out the bumps. Consequently you need measuring points well above and below your site. Ask for Consents Staff advice if you have problems working this out for your site. The diagrams shown are an example of how slope angle is measured for a benched slope. The dominant slope angle is the one between a point 50 metres upslope of the activity and a point 50m downslope of the activity. If there is a stream or other waterbody downslope, run the line of angle through to a point at stream centre, high flow, then measure the angle. Side View Oblique View 14

Appendix II Examples of Cross Section Drawings NOTE: Ensure you put the specifications x on your Cross Section drawing Ground level Effluent distribution pipes 1. Cross section diagram for a subsurface irrigation system Ground level Conventional trenches Perforated pipe (each trench) 2. Cross section diagram for a conventional trench system Raised bed Effluent distribution pipes Ground level 3. Cross section diagram for raised bed system 15

OBJECTIVES, POLICIES AND RULES THAT MAY BE RELEVANT TO ONSITE SEWAGE WASTEWATER DISCHARGE TO LAND This may not be a complete list, please consult with a Council Consents Officer if you require further information. REGIONAL LAND AND WATER PLAN Objective 13.2.1 To ensure that the adverse effects from the discharge of liquid contaminants into or onto land, on water and soil quality, social, cultural, and amenity values, and human health are avoided, remedied, or mitigated. Policy 13.3.1 To ensure that the discharge of liquid contaminants into or onto land is of a nature or at a rate that does not exceed the ability of the land to assimilate the contaminant, and does not result in soil contamination. Explanation The discharge of contaminants such as sewage to land relies upon the soil system to assimilate the contaminants. Where the soil cannot assimilate the contaminant, the contaminant is likely to reach water and may also have adverse effects on human health, cultural or amenity values. Effects of soil contamination include, for example, loss of capacity for pasture, crop or vegetation growth, rendering crops or pasture unsuitable for human or stock consumption, or loss of microbial activity and natural biodiversity in soil. Rule 79. On-site discharge of sewage effluent The discharge of any sewage effluent into or onto land, other than septage, from on-site sewage treatment and disposal systems is a permitted activity, provided that all of the following conditions are met: (a) (b) (c) (d) (e) (f) (g) (h) (i) The discharge does not exceed: i) a maximum of 2000L per day for secondary treatment systems; or ii) a maximum of 14,000L per week for other systems; or iii) a maximum of 1.3 cubic metres of greywater per day; The discharge is not within: i) 50 metres of any surface water body; or ii) 50 metres of the coastal marine area; or iii) 100 metres of any bore or well used for potable water supply, where the discharge is from a soak pit and there are no adverse effects on any take of water for human consumption; or iv) 50 metres of any bore or well used for potable water supply where the discharge is from other treatment systems; or v) 20 metres of any drain; or vi) 1 metre of the groundwater table; and unless the system was installed before 1998 and is not contaminating water. For systems other than soak pits, the hydraulic design loading rates for a disposal field shall not exceed those recommended for Category 1-3 soils in AS/NZS1547:200012 On-site Domestic Waste Water Management, unless the system was installed before 1998 and is not contaminating water; and The greywater discharge is not within: i) 20 metres of any surface water body; or ii) 20 metres of any coastal water; or iii) 20 meters of any bore or well used for potable water supply, and there are no adverse effects on any take of water for human consumption; or iv) 0.6 metres of the groundwater table; and There is no ponding, runoff, or surface breakout; and stormwater enters the system; and The discharge does not pose a risk to human health, and is not noxious, dangerous, offensive or objectionable to such an extent that it has or is likely to have an adverse effect on the environment; and For systems which use a disposal field, the system is designed to provide for even distribution of effluent to the entire filtration surface; and For systems which discharge onto land: i) The discharge is not by way of spray irrigation, or otherwise produces any aerosol discharge to air; and 16

ii) The effluent is evenly distributed over the entire area of the disposal field; and iii) The effluent conforms to the following standard: BOD5 not greater than 20mg/litre; Suspended solids not greater than 30 mg/litre; Faecal coliforms not more than 1000/100 mls. tes: 1) The volumes stated in condition (a) are equivalent to the amount of effluent produced by approximately 10 people. 2) For condition (b), the setback depth from the groundwater table should be based on the maximum water table level of the groundwater. 3) The Council will accept as compliance with condition (g) an on-site sewage treatment and disposal system designed, constructed, operated and maintained in accordance with The New Zealand Manual of Alternative Wastewater Treatment and Disposal Systems, Volume II, Part A: On-Site Wastewater Disposal From Households and Institutions Technical Publication 58, Third Edition (Gunn, 2004), AS/NZS1546 2008, Parts 1, 2 and 3 On-site Domestic Waste Water Treatment Units, or AS/NZS1547:200012 On-site Domestic Waste Water Management. 4) Condition (h) refers to both gravity-fed and dosed loading systems. 5) When selecting a discharge site, it should be considered whether the site for the system is subject to slippage, subsidence, erosion or inundation from any source. 6) For systems which discharge onto land, the standards required in condition (h) apply to the discharge at the outlet of the treatment plant, prior to discharging onto land. Rule 80. Dishcarge from pit toilets The discharge of any sewage into or onto land, other than septage, from pit toilets or long-drop toilets is a permitted activity, provided that all of the following conditions are met: (a) (b) (c) (d) (e) (f) The discharge does not exceed 400 litres per day (calculated as a weekly average); and The toilet is not sited within: i) 50 metres of any surface water body or coastal water; or ii) 50 metres horizontally of any bore or well used for potable water supply, and there are no adverse effects on any take of water for human consumption; and stormwater or runoff enters the system; and Effluent from the toilet does not enter any surface water body or coastal water; and Waste in the toilet does not accumulate to closer than 30cm to the ground surface; and The discharge does not pose a risk to human health, and is not noxious, dangerous, offensive or objectionable to such an extent that it has or is likely to have an adverse effect on the environment. Explanation The setback distances in condition (b) seek to protect water bodies from contamination by allowing for filtration and breakdown of contaminants to occur. Specifying a minimum distance from the ground surface avoids raw effluent being exposed during rainfall. Specifying an upper limit on the volume of discharge (the volume stated is equivalent to the amount of effluent produced by approximately 50-60 people) allows for evaluation of effects through the resource consent process when greater volumes of discharges, with proportionately greater potential effects, are proposed. Rule 91. Discharge to land discretionary activity Rule Unless permitted by Rules 72 to 86, or controlled by Rules 87 to 90, any discharge of contaminants into or onto land is a discretionary activity. 17