Full Text
Form # DCPOWTS 8 Approved Denied 2/5/02 Non-Plumbing Sanitary System Application (Pursuant to WI Admin. Code Comm 82, 83, 91 and Douglas County Sanitary Ordinance) Name of Property Owner Telephone # Mailing Address City & Zip PROPERTY DESCRIPTION Property Address Town Tax Parcel Number (Found on the upper right-hand corner of your property tax bill) Section T N – R W Legal Description Check the type of system you are applying for. Privy Earthen Pit (Requires Soil Evaluation Report) Sealed Vault Gallon capacity of vault (200 gallon minimum) Manufacturer Type of construction: Prefab Concrete Steel Fiberglass Plastic Composting Toilet (Must conform to NSF Standard 41) Manufacturer Model (The disposal of any liquid from a composting toilet system shall be either to a public sanitary sewer system or a POWTS conforming to Comm 83 & Douglas County POWTS Ordinance.) Incinerating Toilet (Must conform to ANSI Z21.61 and NSF Standard 41) Manufacturer Model (The disposal of any liquid from an incinerating toilet shall be either to a public sanitary sewer system or a POWTS conforming to Comm 83 & Douglas County POWTS Ordinance.) YES NO Is the dwelling that is to be served by the Non-Plumbing System connected to running water? Is there running water on the property? Important Notes • Structures supplied with running water must utilize a Private Onsite Wastewater Treatment System in compliance with Comm 81-87 and the Douglas County POWTS Ordinance. • Privies are considered structures and must meet all applicable setback requirements. Signature of Owner or Agent By signing this application, I give my/our permission to allow one or more inspections to be made of the site by Zoning staff, Zoning Committee Members and/or the Board of Adjustment Members and allow photographs to be taken. Receipt Number Vendor Number Date Paid Fee Permit # Date Issued ---PAGE BREAK--- Form # DCPOWTS 8 Approved Denied 2/5/02 Non-Plumbing Sanitary System Information (Pursuant to WI Admin. Code Comm 82, 83, 91 and Douglas County Sanitary Ordinance) Privies ! The Douglas County Sanitary Ordinance and the Wisconsin Administrative Code Comm 91 regulate privies, also known as outhouses. ! There are two types of privies, earthen pit privies and sealed vault privies. Earthen pit privies utilize an excavated pit at least one cubic yard in size to collect and absorb human waste. ! Earthen pit privies require that a soil evaluation report be completed by a licensed soils tester to determine if the soils are adequate to treat the waste. There shall be 3 feet of suitable soils below the bottom of the pit. If the report determines that the soils are not adequate due to high ground water, bedrock or slowly permeable soils a sealed vault privy will be required. ! A sealed vault privy utilizes a watertight container that has a minimum of 200-gallon capacity to collect and hold human waste. Sealed vault privies must be pumped out by a licensed septic hauler whenever the tank reaches its capacity. ! The vaults may be made of plastic, concrete, steel or fiberglass. ! Either type of privy is to be vented. The vent shall be at least 3 inches in diameter and terminate at least 8 inches above the roof of the privy and covered with an effective ventilating hood. ! All windows, ventilators, and other openings should be screened with # 16 mesh screening to prevent the entrance of insects. ! Privies are considered to be structures and therefore must meet all applicable setback requirements. Composting Toilets ! Approved composting toilets must meet several standards before they may be permitted for usage in Douglas County. ! They must conform to NSF Standard 41 and be listed with one of the following testing agencies; American Gas Association, Canadian Standards Association, NSF International, Underwriter’s Laboratories or Warnock Hersey. ! The components for the storage or treatment of wastes shall be continuously vented. Ventilation ducts or vents shall conform to Comm 82.31 (16). ! If any liquid is discharged from a composting toilet system it must be disposed to either a public sanitary system or a private onsite wastewater treatment system conforming to Comm 83. ! As of February 5, 2002 there are two manufactures that we know of that have products that meet the criteria outlined above; Clivus Multrum, Inc. and Sun-Mar Corporation. ! Please verify with the manufacturer that the toilet that you intent to purchase meets the above standards. Incinerating Toilets ! Approved incinerating toilets must meet several standards before they may be permitted for usage in Douglas County. ! They must conform to NSF Standard 41, ANSI Z21.61 and be listed with one of the following testing agencies; American Gas Association, Canadian Standards Association, NSF International, Underwriter’s Laboratories or Warnock Hersey. ! If any liquid is discharged from an incinerating toilet system it must be disposed to either a public sanitary system or a private onsite wastewater treatment system conforming to Comm 83. ! As of February 5, 2002 there are two manufactures that we know of that have products that meet the criteria outlined above; Clivus Multrum, Inc. and Sun-Mar Corporation. ! Please verify with the manufacturer that the toilet that you intent to purchase meets the above standards.