Application for a Permit to Install or Alter a Septic Tank System

Applicant details

Application type

Install a new septic tank system

Alter an existing septic tank system

Is this the applicant owner or an agent of the owner?(Required)

Owner

Agent of Owner

Name(Required)

Address(Required)

Street Address Suburb / Town State Postcode

Primary Contact Number(Required)

Secondary Contact Number

Email(Required)

Enter Email Confirm Email

Property owner details

Name(Required)

Address(Required)

Street Address Suburb / Town State Postcode

Primary Contact Number(Required)

Email

Site address for installation / alteration

Is the site address for installation / alteration...(Required)

Same as property owner details

Different to property owner details

Address

Street Address Suburb / Town State Postcode

Formal Land Description information can be found on the certificate of title

Lot number(Required)

Sub-division plan number(Required)

Lodged plan(Required)

Title plan (volume)(Required)

Crown allotment number(Required)

Section number(Required)

Parish name(Required)

Plumber / Drainer

Name(Required)

Postal address(Required)

Street Address Suburb / Town State Postcode

Primary contact number(Required)

Email

Licence number(Required)

Drainer / Contractor

Is the plumber also the drainer / contractor?

Yes

No

Name(Required)

Postal address(Required)

Street Address Suburb / Town State Postcode

Primary contact number(Required)

Email

Licence number(Required)

System details

Proposed installation / alteration date(Required)

Septic tank capacity (litres)

Waste water treatment system

Modal name

EPA approved number

Method of effluent disposal

Please enter the method by which the blackwater from the septic tank will be discharged.

Absorption Trenches

Length (m)(Required)

Width (m)(Required)

Depth (m)(Required)

Irrigation System

Sub-surface (m2)

Surface (m2)

Sand-filter / Polishing sand filter details

Length (m)(Required)

Width (m)(Required)

Depth (m)(Required)

Supporting documents

Certificate of Title Only (1) Copy

Please supply as: jpeg; doc; pdf A copy of a current Certificate of Title for the Allotment, including a plan of subdivision (current to within 2 months).

Max. file size: 128 MB.

Septic Site Plan (or detail drawn on a m aerial photograph)

Please supply as: jpeg; doc; pdf Provide a block plan (minimum scale 1:100) showing the location of the premises including street/lot number, location of all nearby streets, dimensions of all boundaries, location and dimensions of all buildings or proposed buildings, easements, streams, water tanks, swimming pools, excavations, driveways, gas pipes and underground services, storm water drains, water pipes, existing tank systems; location of the proposed septic tank, treatment plant & effluent disposal system; the position of north and fall of land.

Max. file size: 128 MB.

Floor Plan

Please supply as: jpeg; doc; pdf A detailed floor plan of the dwelling. Clearly distinguish between existing and proposed details.

Max. file size: 128 MB.

Owners certification

Please supply as: jpeg; doc; pdf If applicant is not the owner please provide written authorization from the owner if the form is signed by someone other than owner.

Max. file size: 128 MB.

Property Plan

Please supply as: jpeg; doc; pdf For rural properties greater than 1 hectare

Max. file size: 128 MB.

Land Capability Assessment (1)

Please supply as: jpeg; doc; pdf Copy to be provided with the application. Additional information found on: https://www.strathbogie.vic.gov.au/development/environmental-health/septics

Max. file size: 128 MB.

Additional Information As Requested By Council

Please supply as: jpeg; doc; pdf If you have discussed this application with Council prior to delivering the application to Council, Council may request additional information based upon the nature of the application

Max. file size: 128 MB.

Payment details

Septic Application Fees 2023/2024

• New Septic Installation: $777.20

• Additional Assessment Cost exceeding 8.2hrs Fee: $97.30

• Minor Alteration to Septic System: $592.30

• Amend a Septic Permit: $165.10

• Transfer a Septic Permit: $157.90

• Priority Inspection (within 5 days): $205

• Urgent Inspection (within 48 hours): $355

How to pay:

By cash, cheque or credit card - if you know the fee to be paid, include payment when delivering the form by post, fax or in person e.g. cash or cheque. If you do not know the fee please contact Council.

Privacy Statement

Consent(Required)

I agree to the privacy(Required)

The information gathered in the form is used by Council to process the application. To view Council's privacy policy, please either visit Council's offices or go to http://www.business.vic.gov.au/BUSVIC/STANDARD/PRIVACY.html

Declaration

Declaration(Required)

I understand and acknowledge that:

The information provided in this application is true and complete to the best of my knowledge

This application forms a legal document and penalties exist for providing false or misleading information

I am over 18 years at the time of completing this application

By ticking this checkbox I confirm that I have read and understood all the statements above(Required)

Signature(Required)

Application for a Permit to Install or Alter a Septic Tank System

Applicant details

Property owner details

Site address for installation / alteration

Formal Land Description information can be found on the certificate of title

Plumber / Drainer

Drainer / Contractor

Building details

System details

Waste water treatment system

Absorption Trenches

Irrigation System

Sand-filter / Polishing sand filter details

Supporting documents

Payment details

Privacy Statement

Declaration

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