Permit to Install or Alter a Septic Tank System Application

Environment Protection Act 1970

There are some hard words in this form.  The hard words are underlined.  Click on the words to read what they mean on our definitions page.

Applicants should make sure that the property owner gets a copy of this application. For current fees please contact East Gippsland Shire Council on (03) 5153 9500.

The form should be fully completed and returned to Council with:

1. A site plan signed by the plumber and property owner

2. A locality plan attached

4. A copy of Land Capability Assessment

5. A full copy of current title for the property

6. Copy of certificate of conformity (Aerated waste water systems only)

7. Payment for the application received

If the details are correct, and the application and plans are approved, a "Permit to install or alter a septic tank system" is issued.

A member of the Customer Service Team will be in contact within one (1) working day to arrange for payment of this application once received.

Fields marked with an asterisk (*) must be completed

Fill in your details
Name * (required)
Email address * (required)
Postal address * (required)
Phone Number
Home
Work
Mobile
Fax
Property Details
Street number * (required)
Street name * (required)
Town * (required)
Postcode * (required)
Volume
Folio
Lot number
LP
Owner's Details (if different from applicant)
Owner's name/s
Owner's postal address
Owner's phone number - Home
Owner's phone number - Work
Owner's phone number - Mobile
Owner's email address
Owner's fax
Plumber's Details
Plumber's name * (required)
Plumber's postal address * (required)
Plumber's phone number - Work
Plumber's phone number - Mobile
Plumber's email address
Plumber's fax
Plumbing licence number * (required)
Licence expiry date
LCA consultants name * (required)
Building Surveyor Details
Building surveyor's name
Building surveyor's phone number - Work
Building surveyor's phone number - Mobile
Building surveyor's email address
Building surveyor's fax
Do you want Council to notify your building surveyor when the permits are issued?	Yes No
Proposed System Details
How many proposed bedrooms in the dwelling? * (required)
What type of water supply is there? * (required)	Town Other, please specify below Other
Is there a river or creek along the boundary of the property?	Yes No
Is there a spa?	Yes, list how many litres it holds below No
How many litres does the spa hold?
Does the property have bore water?	Yes No
Are there any nearby dams?	Yes No
Is there an insinkerator?	Yes No
How many litres can the septic tank hold?
How large are the effluent lines or irrigation area for disposal? (metres square)
Trench length (metres)
Trench depth (metres)
Trench width (metres)
Copy of endorsed site plan and locality plan * (required)
Copy of Land Capability Assessment * (required)
Copy of Title * (required)
Copy of certificate of conformity (Aerated waste water systems only)
Everyone must fill in this section
I/We agree that we have read and understood the requirements of this application and all information given is correct * (required)	I agree
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