Form SBD-6398 at a glance
What it is: Sanitary Permit Application: under SPS 383.21(2), Wis. Adm. Code, submit this form to the appropriate governmental unit prior to obtaining a sanitary permit (Privacy Law, s. 15.04(1)(m), Stats.).
Who signs: The plumber enters the Plumber's Signature, MP/MPRS Number and Business Phone Number.
A filled-in Form SBD-6398 example: a new home with a septic tank
How to fill out Form SBD-6398, box by box
Owner and project address
Please print all information in Part I, Application Information. Application forms for state-owned POWTS are submitted to the Department of Safety and Professional Servies (SPS 383.21(2), Wis. Adm. Code; Privacy Law, s. 15.04(1)(m), Stats.).
Enter the Project Address if different than the mailing address.
Enter the Property Owner's Name and the Parcel #.
Enter the Property Owner's Mailing Address, City, State, Zip Code and Phone Number.
Property location
Under Property Location, fill in the Govt. Lot, the two ¼ lines, the Section, T with N and R with E or W, (circle one).
Enter the Lot #, the Block #, the Subdivision Name and the CSM Number.
Type of building
Under II. Type of Building, check all that apply: 1 or 2 Family Dwelling with the Number of Bedrooms, Public/Commercial with Describe Use, or State Owned with Describe Use.
City, village or town, and type of permit
Check City of, Village of or Town of and fill in the line. In III. Type of Permit, check only one box on line A: New System, Replacement System, Treatment/Holding Tank Replacement Only, or Other Modification to Existing System (explain). Complete line B if applicable: Permit Renewal Before Expiration, Permit Revision, Change of Plumber or Permit Transfer to New Owner.
List Previous Permit Number and Date Issued.
Type of POWTS system, component or device
In IV. Type of POWTS System/Component/Device, check all that apply: Non-Pressurized In-Ground, Pressurized In-Ground, At-Grade, Mound > 24 in. of suitable soil, Mound < 24 in. of suitable soil, Holding Tank, Other Dispersal Component (explain) or Pretreatment Device (explain).
Dispersal and treatment area information
In V. Dispersal/Treatment Area Information, enter Design Flow (gpd), Design Soil Application Rate(gpdsf), Dispersal Area Required (sf), Dispersal Area Proposed (sf) and System Elevation.
Tank info
In VI. Tank Info, enter the Capacity in Gallons of New Tanks and Existing Tanks, the Total Gallons, the # of Units and the Manufacturer, for Septic or Holding Tank and Dosing Chamber, under Prefab Concrete, Site Constructed, Steel, Fiber Glass and Plastic.
Plumber's responsibility statement
In VII. Responsibility Statement, the plumber states: I, the undersigned, assume responsibility for installation of the POWTS shown on the attached plans, and prints the Plumber's Name.
The plumber enters the Plumber's Signature, MP/MPRS Number and Business Phone Number.
Enter the Plumber's Address (Street, City, State, Zip Code); VIII. County/Department Use Only.
More rules for Form SBD-6398
Attach to complete plans for the system and submit to the County only on paper not less than 8 1/2 x 11 inches in size.
Sources
[1] Form SBD-6398, Sanitary Permit Application, Wisconsin Department of Safety and Professional Services (the Official source link on this page).