The Liquid Waste Permit Application Form, printed on the PDF as the Liquid Waste Construction Permit Application, is issued by the Sacramento County Environmental Management Department (EMD), Environmental Compliance Division. Property owners, agents and contractors use it to request a permit for septic system, holding tank or tank destruction work. On FillingPDF you can fill out the form online and download or print the completed PDF; the original is published by the county at emd.saccounty.gov.
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What is Liquid Waste Permit Application Form – Sacramento County, CA?
The Liquid Waste Permit Application Form, printed as the Liquid Waste Construction Permit Application, is the Sacramento County Environmental Management Department (EMD) form for applying for a permit to install, repair, modify, replace or destroy an onsite wastewater treatment system or septic tank.
The first block asks you to mark the type of work, each with its permit code:
- Standard System Install (4220), Repair/Modification (4230)
- Alternative System Install (4221), Repair/Modification (4231)
- Septic Tank Destruction (4264)
- Tank Replacement (4232)
- Holding Tank-Tem (4280) and Holding Tank- Fix (4281)
The form then collects site information, a repair section for failed systems, system and design details for residential or commercial use, tank destruction, and contractor information. In the certification the applicant states that the work will meet Sacramento County Code, Chapter 6.32, and the regulations of the County Health Officer.
Page 2 is a plot plan sheet that lists the minimum requirements under SCC 6.32.220. The "For Office Use Only" blocks on both pages are completed by EMD. The county's Waste Program Forms and Documents page lists this form under its Liquid Waste (Septic) Program, next to other documents such as the Liquid Waste Request for Service Form and the Septic Tank Abandonment/Destruction Procedure.
Who needs to file Liquid Waste Permit Application Form – Sacramento County, CA?
The application is completed by the person who wants a permit for septic system or tank work in Sacramento County. The form asks you to mark whether the applicant is the Property Owner, an Agent or the Contractor.
- Property owners who need to install, repair, modify or replace a standard or alternative system, install a holding tank, or destroy a septic tank.
- Agents who submit on the owner's behalf. The form says an Authorization Letter is required in that case.
- Contractors who apply for the work. The form asks for the contractor's name and license number, and for a subcontractor's name and license number if applicable.
The form covers both residential use (number of bedrooms; single family, multi-family or mobile home) and commercial use (type of business and gallons per day). If you use a system type outside the listed options, the form tells you to submit the engineer's design specifications. Whoever signs must also tell the property owner that the owner has to give EMD property access for the final onsite wastewater treatment system inspection.
When to file Liquid Waste Permit Application Form – Sacramento County, CA
Submit the form when you want a permit, or "authority to construct," for one of the work types listed at the top of the form. No separate filing deadline is printed on it.
Timing rules stated on the form apply after the permit is issued. The permit expires one year from the date of issue. You agree to notify EMD 24 hours in advance for the final inspection; the Liquid Waste Inspection Line is (916) 875-1500. Any change of contractor (including hiring a subcontractor), design or materials voids the permit if you did not get prior approval.
Documents you need
- Authorization Letter, required if an agent is submitting the application on behalf of the property owner.
- Septic Tank Destruction Application, to include if you answer Yes under Tank Destruction.
- Engineer's design specifications, to submit if the system is marked Other under System and Design Information.
- Plot plan on the form's second page, drawn to the minimum requirements listed under SCC 6.32.220, such as floor plan, north arrow, scale, setbacks, wells and disposal field area.
How to fill out Liquid Waste Permit Application Form – Sacramento County, CA
Mark the permit type
At the top, check the box for your work: standard or alternative system install or repair/modification, septic tank destruction, tank replacement, or a holding tank. Leave Permit No. blank; EMD assigns it.
Enter the site information
Under Site Information, enter the site address, APN, nearest cross street, lot size (acres), property owner, phone number, mailing address, city, state and ZIP.
Complete the repair section
Only for a repair, enter the age and design of the system and the reason for failure. Skip this section for other permit types.
Choose the intended use
Check Residential Use and give the number of bedrooms and the type (single family, multi-family or mobile home), or check Commercial Use and give the type of business and gallons per day.
Enter water source and septic tank
Check Private Well or Public Water and name the supplier if public. For the septic tank, check New or Existing, give the size in gallons and make/model, and say whether it was pumped, with company and date if yes.
Describe the disposal components
Fill in only the components you use: leaching pits (number, diameter, depth), deep trench (total linear feet, number of laterals) or leach line (length, width, depth). For Other, submit the engineer's design specifications.
Answer the tank destruction question
Check Yes or No under Tank Destruction. If Yes, include the Septic Tank Destruction Application.
Enter contractor information
Write the contractor's name and license number and, if applicable, the subcontractor's name and license number.
Sign the certification
Enter the applicant name, signature and date, and check whether the applicant is the Property Owner, Agent or Contractor. If you are an agent, attach the Authorization Letter.
Prepare the plot plan page
On page 2, draw the plot plan with the minimum requirements listed under SCC 6.32.220, including the north arrow, scale, property lines, setbacks, wells and the disposal field area.
Review and download the completed PDF
Check every section, leave the For Office Use Only blocks empty, then download or print the completed PDF from FillingPDF and assemble your attachments as described under How to submit.
How to submit Liquid Waste Permit Application Form – Sacramento County, CA
The form names no submission channel. It prints the contact details of the EMD Environmental Compliance Division, so confirm with the Division how it accepts applications before you send yours.
- Address: Environmental Management Department, Environmental Compliance Division, 11080 White Rock Road, Suite 200, Rancho Cordova, CA 95670.
- Telephone: (916) 875-8550. Fax: (916) 875-8513.
- Liquid Waste Inspection Line: (916) 875-1500.
The certification says the signature, whether original, electronic or photocopied, is authorized and valid. Include the attachments that apply: the Authorization Letter if an agent submits, the Septic Tank Destruction Application if you answered Yes to tank destruction, and the engineer's design specifications for an Other system. The county lists its liquid waste forms and Septic System Permit Process Information at emd.saccounty.gov. FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Having an agent submit the application without an Authorization Letter from the property owner.
- Answering Yes to Tank Destruction without including the Septic Tank Destruction Application.
- Marking Other for the system type without submitting the engineer's design specifications.
- Changing the contractor, hiring a subcontractor, or changing the design or materials without prior EMD approval, which voids the permit.
- Leaving the Repair section (age and design of system, reason for failure) blank on a repair or modification application.
- Submitting a plot plan that omits required items such as the north arrow, lot dimensions, scale, setbacks, or wells and water lines.
- Not notifying EMD 24 hours in advance of the final inspection.
- Writing in the For Office Use Only blocks, including the Permit No., approval, accounting and inspection areas.
- Letting the permit lapse: it expires one year from the date of issue.
Frequently asked questions
What is the Liquid Waste Permit Application Form?
It is the Sacramento County Environmental Management Department application for a permit to install, repair, modify, replace or destroy a septic system or tank, or to install a holding tank. The PDF is titled Liquid Waste Construction Permit Application.
Is the Liquid Waste Permit Application a Sacramento County business license?
No. It is a construction permit application for onsite wastewater treatment systems and tanks, issued through EMD's Environmental Compliance Division. It asks for a type of business only to describe commercial use of the system. The form contains nothing on business licensing.
Can an agent or contractor submit the application for the owner?
Yes. The form has an Applicant is line with Property Owner, Agent and Contractor. If an agent submits on the owner's behalf, the form requires an Authorization Letter.
How long is a liquid waste permit valid?
The form states that the permit expires one year from the date of issue. Changing the contractor (including hiring a subcontractor), the design or the materials without prior approval voids your authority to construct.
What do I attach if I am destroying a septic tank?
If you answer Yes under Tank Destruction, include a Septic Tank Destruction Application. The form lists Septic Tank Destruction as its own permit type, code 4264.
Do I have to notify EMD before the final inspection?
Yes. By signing, you agree to notify EMD 24 hours in advance for the final inspection. You must also tell the property owner to give EMD access to the property for the final onsite wastewater treatment system inspection.
What does the plot plan need to show?
The plot plan page lists minimum requirements under SCC 6.32.220, including the floor plan with bedrooms, north arrow, lot dimensions, scale, setbacks, structures, wells and water lines, the disposal field area with slope, and test holes.
Can I fill out the liquid waste permit application online?
You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the application to EMD; you send it through the county's channels.
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