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2. 
3. Sanitary Permit and Soil Test Submittal Instructions:

   Please fill out the fields below with the necessary information and required attachments. After you have filled out the form, please click the submit button, and it will redirect you to our online payment processor, Municipal Services Bureau (MSB).

   Please check out the Payment Guide for details on how to submit a payment. If you have any questions about how much you need to pay, or are confused about the process, please do not hesitate to contact us at 920-849-1442.

   
   

5. Sanitary Fee Schedule
   Plan Approval (Mound, At-Grade, or Pressure Distribution Systems)	$250
   Plan Approval Holding Tank and Conventional Systems (1 & 2-Family Dwellings)	$100
   Plan Approval Holding Tank and Conventional Systems (Public/Commercial)	$200
   Sanitary Permit, All POWTS and Holding Tanks (Includes $100 State Fee)	$500

6. Sanitary Fee Schedule Continued
   Tank or Cell Replacement, Relocation, Etc. (Includes $100 State Fee)	$250
   Addition of Treatment Device (I.e. ATU - includes $100 State Fee)	$250
   Reconnection to Existing POWTS	$125
   Privy (Pit or Vault)	$125
   Transfer/Renewal/Change of Plumbers	$50
   Wisconsin Fund Application	$50
   Soil Test Review Fee	$30

8. Application Type:*

   1. Soil Test
   2. Sanitary Permit
   3. Plan Review

   Please select the permit/application types you are submitting. You may select multiple application types at once. This section has no impact on fees that are submitted and is for reference only.

9. City, Village, or Township:
   -- Select One --Town of BrillionTown of BrothertownTown of CharlestownTown of ChiltonTown of New HolsteinTown of RantoulTown of StockbridgeTown of WoodvilleVillage of HarrisonVillage of HilbertVillage of PotterVillage of SherwoodVillage of StockbridgeCity of AppletonCity of BrillionCity of ChiltonCity of KaukaunaCity of KielCity of MenashaCity of New Holstein

   Please indicate the City, Village, or Township in which the property is located.

11. Primary Contact for Application:*

    Please include the name of the primary contact person for the permit/application.

12. Email Address*

    Please include an email address for the primary point of contact for the submission. This email will also be used for any additional questions related to the submission and for sending out approval documents. 

14. Property Address or Parcel ID:*

    Please include either the address of the subject property or the Parcel ID.

15. Date of Submittal:*
    Date of Submittal:
17. Application and Supporting Material Submittal:*

    Please submit a copy of your signed and completed permit application or soil test for review. Please make sure to include any additional supporting materials. **Multiple documents may be added at once by selecting multiple documents at a time in the document selection popup window.**

    Additional documents may also be sent to: brian.giebel@calumetcounty.org or doug.depies@calumetcounty.org 

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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

* indicates a required field