1. Application:
Applicant Name
Phone:
Mailing Address:
Email:
Property Owner (if different)
Phone:
Mailing Address:
Email:
Location of Work (Physical Address):
Lot:
Project Name (if applicable) AND Description of Work:
Please see the attached sheets for Directions and Calculation Examples
Single Family ( 1 or 2 Family)
Conversion/Expansion of Use
Proposed:
# of 1 Bedrooms= units X 105 gpd= gpd
# of 2 Bedrooms= units X 160 gpd= gpd
gpd
# of 3 bedrooms= units X 210 gpd= gpd
# of 4 bedrooms= units X 280 gpd= gpd
Subtotal= gpd
gpd
Multi Family (3+ units)
Proposed:
gpd
# of Studio= units X 60 gpd= gpd
# of 1 Bedrooms= units X 60 gpd= gpd
# of 2 Bedrooms= units X 90 gpd= gpd
# of 3 bedrooms= units X 120 gpd= gpd S.U.
Subtotal=
gpd
Commercial/ Industrial (Please use attached Calculation Sheet)
Commercial Uses: Use NHDES Env-1008, Table 1008-1 Wastewater Unit Flowrates x 50% factor
Industrial Uses: Provide estimated sewage flowrates to the City for review and approval.
Tax Map:
Sewer Use Permit
Application for
Allocation
City of Lebanon, NH
Department of Public Works
193 Dartmouth College Highway
Lebanon, NH 03766
Tel: (603) 448-3112
Email: UtilityPermits@lebanonnh.gov
(Divide gpd by 210 and round up to the nearest whole
number)
This application for Sewer Allocation is made by the undersigned who agrees, as the authorized representative or owner that the
information provided herein is complete and accurate. The applicant understands and agrees that if the information provided is not
complete and accurate, additional fees could be imposed. The undersigned further acknowledges that he/she is familiar with and
agrees to abide by the City of Lebanon's Sewer Use Regulations.
________________________________________________________ ___________________________________
Authorized Signature Date
Total Sewer Units
Requested=
Total New Flows:
Existing Flows:
Proposed Flows:
click to sign
signature
click to edit
Residential (to include multifamily) $250 for first dwelling unit, plus $100 for each additional dwelling unit
*SEWER DEVELOPMENT CHARGE
Hanover Wastewater Treatment Plant: $953 per Sewer Unit rounded up to the tenth of a sewer unit.
CAPACITY ANALYSIS
*Denial of a Notice of Allocation may be appealed to the Council for reasons other than lack of capacity within the
system to accommodate proposed development.
If it is determined that capacity does not exist to serve the proposed development, applicant may request to be added
to Capacity Allocation Waiting List.
Sewer Use Permit (Application
for Allocation) Fees & Process
City of Lebanon, NH
Department of Public Works
193 Dartmouth College Highway
Lebanon, NH 03766
Tel: (603) 448-3112
Email: UtilityPermits@LebanonNH.gov
1. Submit Application & Pay $250 Base Application Fee: If emailing application, please send to
UtilityPermits@LebanonNH.gov.
1. Submit Application, $250 Base Application Fee, and Fee for Model Run: If emailing application, please send
to UtilityPermits@LebanonNH.gov.
PLANNING BOARD NOT REQUIRED
PLANNING BOARD REQUIRED
A. *Allocation Determination Made
B. Invoice #1 Issued for dwelling/sewer units above
1st unit (payment due before Notice of Allocation is
issued)
C. Notice of Allocation Issued with Invoice #2
(Invoice #2 is FULL SDC which is due when Sewer
Permit is Issued)
A. *Allocation Determination Made
B. Invoice #1 Issued for dwelling/sewer units above 1st
unit (payment due before Notice of Allocation is issued)
C. Notice of Allocation Issued with Invoice #2
(Invoice #2 is 20% SDC which is due within 30 days of
receipt. Remaining 80% due when PB approval is
obtained and Sewer Permit is Issued)
FEE SCHEDULE
SEWER USE ALLOCATION (Over 5,000 gpd)
A sewer model is required to determine available capacity for all projects proposing flows over 5,000 gpd of average daily
flow. The fee will be determined on a case-by-case basis and will be dependent upon the project location and complexity of
the model run.
Commerical/ Industrial: $250 for first Sewer Unit, plus $100 for each additional sewer unit rounded to the next
whole sewer unit.
Lebanon Wastewater Treatment Plant: $3,006 per Sewer Unit rounded up to the tenth of a sewer unit.
2. Model Run and *Allocation Determination Made
3. Invoice #1 Issued for dwelling/sewer units above 1st unit (payment due before Notice of Allocation is issued)
4. Notice of Allocation issued with Invoice #2 (Invoice #2 is 20% of SDC which is due within 30 days of receipt.
Remaining 80% due when PB approval is obtained and Sewer Permit is Issued)
Base Application Fee $250.00
Residential Fees based on # of Dwelling Units
Commercial & Industrial Fees based on # of Sewer Units (1 Sewer Unit = 210 gallons per day)
SEWER USE PERMIT FEE (For new and modified sewer services)
*20% of SDC due within 30 days of receipt of Notice of Allocation for project requiring Planning Board Review
*100% of SDC due within 30 days of receipt of Notice of Allocation for projects not requiring Planning Board Review
SEWER USE ALLOCATION (Under 5,000 gpd)
Sample Calculations:
1 Sewer Unit (S.U.)=210 gpd
Example 1: 3 bedroom single family House=210 gpd of Average Daily Flow, 1 Sewer Unit
Multiplied by the Peaking factor of 3.5= 735 gpd
Less than 5,000 gpd of Average Daily flow so no model run needed.
Fees: Sewer Use Permit Fee=1 Sewer Unit= $250
Example 2: Multi-Family Residential
150 Units: Mix of studio, 1 bedrooms and 2 bedrooms
50 Studio Apartments
60 gpd x 50 units=3,000 gpd
50 1 bedroom Apartments
60 gpd x 50 units=3,000 gpd
50 2 bedroom Apartments
90 gpd x 50 units=4,500 gpd
Total=10,500 gpd Average Daily Flow 10,500gpd/210gpd/SU= 50 S.U.
Peaked=3.5 x 10,500 gpd= 36,750 gpd
More than 5,000 gpd model run needed
Fees: Sewer Use Permit Fee=1 Sewer Unit= $250, 149 units x $100, Total= $15,150
Sewer Model Fee: $5,500
Example 3: Commercial= 40 Seat Restaurant with 8 employees
NHDES Env-Wq1008 Standard (multiple by 50% for City of Lebanon Flows)
With 50% Taken per Lebanon Code Chapter 163-104 Sewage Flow Estimates
NHDES Restaurant=40 gpd/ per seat=( 40 gpd/seat x 50%) x 40 seats=800 gpd
NHDES Restaurant=20 gpd/ per employee= (20 gpd/employee x 50%) x 8 employees=80 gpd
Average Daily Flow Total= 880 gpd 880gpd/210gpd/S.U.= 4.2 Sewer Units
Peaked by 3.5= 3,080 gpd
Less than 5,000 gpd so no model run needed
Fees: Sewer Use Permit Fee=1 Sewer Unit= $250, 4 units x $100, Total= $650
Sewer Development Charge=1 Sewer Unit= $3,006; 20% Due 30 days after
Notice of Allocation=$601.20
Sewer Development Charge=50.0 Sewer Unit= $150,300; 20% Due 30 days
after Notice of Allocation=$30,060
Sewer Development Charge=4.2 Sewer Unit= $12,625.20; 20% Due 30
days after Notice of Allocation=$2,525.04
Please Note: When applying for a Utility Permit Flows to Hanover will be calculated based off of Hanover Flow numbers and
peaked at the hanover rate. Additional Fee's to Hanver will apply.
Sewer Use Permit
Example Calculations
City of Lebanon, NH
Department of Public Works
193 Dartmouth College Highway
Lebanon, NH 03766
Tel: (603) 448-3112
Email: UtilityPermits@LebanonNH.gov