SWP Permit Application
1
Effective 01/1/2020
SEWER CONNECTION PERMIT (SWP) APPLICATION
Planning & Building Services Department
Building Division
200 S. Willow St.
P.O. Box
1727
Jackson, WY
83001
phone: (307) 733-7030
www.tetoncountywy.gov
Fees
Paid
For Office Use Only
Check # Credit Card Cash
SWP
BDR
PROJECT:
Name/Description:
Please type or fill out this application in ink only.
Physical
Address:
Subdivision & Lot: PIDN:
DIRECTIONS TO PROPERTY:
OWNER:
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
APPLICANT/AGENT:
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
PROPOSED SEWER CONNECTION INSTALLER:
Name: Phone:
Mailing Address: City, State:
Email: ZIP:
SWP Permit Application
2
Effective 01/1/2020
STRUCTURE INFORMATION:
Residential Uses: Number of Bedrooms
Number
of
Bathrooms
Finished Floor Area
Unfinished
Floor
Area
Nonresidential
U
ses:
Use
Description
Floor Area
WATER SUPPLY INFORMATION:
Water meter size
Potable water source (private well, public water system, spring, etc.)
Landscaping water source (private well, public water system, spring, etc.)
SUBMITTAL REQUIREMENTS. Teton County Sewer Connection Permits are required for all buildings which connect to sewage
collection systems located in the following developments: Melody Ranch, Big Trails, O Bar B, Rafter J Ranch, Valley View,
Sp
ring
Creek Ranch, Homes at Amangani, Elk Dance Estates, Teton Shadows, Jackson Hole Golf & Tennis Club, 3 Creek Ranch, and Wilson
Sewer District. Newly added 2014 properties include 5540, 5555, 5600, 5660, 5675, and 5700 Stone Creek Ln.
Sewer connection permit approval is required by Teton County, the Town of Jackson, and the Wilson Sewer District (if connecting
in Wilson) before a building permit can be issued and/or a connection can be made. A test tee connection is required to be installed
for testing purposes. The tee shall be capped and plugged after the County has observed and approved of an infiltration static water
test for the service line. County review and approval of the pipe and bedding material is required and sewer cleanouts are required
immediately outside the buildin
g and every 100’ feet as necessary.
Once approval is granted by Teton County, the applicant will be contacted to pick up the approved packet from the Teton County
Building Department and take it over to the Town of Jackson Building Department for their review and approval. Once approved by
the Town of Jackson Building Department, the applicant will need to pay the appropriate connection fees and take a copy of the
approval letter or receipt of payment back over to the Teton County Building Department for the County’s records.
The sewer connection must be inspected prior to backfilling. Contact the Teton County Inspection Line at 732-5745 to schedule the
required inspection. You will need the building permit number, or physical address of the property to schedule the inspection.
In order to expedite the review of your application, please be sure to include a digital copy of the application, as required below.
Failure to provide a digital copy of the plans may result in slow the review of your applications.
In addition to the standard sewer connection details, water connection details are also required for all 3 Creek Ranch connections.
A fee of $100 due at the time of submittal.
Letter of Authorization if the applicant is other than the property owner.
Copy of the warranty deed.
One set of SWP drawings scaled on sheets no larger than 11” x 17” to include the following:
Site plan of the property showing the location and size of all existing and proposed sewer mains and services.
For commercial buildings, floor plans of all levels of the building to be connected to sewer and the planned use of
the building.
Sewer connection and installation details which conform to Town of Jackson standards.
Size, slope and material of the sewer service. Please note the sewer service is required to be completed with
schedule 40 PVC pipe sloped at a minimum of ¼” per foot and a minimum of 4”.
DEQ approval for service lines 6” or greater in size.
Method of sewer service trench construction. Please note that at a minimum the construction is required to
comply with Town of Jackson Standards.
SWP Permit Application
3
Effective 01/1/2020
Where a connection to a Town water system is proposed, the following information shall also be required:
Location of water service meter(s) and backflow systems shown on the site plan.
Details of the plumbing meter(s) and backflow systems) to be installed within the building.
Method of water service construction to include a service line trench construction detail, thaw wire connection details,
and the materials to be used to complete the water service line.
NOTICE: For permits that require a plan-level GEC permit, a preapplication conference is mandatory prior to submitting the GEC
application.
When requested, a financial surety is required; the applicant shall be
responsible
for providing a cost estimate for the work requiring
the surety.
I certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and
ordinances governing this work will be complied with whether specified herein or not. The granting of this permit does not
g
ive
authority to violate or cancel the provisions of any state or local law regulating grading or the performance thereof.
Signature of Applicant Date
Print Name Title
click to sign
signature
click to edit
SWP Permit Application
4
Effective 01/1/2020
12"
SEWER LATERAL
PLACE
A 2x4 STUD AT
TESTING TEE PROPRTY LINE MIN 12”
PLACE %"x24"
MIN
.
REBAR FOR FUTURE
L
OCATI
N
G
CAP END IF NOT
CONNECTING TO TO
SLOPE
1/4"
PER
B
U
I
LD
ING
SEWER
FOOT
M
I
N.
PIPE SPOOL
AS NEEDED
SECDON
F
L
OW
I
SCHEDULE 40 FOR 4"
M
I
N
SERVICES
P
I
PE
SHALL BE REQUIRED FROM
SEWER M
A
I
N
TO BUILD
I
NG
(SEE
TOWN
STANDARDS)
/
FLOW
DII
RECTION
SEWER
LATERAL TESTING TEE
TO OC
LOCATED
AS CLOSE TO
THE MAIN AS POSSIBLE OR AT
PLAN VIEW
THE PROPERTY LIN
E
NOTES:
1. NEW SERVICE CONNECTIONS TO
EX
I
STING
SANITARY
SEWER
MAINS SHALL BE COMPLETED
BY T0WN
OF
J
ACKSON
.
THE PRIVATE PARTY BEING
SERVED
BY THE NEW CONNECTION
SHALL BE
RESPONSIBLIE
FOR CARRYING OUT BACKF ILL OPERATIONS.
2. BACKFILL OPERATIONS AT NEW SERVICES
CONNECTED
TO EXISTING SANITARY SEWER
MA
I
N
S
SHALL BE COMPACTED PER TOWN
STANDARDS
.
3. CLEANOUT TO BE PROVIDED ADJACENT TO HOUSE EVERY 100' OR SERVICE LINE AND AT
ALL BENDS.
SANITARY SEWER SERVICE
LINE
S$-111
DATE:
1/17/07
SWP Permit Application
5
Effective 01/1/2020
NEW SERVICE
EX
I
STI
NG
STUB LATERA
L
r-
>CH40
SEWER
PIPE
TO BUILD
I
NG
'-
13ED
AN
D
BACKF
I
LL
SEWER LATERAL
PIPE TRENCH
PE
R
TESTING TEE TO BE
TOWN STANDARD
LOCATED AS CLOSE
DETAIL
TO THE
MA
I
N
AS
POSSIBLE OR AT THE
PROPERTY
L
I
NE
NOTES:
1. NEW SERVICE CONNECTIONS TO EX
I
STING
SANTI ARY SEWER
STUBS
SHALL BE
F
IELD APPROVED BY THE TOWN OF JACKSON
.
2. TRENCH SECTION AND
BACKF
I
LL
OPERATIONS
OF NEW SERVICE LINE SHALL
BE
COMPLETED PER TOWN STANDARDS. SEE DETAIL.
3.
CLEANOUTS TO BE PROVIDED ADJACENT TO HOUSE, AT A MINIMUM OF
100'
INTERVALS ALONG SERVICE LINE AND
A
T ALL BENDS.
4.
PRIOR APPROVAL OF THE NEW SERVICE. THE LINE SHALL BE WATER TESTED FROM
THE TESTING TEE TO
THE
B
U
I
LD
I
NG. WATER TEST SHALL BE
WITNESS
BY TOWN
STAFF.
CONNECTION TO
EXISTING
SERVICE
STUB
-
0
UT
SS
-
112
DATE:
1/17/07
SCAL£:
NI'S
SWP Permit Application
6
Effective 01/1/2020
PVC CAP PLACE
·x
24"
(TYP.) MIN.
REBAR
f
OR
1
.
.
>
FUTURE
LOCATlNG
I
.
r---
""":-d=.<"T
(
TYPE
)
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.
:
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.
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•.
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VAR
I
ES
B
U
I
LD
I
N
G
.
.
M
I
N.
2.DO'
F'OUNDA110N ..
.
·
,
MAX.
s
.n
n'
-1
I
.
.
.
.
I
FROM ANY
STRUClURE
·
1
6'
MIN. COVER
I
·
I
I
.
..
.
.
·
I
I
·
-
I
SEE NOTE
3
_L....L
M
:
'
·
"'l
----
-
-
.
_
·.
_
.
_j
GRADE
_
_
./'
SEWER
WYE
_.L-
- -
-./
REQUIREMENTS
·
4"
M
I
N.
D
I
A.
SEWER
PER
F'OOT
P
I
PE.
·
PER F'OOT
M
I
N
.
SLOPE
N
OTE
1
.
PRIOR TO BACKFILL THE TOWN PUBUC WORKS DEPARTMENT
MUST
I
NSP
E
C
T
ALL
P
I
PE,
F'ITTINGS,
COUPLINGS GRADE AND COMPLETE WATER TESTING.
2.
I
N
S
T
ALL
AND COMPACT ALL BACKFILL MATERIAL PER TOWN PUBLIC WORKS DEPARTMENT
STANDARD SPECIFICATIONS AND AS SHOWN WITHIN THE TRENCH DETA
I
L
3. ALL PVC
F'
ITI
ING
S
SHALL MEET ASTM
D3034 SPECIFICATIONS
,
A!ND SHALL ALSO MEET
ASTM
D312
SPECIFICATIONS FOR RUBBER GASKETED BELL AND SPIGOT TYPE WITH
I
NTEGRA
L
BELL.
9
.
SERVICE LATERAL BUILDING CLEANOUT
ss
-
u•
OAT£: 1/17/D'
SCI\LR:
NTS
SWP Permit Application
7
Effective 01/1/2020
BACKF
I
LL
A
N
D
COMPA
C
T
TRENCH PER
TOWN
STANDARDS
TOWN STANDARD
SEWER SERVICE
EXISTING
-
(SEE D
E
T
A
I
L)
SEWER
MAIN
SEWER TAP TO
BE CO
M
P
L
ETED
BY TOWN
PERSONNEL
ENCASE SEWER TAP IN CEMENT
u
Nt>ISTURBEO
TREA
TEO
F
I
LL
"FLOWABLE
FILL
"
BASE COURSE
CONFORMING TO WPWSS
SECTION
02225
PART
2.01B.
ENCASEMENT SHALL EXTEND
A
SECTION
M
I
N
I
MUM
OF TWO FEET ON
EITHER SIDE OF TAP.
N
O
TES
:
1. THE TOWN WILL PERFORM TAP AT THE
E
XPENSE OF THE OWNER. ALL OTHER
WORK SHALL BE PERFORMED BY THE OWNERS/CONTRA
C
T
OR.
2
.
HE TOWN SHALL PERFORM TAP ONLY
WITH
I
N
TRENCHES WHICH MEET OR
EXCEED THE STANDARDS SET BY OSHA. THE TOWN RESERVES THE RIGHT TO
REQU
I
RE
A
D
D
I
T
IONAL
TRENCH EXCAVATIONS BE COMPLETED SHOULD
I
T
BE
DETERM
I
NE
D BY TOWN PERSONNEL THAT THE TRENCH IS NOT
I
N
COMPLIA
NCE
WITH OSHA
S
T
ANDARDS.
SEWER MAIN TAPPING
ss-ns
DAlE:
1/77/07
SCAl£: NTS
SWP Permit Application
8
Effective 01/1/2020
8