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Special Event Campground Application

  1. Saint Croix County Health and Human Services - Public Health

    1752 Dorset Lane
    New Richmond, WI 54701
    Phone: 715-246-8361
    Fax: 715-246-8367

  2. This application must be submitted to above address at least 30 days prior to the event.

  3. These are sites with tents or a type of camping unit that does not have it's own bathroom inside.

  4. These are campers that have their own bathrooms.

  5. Formula for calculating the maximum number of sites and maximum number of people camping:

    The maximum number of sites per acre for special event camping is 50. The maximum number of people per site is 6. Therefore the formula is as follows: Number of Acres in special event camping area X 50 sites per acre = maximum number of sites in the special event camping area. The maximum number of sites in special event camping area X 6 persons per site = Total number of campers

  6. Wastewater: Number of toilets to be provided: (Use this table to determine how many toilets you will need)
    Wastewater Table

  7. How many of each of the following will you be providing? Note: Portable toilets do not have to be sex designated and urinals are not required. The chart above is the minimum number of toilets required. Generally events do exceed these numbers.

  8. Potable Water Source

  9. Fees: Based on Sites (Make check payable to the Sant Croix County Public Health)

    $235.50 for 1-25 sites
    $289 for 26-50 sites
    $338.50 for 51-100 sites
    $385.50 for 100-199 sites
    $435 for 200 or more sites

  10. Show the total area designated for campsites (Square feet or acres) and use the following symbols for their scaled locations:
    W: Water Well(s)
    WO: Water Supply Outlets
    T: Toilet Facilities
    G: Solid Waste Containers
    DU: Dependent Units
    IU: Independent Units

  11. I certify that I am familiar with Chapter ATCP 79.

    Chapter ATCP 79 is located on the Licensing and Inspections page.
    Campgrounds, Wisconsin Administrative Code and the above-described establishment will be operated and maintained in accordance with all applicable regulations.

  12. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  13. Submittal

    Check the "I'm not a robot" and then hit submit below. If you would like to receive an email copy of this submittal enter an email address below. An inspector will review your submittal and contact you. Thanks from St. Croix County Public Health!

  14. Leave This Blank:

  15. This field is not part of the form submission.