HomeMy WebLinkAboutONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION & INSTALLATION PERMITTxE;a STATE OF FLORIDA A
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
a ONSITE SEVVAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
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'H Authority: Chapter 381, FS A4=3WW7'sit^
Chapter 1 OD-6, FAC 1�6
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Applicant6 ��/ �/ Permit Number
93
----------- ... 11141. SYSTEM CONSTRUCTION SOECIFICATIONS AND CONSTRUCTION APPROVAL---------------
TreatmentTank Minimum Draintrench OR Minimum Absorption
Size Bed Size
Septic tar�ik o Grease
aerobic unit gallons interceptor gallons Square Feet Square Feet
Septic to 1C or
aerobic uit gallons Dosing tank gallons Square Feet Square Feet
G raywate
tank gallons Square Feet Square Feet
Laundry
waste tar k gallons Square Feet Square Feet
Other Redluirements:
(a)
install i tion must be in accord with requirements of chapter 10D-6, FAC.
(b)
A syst m construction per
t is valid for a period of one calendar year from date of issue.
(c)
Final i
i
stallation inspec i9p
and approval is required before the syy tpm is over
�L
(d)
Invert
f stub -out for
to be /K d.
benchmark.
Invert
f stub -out for
to be
benchmark.
Invert
f stub -out for
to be
benchmark.
Invert
pf stub -out for
to be
benchmark.
(e) Fill qu lity and quantity: A Dc;LL 2C/'7 ,ICJ
EXCAVATION MUS
CHECKED
DRAINFIELD INSTALLATION.
(f) Other:
l TF! Ag-EA c)F! Dg-A-INETRI-M T2 SI-IRTECT TO
SATURATTON FROM
ROOF DRA.TNAGE,
ROOF MUST BE GUTTERED PRIOR TO FINAL
APPROVAL.
System design
Construct
and specifications by:
on authorized by:
PS.
J.
Title �•S•�
IR
Date 1d 17
Cou ty lic Health Unit
pleted copies of this for will be provided to the applicant, installer and the building department.
TROL NO. N2 37639 SQUARE MILE
85 (Obsoletes previous editions which may not be used)
, . , �_ , Paae 1 of 2
Note: Col
AUDIT CO
HRS-H Form 401,Feb
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