HomeMy WebLinkAboutSEWAGE INSTALLATION PERMITSTATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
Septi
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ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
ISC N-60
Authority: Chapter 381, FS By
Chapter 10D-6, FAC M�-'o a � ,
( af_ iA vrtA Permit Number -
i 6 ' .
PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL -------------
nK or
unit ,��`=gallons
nk or
unit gallons
Treatment Tank
Grease
interceptor gallons
GR
Dosing tank l gallons
,
Minimum Draintrench
Size
Square Feet
Square Feet
OR Minimum Absorption
Bed Size
Sl Square Feet
Square Feet
� 2'-7 v I ;)
M u, •
tank
v. \Y- i - 11
gallons Square Feet Square Feet
Laund;
waste
tank gallons Square Feet Square Feet
Other
requirements:
(a) installation
i
must be in accord with requirements of chapter 10D-6, FAC.
(b) A
system construction permit is valid for a period of one calendar year from date of issue.
(c) Fi
i al 'installation inspection and a�proval is required before the system is covered. J
i
(d) In
ert of stub -out for k'l o a.t,: to be OX ,�:•?`{��tnr, . is t s � � ; � ; <i.. benchmark.
Iwert
of stub -out for to be 1 benchmark.
In
' ert of stub -out for ``` to be �. benchmark.
In
, ert of stub -out for to be benchmark.
Fi
i quality,and quantity:
(e)
EXIC XTION MUST BE CHECleED r `
n117 MMTIQ nPDAT7rT`MVMCV DP nP:P BTTrf
` DRATNFT ELD INSTALLATION.
(f) Other:
T„ a 0771 f'Drn ran enMr77)AIPD %7 t7 na raven reTa-Pr.9nd1_'Ma
I ROOT I -JUST BE GUTTERED PRIOR TO FINAL APPROVAL.
jL ilyl+ Ilk�L,t nv _ i1 G'_(
r
Qv��M.R J 1A ��
rV 1 V, 1"'.1 i11
1 1 If } 1
�E•�✓� J
Syste
design and specifications by: ��'�- Title
Constr
'ction authorized by: - :�n. ' `_%1 �.� >r v Date
Y 19NN „ County Public Health Unit
Note: Completed
copies of this form will be provided ,to the applicant, installer and the building department.
AUDIT'
CONTROL NO. 6 2 8 5 SQUARE MILE
f
HRS-H Form
(Stock Nu4rtS744-001-4016-0)
Ll6, Feb 85 (Obsoletes previous editions which may not be used)
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