HomeMy WebLinkAboutSEWAGE CONSTRUCTION & INSTALLATION PERMIT"r •__t
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
SCANNED
WE
BY
Authority: Chapter 381, FS
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St. Lucie unty
Chapter 10D-6, FAC
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Number
Aprlicant t -4
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j0} Permit -- �
--------- - PA/{RT,.I -SYSTEM CONSTRUCTIt1,N'SPIECIFICATIONS AND CONSTRUCTION APPROVAL-------------
,I
Treatment Tank
Minimum Draintrench OR Minimum Absorption
Size Bed Size
Sepi!ic tank or,
Grease
�`�
aerobic unit
Septic tank or
gallons interceptor
gallons Square Feet - Square Feet
�q
aerobic unit
gallons Dosing tank
gallons Square Feet Square Feet
Gr4water
tank
gallons
Square Feet Square Feet
Laundry
I
waste tank gallons
i
Square Feet Square Feet
Other Requirements:
(a) Installation
(b)A system c
(c) Final instal
(d) Invert of st
Invert of st
Invert of st
Invert of st
be in accord with requirements of chapter 10D-6, FAC.
action permij is valid for a period of one calendar year from date of issue.
inspection sand approval is required before the system is covered.
t for pl''�A S G to be _ n +�� PPt "ft i1 benchmark.
It for to be v benchmark.
t for to be benchmark.
t for to be benchmark.
(e) Fill quality an{ quantity:
BY THIS DEPARTMENT PRIOR TO
DRAINFIELD INSTALLATION.
(f) Other: il' AREA OF DXALNF_LE+_.D 1_S `AR3JEC".11'1111 aila°r(sRATLA
ROOF 1 1MUST DE GUTTERED PRIOR TO FINAL APPROVAL.
System design
Construction
I
Note: Completed
i
AUDIT CONTRC
HRS-H Form 4016, Feb 85 (O
(Stock Number!5744-001.401
by:
by:
County Public Health Unit
Title
Date
es of this form will be provided to the applicant, installer and the building department.
O. 62149 SQUARE MILE 7
previous editions which may not be used)
Page 1 of 2
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
Authorityr: Chapter 381, FS
Chapter 1OD-6, FAC
Applicant- Permit Number
---------- PARTI SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION
APPROVAL -------------
Treatment Tank Minimum Draintrench
OR 'Minimum, Absorption
Size
Bed Size
Septic tank or.--,, Grease
aerobic unit gallons interceptor gallons Square Feet
Square Feet
Septic tank or
aerobic unit gallons Dosing tank- gallons Square Feet
Square Feet
Graywater
tank gallons Square Feet
Square Feet
Laundry
waste tank gallons Square Feet
Square Feet
Other Requirements,
(a) Installation must be in accord with requirements of chapter 1 OD-6, FAC.
(b) A. system construction permit is valid for a period of one calendar year from date of issue.
(c) Final installation inspection ;apd approval is required before the system is covered.
(d) Invert of stul�_out for to be
benchmark.
Invert of stub
-out for to be
benchmark.
Invert of stub
-out for to be
benchmark.
Invert of stu6-out for to be
benchmark.
(e) Fill quality an'i quantity:
7
(f) Other:
System design and specifications by: < Title
A
Construction authorized by: A Date
County Public Health Unit
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
AUDIT CONTROL NO. rVr
HRS-H Form 4016, Feb 85 (Obsoi�tes previous editions which may not be Used)
(Stock Numbert5744-001-4016-01
Page 1 of 2