HomeMy WebLinkAboutSEWAGE CONSTRUCTION & INSTALLATIONSTATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
5 : '�ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION P10891T'M m
WE Authority: Chapter 381, FS 3t,'Lutla
Chapter 10D-6, FAC L�
Applicant Permit Number
--=— — ----�= PART I - SYSTEM CONSTRUCTIONS CIFICATIONS AND CONSTRUCTION APPROVAL -------------
Treatment Tank Minimum Draintrench OR Minimum Absorption
Size Bed Size
Septic tank o! Grease 37S'�
nprnhic unit rmllnnc intercentor gallons Sauare Feet Sauare Feet
Septic tank or
i' (q.2 x s)
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 Requirenri
!�
ts..
(a) Installation
(b) 'A system construction
(c) Final installation
(d) Invert of stub
Invert of stub
Invert of stu
Invert of stu
(e) Fill quality did
ust be in accord with requirements of chapter 10D-6, FAC.
per it is valid for a period of one calendar year from date of issue.
inspectio and approval is required before the system is s'vered.
-out for to be �s �L • benchmark.
-out for to be benchmark.
° -out for to be benchmark.
3"� -out for to be benchmark.
r �
`7 S
quantity: A.4,J)
EXCAVATION
BY THIS DEPARTMENT PRIOR TO
DRAINFIELD INSTALLATION.
(f) 1Other. I
AREA OF DRAINFIELD IS SUBJECT TO SATURATION FROM ROOF DRAINAGE,
R�'OF
MUST BE GUTTERED PRIOR TO FINAL APPROVAL.
System design "hid
specifications by: Title
Construction au
horized by: Date a
St. Lu.�L
Public Health Unit
ie t2�6
copies of f be provided to the applicant, installer and the building department.
IP
Nolte: Completed
AUDIT CONT
c�
L NO, 6 SQUARE MILE 4
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