374 NE 95 St (4)FILE NO.
DATE
DADE COUNTY POLLUTION CONTROL
864 N.W. 23rd St.
SEPTIC TANK APPLICATION REVIEW SHEET
Bldg. Permit Application No.
Owner's Name
� 4
Project - Single Family Res. eDuplex Other 14- i '
No. of Bedrooms -'
Legal Description-
�
Project Address - 74 Pi `% 3
Furn. , ) 4d
Street and No. Municipality
Water Supply - Well City Water
Septic Tank - Req. J0 0 C-
F urn .
Drainfield - Req. 3 11
Drainfield Location
Filter Sand - (Req. if project has well) (24" Class II Silica)
Available Open Space Req. Furn.. • 7 11 %L
Distance well to septic tank and /or drainfield
Distance city water supply to septic tank and /or drainfield
Lam 7° re f.? I.) .
APPROVED: o/2_ Z / (Date)
DISAPPROVED: (Date)
See above checked items
COMMENTS:
119.05 - 144
, Fla.
Proce sor
1