Dh 4015-2026

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4.8 out of 5

120 votes

The document is a form used by the Florida Department of Health for evaluating existing onsite sewage treatment and disposal systems. It requires detailed information about the septic tanks, drainfields, and any system failures or repairs. The form must be completed by certified professionals and includes sections for tank certification, existing system details, and failure symptoms.

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Click ‘Get Form’ to open the dh 4015 in the editor.
Begin by filling in the PERMIT #, APPLICANT, and CONTRACTOR/AGENT fields. Ensure you provide accurate information as this is crucial for processing.
Complete the EXISTING TANK INFORMATION section. For each tank, specify the MATERIAL, whether it is BAFFLED (Y/N), and its capacity in GALLONS or GPD. Repeat this for all tanks listed.
In the TANK CERTIFICATION area, have a licensed contractor certify the tanks. Include details such as pumping date and method of volume determination.
Proceed to fill out the EXISTING DRAINFIELD INFORMATION. Indicate the size in square feet, number of trenches, and type of system used.
For SYSTEM FAILURE AND REPAIR INFORMATION, mark applicable boxes regarding waste type and nature of failure. Provide any additional remarks that may be necessary.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (120 Votes)

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