ORANGE COUNTY HEALTH DEPARTMENT
10984-B FM 1442
Orange, Texas 77630
Office (409) 745-1463
ON-SITE WASTE WATER SYSTEM CHECKLIST FOR PROFESSIONALLY
DESIGNED SYSTEM
OWNERS NAME___________________________________________________________________
The following information must be included with the design package for review by the Orange County Health Department.
Failure to include or address all of the following items may result in approval delays.
q
Plans and Report must bear a Signed and Dated Seal of the responsible Registered Sanitarian or RegisteredProfessional Engineer. The address and telephone number of this person must also be included in the submittal.
q
A Report must be included in the submittal containing the following information:q
Basis of designq
Site Evaluationq
System flow and sizing calculationsq
Material specificationsq
Size and model number of approved aerobic system (if used)q
Construction Drawing must include the following information:q
A Scaled, Legible Site Plan with Boundary Descriptionq
The location of all buildings (existing or proposed) on the site planq
The location of the wastewater treatment units and disposal areaq
Setback Distances and Water Wells must be identified and located on the site planq
The site plan must also include topographical contours for slops greater than 15%q
Easements and Bodies of Water (lakes, streams, creeks, ditches, ponds etc.) must be identifiedq
Installation details such as septic tank configuration, layouts, cross-sections of drainfields and disposal beds, irrigationsystems and pump station including piping and controls
_________________________________________________________
Signature of Designer
___________________________________________________________
Address
___________________________________
Telephone Number