Form CEP-6B "Engineers Wastewater Treatment and Disposal System Certification" - Alabama

What Is Form CEP-6B?

This is a legal form that was released by the Alabama Department of Public Health - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2017;
  • The latest edition provided by the Alabama Department of Public Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEP-6B by clicking the link below or browse more documents and templates provided by the Alabama Department of Public Health.

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Download Form CEP-6B "Engineers Wastewater Treatment and Disposal System Certification" - Alabama

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CEP 6 Part B
ENGINEERS WASTEWATER TREATMENT AND DISPOSAL
SYSTEM CERTIFICATION
Company Name:_______________________________________________________
Engineer ______________________________________________________
Address:_________________________________________________________
Telephone Number:( _____________________________________)
Owner’s Name:______________________________ Permit No._________________
Address:__________________________________________________________
Telephone Number:( ______________________)
Location of This Installation: Lot__________ Block__________
Section__________Subdivision________________________________________
Other_____________________________________________________________
__________________________________________________________________
Installation Date:______________Installation: New _______Repair____________
System Description ____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_
“I hereby certify that the Onsite Sewage Treatment and Disposal System has been
installed and completed in accordance to the construction plan and, plans and
specifications for the project, and with the permit issued by the Local Health
Department on (insert date)________________ and is in compliance with Chapter
420-3-1, Onsite Sewage Treatment and Disposal.
Signature__________________________ Date___________ Registration No. ______________
For Cluster Wastewater Systems:
“I hereby certify that the Cluster Wastewater Systems _______ has been installed and
completed in accordance with the construction plan and and conforms to design and
testing requirements set out in “Minimum Construction and Testing Standards For
Cluster and Community Wastewater Systems”
Signature__________________________ Date___________ Registration No. _____________
CEP-6 Part B 3/2017
CEP 6 Part B
ENGINEERS WASTEWATER TREATMENT AND DISPOSAL
SYSTEM CERTIFICATION
Company Name:_______________________________________________________
Engineer ______________________________________________________
Address:_________________________________________________________
Telephone Number:( _____________________________________)
Owner’s Name:______________________________ Permit No._________________
Address:__________________________________________________________
Telephone Number:( ______________________)
Location of This Installation: Lot__________ Block__________
Section__________Subdivision________________________________________
Other_____________________________________________________________
__________________________________________________________________
Installation Date:______________Installation: New _______Repair____________
System Description ____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_
“I hereby certify that the Onsite Sewage Treatment and Disposal System has been
installed and completed in accordance to the construction plan and, plans and
specifications for the project, and with the permit issued by the Local Health
Department on (insert date)________________ and is in compliance with Chapter
420-3-1, Onsite Sewage Treatment and Disposal.
Signature__________________________ Date___________ Registration No. ______________
For Cluster Wastewater Systems:
“I hereby certify that the Cluster Wastewater Systems _______ has been installed and
completed in accordance with the construction plan and and conforms to design and
testing requirements set out in “Minimum Construction and Testing Standards For
Cluster and Community Wastewater Systems”
Signature__________________________ Date___________ Registration No. _____________
CEP-6 Part B 3/2017