HomeMy WebLinkAboutHealth Department Septic Permit ,via, it it ui.ota Ashton1772-465-6490 P.
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CONSTRUCTION PERMIT FOR: oSTT)S Abandonmerit
APPLICANT: Mirlande Leo
PROPERTY ADDRESS: 2311 N 4401 St Fort Pierce,FL 34946 14 IaLOCK sUBD.Tviz.ToN-. Harmony Heights
[SECTION, TOWSKIP, RANGE, PARCEL NUMBER]
PROPERTY ID 1431-wi-mo-000-7 (0,R TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECInChTIONS AM STANDARDS OF SECTION
361-0065, F.S., A10 CHAPTER 64F.-6, F,R,C- DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE MR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SEWED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATiON. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING NAM NULL AND VOID.
ISSUMCE OF THIS PERMIT DOES NOT E)MNPT THE APPLICANT FROM cOM:PLIANCF- WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DRVELOPWNT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T 750 1 GAIj-,oNS GPD SeDfic existina CAPACITY
A C 1 GALLONS f GPD CAPACITY
14 GALLONS CREA.SX INTERCEPTOR CAPACITY [10XIMUM CAPACITY SINGLE TANK.-1250 1GALLONS1
K GALLONS DOSING TANK CAPACITY ]GALLONS 0f ]DOSES PER 24 HR3 #Pumps
D I 1 SQUARE FEET SYSTEM
R I I SQUARE FEET SYSTEM
A TYPE SYSTEM: L I STANDARD L J FILLED HOUND
T CONFIGURATION: TRENCH BED
1;
F LOCATION OF BENCHMARK'
I ELEVATION OF PROPOSED SYSTEM SITE I I E ASOVE/B&LOIT JBExCRNXRK/RzFERE'4cF- POINT
v BOTTOM OF DRAiNFiELD To BE, r,,-3Ci E/BELOVI]EMCHNARK/FtEFERF-14CZ POINT
I.
D PILL REQUIRED: f 0.001 -r-VCaES EXCAVATION REQUIRED: j -3 rMCIMS
Have the lank abandoned in accordance with the following procedures:(a)The tank shall be pumped out-(b)The bottom of
0 the tank shall be opened or ruptured;or the entire tank collapsed so as to prevent the tank from retaining water,and(c)The
I tank shelf be fillied with clean sand or other suitable material,and completely covered with soil.Have the system inspected
by the health department after it has been pumped and ruptured but before it is filled with sand and covered-
SPECIFICATIONS BY: MICHAEL W STURR TIT:,E*. Registered Septic Tank Contractor
APPROVED 6Y: TITLE: Env. Sup 11 St-Lucie CHD
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DATE ISSUED- 03/161,2017 EXPIRATION DATE. 0611412017
DH 4016, 08/C9 (Obaolat4a all previous editions which utay not be used)
Incorporated: 641-6.003, PAC Page I of 5