HomeMy WebLinkAboutHealth Department Septic Approval Mar 1617 03:48p p.2
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-PERMIT #:5S-SF-1742630
STATE OF FLORIDA APPLICATION #:AP1277715
DEPARTMENT OF EEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AM DISPOSAL FEE RAID
SYSTEM
RECEIPT #:
WE DOCUMENT #:PRIM 230
CONSTRUCTION PEW-IT FOR; OSTDS Abandonment
APPLICANT: (Wbalou Properties LLC)
PROPERTY ADDRESS: 780 N Kings Hwy Fort Pierce,FL 34945
LOT: BLOCK- SUBDIVISION:
PROPERTYID # 2301-333-0002-000-7 [SECTION, TOWNSHIP, RANGE, PARCEL MR-LEMR]
EOR TAX :ED NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AM STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64V-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR MY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WH--CH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE TEE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH xoDxFIcATioxs MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,-
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AM SPECIFICATIONS
T 1 1,000 1 GALLONS J GPD seotic CAPACITY
A E I GALLONS j GPD CAPACITY
N E GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY S=GLE TANK.-1250 GALLONS]
K E I GALLONS DOSING TANK CAPACITY ]GALLONS @[ ]DOSES PER 24 HRS #Pumps I I
D I SQUARE FEET SYSTEM
R ) SQUARE FEET SYSTEM
A ME SYSTEM. L I STANDARD FILLED MOUND
1 CONFIGURATION, C I TRENCH BED
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE ABOVE/BELOW IsENCHMARKjREFERENG POINT
E BOTTOM OF DRAINFIELD TO BE ABOVE/BELOW I BENCHMARKIREFER9NCE POINT
L
* FILL REQUIRED: 0.001 INCHES EXCAVATION REQUIRED: C I INCHES
Have the tank abandoned in accordance with the following provedures:(a)The tank shall be pumped out(b)The bottom of
* the tank shall be opened or ruptured,or the entire tank'collapsed so as to prevent the tank from retaining water.and(c)The
* tank shall be filled with clean sand or other suitable material,and completely covered with soll.Have the system inspected
by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
R J
SPECIFICATIONS BY: L DI FRANCESCO TITLE:
APPROVED BY; 12 rTiE: Env. sup 11 St.Lucie —CHD
DATE ISSUED: 02127/2017 RIPIRATION DATE 0512812017
DR 4016, 08/09 (Obsoletes all previous editions whi&h may not be used) Page I of 3
Incorporated: 64F-6.003, FAC
v 1.1.4 AP1277715