HomeMy WebLinkAboutHealth Department Septic Approval Mar 16 17 03:48p (3z!-
(-`�O
- ` Ov7 P'lu
PERMIT #:66-5F-1742626
STATE OF FLORIDA APPLICATION #.AP1277711
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEKAGE TREATMENT AM DISPOSAL EW PAM:
SYSTEM
pocummT #;PRI 051227
CONSTRUCTION PERMIT FOR; OSTDS Abandonment
APPLIC2WT: (Wholou Properties LLC)
PROPERTY ADDRESS 1200 N Jenkins Rd Fort Pierce,FL 34947
LOT: BLOCK: STMIVISION;
PROPERTY ID #-. [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
2406-324-0000-OOD-7 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AM STANDARDS OF SECTION
381.0065, e.s., AND CHAPTER 643-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANCE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT W MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AM VOID.
ISSUANCEOF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T E 1,000 1 GALLONS GPD Sentic CAPACITY
A I GALLONS GPD CAPACITY
N I GALLONS GREASE INTERCEPTOR CAPACITY MAXIMUM CAPACITY SINGLE TANX:1250 GALLONS]
x I GALLONS DOSING TAM CAPACITY ]GALLONS @C ]DOSES PER 24 HRS
D I SQUARE FEET SYSTEM
R C 3 SQUARE FEET SYSTEM
A TYPE SYSTEM: STANDARD FILLED MOUND 17
I CONFIGURATION: TRENCH I BED E I
N
V LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE ABOVE/BELOW I POINT
E BOTTOM OF DRAINFIELD TO BE j C ABOVE/BELOW I BENCHMARK/REFERENCE POINT
L
1) FII3. REQUIRED [-0.00] INCHES EXCAVATION REQUIRED: C I INCHES
Have the tank-abandoned in accordance With the following prooedures:(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
T tank shall be filled 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 send and covered.
r
SPECIFICATIONS BY: r4 TITLE. Septic cont=actor
"PROVED BY-.' TITLE: Env. PuP- - St Lucie CHO
victor Faconti.
DATE ISSUED: 02/2712017 EXPIRATION DAM: 05/2812017
DH 4016, '09/09 (Obsolates all previous editions which may not be used)
Incorporated* 64E'6.003, PAC Page I of 3
v 1.1.4 aP1277911 SE-1