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DOCUMENT #yFC'I43278 :
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+ EWITSFWAGI MATONT ANDISPOUL 91ST=
1091
AND PATE RM-1:016- �oCORCTION IN$PAP—TION N
APPA
FEE: PAID
RECEIPT # � 'I,D�4�4A63
APPLIGANTE_ .James Gordy-
ACErrT„ 1/V0[Tindal_(Environmentaf LandiDeve(Opment)
PapognX, :AVpREsSc; 904 :Okeechobse Rd__, ort Pierce', FL 34945..-
LQ!1` 3 BLOCK:
:)llTalsh!Farm$;_-- 232760V000 40o;;6
1;4W, [XI ITEMS -,J= NOT IN' COMPLIANCE VITH STATUTE `0A;RUI,E At9D (f•USt '8E Cop.",, L_t
TANK, INS2`lltslrA'1`IOLI SEMMES
E, I CoAl TAMC' SIZE Ull E21 E 1 [2 1 :SURFACE 'WATER FT
E 7 [027 TAM MATERIAL [ I [28]- :DITCHES ET
r I Co3.1 CUTLET DEVICE
L l E20-1 PRIVATE WELLS, FT
1; [OA1 MULTI-.CHAMBERED [ Y If 1 E ] [307 .EU9L;C 'WEELLS FT
E• >:1 [;05:1 OUTLET FILTER [, I [.3>a =IRRIGAT_t WELLS FT
G .2 [; 1 C;32} P4TA8LE WATER - FT7
_ -
[. .1 E'.OT) WATERTIGHT [ I EA41 BUILDING FOUNDATIONS FT
C I Cw4a] LEVE, [. I [34I PROPERTIt LIYiES :
[, ]I Q091 DEPTH -T0 LI}? [. 1 [.35 OTHER FT
bNF
RAIIELD- IN3 AI;E;PtT10N` FILLED .[ MOt7rm SYSTEM-
[ I EIQ3 AREA Ell [2] s4FT [ ] E$Q DRAINF=LD> COVER
C
11 EIII I DI$3!12 MOTION tOX HEADER
—_-- -- [ ] [377 ;SHOOLi]ERS'
[; ] E1,23 rrF7L+JSER OF ;DRAINI ILTE& 1, 2. E ] [3Igl SLOPES
G I E33_J DRA�GNLINE :SEPARFi'1'Z01�J [ I [33]
$TABIL�ZATTON
E I E1¢] DRAI-NLINS SIOP.E,
I E i:57 DEPTH OF. COVER ADDIR:Tft%L 1`NFOR1gF ttox
E }. E161 ELEVATION [ Asays, j PKLOw IBM C I EA 0] ARTA
SYSLQCAT-1QN E I E4,13 AIIORMWA` ER..RUNOFF
[: 1 .[187 DOUROlyLTlII+.S E I E4221 ALARMS
E. 1 [197 AGGREGATE 'SIZE .......
E ] [43'7 MAIxTEtTCE-_AGREEMENT
]
1201 AGGREGATE EXCESSIVE FINES [ 1 [44] AUILD-11 AREA. _
;:E I [2i]
AGGREGATE` DEPTH. [; 7 [457 I;OCPiTION CONFORMS "WIR`FY SITE PLAN
FILL. / EXCAVATION MA21Ek m [ 1 [4�] FINAL; SITE GRADINQ
E' 7 [227; FILD'AMOUNT. C 1 E:4l) GONTRACIFC?F3
[ } E23] FIZZ '1"E}tTL1RE. - -
C I [29] ESCAVAT=ON DEPT .. ...._. _...._.
. ABANDONMENT
C } (z5] ARE REP7_c.-WD [ l Est9} TANit PUL PED
E I [_2°6] REPlaCENENT MATERIAL, [ I ESO.] .TANK CRt]SHE- 6 FIL};ED
r
Comments;:;--Commends ire.on...paga_2_:
/ Dxsap-PROVED,, `— = St..Lucle C� _..__vATe 06f1'7t202Q
cortsTRacTzox [ _
1 Env room W I SpeC7alis, ,i1 Ingram(E�IVIRONIUIEt±[CAL.HEALTFI)
From! SYSTEM E; AP,PRO,VED / DISAEPROVEa "' 1 v -- Sf.. UG�B-- -CFID DAM:_Q6I1:ZE2UZ
Env ropmentpk5oecialis Nan J Iiigmni(ENVIRONMENTAL HEAL'TH1
(Expl'agat oq of NI*44vsoio .on following page)-
DE.40:16'., 06/09 ,(qbsoletes all tikev ous editions whit may riot• be; used)
Incorporated 64.91-6.003, FAG: Page' '2' of
Ey DafaNaw V Al .Ap1509045 arIR20698,64
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` izc�x=orr # AR15Q9i1'I
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X W4 ZMAT9 :QF rLoR=n PE) I� # 56 SF-2Qf 9 G4
DEPA12THENT OF STH; aacar ts� # FI1432786
'ONSITE: SEWAGE- TREATMENT AND DISPOSAL SYSTEM
GONSTRI7OTION INSPECTION AND FINAL APPRovAL nA= :PAID Q6/49%2Qt1
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P�►In. 5�,
PT #: 6=_FID-4446g38
Uiofation Number GJmme if
comments _.
Abandonment permit:applied'.forafter°the fact as:a requiremenffor the Rdilding(DepartmenFs,demotition permit,. Health
Depattmlent has not;been onsite to Wpeot the abandopmenf as the Contractor has stated=that it has already been done..
Certification o�abantlonment requestetl frdrr►contractor.,, :__,__ _„
DEE: 4016E 68/-O (6bsoletes all previous editions whsch :may .not be uaed3
Inaorpoated, 64E=6 0:03; EAC! Page 2 of >3
EKDafabase.'V IIIE.ID2089864
AP1509015-