HomeMy WebLinkAboutHEALTH DEPT APPROVALSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Gar]
PROPERTY ADDRESS
LOT:
PROPERTY ID #:
Williams
TBD S Indian River Dr Fart Pierce, FL 34982
BLOCK: 2 SUBDIVISION:
3532-503-0020-000-3
PERMIT #:56 -SF -2089461
APPLICATION #: AP1508768
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1377322
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS 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 AND SPECIFICATIONS
T [ 900 1 GALLONS / GPD SeDtic new CAPACITY
A [ 2 GALLONS / GPD N/p, CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK -1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 375 1 SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [xj TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, top of 4x4 concrete monument, SE corner of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 28.00][ INCHES FT ][ABOVE BELOW113ENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 1[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D E
0
T
H
E
R
li,i, K Uule U: L U.UV 1 bAUaV--U1UN L 1 1NUHkiJ
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
SPECIFICATIONS BY: ",,Brian J IngV�m TITLE: Environmental Specialist II
APPROVED BY: �—TITLE: Environmental Specialist II St, Lucie CHD
Brian J Ingr
DATE ISSUED: 07/10/2020 Y EXPIRATION DATE: 01/10/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
V 2., s.4 AP1509768 &£13361.93