HomeMy WebLinkAboutREVIEWED Health PermitSTATE OF FLOR
DEPARTMENT OF
ONSITE SEWAGE
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT:
PROPERTY ADDRESS:
LOT: BLOCK:
PROPERTY ID #;
SYSTEM MUST HE CONSTRUCTED
381.0065r F.S., AND CHAPTER i
SATISFACTORY PERFORMANCE FOR
WHICH SERVED AS A BASIS FOR
PERMIT APPLICATION. SUCH MOD
ISSUANCE OF THIS PERMIT DOES
STATE, OR LOCAL PERMITTING REOUIRI
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD _
A [ 1 GALLONS / GPD _
N I ] GALLONS GREASE INTE
K I ] GALLONS DOSING TANK
D I 250 ] BQUARE FEET (\
R [ ] SQUARE FEET
A TYPE SYSTEM: [X] STANDARD
I CONFIGURATION: [X] TRENCH
N
F LOCATION OF BENCHMARK: ORAN(
I ELEVATION OF PROPOSED SYSTEM all
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REDDTREn • r n nn . r........
AND DISPOSAL
Fort Pierce, FL 34945
SUBDIVISION:
PERMIT #:56-SF-2213218
APPLICATION #: AP1607141
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1514448
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER] .
IN ACCORDANCE WITH 9PECIFICATION9 AND STANDARDS OF 9ECTI01
E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEI
iY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY TH1
?I CATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID,
NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
FOR DEVELOPMENT OF THIS PROPERTY,
IVV JeDIIC, tanK CAPACITY
N!A CAPACITY
CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
Y [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ j
lramnelD SYSTEM
J/A SYSTEM
L 1 FILLED [ ] MOUND [ ]
[ ] BED
[ ]
ON BARN SLAB NW.
[ 3,00 ] CLINCHES
[ 23,00 ] [ INCHES CHES
j[ ABOVE BELOW]SENCHMARt(/REFERENCE POINT
FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
FT
The system is sized for 1 bedrooms with maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of
° 200 gpd. System will serve a 1 bedroom 034 sq ft addition to the existing home.
T Must maintain all applicable setbacks.
H BED configuration Is 600 sq ft.
E
Remove unsuitable soil/material from ne drainfield area- Peat layer.
R
SPECIFICATIONS BY;
APPROVED BY:
DATE ISSUED;
DH 9016, OB/09
Incorporated:
dA1
�q
L"f0
mie DD
1/202
(Vtlaoletea all
69E-6.003, FAC
TITLE:
Environmental Specialie tiI
_ TITLE: Environmental Specialiat 1 St. Lucie CHD
EXPIRATION DATE: 08111/2022
editions which may not be used)
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