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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS Existing Modification
APPLICANT: Dianne Davant
PERMIT #:66-SF-951111-
APPLICATION #:AP1116621
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR914287
PROPERTY ADDRESS: 3327 Perimeter Rd Palm'City; FL-;34990
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 4436-510-0033-000/7 [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 [
1,500 ]
GALLONS / GPD Septic
CAPACITY
A [
]
GALLONS / GPD N/A
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D [
871 ]
SQUARE FEET Total Drainfield Area with
SYSTEM
R [
]
SQUARE FEET N/A
SYSTEM
A TYPE SYSTEM: [xl STANDARD [ ] FILLED [ ] MOUND [ ]
-I CONFIGURATION: [ ] TRENCH [g] BED [ ],
N
F LOCATION -OF BENCHMARK: existing grade
I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 24.0011 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
Addition of 69 sq ft to existing drainfield
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow
of 520 gpd.
SPECIFICATIONS BY- M L W STUHR TITLE: Registered Septic Tank Contractor
APPROVED BY: TITLE: Environmental Specialist II St. Lucie
Andrew R Gatewood
CHD
DATE ISSUED: 08/14/2013 EXPIRATION DATE: 02/14/2015
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003,. FAC Page 1 of 3
4 v 1.1.4 AP1116621 SE903771