HomeMy WebLinkAboutDEPARTMENT OF HEALTH SEWAGE TREATMENT - DISPOSAL SYSTEMI
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;ONSTRUCTI0
X ] New S1.
[ ] Repai:
PLICANT :_
PROPERTY S7
LiT: 51-53
PROPERTY I]
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE -TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
I
PERMIT FOR:
tem [ ]Existing System
[ ]Abandonment
0
than
ADDRESS: 471
{ ]Holding Tank [
[ ]Temporary
CENTRAX #: 56-SF-08536
DATE PAID:
FEE PAID $
RECEIPT
OSTDSNBR 05-0658- -N
] Innovative Other
]
AGENT : RICHARD DEAN SCANNED
y
o--; m nr Fort Pierce FL 34945
BLOCK: B SUBDIVISION: Tropical Acres
[Section/Township/Range/Parcel No.]
# [OR TAX ID NUMBER]
r I
SYSTEM MUS BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERI(JOD. Y CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
REQUIRE THEAPPLICANT TO MODIIDYTHE PERMIT ISSUANCE OFPTHIS TPERMITSDOES MNOT FEXEMPTNTHEAAPPLICANTION. RESULTIFROMIS
PERMIT BEING MADE NULL AND O
STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
COMPLIANCEIWITH OTHER FEDERAL,
SYSTEM
900
0
0
0
[ 462
[ 0
TYPE !
CONFI(
AND SPECIFICATIONS
MULTI-CHAMBERED/IN SERIES: [Y ]
MULTI-CHAMBERED/IN SERIES: [Y l
] GALLONS @ [0 ] DOSES PER 24� �H/IRSS� # PUMPS[ 0
] S Qi7ARE FEET PRIMARY DRAINF]
IELD SYSTEM l 0 / ur
]SQUARE FEET SYSTEM " ✓✓✓ ]
STEM: [ N ]STANDARD [ N ]FILLED ( Y ]MOUND [ N
RATION: [ N ] TRENCH [ Y ] BED ( N ]
]Gallons SEPTIC TANK
]Gallons
]G_�LONS GREASE INTERCEPTOR CAPACITY
]GALLONS DOSING TANK CAPACITY [ 0
LOCATION TO BENCHMARK: Nail In C L of Road @ Driveway Entrance
ELEVAT ON OF PROPOSED SYSTEM SITE [ ] [ INCHES ] [ ABOVE] BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ 8.0 ] [ INCHES ] [ ABOVE ]BENCHMARK/ REFERENCE POINT
D FILL
OTHER RE]
The lice:
cat6gory
Home s to
Excavate
QUIRED:[ 25.0 ]INCHES EXCAVATION REQUIRED: [ 84.0 ] INCHES
RKS:
ed contractor installing the system is responsible for install
f tank in accordance with S. 64E-6,013.(3)(f), FAC.
lout invert to be 20 inches above reference point.
41'xl4'x7' deep.
SPECIFICATIONS BY- POLISSKY, JODI
APPROVED iY: Polissky, Jodi l-J
TITLE:
the ma.na.uivau
TITLE: Environmental Spec St. Lucie CHD
EXPIRATION DATE: 6/1/07
DATE ISSU�D: 12/1/05
DH 4016, 03 97 (obsoletes previous editions which may not be used) Page 1 of