HomeMy WebLinkAboutD O H SEWAGE TREATMENT - DISPOSAL PERMITSTATE OF FLORIDA
9,
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
c� wE
I
CONSTRUCTION PERMIT FOR:
~-[ X ] Ne� System [ ]Existing System
"[ ]Repair [ ]Abandonment
APPLICANT: Saitta, Walter
[ ]Holding Tank [
[ ]Temporary [
CENTRAX #: 56-SF-08239
DATE PAID:
FEE PAID $
RECEIPT
OSTDSNBR 05-0324- -N
] Innovative Other
AGENT:MICHAEL GRZELKA
PROPERTY1 STREET ADDRESS: Tilton Rd Port St. Lucie FL 34952
LOT: 7 BLOCK: 3 SUBDIVISION: St. Lucie Gardens
.[Section/Township/Range/Parcel No.]
PROPERTY ID #: --- [OR TAX ID NUMBER]
SYSTEM MUST^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
PERIOD. ZANY 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 PROPERTY DEVELOPMENT.
i
SYSTEM DESIGN
AND SPECIFICATIONS
T
[ 1050
]Gallons SEPTIC TANK
MULTI-CHAMBERED/IN SERIES:
[Y ]
A
[ 0
]Gallons
MULTI-CHAMBERED/IN SERIES:
[Y ]
N
[ 01
]GALLONS GREASE INTERCEPTOR CAPACITY
K
[ 300i
]GALLONS DOSING TANK CAPACITY [ 75 ]GALLONS @
[4 ]DOSES PER 24 HRS # PUMPS[
1 ]
D
I
[ 615
]. SQUARE FEET PRIMARY DRAINFIELD SYSTEM % 7 � �L ) I
"�
R
[ 0
]SQUARE FEET SYSTEM ✓
�f
fn
TYPE SYSTEM:
( N ]STANDARD ( N ]FILLED
[ Y ]MOUND [ N ]
I
CONFIGURATION:
[ N ]TRENCH [ Y ]BED
[ N ]
N
IF
LOCATION
TO BENCHMARK: Nail In Power Pole Near NW Prop.
Corner - 20.02 NGVD
OF PROPOSED SYSTEM SITE [ ] [ INCHES
] [ BELOW] BENCHMARK/REFERENCE
POINT
I ELEVATION
E
BOTTOM
OF DRAINFIELD TO BE [ 6.0 ] [ INCHES
] [ ABOVE ]BENCHMARK/ REFERENCE
POINT
L
,.D
FILL REQUIRED:[
42.0 ]INCHES EXCAVATION REQUIRED: [
84.0 ] INCHES
OTHER RE
-The lice
category
au uonr-rauzor a.nsta.L.Ling the system.is responsible for installing the minimum
f tank in accordance with s. 64E-6.013(3)(f), FAC.
Excavate153'xl4'x7' deep. `
Audio and visual alarms must be installed and working at time of final inspection.
S'PECIFICA
APPROVED
NS BY: POLISSKY, JODI TITLE:
Polissky, Jodi TITLE: Environmental Spec St. Lucie CHD
DATE ISSUED: 6/7/05
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744-001-4016-0) [ostds_cons_4016-11
EXPIRATION DATE: 12/7/06
Page 1 of 2