Loading...
HomeMy WebLinkAboutD O H PAPERWORK74 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #: 56-SF-1 917315 APPLICATION #: AP1393339 DATE PAID: FEE PAID: RECEIPT # DOCUMENT #: PR1200833 -- SCANNED - CONSTRUCTION PERMIT FOR: OSTDS New BY APPLICANT: Donna Proverb St. Lucie County PROPERTY ADDRESS: TBD Palmetto Dr Fort Pierce, FL 34982 LOT: 33 BLOCK: 5 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-606-0036-000-4 [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 T [ 900 1 GALLONS / GPD Septic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ j GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 500 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ j I CONFIGURATION: [ ] N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [ j FILLED [X] MOUND [ ] TRENCH [X] BED [ ] site.BM set nail W side of Palmetto, N property line extended E I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D ! 0 T H E R- I" [ 1.00 111 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT [ 2.00 ][ INCBES FT IABOVE BELOW]BENCHMARK/REFERENCE POINT system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of gpd. `SPECIFICATIONS BY: Brian a In TITLE' Environmental Specialist II APPROVED BY: �+i..✓—PITLE: Environmental Specialist II St. Lucie CHD 8iian J In pam DATE ISSUED: 01/31/2019 EXPIRATION DATE: 07/31/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1393339 ROLE E O PY NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald CypressV\fa-y BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final .order. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are 'governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT#:56-SF-1917315 BILL ooc#:56-BID-4067195 CONSTRUCTION APPLICATION #: AP1393339 RECEIVED FROM: Mallory Kochersperger of Synergy Home AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 01/17/2019 MAIL TO: Donna Proverb FACILITY NAME: PROPERTY LOCATION: TBD Palmetto or Fort Pierce, FL 34982 38 Lot: Property ID: 3402-606-0036-000-4 EXPLANATION or DESCRIPTION: 5 Block: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection QUANTITY FEE 1 $ 5.00 1 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3845208 • � o� STATE OF FLORIDA PERMIT NO. C 10,15 i DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: C 515 SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ['A] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: -])on O _ -Pro V'Cf'iJ AGENT: MALWg LA �GC�CkkCYSC t C-(e% t��S�nerc HoMfS TELEPHONE:IIZ�ZQ MAILING ADDRESS: S$[ �[ tAeMny'VCLe PL Sine W(n 120ri-Sln Luce FL 3LIRVO TO •BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: 3 &34 BLOCK: 5 SUBDIVISION: 1t4D1AW VAVEV__1✓STAT-eS PLATTED: PROPERTY ID #: 3407_-(V0(o-00,%-0W-%4 ZONING: %-3 I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: 0.(o$ ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS:1Z'�a(mGi-� ail. DIRECTIONS TO PROPERTY: W N JYXIJA�j 2,0 , Q.ketVYF On }-o [�Q[rOVC+}O OV, ?GS�— BUILDING INFORMATION Unit Type of No Establishment i Slnc ie Fnruu4 QcslneMc. 2 3 4 [)�] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC At lwilvi - I$(oq S F SF [, ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 II] STATE OF FLORIDA APPLICATION # AP1393339 DEPARTMENT OF HEALTH PERMIT # 56-SF-1917315 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1150568 APPLICANT: nnnna Pmverh CONTRACTOR / AGENT: Mallory Kocherspergerof-Synergy Homes LOT: 38 BLOCK: 5 SUBDIVISION: Indian River Estates ID#:3402-606-0036-000-4 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.68 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1700.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM set nail W side of Palmetto, N prol ELEVATION OF PROPOSED SYSTEM SITE 1.00 [[INCHES / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES Ex ]NO 10 YEAR FLOODING? [ ]YES [X]NO) 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOTT. PRnFTT.F. TNRnRMATTnN STTc. 9 USDA SOIL SERIES:Waveland fine sand Munsel[ #/Color Texture Depth 10YR 411 Sand 0 To 11 1 OYR 5/1 Sand 11 To 27 10YR 6/1 Sand 21 To 33 1 OYR 6/2 Sand 33 To 38 10YR 2/1 Spodic Material 38 To 54 1 OYR 3/3 Fine Sand 54 To 61 10YR 316 Fine Sand 61 To 72 USDA SOIL SERIES:Waveland fine sand Munsel[ #/Color Texture Depth I OYR 4/1 Sand 0 To 12 1 OYR 5/1 Sand' 12 To 30 10YR 6/1 Sand 23 To 30 1 OYR 6/2 Sand 30 To 39 10YR 2/2 Spodic Material 39 To 53 10YR 314 Fine Sand 53 To 63 1 OYR 4/3 Fine Sand 63 To 72 OBSERVED WATER TABLE: 34.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: 54 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR611 stripping In 10YR5/1 matrix>10% with diffuse boundaries starting @ 21" in S61. SB1 1" below SM. SB2 0" above_qM. SITE EVALUATED BY: Ingram, Brian (Title: Env[ mental Specialist II) (ENVIRONMENTAL HEALTH) DH 4016, 013/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1393339 EID1917315 DATE: 01/24/2019 Page 3 of 4 v 1.0.2 Property Card Page 1 of 1 ,�Z-Sr- (I(7R5 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: TBD Parcel ID: 3402-606-0036- Account #: 36892 Sec/Town/Range: 000-4 02/36S/40E Map ID: 34/02S Zoning: RS-3 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Donna E Proverb INDIAN RIVER ESTATES -UNIT 05-BLK 5 LOT 38 AND N 5208 Palm DR 1/2 OF LOT 39 (MAP 34/02S) (OR 3174-2606: 4015-393; Fort Pierce, FL 34982 4132-2457) Current Values Historical Values 3-year Just/Market: $29,600 Assessed: $29,600 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $29,600 2018 $29,600 $29,600 $0 $29,600 2017 $23,700 $23,320 $0 $23,320 2016 $21,200 $21,200 $0 $21,200 Sale History Date Book/Page Sale Code Deed Grantor Price 05-I4-2018 4132 / 2457 0111 QC Selph Mary Lou $100 07-05-2017 4015 / 0393 0111 QC Selph Mary Lou $100 02-24-20I0 3174 / 2606 0001 WD SW Marketing Inc $35,000 Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: 2014 Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: SAY' `"s� r-•- Total Areas Finished/Under Air 0 x i/C:'tCj) (SF): k.. i Gross Area (SF): 0 Land Size (acres): 0.68 w Land Size (SF): 29,700 ' �x,f.).,...°�'t9 S'y ' Total Building Count: 1 Type Special Features and Yard Items Qty Units Year Blt This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. .ttps://www.paslc.org/RECard/ 1/17/2019 DocuSign Envelope ID: B5F09485-B9ED-4EF0-83DE-t F36D62D2DA3 5�-sF'_►9«srs LETTER FROM PROPERTY OWNER GRANTING AUTHORIZATION TO ACT A COPY OF THIS LETTER MUST BE SUBMITTED FOR EACH -PROPERTY OWNER -INVOLVED I, DONNA PROVERB being duly sworn declare that Lam the owner of the (PROPERTY OWNER) property involved in the application. I hereby grant JUSTIN YOUNG/MALLORY KOCHERSPERGER of SYNERGY HOMES to act on my behalf. I further declare that all statements, answers, and information herein submitted is in all respects true and correct to the best of my knowledge and belief. pBocuSlgned by: ow PoVere? DIMBB"o..... Signature 10/2/2018 10:29:52 AM PDT INDIAN RIVER ESTATES - BLOCK 5/LOT 38 - 3402-606-0036-000-4 FORT PIERCE, FL 34982 Address Date _ � !i� it-t�x X%� ��'�ig�`Jy�wp` ' y `� � � •�. '��^ �F ME li 94ay4 h v:'46 d .f �" y. 1 1 n�l" " }q�•. i%3e �%%% Z • 1 fd x .•1 � i Si •x� ` t LH i r #hh y 1 P Ake. ! .` t '.c ;a•,." � ", r— r 56 x% S%e{x{.x ..-. . t �� .Y',« r t. � i•'�7,*�` t •t p1 t iN i^ cou• a cS 4 y 3a {.f , a 1.nY 6. i i yy• n fir t l .7 sty^"•"' '' _r£� t ` a, L^` � a�.3 ra.Px�v«�..«E :2 uE4:S. ikhp°�P.h'A x3 M n A! x€� i• � a x� uu e$ xW a �oaocxwo¢b�Y�oado�,. _ a . - r "v•A'4, •.' ..h' Y ♦ `aT�BSE i,.°..Y Ls "'e.J� Custom Soil Resource Report St. Lucie County, Florida S(q.5F, 1717,,315 50—Waveland and Immokalee fine sands Map Unit Betting National map unit symbol: lipwd Elevation: 20 to 200 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Not prime farmland Map Unit Composition Waveland and similar soils: 44 percent Immokalee and similar soils: 44 percent Minor components: 12 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Waveland Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material., Sandy marine deposits Typical profile A - 0 to 4 inches: fine sand Eg - 4 to 32 inches: sand Bh1 - 32 to 40 inches: loamy sand Bh2 - 40 to 53 inches: sand Cg1 - 53 to 66 inches. sand Cg2 - 66 to 60 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 31 to 50 inches to ortstein Natural drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency ofponding: None Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Very low (about 0.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: C/D 10 Custom Soil Resource Report Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Description of:lmmokalee Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material: Sandy marine deposits Typical profile A - 0 to 6 inches: fine sand E - 6 to 35 inches: fine sand Bh - 35 to 54 inches: fine sand Cg - 54 to 72 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class. Poorly drained Runoff class. High Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.57 to 1.98 in/hr) Depth to water table: About 6 to 18 inches Frequencyofflooding: None Frequency of ponding: None Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available waterstorage in profile: Low (about 5.3 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: B/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Minor Components Jonathan Percent of map unit: 3 percent Landform: Knolls on marine terraces, ridges on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating. No Salerno Percent of map unit: 3 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex 11 61 AGENT! PROPERTY LOT" to, .ADDS BLOCK: -6. SUBDIVISION; Indian Wet Estates In #: 1407-606-061&160 TANK INSTALLATION E 1 103.1 TANK sUzEll 900.00 121' E 1 [023 PWK MA � XVEZNt Pbivethyfena E 1, tail OUTLET DEVICE I E041 MULTI -CHAMBERED tL.YLY j Eas! auzi:= FILTER. Tuf-7ZO 5F-4 E: i [60 LEGEND 1. 70-166-9=3 z, (071 WATERTIGHT E061 114VEIr f I WSJ DEPTH TO LID DRAINFIEW INSTALLATION JI01 AREA 111 510 [2) SQXT' [111 DISTRIBUTION BOX —HEADMR, X C ] 112J NUMBER OF DRhINLMS, i. 9.00 2. C 1 1131 DR9jt=W SEPARATION ji47 DRAINLINE SLOPE I I Mal PEPTHm or COVER 1 1 [161 ELEVATION 13ELOW jBff 9.001 1 1 C171 SYSTEM LOCATION f I CiSj DOSING PUMPS 1 [191 AGGREGATE SIZE 1 (201 AGGAEGAYR EXCESSIVE FINES I I 12,tl AGGREGATE DEPTH BY St. Lucie County ORRULEAW MUST BE SETBACKS' E2711 SURFACE WATER 2,12 ME] DITCHES 47 ET [29] PRIVA= WELLS 100 rz DO] PUBLIC WELLS PT, [311 IRRIGATION WELLS FT. [32] POTABLE WATER 5 FT [333 BUILDING FOUSDATIONS 7 FT -FT, 1341 VROPRAft -LINES 6 [351 OTHER FT. FILLED MOUND SYSTEM [361 DRAINFIE COVER [371 SHOULDERS [381 [391 SMILIZAVIOW 08/27/2019 ADUIVIONAL INFORMATION [401- UNOBSTRUCTED AREA [411 STORMWATER, RUNOFF E01 ALARMS [431 MAINTENANCE AGREEMENT [pa) SOILDINO AREA (.451 LOCATION CONFORMS WITH BYTE PLAY 4" FINAL SITE GRADING FILL 7 EXCAVATION MATERIAL L. J L J 3, r221 FILL AMOUNT I r471 CONTRACTOR Raymond Kans, (8horflne Und- r, 1 [231 FILL; TEXTURE 3 [481 OTHER PTJ MPRDS (9 pipes - 2 tier) E I E243 ;EXCAVATION DEPTH ABANDONMENT 1 C251 AREA REPLACED I I C493 TANK PUMPED 1, E261 REPLACEMENT MATERIAL E 1 [501 TANK CRUSHED & rrr.T.7.n co=ents: Coments_a=a on page 2. CONSTRUCTION [ EAPPROVED PISAP P.QVED FINAL SYSTEM I n.PPjWVED DISAPPROVED 1; EffhronmaMl Specialls vbwzmtioxi -f vlaiatianq OM foil-11KO page) DX 4016, 06/09 (Obs bletas all previous editions which may Irioorparated-- 64E-15-003, PAC OH Database v 1.0.1 owumpq be used) rJD1917316 CHD, DATS., 67/1212019 DATE: 0812712019 '!_age; 2 of; I i�f F _ rt,' F't -s, e • • ��I rt9�.r • iST OF rJ, •TATJCTIIDN, TACIV Vtot "on Number Commen APpLic4,,tON # AP1393339 pEarttm a 5fi-�F`-191�315 D.0•CVpII m a. F113,18301 __ _. . DATE VAM 011171201.9 Ems pAw 515.00 Comments Tfte system is:sjzad for 3 bedroorm Iyi(h a maximum ockupaney of 6 persons (2 per bedmom)„ fora totatesfimated flow of 300 gpd-- ¢IewST, outlet f twri and $x o t+fxltift DF instalted No rtiofabons sypfem oR to cdver Contractor notifiedby, phone. Naeds final ittspe.•ctfon for nioubd sys*M and fatal ei)e gradAng, ',Contractorepeoified ALL.•AMrRFUCAN SEPTIGSEWER AND gRAINAGE t;LC as con ra6or but a're Wdfktng under;busin0Ss manager RAYMOND KANE'S ficense SRd0 4384L Final system approved„_ConVac[or and 5uitding deparfinenf epiatte¢=fjnat approval.: DR 4016,. 00/03(obsoletes all previous aditiona. which .may not be used) Sactirporated:2 64E-5..003, FAC page Z o 3 EH Database 1.0.1 Ap1393319 EID1917315