HomeMy WebLinkAboutCONSTRUCTION PERMITSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
X I New System ]Existing System ]Holding Tank
-1 Repair ]Abandonment ]Temporary
CENTRAX #: 56-SF-07844
DATE PAID:
FEE PAID $
RECEIPT
OSTDSNBR ; 04-1114--N
Innovative Other
APPLICANT: A.C.D. Bldrs. / Williams AGENT:HAYHURST LAND SURVEYING
PROPERTY STREET ADDRESS: 6802 Ft Walton Ave Fort Pierce
LOT: 3 BLOCK: 121 SUBDIVISION: Lakewood Park
(Section/Township/Range/Parcel No.)
PROPERTY ID #: --- [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCOPDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-G;FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. 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 PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T 900 ]Gallons SEPTIC TANK
A 0 1 Gallons
N 0 )GALLONS GREASE INTERCEPTOR CAPACITY
K 0 ]GALLONS DOSING TANK CAPACITY E 0
D
R
A
I
N
F
L
D
MULTI -CHAMBERED/ IN SERIES: [Y ]
MULTI -CHAMBERED/ IN SERIES: [Y ]
]GALLONS @ [0 ]DOSES PER 24 HRS It PUMPSE 0 1
462 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
0 ]SQUARE FEET SYSTEM
TYPE SYSTEM: E N ]STANDARD [ N ]FILLED Y ]MOUND N
CONFIGURATION: [ N ]TRENCH [ Y ]BED N I
LOCATION TO BENCHMARK: C/L of Road 9 East Prop Line
ELEVATION OF PROPOSED SYSTEM SITE [ I I INCHES I [ ABOVE ]BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE 1 7.0 1 j INCHES I [ ABOVE ]BENCHMARK/REFERENCE POINT
FILL REQUIRED: ( 20.0 ]INCHES EXCAVATION REQUIRED: [ 84.0 1 INCHES
OTHER REMARKS:
The licensed contractor installing the system is responsible for installing the minimum
category of tank in accordance with s. 64E-6.013(3)(f), FAC.
Rome stubout invert to be 19 inches above reference point.
Excavate 4llxl4-x7- deep. SCANNED
BY
St. Lucie County
SPECIFICATIONS BY: HANSON, JOHN
I I
1tPPRO ; VED BY: Hanson, John
TITLE:
TITLE: Environmental Spec St. Lucie CHD
DATE ISSUED:-2/7/05
I
EXPIRATION DATE: 8/7/06
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(stock Number: 5744-001-4016-0) Page I of 2