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_ JUL 112015 PERMIT #:56-SF-1620893
.1411 APPLICATION #:.AP11.981,44
STATE OF FLORIDA
. DEPARTMENT OF HEALTH DATE PAID!
ONSITE-SEWAGE: TREATMENT AND DISPOSAL SYSTEM. FEE PAID:
CONSTRUCTION. PERMIT
�. RECEIPT #;
DOCUMENT #.PR98-2700
CONSTR!IJCTION 'PERMIT FOR: O,STDS Abandonment
APPLICANT Jo}1T1 Ni3rkee;
PROPERTY ADDRESS. 4904 Seagrape .Dr Fort.Pierce, FL 34982
LOT: 10. BLOCK: 42 SUBDIVISION: _Indim River Estates
PROPERTY ID• #.: 24024668-0126-000-8 CSECTIOR, TOWNSHIP, RANGE, PARCEL. NUMSElt]
[09-TAI ID NUMBER]
SYSTEM. MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDSOF SECTION
381-0,051 F.S:, AND CHAPTER 64Z-6, F A;G, DEPARTMENT APPROVAL OF SYSTEM. DOES NOT. GUARANTEE
SATISFACTORY PERFORMANCE FOR .ANY SPECIFIC PERIOD' OF TT$E-.: 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 OE'' THIS PERMIT DOES NOT EXEMPT. THE: APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, :OR LOCA%. PERMITTING REQUIRED FOR DEVELOPMENT :pF IBIS PROPERTY.
SYSTEM'DESIGN AND:SPECIFICATIONS
T [ 900 1 GALLONS / GPD SeptWdxiStin.0) CAPACITY
A [ ] GALLONS / GPD CAPACITY
N. [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK'•1250
GALLONS]
K [ ]- GALLONS DOSING TANK CAPACITY [ ]_GALLONS @[ ].DOSES PER 24 ERS .#Pumps [ ]
D I ] SQUARE FEET SYSTEM
R [ ] SQUARE-FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [
I CONFIGURATION: [ ] TRENCH [ ] SED [ ]
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM 'SITE [ ] [ / ][ABOVE/BELOW]:BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ ][ / ][.ABOVE/BELOW]BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED.: [ 0.00] INCHES. EXCAVATION REQUIRED: [ ] INCHES
Have the tank'abandoned in accordance with the following:procedures.(a)The tank shall be pumped out(b)The bottom
O of the tank shall be opened or ruptured,orthe entire tank collapsed so as to prevent the tank from retaining water,and(c)
T The tank.shall.be filled with clean sand.or other suitable material,,and.completely covered with soil.Have.the system
H.
inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
E
R
SPECIFICATIONS'BY:: v3: 'to Fa ti '=TLE, Env. Sup it
APPROVED BY: v. Sup 11 St.Lucie CHD
Victor racADea.
DATE ISSUED: 07/28/2015 EXPIRATION DATE: 10/26/2015
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 AP1198144 SE-1