HomeMy WebLinkAboutHealth Department Septic Approval RECEIVED 12/26/2008 21:47 7772293036 LEB DEMOLITION
11/30/2015 09:14AM 7725959191 ACS ROOTER ONE PAGE 01/02
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A'PMzCA=0H 4:AP 1212814
ST= 6 i�S.�R� D '= PAID
"F .DEF31r1�TM�P1' OF I�EAY<Tg
OHS= SEMQZ.T. T AD DISEO$IM SYST�'N, FEE PAYD: -
S�RBC�`IUN RECEIPT -9:
�+"fi+ DOCDMENr #:PR994788
CONSTRUCTION PEM9T FOR= OSTDS Abandonment
APPLICANT: Josepb Miller
EROMPTY ADDRESS: 34,5 Jenkins Rd Fort pierce,FL 34947
LOT: BLOCK: S�DMSIOt4
PROPERTY ID. #: �3t2�494-QOO OU3 [SECTION, xtOWSHIP, .RANGE, PAXML NucMUR]
[OR TAX TD NUMBER]
SYSTEM bMgT BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICAT=ONS AND STANDARDS OF SECTION
381.0065, F-S., AND CHAPTER 6AE-6, F.A.C. Dr:VM MENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATX6FACTOn PERFORMANCE L'Or. ANY 8yDCIFX0 $ERSOD OF TIgM. ANY CRA90P- IN MATERIAL FAGS,
WHICH BERM AS 'A BASIS. FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLIC)1NT TO MODIFY THE
PERMIT APPLTOILTION- SDCH MODIFICATIONS MAY PMSULT IN THIS 1?EM'1IT BEING MADE NML AND VOXD-
:r3Mm'NCR or THIS P£RhaT DOES NOT EXUMPT APPLYC�T FlU5br CaInFLY7a?YCE WSTA Ma= FEDERAL,
$TIM, OR to= QERHITTING REQUIREb MR DEVELOPMENT OF THYS PROPElm.
SYSTEM DESIGN ANA $p$C1F1CATTOp1$
T [ ] GAIaOMS / GPD _ CMMITY
A [ ) GAI.LDNS / ODD CAPACITY
N [ } GALLONS Cj2kA$E INTERCEPTOR WAjC:7'W [MhYlT yM WACZTY SINGLE TANK-.1250 GXJo ONS]
K [ } GALLONS DOSING TANK CAPACITY t }GALLONS @[ IDOSES PER 26 HRS #PLWPAI [ a
?a [ I SQUARE VEST SYSTEM
R [ I SQUAIM 9SET SYSTEM
A TYPE'` SYSTEM: I I STAtaLMW i 1 FILLED [ 1 MOUND
I CONFIGMTZON I ] TRENCH [ ] BED i I
N
F LOCATION OF BENCHMARK;
I ELEVATION OF PROPOS$D SYSTM4 SITE [ ]i / I t ABOVE BELOW I=isCHMARK/.REFEREXCE POINT
2 BOTTOK OF DRAINFIELD TO BE [ ][ / I[RBOvE/BELOW I BENCHMARK/REFERENCE 2OSNT
L
D FILL FWQt3=D: [ 4.Qi?} INcHms ExCAvATION ); VIDEU: I ) INCHES
Have the tank abandoned In accordance with the following procedures-(a)The tank shall be purnped out.(b)The bottom
O of the tank shell be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,2nd(c)
T The tank shall be Med'w4M rlean 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 fillets with sand and covered.
E
R
sprCTFIGATIONS BY: ar:Lan ,S Ingram TITLE: Erivi,Fon=eatal Speoialiat I
APPROVED BY: %'3!=: Environmarital Spg0iRl3gt I St. Lucie CRD
Hxinn J ngr=
DATE YBSUED: '1111812015 .F,KPIRATION DATE: 02/16/2046
DH 4016, 08/09 (Obapletes all Psev-iou!51 Vatlnurs Which may not be u04d)
Incorporated: 64E-6.flfl3, F3#C Page 1 of 3
1.1.4 AP121291A SE-1