HomeMy WebLinkAboutProject Information RECEWr=H JYN 2 i 2016
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FILE COPY PERMIT #:56-SF-0.8379
APPLICATION #.:AP 1.24334.3
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'STATE OF FLORIDA
DATE PAID:
DEPARTMENT OF HEALTH.
.i� 'ONS`ITE SEWAGE TREATMENT AND MISP.OSAL SYSTEM FEE PAID.
"CONSTRUCTION PERMIT
iy RECEIPT
DOCUMENT #. PR1021451
osTns #:05-0484-E
CONSTRUCTION PERMIT FOR: OSTDS.Abandonment
APPLICANT: (South Florida,Land,Clearing:inc)
PROPERTY ADDRESS: 1250:1 Indrio Rd Fort'.Plerce;,FL 34945
LOT: BLOCK: SUBDIVISION:. NA
PROPERTY ID #: 1:328:.34.1:0001-00075 ['SECTION,; TOWNSHIP; 'RANGE:,. PARCEL NUMBER]
[OR TAX TD :NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381:00.65, :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 SPECIFICATIONS
T [ 900 ] :GALLONS / GPD. septic tank 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. HRS #Pumps [ ]
D [ ] SQUARE: FEET drain:field SYSTEM
R [ ] SQUARE: FEET SYSTEM
A TYPE .SYSTEM'_ (. ] STANDARD [ '] ;FILLED [ '] MOUND
I CONFIGURATION: [. ] TRENCH [ :] 'BED [ ]
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;Q0]: INCHES EXCAVATION REQUIRED: [ ] INCHES.
Have the tank:abandoned in accordance with.the:following procedures,(a)The tank shall be pumped out(b)The>bottom
0 of the tank shall.be:,openea or ruptured, or the entirertank collapsed`so as;to.prevent the tank from retaining.-water and(c)
T The tank shall be filled with'clean.sand or other.suitabl&material, and completely covered:with soil.Have the system
inspected by the:health department after it has-been pumped and ruptured"but before'it`is filled With sand.and covered.
.H Make.sure.proper procedures ar6JbIlowed
E
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SPECIFICATIONS. BY:: James E Endsley TITLE: Environmental Specialist I
APPROVED BY: — � TITLE: Environmental Specialist I St. Lucie CHD
James.E:Endsley
DATE .ISSUED: 06/09/201;6 EXPIRATION DATE: 09/07/201.6
NOTICE OF RIGHTS.
Aparty-whose�substanfial 'Intefe8tis;aff.i�ctedby this order may petition for.tin
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administrative-hearing pursuant to sections rI 20.569,and I20,57, Florida Statutes. Such
Rule-28-1,06,Florida Administrative inistrotiveCode.. A pet,itim for
proceedings�are governed
administrative hearing mutt be in Writing,and must-b.e received by the Agency. Clerk-for-the
Department,.,.withintw.enty-one(21)days from the:receipt of this order. The address of the
Agency ClerkI8,40.62 Bald Cypress Way, BIN-#A-02., Tallahassee, Florida 32300-1.703-0. The
Agency Clprk',s,facsimile number,is.850-41:0=1448.
Mediation is.not avall.abib,as.an,alternative remedy.
Your-failure to,subrhit a p6titloft 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
aregoverned,by the Florida Rules.of Appellate Procedure. Such proceedings maybe
commenced by fling one copy of a Notice of Appeal with the,Agency Clerk of-the
Department of Health-and'a second copy,,ac bmcthefiling fees required.-by law,
,pariled by
with.the.Court-of-Appeal in the appropriate District-Court. The notice mutt be filed within,3.0
days of rendition of-the fifi8l,order...