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<br />8--,-1 4-1 ~J95 3: 09i='''t,1 <br /> <br />Auc-i4-95 HON 10:52 AM <br /> <br />FROH BOLLHJBAO( BU I LDE~:S 81 3 855 3475 <br /> <br />P ':' <br />- -' <br /> <br />PASCO -COUNTY +HEALTH <br /> <br />I.JH 904 521 <br /> <br />41ec~ <br /> <br />'p.0~ <br /> <br />,I' <br /> <br />STATE OF &LORIDA <br />D~PAR~MENT OF HEALTH ^NO REHA61LITATIVE S&RVIClS <br />ON$ITE sEWAGE ~lSPOSA~ SYSTEM <br />CONST~UCTION PERMIT <br />Authority~ Chap~er 381, FS & Chapt8r 100-6, FAC <br /> <br />PERMIT 6 <br />OAT! PA1P <br />tEE: PI\IV $ <br />RECEIPT I <br />Str..t Name <br /> <br />95-G498-EA~T <br />08/07/95 ~ <br />185.00 <br />71M <br />COP&LAND <br /> <br />CONSTRUCTION PERMIT FOR: <br />(X) New Syst@m {l Exietin9 Syate~ <br />I 1 Repair ( ) Abandonment <br /> <br />!ioldin9 Tank <br />Oth"t' (Spec Hy > <br /> <br />( ) Temporery/ExperimGntal System <br /> <br />APPLICANT: JEFF MATTOX <br /> <br />ACENT: OOUG LAMB <br /> <br />PROPERTY STREET ADDRESS: ore COPELAND DR. <br /> <br />ZC:PH~R!HLLS <br /> <br />LOT: 000 <br /> <br />BLOCKz 001 <br /> <br />SU8DIVISION: <br /> <br />P~OPE~T~ 10 #: 24-2~-21-0000-00100-0000 <br /> <br />_ (SEC1'ION/TOWNSHIP/RANGE/PARCBL NO.) <br />(OR TAX IP NUMBS~J <br /> <br />C~~~.~=~_6~..C~~E~=~~~:~.~~.~~=_.~~_e~..2_..~==~~_~~_C;_.t~=~~.&2~~=;_~e~=_c_a_:~~~5..a~~=~~.~%_ <br /> <br />SYSTEM MUST B!'; COUSTROCTf;J:) IN ACCOROANCS; WITH~,Pt.CIFlCATIONS AND STANDARDS OF CHAPTER 100-6, FAC <br />REPAIR PERMIT~ AND HOLOING TANK PERMITS EXPIRE 90 DAYS fROM THE ~ATE or ISSUE. ALL O~H~R PERMITS <br />~X?IRE 18 MONT~S FROM TH~ ~ATE OF ISSUE. HRS APPROVAL Of SY$T~M DO~S NOT G1JARANT~E SA~ISFACTORY <br />?ERFO~~ct FOR ANY SPtCIFIC PERIOO OF T1ME. ANY CHANGE IN MATERIAL FACTS W~ICH SERVED AS A <br />3~SIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLrCANT TO MODIfr THE PERMIT APPLICAtION. SVCH <br />~ODIFICATrONS MAY RESULT IN THIS PERM:t B~INC P~.DE NULL AND VOID. <br /> <br />C=_._~K..~=~U~~..~=.B==~Q_~~.&~==~~.=~a.D.~~~~u~~~~.x.---~..~=~="~.~.w~=~Q.-~~._~~Q.~=~~5:..==== <br /> <br />s~s~eM D~SIGN AND SPECIFICAT10NS <br /> <br />T <br />A <br />~ <br />X <br /> <br />900 1 <br />o J <br />o 1 <br />o } <br /> <br />{ GAL~ONS ) SEPTI~ TANK <br />(GALLONS I GPDJ <br />GALLONS CREASl INT~RCEPTOR CAPACITY <br />GALLONS PER DOSE <br /> <br />MULTI-CHAMBE~o/IN S!RI~S!{~J <br />CAPACIT~ MvLTI-CHAMeER~D/IN SERlESllYJ <br />{MAXIMUM CAPACITY SINGLE TANKr 1250 GAL~ONSJ <br />OOSE RAT~ {OJ ?E~ 24 HRS NO. OF PUMPS; {Oi <br /> <br />D <br />R <br />A <br /> <br />307 SQUARE <br />( 0) SQUA~E <br />T'fi'E S'!STEM: <br />eOlU'IGtJAATION; <br /> <br />fEET PRlMARlt' <br />F€E:T <br /> <br />STANOARO <br />TRENCH <br /> <br />ORAINFIELD SYSTEM <br />S'tStEM <br />{X J FILLED <br />!X J B!;;O <br /> <br />MOUND <br /> <br />.. <br /> <br />l'i <br />F LOCATION OF BENCHMAR~: ORICINAL CRADE IS THE CROWN OF COPELANO RD. <br />t ELEVATION OF PROPOSED SYSTEM SIT& IS ( 0.0 J INCH~S BENCHMARK/REFERENCE POINT <br />E SOrrOM OF ORAINFIELP TO BE { 6.0 J INC~ES BELOW SENCMY~RK/RErERENC~ POlNT <br /> <br />... <br /> <br />o FILL REQUIREDz [15.0 1 INCHES <br /> <br />rXC~VATrON REQUIREDt ( 0.0 ) INCHES <br /> <br />A?PitOVEO BY: <br /> <br /> <br />Multi-cham. <br /> <br />~ <br /> <br />r <br /> <br />:i <br />E <br />R <br /> <br />;'ATE IS.SVf;D;OJ /'H/yr <br /> <br />rLEr~)'z..rl~~ pe.-t>~:rf <br />TZTLE~ l/c/"Y? ~e.,1' f'l\SCO CPHQ <br />EXPIMTION DA'l'l: JO~ /1'/1 Ti'... <br /> <br />~S-H Form 4016 Ma~ch1992 <br /> <br />(ObsolQtQ~ P~eviou5 Edition3 Wh1~h May Not a~ U.~d, <br /> <br />I1ff Ic=~ I- <br /> <br />P~9. 1 Qt 2 <br />