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<br /> <br />'STATE OF FLORIDA <br />DEPARTMENT OF HEALTH <br />ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM <br />CONSTRUCTION PERMIT <br /> <br />CENTRAx #: 51~SE-22601 <br />DATE PAID: <br />FEE PAID $ Itp 1/ tJ <br />RECEIPT <br />OSTDSNBR 06-2323- -N <br /> <br />CONSTRUCTION PERMIT FOR: <br />[ X ) New System [ ]Existing System <br />[]Repair [)Abandonment <br /> <br />) Holding Tank <br />] Temporary <br /> <br />Innovative Other <br />Modification <br /> <br />~ ' <br /> <br />APPLICANT: S & R Development LLC <br /> <br />AGENT: 45, Bennett Larry <br /> <br />PROPERTY STREET ADDRESS: 36841 Club House Dr Zephyrhills FL 33541 <br /> <br />LOT: 2 BLOCK: 10 SUBDIVISION: Silver Oaks Hill <br />[Section/Township/Range/Parcel No.] <br />PROPERTY 10 #: 0426210000001000020 [OR TAX 10 NUMBER] <br /> <br />SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC <br />DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME <br />PERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, <br />REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS <br />PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE-APPLICANT FROM <br />COMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT. <br /> <br />SYSTEM DESIGN AND SPECIFICATIONS <br /> <br />T 900) Gallons SEPTIC TANK F, \ +e.V' MULTI-CHAMBERED/IN SERIES: [Y <br />A 0) Gallons MULTI-CHAMBERED/IN SERIES: [Y <br />N 0 ] GALLONS GREASE INTERCEPTOR CAPACITY <br />K 0) GALLONS DOSING TANK CAPACITY [ 0] GALLONS @ [0 ] DOSES PER 24 HRS # PUMPS [ 0 <br /> <br />D [ 222 ]SQUARE <br />R [ 0] SQUARE <br />A TYPE SYSTEM: <br />I CONFIGURATION: <br />N <br />F <br />I <br />E <br />L <br />D <br /> <br />FEET PRIMARY <br />FEET <br />[ N ] STANDARD <br />[ Y ] TRENCH <br /> <br />DRAINFIELD SYSTEM <br />SYSTEM <br />[ Y ] FILLED <br />[ N ]BED <br /> <br />N ] MOUND <br />N] <br /> <br />[ N ] <br /> <br />LOCATION TO BENCHMARK: Oranoe Disk On Laroe Oak Near Site <br />ELEVATION OF PROPOSED SYSTEM SITE [ 33.0 ) [INCHES ) <br />BOTTOM OF DRAINFIELD TO BE [43.0) [INCHES ) <br /> <br />BELOW) BENCHMARK/REFERENCE POINT <br />BELOW]BENCHMARK/REFERENCE POINT <br /> <br />:~, <br /> <br />FILL REQUIRED: <br /> <br />8.0 )INCHES <br /> <br />EXCAVATION REQUIRED: <br /> <br />0.0 ] INCHES <br /> <br />OTHER REMARKS: <br />The licensed contractor installing the system is responsible for installing the minimum <br />category of tank in accordance with s. 64E-6.013(3) (f), FAC. <br />[SE] Bottom of 222 sq.ft. trench drainfield to be no more than 43" below reference point. <br />The "0" horizon of original topsoil and vegetation must be removed from beneath the <br />drainfield, shoulder and slope area. System sized for a 200 sq.ft. restroom on a golf <br />course. <br /> <br />.TED BY: Taylor, Larry <br /> <br /> <br />TITLE: EH Specialist II <br /> <br />'IFICATIONS BY: Taylor, Lar <br /> <br />TITLE: EH Specialist II <br /> <br />Pasco <br /> <br />CHD <br /> <br />SUED: 11/22/06 <br /> <br />EXPIRATION DATE: 5/22/08 <br /> <br />1/97 (Obsoletes previous editions which may not be used) <br />.f,,~n"T". c; 744 - 001.-401.6 - 0) [ostds"cons_4016-1J <br /> <br />Page 1 of 2 <br />