08-471-002STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Richard Jones
PROPERTY ADDRESS: 6561 SW 76 Ter MIAMI, FL 33143
PERMIT #: 13 -SG -537986
APPLICATION #: AP495855
DATE PAID: 11/06/2007
FEE PAID: $375.00
iRECEIPT #: 13 -PID -534164
DOCUMENT #: PR444029
LOT: 4 BLOCK: 4 SUBDIVISION: Ludlam Ests
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER)
PROPERTY ID 8: 09-4036-042-0200 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, 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 [ 1,050 ] GALLONS / GPD SCDfIC CAPACITY
A ( ] GALLONS / GPD N/A CAPACITY
N [ j GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS e[ ]DOSES PER 24 HAS $Pumps [ ]
D [ 571 1I SQUARE FEET SYSTEM
R [ ) SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x) BED [ ]
N
F LOCATION OF BENCHMARK: C/L of SW 66 Ave Elev. 8.96" NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 0.28 ](INCHES FT [ ABOVE /LIBELOWJ BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.95 ][INCHES FT (ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [16.30] INCHES EXCAVATION REQUIRED: [ 72,00] INCHES
0 1) Install 1050 Gallons Septic Tank
2)The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
T with s. 64E -6.013(3)(f), FAC.
H 3)lnstall 42" of Slightly limited Soil @ the bottom of the drainfield.
4)Invert elevation of the %bbe
be no less than 7.24' NGVD
E 5)dottom elevation of s drao be no less than 6.74' NGVD
R 6)Perimeter of excav tion shft wider and longer than the proposed absorption bed.
SPECIFICATIONS BY: kPaul L
APPROVED BY:
DATE ISSUED: 11
DH 4016, 10/97 (Previous
TITLE: Professional Engineer III
TITLE: Prefessienal Engineer III
Dade CHD
EXPIRATION DATE: 05/19/2009
tions May Be Used) Page 1 of 3
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