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CC-15-2353
Inspection Worksheet Miami Shores Village ` J 10050 N.E.2nd Avenue Miami Shores, FL PL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-275439 Permit Number: CC-9-15-2353 Scheduled Inspection Date: January 27,2017 Permit Type: Commercial Construction Inspector: , --3cs-it- 04C\ Inspection Type: Final Owner: , BARRY UNIVERSITY Work Classification: Alteration Job Address:11300 NE 2 Avenue Miami Shores, FL 33138-0000 Phone Number Parcel NutY9M00050 Main Campus Project: <NONE> Contractor: HG CONSTRUCTION DEVELOPMENT&INVESTMENT,INC Phone: (786)845-8999 Building Department Comments NEW 8"SANITARY SEWER LINE AND ASSOCIATED Infractio Passed Comments LATERALS MAN HOLES AND CONNECTIONS EXISTING INSPECTOR COMMENTS False SEPTIC TANK ABANDONMENT SELECT PAVEMENT AND CONCRETE RESTORATION PER PLANS Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-260537. CREATED AS _ REINSPECTION FOR INSP-259922. FOR THE INSPECTION MEET HIM BEHIND THE CHAPEL Failed Need to finish the work on the west section of the project. The east side has been completed, pending documentation. HE WILL BE BY THE SOCCER CAMP Correction ❑ AL GARCIA Needed 786-449-2841 1/2612017 AL GARCIA AT 11:42 AM CANCELLED INSPECTION Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid January 26,2017 For Inspections please call: (305)762-4949 Page 22 of 30 235-3 ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. ALLSTATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES ENGINEERM 12949 West Okeechobee Road,Unit C4.Hialeah Gardens,Florida 33018-Phone: 305488-3373 Fax:305-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: HG. Construction Order# 15-445 Address: 7003 N. Waterway Drive#218, Miami, Florida 33155 Date. 06/24/16 Project: "'BarryUnivers" Gau e# 23599 Address: 11300 NE 2no Avenue, Miami, Florida Phone No: Attention: Lab LO# Location 154457 Over The 8"Dia Sever Line Trench,HSE, Bathroom By Soccer Field, Lime Rock Base Final Lift. 15-2458 Over The 8"Dia Sever Line Trench, HSE, Bathroom By Soccer Field, Middle Of Walk way Lime Rock Base Final Lift. Description o Material Lime Rock with Lime Sand Back Fill Sub grade Base rock IX Sampled By: I Malick Tested B : Malick Laboratory Identification Number 15-2457 15-2458 Test Number 18 19 Depth in Inches 6" 6" Field Density LB/Cu Ft. (Dry Density) 128.3 128.8 Moisture Contents 5.9 5.8 Maximum Density In the Field(%) 99.5% 99.9% Compaction Requirement-%of Max Density 98% 98% 100%Maximum Density(Lab Test) 128.9 128.9 Proctor T-180 AASHTO Method C 15-446 15-446 Optimum Moisture(%) 8,2 Reported By Sindhu Respecial]Y Submitted by, Checked By Shaf at Typed By ' S.S Gilberto Gavarrete,P.E. #51371 ALL STATE ENGINEERING& JUN 2 7 Z09 TESTING CONSULTANTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,All State Engineering&testing Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. -I57- Z 353 ALLSTATE ENGINEERING AND TESTING CONSULTANTS, INC. ALL STATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES ENGINEERING 12949 West Okeechobee Road,Unit C-4,Hialeah Gardens,Florida 33018-Phone: 305-888-3373 Fax:305-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: HG. Construction Order# 15-445 Address. 7003 N. WaterwayDrive#218, Miami, Florida 33155 Date: 04/04/16 Project. "Bar University" Gauge# 23599 Address. 11300 NE 2nd Avenue, Miami, Florida Phone No: Attention: Lab ID# Location 15-2450 Over The 8"Dia Sewer Line Trench,35'South From The Main Hole, MH#7, Lime Rock Base Final Lift. 15-2451 Over The 8"Dia Sewer Line Trench, 150' South From The Main Hole, MH#7, Lime Rock Base Final Lift. 15-2452 Over The 8"Dia Sewer Line Trench,40' North From The Main Hole, MH#6, Lime Rock Base Final Lift. 15-2453 Over The 8"Dia Sewer Line Trench,30'North From The Main Hole, MH#8, Lime Rock Base Final Lift. 15-2454 Over The 8"Dia Sewer Line Trench,60' East From The Main Hole, MH#9, Lime Rock Base Final Lift. Descriptio o Material Lime Rock with Lime Sand Back Fill Sub radeBase rock X Sam led B : Malick Tested B : Malick Laboratory Identification Number 15-2450 15-2451 15-2452 15-2453 15-2454 Test Number 11 12 13 14 15 Depth in Inches 6" 6" 6" 6" 6" Field Density LB/Cu Ft. (Dry Density) 129.8 129.3 129.5 129.9 129.0 Moisture Contents 5.3 6.1 5.2 5.4 6.2 Maximum Density In the Field(%) 100.7% 100.3% 100.5% 100.8% 100.1% Compaction Requirement-%of Max Density 98% 98% 98% 98% 98% 100%Maximum Density (Lab Test) 128.9 128.9 128.9 1 128.9 128.9 Proctor T-180 AASHTO Method C 15-446 15-446 1 15-446 1 15-446 15-446 Optimum Moisture(%) 8.2 Reported By Sindhu Respect �tlbmitted by, Checked By Shaf at ) Typed By Wendy abuj4R 0 6 2016 Gil erto Gavarrete,P.E. #51371 ALL STATE ENGINEERING& TESTING CONSULTANTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,All State Engineering&testing Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. ALLSTATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES ENGINEERING 12949 West Okeechobee Road,Unit C4,Hialeah Gardens,Florida 33018-Phone: 305-888-3373 Fax:30.5-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: HG. Construction Order# 15-445 Address: 7003 N. Waterway Drive#218, Miami, Florida 33155 Date. 04/04/16 Project: "Barry University" Gauge# 23 599 Address: 11300 NE 2nd Avenue, Miami, Florida Phone No: Attention: Lab ID# Location 15-2455 Over The 6"Dia Sanitary Lateral Trench, 35' North From The Main Hole, MH#9, Lime Rock Base Final Lift. 15-2456 Over The 8"Dia Sewer Line Trench,40'South From The Main Hole, MH#2, Lime Rock Base Final Lift. Description o Material Lime Rock with Lime Sand Back Fill Sub grade = Base rock X Sampled B : Malick Tested#X. Malick Laboratory Identification Number 15-2455 15-2456 Test Number 16 17 Depth in Inches 6" 6" Field Density LB/Cu Ft. (Dry Density) 130.2 130.1 Moisture Contents 5.5 4.6 Maximum Density In the Field(%) 101.0% 100.9% Compaction Requirement-%of Max Density 98% 98% 100%Maximum Density (Lab Test) 128.9 128.9 Proctor T-180 AASHTO Method C 15-446 15-446 Optimum Moisture(%) 8.2 Reported By Sindhu Respect / . bmitted by. Checked By Shaf at Typed By Wendy " APR 0 6 2016 Gilberto Gavarrete,P.E. #51371 ALL STATE ENGINEERING & TESTING CONSULTANTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,All State Engineering&testing Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. ALL STATE ENGINEERING AND TESTING CONSULTANTS, INC. ALL STATE TESTING LABORATORIES-ENGINEERS-INSPECTION SERVICES-CHEMIST-DRILLING-ENVIROMENTAL SERVICES EN GINEERM 12949 West Okeechobee Road,Unit C4,Hialeah Gardens,Florida 33018-Phone: 305-888-3373 Fax:305-888-7443 Field Density Test of Compacted Soils ASTM D-5195 Client: HG. Construction Order# 15-445 Address: 7003 N. Waterway Drive#218, Miami, Florida 33155 Date. 06/24/16 Project: "Barry University" Gauze# 23599 Address. 11300 NE 2" Avenue, Miami, Florida Phone No: Attention: Lab ID# Location 15-2457 Over The 8"Dia Sever Line Trench, HSE, Bathroom By Soccer Field, Lime Rock Base Final Lift. 15-2458 Over The 811131a Sever Line Trench, HSE, Bathroom By Soccer Field, Middle Of Walk way Lime Rock Base Final Lift. Descri tion o Material Lime Rock with Lime Sand Back Fill Sub grade Base rock X Sampled By: Malick Tested B : Malick Laboratory Identification Number 15-2457 15-2458 Test Number 18 19 Depth in Inches 6" 6" Field Density LB/Cu Ft. (Dry Density) 128.3 128.8 Moisture Contents 5.9 5.8 Maximum Density In the Field(%) 99.5% 99.9% Compaction Requirement-%of Max Density 98% 98% 100% Maximum Density (Lab Test) 128.9 128.9 Proctor T-180 AASHTO Method C 15-446 15-446 Optimum Moisture(%) 8.2 Reported By Sindhu Resp submitted by, Checked By Shafgat � � g Typed By S.S C cCt.�r t,',c -A Gilberto Gauarrete,P.E. #51371 JUN 2 7 2016 ALL STATE ENGINEERING& TESTING CONSULTANTS, INC. Should any subsoil conditions in the property(area)tested be found different from those encountered on the tested locations reported on our Density Test,All State Engineering&testing Consultants,Inc.is not to be held responsible. As a mutual protection to client,the public and ourselves,all reports are submitted as the confidential property of clients,and authorization for publication of statements,conclusions or extracts from our reports is reserved. K"M Miami Shores Village 8� rORtl � �t'tt)t3Et 10050 N.E.2nd Avenue NE +� 11 � �A Miami Shores,FL 33138-0000 Phone: (305)795-2204 E 1201 Expiration: 06/04/2016 Project Address Parcel Number Applicant 11300 NE 2 Avenue 1121360000050 Miami Shores, FL 33138-0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 11300 NE 2 Avenue MIAMI SHORES FL 33161-6628 Contractor(s) Phone Cell Phone Valuation: $ 390,000.00 HG CONSTRUCTION DEVELOPMENT (786)845-8999 Total Sq Feet: 800 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Window Door Attachment Date Denied: Tie Beam Type of Construction:NEW 8"SANITARY SEWER LINE A Occupancy Load: Slab Stories: Exterior: Termite Letter Front Setback: Rear Setback: Framing Left Setback: Right Setback: Store Front Attachment Plans Submitted:Yes Certification Status: Insulation Certification Date: Additional Info: Drywall Screw Bond Return: Classification:Commercial Final PE Certification Window and Door Buck Scannin :3 Gelling Grid Fees Due Amount Pay Date Pay Type Amt Paid Amt Due Fill Cells Columns CCF $234.00 Review Planning DBPR Fee $175.50 Invoice# CC-9-15.57100 Review Electrical DCA Fee $175.50 12/07/2015 Check*2001600 $ 12,684.00 $0.00 Review Building Education Surcharge $78.00 Review Plumbing Permit Fee $11,700.00 Review Structural Scanning Fee $9.00 Review Mechanical Technology Fee $312.00 Total: $12,684.00 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDO DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing i do Is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the ov na d contractor to do the work stated. December 07, 2015 Authorized Signature:Own ! lica / Contractor / Agent ate Building Department opy December 07,2015 1 Miami Shores Village rZ.8Q 1VED Building Department SEP 16 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY. Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit No.�/( - PERMIT APPLICATION Sub Permit No.[°C k6---Z.�`j BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL E]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 11300 NE 2nd Avenue- "Section 36, Township 52, Range 41" Com: Miami Shores County Miami Dade Zip Folio/Parcel#:11-2136-000-0050 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):BARRY University Phone#:305.899.4914 Address: 11300 NE 2nd Avenue City: Miami Shores State: Fl Zip: 33161 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: HG Construction Development& Investments, Inc.Phone#: 786.845.8999 Address:_7003 N. Waterway Drive#218 0 A� ���-�t� � a-5 City: Miami state: FLZip: 33161 Hilario Gonzalez f Qualifier Name: Phone#: 786.449.2841� e4L �Q�Gd State Certification or Registration#: CGC 1511027 Certificate of Competency#: DESIGNER:Architect/Engineer: Kimley-Horn &Associates Phone#: 305.673.2025 Address: 1221 Brickell Avenue #400 city: Miami State: FI zip: 33131 Value of Work for this Permit:$390,000.00 Square/Linear Footage of Work: 80OLF Type of Work: ❑ Addition ❑ Alteration Q New ❑ Repair/Replace ❑ Demolition Description of Work: New 8" Sanitary Sewer line and associated laterals, manholes, and connections. Existing septic tank abandonement, select pavement and concrete restoration per plans Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (R&Ased02/24/2014) t I'. r Bonding Company's Name(if applicable) n/a Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS,HEATERS,TANKS,AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. 1 absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT RACTOR The foSegoing instrument was acknowledged before me this The foregoing ins ent was acknowledged before me this 15 day of 4�1; 20 15 .by 12 day of May 20 2015 by SUSRNr° whoitaersonally known to Hilario Gonzalez ,who is personally known to me or who has produced as me or who has produced — _ ,- as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: #,a Print L. Cruz NaWry Public a$Uft at `1 Y`��b•. :?� �: • Joey J Y80 Seal: ,. MY COMMISSION#FF 028437 h My CanmaNen Fp 18l4rl1 �;$ EXPIRES:September 23,2017 Expku 11/12120ie ` �e Bonded Thru Notary Public Underwriters gggggggggggggggggggggggggggggggg ggg ggg g ggggggggggggggggggggg*gggggggggggMeggggggggggggggggggg**gggg&gg APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) ♦5NoR193�S . . a.. Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................................... BUSINESS NAME: N dMJSTMOrno� BUSINESS ADDRESS: 7-5-10 CITY /L'iANI STATE ZIP BUSINESS PHONE: ( '79'G ) 0-� FAX NUMBER �'( DG1 ) �Z — q3 iV , CELL PHONE �g ) 325 t'Z� QUALIFIER'S NAME: 1 IA2i[) 6yN 7—A/FIX-, QUALIFIER'S LIC NUMBER: CGS { 002157 oaf Business Tax Receipt Miami-Dade County, State of Florida THIS IS. NOTA BILL DO NOT PAY LBT 5843710 j BUSINESS N"E/LOCATION RECEIPT NO. EXPIRES H G CONSTRUCTION DEVELOPMENT AND 1NVESTAMNIMItu SEPTEMBER 30, 2016 7570 SW 77 AVE 6093181 Must be displayed at place of business MIAMI FL 33143 Pursuant to County Code Chapter 8A—Art.9&10 OWNER SEC.TYPE OF BUSINESS H G CONSTRUCTION DEVELOPMENT 196 GENERAL BUILDING CONTRACTOR PAYMENT RECEIVED AND CGC1511027 BY TAX COLLECTOR $75.00 09/09/2015 Workers) 1 CREDITCARD-15-044873 This Local Business Tax Receipt only con5rms payment of the Local Business Tax The Receipt is not a license, permit or a certification of the holdefsqualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and mquiremerm;which apply to the business. The RECEIPT N0.above must be displayed on all commercial vehicles—Miami—Dade Code Sec 6a-276. For more information,visit www atiamidade.gmftcollech; RICK SCOTT,GOVERNOR KEN LAWSON, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARDax: y CGC1511027 m The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 0 '0 GONZALEZ, HILARIO I■ . H G CONSTRUCTION DEVELOPMENTAND INVESTMENTS INC ,. 7570 SW 77 AVE MIAMI FL 33143 F. ISSUED: 08/10/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1408100002427 A�® CERTIFICATE OF LIABILITY INSURANCE °A os"I°o°'S"' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pol(cy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM@AcT Stag Merchant Merchant Insurance Solutions PHONE (239)823-4382 A No 12326 Isabella Drive ADDRESS: smerchant@merchantinsurancesolu6ons.Com INSURER(S) AFFORDING COVERAGE NAIC# Bonita Springs FL 34135 INSURER A: KINSALE INSURANCE COMPANY 38920 INSURED INSURER B: Wesco Insurance Company 25011 HG Construction,Development and Investment,Inc. INSURER C: EVANSTON INSURANCE COMPANY 35378 7570 SW 77th Avenue INSURER D: F C B 1&Funds INSURER E: FEDERAL INSURANCE COMPANY 20281 Miami FL 33143 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF MPOM�fDD/ LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 A 0100032317-0 09/23/2015 09/23/2016 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑X PRO- JECT F-1 LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY O BBIINEE SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per perm) $ 1,000,000 B ALL OWNED SCHEDULED AUTOS AUTOS VvPP1258303-00 04/07/2015 04/07/2016 BODILY INJURY(Per accident) $ Ix NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS AUTOS Per accident X UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 4,000,000 C EXCESS LIAS CLAIMS-MADE XOVA885115 09/23/2015 09/23/2016 AGGREGATE $ 4,000,000 DED X I RETENTION$ 0 $ WORKERS COMPENSATIONR O - AND EMPLOYERS'LIABILITY YIN X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 D OFFICERIMEMBER EXCLUDED? ® NIA 10656523 04/02/2015 04/02/2016 (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 Contractor's Equipment Floater Scheduled:$244,000 E 45465921 08/18/2015 08/18/2016 Leased:$300,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H rears space Is required) License Number CGC1511027 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department AUTHORIZED REPRESENTATIVE 10050 N.E.2ND AVENUE Miami Shores FL 33138 - ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD PERMIT #:13-SC-1633595 APPLICATION #:AP 1206584 STATE OF FLORIDA 1 DATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: Documm #:PR989418 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVISION: PROPERTY ID #: 11-2136-000-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [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 CCMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXD= CAPACITY SINGLE TANK:1250 GALLONS] R I l GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ l I CONFIGURATION: [ ] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ l[ / l[ABOVE/BELOW]SENCHMIkRK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 7 [ / IIABOVE/BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: L 0.00] INCHES EXCAVATION REQUIRED: [ l 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 opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CHD mart- in DATE ISSUED: / 2015 EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 „ 1.1.4 ar1206584 SE-1 >YT >'r NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department,within twenty-one(21)days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN#A02,Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. Mediation is not available as an alternative remedy. Your failure to submit a petition 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 are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. PERMIT #:13-SC4 633596 APPLICATION #:AP1206585 STATE OF FLORIDA DATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOcmaNT #:PR989419 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVISION: PROPERTY ID #: 11-2136-000-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [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 [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY (MA)MMM CAPACITY SINGLE TANK:1250 GALLONS] K [ l GALLONS DOSING TANK CAPACITY I ]GALLONS @[ IDOSES PER 24 HRS #Pumps [ ] D [ ] SQUARE FEET SYSTEM R [ l SQUARE FEET SYSTEM A TYPE SYSTEM: 17 STANDARD [ ] FILLED I l MOUND 17 I CONFIGURATION: [ 7 TRENCH [ ] BED [ I N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ][ / ][ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE I ][ / I[ABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ l INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out(b)The bottom O of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS BY: TITLE: APPROVED BY TITLE: Engineering Specialist II Dade CED Mn�tin DATE ISSUED: 0/01/2015 EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1206585 SE-1 PERMIT #:13-SC-1633577 APPLICATION #:AP1206574 STATE OF FLORIDA HATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: PIMP DocUMENT #:PR989420 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 PIE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVISION: PROPERTY ID #: 11-2136-000-0050 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [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. DEPART 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 [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @I ]DOSES PER 24 HRS #Pumps I I D [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ I ST U1DARD [ ] FILLED I l MOUND I ] x 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 L ] I / IIABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out(b)The bottom O of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS BY: 111 1. TITLE: APPROVED BY: WV TITLE: Engineering Specialist II Dade CHD AtarLa DATE ISSUED: 10/01/2015 EXPxRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 a,P1206574 ss-i �, PERMIT #:13-SC-1633509 STATE OF FLORIDA APPLICATION #:AP1206520 TE DEPARTMENT OF HEALTH �' PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: �" 0 DOCUMENT #:PR989423 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,Fl-33161 LOT: na BLOCK: na SUBDIVISION: PROPERTY ID #• 11-2136-000-0050 [SECTION, TOWNSHIP„ RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MIDST 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 THxS PERMIT DOES NOT EXEMPT THE APPLICANT FROM CCMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MLX MUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS O[ ]DOSES PER 24 HRS #Pumps I ] D [ I SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ l FILLED [ ] MOUND [ l x CONFIGURATION: I ] TRENCH I I BED I I N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ][ / ][ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRA.INFIELD TO BE L ][ / ILABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 10.00I 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 opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with dean 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 filled with sand and covered. E R SPECIFICATIONS t*101r, TITLE: APPROVED BY: TITLE: Engineering Specialist xi Dade CHD ey wn,�a DATE ISSUED: Mart EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 1.1.4 AP1206520 SE-1 PERMIT #:13-SC-1 6335" APPLICATION #:AP1206557 STATE OF FLORIDA DATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #• DOCUMENT #:PR989426 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVISION: PROPERTY ID #: 11-2136-000-0050 (SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [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 [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K I I GALLONS DOSING TANK CAPACITY [ ]GALLONS @I ]DOSES PER 24 HRS #Pumps I l D [ I SQUARE FEET SYSTEM R I I SQUARE FEET SYSTEM A TYPE SYSTEM: [ I STANDARD I I FILLED I I MOUMD I I I CONFIGURATION: [ I TRENCH I I BED I I N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE I ]I / ]I ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE I ][ / ]I ABOVE/BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 10.001 INCHES EXCAVATION REQUIRED: I I INCHES Have the tank abandoned in accordance with the following procedures:(a)The tank shall be pumped out(b)The bottom O of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS *10/01/2015 TITLE: APPROVED BY: TITLE: Engineering Specialist II Dade CED sy Martin DATE ISSUED: EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1206557 SE-1 PERMIT #:13-SC-1 633540 APPLICATION #:AP1206554 STATE OF FLORIDA DATE DEPARTMENT OF HEALTH PAID. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #. 4 `'�' Documm #:PR989425 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVIsiON: PROPERTY ID #: 11-2136-000-0050 [SECTION, TOWNSHIR, RANGE, PARCEL NUMBER] [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 F=X1DdPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ I GALLONS GREASE INTERCEPTOR CAPACITY [M1LXIM0M CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ IGALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [ l BED [ ] N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE [ ][ / ][ABOVE/BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE I ] I / ][ABOVE/BELOW I BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ l INCHES Have the tank abandoned in accordance with the following pros edures:(a)The tank shall be pumped out(b)The bottom O of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS Wdeisy TITLE: APPROVED BY; TITLE: Engineering Specialist II Dade CHD Masan DATE ISSUED: 015 EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1206559 SE-1 PERMIT #:13-SC-1633525 APPLICATION #:AP 1206542 STATE OF FLORIDA DATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: plev DOCUMENT #:PR989424 CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (Barry University) PROPERTY ADDRESS: 11300 NE 2 Ave Miami,FL 33161 LOT: na BLOCK: na SUBDIVISION: [SECTION, TOWNSHIP., RANGE, PARCEL NUMBER] PROPERTY ID #: 11-2136-000-0050 (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 [ ] GALLONS / GPD CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ IGALLONS @[ IDOSES PER 24 HRS #Pins [ ] D [ ] SQUARE FEET SYSTZK R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDAR [ ] FILLSD [ ] 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 [ l[ / ] [ABOVE/BELOW]BENCBMARK/REFERENCE DINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES Have the tank abandoned in accordance with the following pros edures:(a)The tank shall be pumped out(b)The bottom 0 of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining water,and(c) T The tank shall be filled with clean 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 filled with sand and covered. E R SPECIFICATIONS BY: TITLE: APPROVED BY: TITLE: Engineering specialist II Dade CHD DATE ISSUED: W0112015 EXPIRATION DATE: 12/30/2015 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 V 1.1.4 nP1206542 SE-1 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department,within twenty-one(21)days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN#A02,Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. Mediation is not available as an alternative remedy. Your failure to submit a petition 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 are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. Kimlermorn March 81h,2017 Jeffrey Yao Barry University 11300 NE 2nd Avenue Miami, FL 33161 RE: Barry University—Septic to Sewer Underground Utility Certification Letter To the best of our knowledge based on site observations and as-builts provided by the Contractor, the underground utilities limited to sewer for this project have been constructed without substantial deviation from•the specifications set forth on the construction documents. Should you have any additional questions or concerns, please feel free to contact me via telephone at 786.725.5699 or via email at jorge.femandez@kimley-hom.com Sincerely, ✓'s7 c Jorge L. Fernandez, P.E. KIMLEY-HORN AND ASSOCIATES, INC. ��i Kimfe )>> Orn Suite 202 2151 Le Jeune Road Coral Gables,Florida 33134 GRAVITY SEWER TEST REPORT Project: Septic to sewer Owner. Barry University Contractor., HG Construction Crew Supervisor. Carlos/Al Garcia Witnessed by: Michael Marrero/Jose Rivera Engineer. Jorge L. Fernandez Project Segment/Items Tested: Pipe from MH-1 to MH-2;system from MH-2 to MH-7;and system from MH-2 to MH-13&MH-14. Date: 3/4/2016 Starting depth to water level: 2.75 inches Start Time: 12:05 PM Ending depth to water level: 3.75 inches End Time: 2:05 PM— Drop in water level: 1.00 inches Total duration(T): 2.00 hours Cross-sectional area of water level change: 2.52 SF Water lost during test: 0.21 CF Water lost during test: 1.57 Gallons Allowable Leakage for Gravity Sewers (refer to criteria on Rage 2)• *Mains: L= 100.00 GPD/inch diameter/mile Total L= 100.00 x(T/24 hours)x D x(S/5280 ft/mile) `No leakage is allowed at manholes and/or laterals. where: L=Allowable leakage in gal/hr D=Interior diameter of pipe in inches S=Length of pipe tested in LF T=Test duration in hours Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 Total S 649.00 882.00 73.00 1,604.00 D 8 8 8 0 L( al) 8.19 11.14 0.92120.25 Actual leakage during test(gal): 1.57 Leakage Test Result: X❑ Passed ❑ Failed Lamping test Result: ® Passed ❑ Failed Remarks: Accepted by: Michael Marrero Date: 3/4/2016 [Ki"m ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Site Visit Purpose:Construction progress Time: Date: Pass/Fail: 1:39PM-2:10PM 01/18/2016 N/A Present on Site: 1. Jose Rivera-Kimley-Horn and Associates 2. Carlos—HG Construction Comments/Notes: • MH-2, MH-3,MH-4, MH-5, MH-6, MH-8, MH-9 have been installed and covered but with a storm lid (contractor to replace"Sanitary"text on lid. • MH-2 filled with water from backflow of existing MH-1. • Proposed laterals by Broad Auditorium on hold because of concrete footing under covered walkway. • Progress in proposed 4"sanitary lateral but has not been connected to The Center of the Performing Arts building. Request For Information: • Contractor to provide a date for replacement of all"Storm"text lids to"Sanitary"text lids. • Contractor to provide surveyed elevations for rim and inverts for structures MH-1 and MH-2. Page 1 of 20 KI"m ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 111300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Backfilled trench between existing MH-1 and ---[Direction: Date: Photo: proposed MH-2. South 01/18/2016 1 � r rs? F' Via; .' r t ti ) ' - R.- Description: Existing MH-1 with coredrilled section (NE) and new Direction: Date: Photo: pipe interconnection from Mh-2. Pipe bypass from existing north North 01/18/2016 2 invert(to be removed and grout filled upon certification)to water backflowing into pipe section between MH-1 and MH-2. Page 2 of 20 ® CONSTRUCTION OBSERVATION REPORT * Horn1, i! Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of MH-2 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 3 k 1 iz Yc=` "R N Description: Installation of MH-2 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. North 01/18/2016 4 , M xg{� rip a �yq T e g., Page 3 of 20 ®1m1ey ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Inside MH-2 with grout finish and sealed Direction: Date: Photo: connections,filled with water because of backflow coming from North 01/18/2016 5 existing MH-1.Contractor shall provide surveyed elevations for MH-1 and MH-2. WA f V., 'Al ° .rye r `` ;' Y 14 'k 51 �pp����'R� s { x. fi '�, 1 ?�Rf-, ;�'g Description: Installation of MH-2 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. Northwest 01/18/2016 6 ve- Page 4 of 20 KI" m CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Backfilled excavation between MH-2 and MH-8. Direction: Date: Photo: East 01/18/2016 7 t ' y Description: Installation of MH-8 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. East 01/18/2016 8 t � ' 4 Page 5 of 20 Kmley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Inside of MH-8. Direction: Date: Photo: East 01/18/2016 9 x, � tg r ; ,�q 4 iRV N Q'. 'A}'rXfPRIM AL•- t "'G,3,"'Ey',ix}. } wl��,`i P r ,u Description: Installation of MH-9 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 10 i Page 6 of 20 Ki'm I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of MH-9 and backfilled excavation. Direction: Date: Photo: Northeast 01/18/2016 11 a fi,"ot Ito Description: f Description: Installation of MH-9 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. North 01/18/2016 12 t 0 e Pr Page 7 of 20 Kim I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Inside of MH-9 with grout finish and sealed Direction: Date: Photo: connections. North 01/07/2016 13 S C fa rs 53�ti s a? r Y t� ��s'��"' N�>� 1 i C Oital a yyyJ �f . kF "s is z' � 4 4�ya '�- Description: Backfilled excavation between MH-9 and MH-10. Direction: Date: Photo: East 01/18/2016 14 x$ r 54 MM a., r s > r� x Page 8 of 20 K51' m I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore, FL 33161 Septic to Sewer Description: Excavation between MH-9 and MH-10,west side of Direction: Date: Photo: covered walkway south of Lavoie Hall.Contractor stopped East 01/18/2016 15 execution due to conflict with footing. Description: Sidewalk replacement just south of MH-3. Direction: Date: Photo: North 01/18/2016 16 xi v��ry f y � Page 9 of 20 K'I' m I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of MH-3 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. North 01/18/2016 17 A a !i Y y 1a _.,{, h X ys:,k "}}ffrr h�S Description: Installation of MH-3 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 18 r AF M� ty per. T a mak, i� a Page 10 of 20 i " K'i' m I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Inside of MH-3 with grout finish and sealed Direction: Date: Photo: connections. North 01/18/2016 19 �' ,,, .�,. �ej -f s ,.• �a z' 1 t '04 Rz- r S € t r� R . — S Description: Installation of MH-4 and backfilled excavation. Direction: Date: Photo: East 01/18/2016 20 r s.: �?='�'-fir• �- 'r �y :, ,L v Page 11 of 20 ®Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of MH-4 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. East 01/18/2016 21 AN r g f " Jq nw `•',$;�..Tz �'Fri 4- � Description: Inside of MHA with grout finish and sealed Direction: Date: Photo: connections. East 01/18/2016 22 FY k fill z^f+ ✓fes t- _ ' k � � d tex• � - 9 �fif hvR F i -ti w NIM Page 12 of 20 KI" m CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Sidewalk replacement just north of MH-4. Direction: Date: Photo: South 01/18/2016 23 t f 7h tfi f � a Description: Installation of MH-5 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 24 k=. .6 s .- Page 13 of 20 Kolm orn CONSTRUCTION OBSERVATION REPORT Client: I Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Installation of MH-5 and backfilled excavation. Direction: Date: I Photo: Contractor shall replace"STORM"text lid with"SANITARY" lid. North 01/18/2016 25 z - t . 3 v tit f W*" $ �A Y7 Description: Inside of MH-5 prior to grout finish. Direction: Date: Photo: North 01/18/2016 26 ��� ,,tt-"�•'sr�"�"' _� :w,,, Vic.?�-. Page 14 of 20 CONSTRUCTION OBSERVATION REPORT Ki' mley )) Horn Client: Site Location: Project Mame: Barry University 11300 NE 2"d Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of MH-6 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 27 k F t Description: Installation of MH-6 and backfilled excavation. Direction: Date: Photo: Contractor shall replace"STORM"text lid with"SANITARY"lid. South 01/18/2016 28 d I n '1 +`i a �¢ or a ab � rqy i. � f �L' '1� �'-� Ch'S� � jam' ��'� $•p ��.' k� S T y `. �oVf(* iW g;k -4ISM a� '::fix X. A r 4 Page 15 of 20 Ki CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Inside of MH-6 with grout finish and sealed Direction: Date: Photo: connections I North 01/18/2016 29 w -M, a r+s .- 57 t �2✓pR'F �� '� y N TC- T'. Description: Backfilled excavation between MH-6 to MH-7. Direction: Date: Photo: North 01/18/2016 30 i3 J Page 16 of 20 ' KI"m CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Backfilled excavation between MH-6 to MH-7. Direction: Date: Photo: North 01/18/2016 31 a.; SE �s.�5�� � ,V r Description: Backfilled excavation between MH-6 to MH-7. Direction: Date: Photo: South 01/18/2016 32 r W. 40 a �rY Page 17 of 20 )))In lea CONSTRUCTION OBSERVATION REPORT Horn- Client: site Location: Project Name. Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Backfilled excavation between MH-6 to MH-7. Direction: Date: Photo: North 01/18/2016 33 k .. 4g.; 4,4 Y5 s' ' w WC 17 Mg Description: Installation of MH-7 and backfilled excavation. Direction: Date: Photo: North 01/18/2016 34 � ' • rte`','?.�'� t � z x� t , r , e e " c 2 .,n c Page 18 of 20 Page 20 of 20 Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Site Visit Purpose:Construction progress Time: Date: Pass/Fail: 11:15AM-11:50AM 01/25/2016 N/A Present on Site: 1. Jose Rivera-Kimley-Horn and Associates 2. Soraya Conserve—Kimley-Horn and Associates. 3. Carlos—HG Construction Comments/Notes: • Excavation of MH-10 in progress. • Progress in proposed 4"sanitary lateral but has not been connected to The Center of the Performing Arts building. • Progress in proposed 4"sanitary lateral but has not been connected to the CorJesu Chapel building. Request For Information: • Contractor to provide a date for replacement of all"Storm"text lids to"Sanitary"text lids as request on report 01/18/2016. • Contractor to provide surveyed elevations for rim and inverts for structures MH-1 and MH-2 as requested on report 01/18/2016. Page 1 of 6 Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Backfilled trench for proposed 4"sanitary laterals to Direction: Date: Photo: Cor Jesu Chapel building. East 01/25/2016 1 4 1— ..yY' r o n r Description: Installation of proposed 4"sanitary laterals to Cor Direction: Date: Photo: Jesu Chapel building. West 01/25/2016 2 Ca N' r, a Page 2 of 6 Ki m ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Damage to the existing sidewalk near MH-5 with Direction: Date: Photo: temporary repair. South 01/25/2016 3 8, -77 e' � s -M 3 t� ti 4 � t 4, r ag �'iF b g 11 1 IG ', va Description: Backfilled trench for proposed 4"sanitary laterals to Direction: Date: Photo: Center for the Performing Arts Building. East 01/25/2016 4 i ,err =d L Page 3 of 6 Kim I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Installation of proposed 4"sanitary laterals to Direction: Date: =Photo:Center for the Performing Arts Building. West 01/25/2016 4 J� s J. A'. i g i Description: Excavation and installation of pipe between Kill q, and MH-10. Direction: Date: Photo: East 01/18/2016 6 a m 4 "� -y. ft hid �F° d"s rt_ a Page 4 of 6 ®Klmley* Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University ----[11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10. East 01/25/2016 7 }r A. Description:Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10. Excavation of MH-10. West 01/25/2016 $ OF F ,fit 41. Jr�i.hs:i• Page 5 of 6 END OF REPORT ®KI wnfti CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Site Visit Purpose:Construction progress Time: Date: Pass/Fail: 11:OOAM—12:OOPM 01/29/2016 N/A Present on Site: 1. Jose Rivera-Kimley-Horn and Associates 2. Mike Marrero—Kim ley-Horn and Associates. 3. Carlos—HG Construction 4. Jeffrey Yao—Barry University Comments/Notes: • MH-10 was installed and connected to pipe with grout finish and sealed connections. • MH-11 was installed and connected to pipe prior to grout finish. • Installation of MH-12 in progress. • Contractor to replace sod disturbed areas of grass around Farrell Hall, Kelley House,and the pool area as directed by Barry University. • Contractor to replace damaged electrical line around MH-12 as directed by Barry University. • Contractor to remove temporary bypass and clean inside of MH-1 as directed by Barry University. Request For Information: • Contractor to provide a date for replacement of all"Storm"text lids to"Sanitary"text lids as request on report 01/18/2016. • Contractor to provide surveyed elevations for rim and inverts for structures MH-1 and MH-2 as requested on report 01/18/2016. Page 1 of 10 KI" m CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Clogged bypass pipe inside MH-1. Direction: Date: Photo: East 01/29/2016 1 � d Y r � Description: Backfilled excavation between MH-2 and MH-8. Direction: Date: Photo: North 01/29/2016 2 �f E4 : Page 2 of 10 ®Klmley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10 under covered walkway at south side of Lavoie Hall. East 01/29/2016 3 ��� ��: y "� alk�•a ��� �': R 4 v� y^ yyam� Ort Description: Excavation and installation of MH-10. Direction: Date: Photo: North 01/29/2016 4 5 t. F�^ Page 3 of 10 ®Kimley )> CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Inside of MH-10 with grout finish and sealed Direction: Date: Photo: connections.Contractor to clean inside of manhole. North 01/29/2016 5 �10011 x : .• tip + rtt & ',� '•ti,s'� .Vii;:: %a h <� 'Wall � ° '1a C M � . Description: Backfilled excavation between MH-10 and MH-11. Direction: Date: Photo: North 01/29/2016 6 A h.- 45y y +off xy •� � r. Page 4 of 10 Site • r. {{ NE 2nd Avenue, Miami Shore, • • • Description: Excavati• • installation of Direction: / East 1 1 r z* � ssz-: S'�"^`"4��g�+;. ~e 3 a�, 2��,,"-�' .•,4't y' �,�wk� � .?`%.k f�'^h� '.l`l' Z� ��§r'pf 't}.•n '+'{.f � „° ��4.'� {h �akP-t4r'•4�ti1. t•' � r'�' .sk� 'e ,`,#'�,.{"; +r� 4`6, ' k� `� �'^s�`• -,�` �, 5; ra' ` ,�,' � i4yR.ab,�i': y a, > 9 rn •'`" +fi3zrgz ` "°�, -.4 q. -'�,�s t '4-k�wr '�k¢ �. p y-�'� :'a i+.e.y L�. a•,F Y� �f4 �,F r .�pc..4^� 'D`� T'� �i X C sV� Cpl 1 - • • • • • • Direction: 1 - • r • • • • • Easti • { rtri �J�f NI' � •t e ` �57��i ��� b ro a C�� �,� „��,. r ��fry . ° � y ,moi 3 #, i .�5I 1 }afs tea- ", �4r On _, a `{` � "��. ^i4"'� r��§�� ,.•Vkon" :' t�+,�e' ,sem gg y 7*,* .�++..r a t3. nom' "y* h a a •s ar i l ' • 1 ' �im I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Backfilled excavation between MH-11 and MH-12. Direction: Date: Photo: East 01/29/2016 9 r Description: Damage to grass between Farrell Hall and Kelley Direction: Date: Photo: House.Contractor to replace sod in disturbed grass area as North 01/29/2016 10 directed by Barry University. X t _ y r ri.,�--;✓�,�t- � .�y�� � Ana"'� 2-.,� Page 6 of 10 Kolmley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University f 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Damage to grass between Farrell Hall and Kelley Direction: Date: Photo: House.Contractor to replace sod in disturbed grass area as North 01/29/2016 11 directed by Barry University. v f- Y �w y s» sR S� SSA c . ME —!v' a 4 S FI— r a I? Description: Damage to grass between Farrell Hall and Kelley Direction: Date: Photo: House.Contractor to replace sod in disturbed grass area as North 01/29/2016 12 directed by Barry University. 2 y� l+.ab'�F r,T�if'YRf F Page 7 of 10 Ki'mley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Damage pipe during construction.Contractor to Direction: Date: Photo: replace pipe. North 01/29/2016 13 4 i? _ '°. i� n, ""°sem � ♦ "'.4 _.. = ;`i } t, Y Description: Damage to grass near the pool area just southeast of Direction: Date: Photo: MH-11.Contractor to sod disturbed grass area. Northeast 01/29/2016 14 *rte -r Page 9 of 10 i • • • • VMS • • • • • • i • i r ' s` 1g •'`�' 4A�-1` i • 1 • • • • • i • i . . f fr r .20 �z w ; •.rtt Y 3 v � t e ...$�. 51:.sF,r •-2�i��.!'a'' Y4�✓3wa�� t��a4`�S,'V3, END OF REPORT K18m1ey ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore, FL 33161 Septic to Sewer Site Visit Purpose:Construction progress lime: Date: Pass/Fail: Present on Site: 11:OOAM—12:OOPM 02/08/2016 N/A 1. Jose Rivera-Kimley-Horn and Associates 2. Carlos—HIS Construction Comments/Notes: • Installation of MH-12 in progress. • Installation of MH-13 in progress. • Contractor to replace sod disturbed areas of grass around Farrell Hall,Kelley House,and the pool area as directed by Barry University. • Excavation and installation of 8"sanity pipe between MH-11 and MH-14 in progress. • Proposed lateral to Lavoie Hall has been installed but not connected. Request For Information: • Contractor to provide surveyed elevations for rim and inverts for structures MH-1 and MH-2 as requested on report 01/18/2016. Page 1 of 24 v s . III Argo K I eayr ))) CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue,Miami Shore, FL 33161 Septic to Sewer Description: Inside MH-1. Direction: Date: Photo: South 02/08/2016 1 * r� } vZmE, S aF cr f a Description: Area around MH-2. Contractor to replace sod in Direction: Date: Photo: disturbed grass area as directed by Barry University. North 02/08/2016 2 F i _ •�3-••moi.,_ � _ - .s _ 0 "�� <7 t�f?� Page 2 of 24 Kffi "Fim ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Concrete walkway just east of MH-2 with Direction: Date: Photo: temporary mulch. North 02/08/2016 3 7C 4;1 ' �y 4 r y Description: Damage to existing asphalt pavement south of MH- Direction: Date: Photo: 9. East 02/08/2016 4 Page 3 of 24 r ' Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Installation of proposed 4"sanitary sewer lateral to Direction: Date: Photo: Lavoie Hall building. South 02/08/2016 5 k Y f a v�i- - a`'YiSLtsrS�^I Six FsY _ ya.. JYciw��i a tom. „4 t„ib ay Description: Backfilled excavation between MH-9 and MH-10. Direction: Date: Photo: East 02/08/2016 6 n, 'yy, a - # Tgw' l b r fib; a F 51 I r ur i T'Fir ti' I : 'A ' Yg 77'4 4� NT- N 7�. ... ='s z`• -'y '' € -; W Page 4 of 24 Kimiey ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore,FL 313161 Septic to Sewer Description: Installation of MH-10 and backfilled excavation Direction: Date: Photo: East 01/29/2016 7 n `a it'U" f Y tz r� 1 Ate` r ( {r a ms's✓ �� r* Description: Inside of MH-10 with grout finish and sealed Direction: Date: Photo: connections. East 01/29/2016 8 V a m' s Page 5 of 24 Kiffimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Backfilled excavation between MH-10 and MH-11. Direction: Date: Photo: Northwest 02/08/2016 9 f Description: Concrete walkway connecting pool area and the Direction: Date: Photo: Lavoie Hall building with temporary mulch. West 02/08/2016 10 x s; x � L Page 6 of 24 Kim I euys ))) Horn CONSTRUCTION OBSERVATION REPORT Project Name: Client: Site Location: Barry University 11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Damage to grass near the pool area just southeast Direction: Date: Photo: of MH-11.Contractor to replace the sod in the disturbed grass Northeast 02/08/2016 11 area. ,; :'S-`" a ✓fir.ai �. Yw 5 M.? 3 ' i 2 Description: Installation of MH-11 prior to grout finish. Direction: Date: Photo: South 02/08/2016 12 k 4 «� s � P a 4 ' = " 4 y ; ry i. gw 'V� r t 3�2 Page 7 of 24 e Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: r11300NE2 ocation: Project Name: Barry University "d Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Backfilled excavation between MH-11 and MH-12 Direction: Date: Photo: and temporary mulch. East 02/08/2016 13 'S, twa71i - N V PI a fiA s 6 Description: Damage to existing concrete walkway east of MH-11 Direction: Date: Photo: and temporary mulch. East 02/08/2016 14 Sy art w¢ x < s J z'g � 4 Page 8 of 24 .� Koffimley ))) Horn CONSTRUCTION OBSERVATION REPORT client: Site Location: Project Name: Barry University 11300 NE 2na Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Damage to existing concrete walkway between Direction: Date: �Photo:Farrell Hall and Kelley House and temporary mulch. North 02/08/2016 kv - l z x w a b Description: Damage to existing concrete walkway between Direction: Date: Photo: Farrell Hall and Kelley House. North 02/08/2016 16 5 r¢ , } s ,civ, ' Page 9 of 24 ® CONSTRUCTION OBSERVATION REPORT K11ww1q1k I ey ))) Horn Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Damage to existing concrete walkway between Direction: Date: Photo: Farrell Hall and Kelley House. North 02/08/2016 17 - '�� '�i+�4awY.'Y��,.v,=a�:''l." Description: Damage to existing concrete walkway north of Farrell Direction: Date: Photo: Hall. West 02/08/2016 18 M Page 10 of 24 Klmley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Damage to existing concrete walkway north of Direction: Date: Photo: Farrell Hall. West 02/08/2016 19 s � a s ,r 'f�7ma '„7 3 1d»j7 n W .<a � 1 a Description: Backfilled excavation between MH-11 and MH-12. Direction: Date: Photo: East 02/08/2016 20 4 Page 11 of 24 Ku 0, iley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Excavation and installation of MH-12. Direction: Date: Photo: East 02/08/2016 21 ` •iia S ~ 4 6 tl y 4 yS Description: Excavation and installation of MH-12,existing utility Direction: Date: Photo: plugged by contractor. East 02/08/2016 22 F � 3 x ,ff• r t,-r TWaYti < Page 12 of 24 Ki' m I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Excavation and installation of MH-12. Existing Direction: Date: Photo: electrical line replaced. East 02/08/2016 23 _ K - Is 1 � ' Description: Existing unknown utility with constant water flow. Direction: Date: Photo: Contractor to verify utility and notify Engineer of findings. East 02/08/2016 24 r v i e 1 4 r r - �„'�1ky�a 1`� � i�aP' �, �'fr�j <1.�'-_ •Lt�C'y. �^ 't Page 13 of 24 K'I'm ley ))) CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Inside of MH-12 prior to grout seal and finish. Direction: Date: Photo: East 02/08/2016 25 r i y r � � r a p 4' e .ryi-t a i Description: Water coming into structure because of the Direction: Date: Photo: unknown utility with constant water flow. North 02/08/2016 26 T 4 Page 14 of 24 K1'm1ey ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Excavation and installation of MH-13. Direction: Date: Photo: Southeast 02/08/2016 27 7 4 r- Description: Excavation and installation of MH-13. Direction: Date: Photo: East 02/08/2016 28 ,yMks l 1 � �rx r y� ^+' _ A .si A 3 yr ' �r l Page 1S of 24 Ki' m ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Wall under the covered walkway just west of MH- Direction: Date: Photo: 13. East 02/08/2016 29 R F Description: Backfilled excavation to MH-14 between MH-11 and Direction: Date: Photo: covered walkway. West 02/08/2016 30 I r - k 6 �� .d tom- �.-d;•' '3 �'•Eh.. Page 16 of 24 Ki'mley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue, Miami Shore, FL 33161 Septic to Sewer Description: Excavation and installation of 8"sanitary sewer Direction: Date: Photo: from MH-11 to MH-14. Damaged electrical/commercial conduits to West 02/08/2016 31 be fixed by contractor. � A f _ 1 } Description: Excavation and installation of 8"sanitary sewer from Direction: Date: Photo: MH-11 to MH-14. West 02/08/2016 32 i WiE � "•m. tfit «•y. "; .&��>" 7 Nr Page 17 of 24 KI"m I ey ))) H o r n CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Existing concrete walkway just south of The Center Direction: Date: Photo: for the Performing Arts building with temporary mulch. Northwest 02/08/2016 35 iVo :kms � ' '.t�"`� "� ',• L s E.• Description: Backfilled excavation between MH-6 and MH-7 Direction: Date: Photo: South 02/08/2016 36 K .1w�,����.tr��- �-,�`'✓, 7*�Wim` ` fit i�3 i 6 ` rt Z " a <y Page 19 of 24 I Ir � / • ' I • •Ire • i i • I I I I I too • 1 1: 1 i C t r a 0 _x 1� k ,]zf*X yv3 '"k4tFa.ar�- ' .�a' OW y Xw • 1 1: 1 F ,rbc. .� r- .1 ry `Y �'�4 �:�` �`t" `�e ,�•..� +a-, r -, a31T'k1 ( �� #C..�. i -�v- �R,`t�,'�''4�,` �'• r�..i.l�.Y'J' {j ti 1 r`^1� � ,r '�s7 '��i" `Fi t. Z� 5` t zn rya 1 s Jy �� Sa xa�, xwkcA� a.-.T;!� .,.s�".�-•r 1'.tL..�.,�'�`;�w*,.*r.�n�4t11 ._ `<,.`�-f'r'� 'S��.,a.�� � .s. � .s���i_...:Y.+- / .r y J ♦y' 1� g / M • 1 Of 0 AAM NiE ;'.^Y"Y c^a^';�� 5��"c�3^' s .�n�'t~a)s F�tu'�R`�rF5.* 1' .� .Y.. � �'"4 4.�x ro �ria� *-���r,,��•�"e ��y��' '.�(!�f' a. Sn .�I �N` ps� Y { rix' F�"'1 q --AP '�F `X �j �l{ Sa.� ��.£j IP '"� ,y '` a ir'�avf,r`n-'y. ro 's�' a"c, axh t 4t�** r W. a- tt y 7•'7' a �z`.t �, „4,"'`` ^tv� z+ 4c 'r ` r U'ha'r� rsr,-r 'tt �`�� rw - c✓s X s�X � �. x3. �v. ,� ���y$Y �,�s ,,cu xx ��E� `w'�t�"� --'.�t 6 'F'T 2•+� f,���nz',f Ik 4 �R h4. Y 3Y� ,ek 1 dim J` � f �R3�� 's� "All "314 gjk • 1 1: 1 � 1 ri abti '"3 ' 'fa �•C r.- a��' �` '?��t �x.a ,t �kx �v, y 3 �+ v� r 3�r • K10 m ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore, FL 33161 Septic to Sewer Description: Area around MH-5. Direction: Date: Photo: Southwest 02/08/2016 41 u _ •t Description: Resodded area around MH-4.Contractor to Direction: Date: Photo: properly water and maintain sod. South 02/08/2016 42 .1 ,n .?x s Page 22 of 24 Kl"m ley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2"d Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Resodded area around MH-4.Contractor to Direction: Date: Photo: properly water and maintain sod. West 02/08/2016 43 3>; ,yt r 1 Page 23 of 24 e Page 24 of 24 r Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Site Visit Purpose:Construction progress Time: Date: Pass/Fail: 11:15AM-11:50AM 01/25/2016 N/A Present on Site: 1. Jose Rivera-Kimley-Horn and Associates 2. Soraya Conserve—Kimley-Horn and Associates. 3. Carlos—HG Construction Comments/Notes: • Excavation of MH-10 in progress. • Progress in proposed 4"sanitary lateral but has not been connected to The Center of the Performing Arts building. • Progress in proposed 4"sanitary lateral but has not been connected to the CorJesu Chapel building. Request For Information: • Contractor to provide a date for replacement of all"Storm"text lids to"Sanitary"text lids as request on report 01/18/2016. • Contractor to provide surveyed elevations for rim and inverts for structures MH-1 and MH-2 as requested on report 01/18/2016. Page 1 of 6 Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue, Miami Shore,FL 33161 Septic to Sewer Description: Backfilled trench for proposed 4"sanitary laterals to Direction: Date: Photo: CorJesu Chapel building. East 01/25/2016 1 ti 41 � Z" ` w k paw Lam ; �� Y1• fTrv'Y b rl.� �' -�qtr+`> 9 W Description: Installation of proposed 4"sanitary laterals to Cor Direction: Date: Photo: Jesu Chapel building. West 01/25/2016 2 .0 r� s c Page 2 of 6 Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Damage to the existing sidewalk near MH-5 with Direction: Date: Photo: temporary repair. South 01/25/2016 3 k wC A 'H i+�s T F' {M is J} E4 �Aa •liV,�"� ��a t l'� v Py i +S Description: Backfilled trench for proposed 4"sanitary laterals to Direction: Date: Photo: Center for the Performing Arts Building. East 01/25/2016 4 0-7 z a s wf* c 7 R, �e Page 3 of 6 Kimley ))) Horn CONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 1 11300 NE 2nd Avenue,Miami Shore,FL 33161 Septic to Sewer Description: Installation of proposed 4"sanitary laterals to Direction: Date: Photo: Center for the Performing Arts Building. West 01/25/2016 5 ,.�, ice' ."';��-`,�`� •,� �_' 9yt♦# mj 3 � �"�'-, tiF •F t;�t` � �' � ��� SSL I Description: Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10. East 01/18/2016 6 x 1 Page 4 of 6 Kimley ))) HornCONSTRUCTION OBSERVATION REPORT Client: Site Location: Project Name: Barry University 11300 NE 2nd Avenue,Miami Shore, FL 33161 Septic to Sewer Description: Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10. East 01/25/2016 7 f M U. i 9 J a N 'sR i < I � S k�y ir✓ x�`A r+ 4 1A Description:Excavation and installation of pipe between MH-9 Direction: Date: Photo: and MH-10. Excavation of MH-10. West 01/25/2016 8 � + 7 �k L Page 5 of 6 END OF REPORT r K 5 3� y .�, 1 t �l f G� TC_� r 1� yi Y Y @.�.� �Q���#'l7l}����!' Y.' ) F+•�1 1 +hH rd`y a < w � t �# -i " �['� a r ��'��'a��� r&"�� xx �'�liR�lN� �"�. i ,e "+,,> h r•^r�?xt�*�.}y�,a r «�� tOO W 'l`„'"� j h} 4 tett}e �ict�h g4 h'W ti•$ Wy r<`��)� � -r ,+ t'{� � hf��,+F fZy` S is ,�{"� y s.G" + i �y`/%��. � tF-7 a�Y} H a ,r dh s.. ? 7 �,r��i�`�'�° k�s'Y•�"�W x �r _ y�i vw a- + �e�7���,���"�s J �:'` ��y Cpr'��qV�����'�}F!7� +G � ,.• _h�Y [— s �'� a V�;_ �'�x t}� _ 4 1� y;cM w^ts 1�''� - n -�-b �'..we.:,ew •rtte.�+�.t L .r��_��°� _ �' � +r'°f ^.al f d $�- '����� a �v"(5'Fti'` �� f T �_I S „ry;�r�' ,��3'€ 1S� p�Fc 'a ' r�3 ” ewe ? 7a P p.r , y�,. ;l� µ� �x,�'�}� rye+ � h^;yfi��� ��.{.Bt tF�. 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