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PL-13-2292 STATE OF FLQRIDA PERMIT xo. ®0'7 3;� DEPARTMENT OF HEALTH DATE PAID: VIONSITE SEWAGE TR.KATXENT AND.DIPOSAL SYSTEM FEE PAID: CONSTRUCTION INSPECTION AND FINAL APPROVAL RECEIPT #: APPLICANT: o &Ci c-2 AGENT: PROPERTY ADDRESS: �C�o ( Al -E' LOT: 2_ BLOCKS ! SUBDIVISION: PROPERTY ID #s CHECKED [XI ITEMS ARM NOT IN COMPLIANCE WITH STATUTE-OR RU3,9 AND MUST B ;40R1?ECTED. TANK INSTALLATION' .. SETBACKS 14.] [013 TANK SIZE [1.V [2] [ ] [27] SDRFACE WATER ^ B ? O FT [ I 1021 TANK Mr,TERIAT, o [ 1 [281 DITCHES FT [ 1 [031 OUTLET DEVICE -+�-�- [ 1 1291 PRIVATE WELLS FT ` [ ] [041 MULTI-CHAMBERED [G j .N 1 / t 3 1301 PVBUC WEXLS FT ' I 1 [051 OVTLMT FILTER x68 [ l 1313 IRRXI ATION WELL'S FT I ] [06] LEGEND F 3 1321 FO7AbT1E.WATER 741NE5 = __3C! FT [ I [.071 WATERTIGHT C/ [ 1 [333 BVIT)DIN0 FOUNDATION FT I 1 1083 LEVEL / [ 1 1341 PROPERTY LINES ' FT [ FT 1 [093 DEPTH TO LID [ 1 1351 OTHER , 0 DRAINFIELD INSTAU,ATIQN '_ FILLED I movm SYSTEM [ 7 [101 AREA .(IjL2)C '(�,[21 75-0 SOFT [ 1 .[36] DRAINFIELD COVER [ 1 [3.11 DISTRIBUTION BOX HEADER ✓ [ 1 .[371 S90ULDMRS [38�--SI,AP$S - I 1 1131 DRAMINM SEPARATION 2-y •� L 3 [393 STABILIZATION [ 1 [141 DRAINLINJE SLOPE I 1 [153 DEPTH OF COVER 1/0 �� ADDITIONAL nw6WmTION [ ] 116.1 XL8'iTATION [ABOVE BM I 1 1401 UNQBS`rRUCTED AREA. ( 1 •(171 SYSTEM LOCATION•'L�—I [ 1 1413 STORMWATER RDNIO•�P` [ ] [181 DOSING PUMPS l [421 .ALARMS I 1 [19] AGGREGATE SIZE �Sl l yQe .1 1 1 [431 . NAII�1'PM VMCM AGX=MENT L 1 1201 AGGREGATE EXCESSIVE FINES [ 3 1441 BUILDING AM I 1 [231 AGGREGATE DM3.'TH [451 LOCATION QONFORmS WITH SITE PLAN [ ] (461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL 1 1 [471 CONTRACTQR � ✓�.- [ 1 [221 FILL AMOUNT L/Z. •' [. ] 0481 OTHER I 1 1233 .FILL TEXTURE [ ] 1241 EXCAVATION DEPTH.. ABANDONMENT* 1 , I 3 [251 AREA REPLACED [ 7' [491 TANK PUMPED / /• [ I 1261 REPLACEM M WATERIAL [ 1 •[50.] TANK• CT2USHsb & TTLT{= EXPLANATION OF VIOLATIONS / •REMARKS: _7 [ 1 CONSTRUCTION APPROVED DISAPPROVED] : e...,.,a� 'L --.CED. DATE: 0 LQ" 3 `INAL SYSTEM APPRO DISAPPROVED] '� CM DATXJ 0 '/0-13 '116, 08/09 (Obsoletes .all previous editions which may not be used) rated•: 649-6.003, FAC• Page 2 of 3 Ak i _.., �• DIVISION OF Environmental Health Florida Department of Health ,0 ®� -- mi-Dade County Health Department �Io� OSTDS/Well Division 4 11805 SW 26 St.•Miami,FL 33175 Inspector Date Address ® ✓ N` C� ®� 7^�OSTDS# CIO 7137 Comments: Signature ��"✓� 1 c Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-200795 PermitNumber: PL-10-13-2292 Scheduled Inspection Date: December 17,2013 Permit Type: Plumbing- Residential Inspector: Diaz,Osvaldo j Inspection Type: Final Owner: RODIER,ALEXANDER&EMILIE Work Classification: Addition/Alteration Job Address: 1009 NE 104 Street Miami Shores, FL 33138-2655 Phone Number 305-756-6295 Parcel Number 1122320290140 Project: <NONE> Contractor: CHAPMAN SEPTIC SERVICE,INC. Phone: (306)815-9901 Building Department Comments INSTALL 1350 GAL TANK AND 760SQ FT DRAIN FIELD Infractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed HRS IN FILE FOR 1009 NE 104 ST Failed Correction ❑ Needed Re-inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. December 16,2013 For Inspections please call: (305)7624949 Page 10 of 30 1- v 14.A Miami Shores Village �. Building Department OCT ®8 2013 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 � Tel: (305)795.2204 Fax:(305)756.8972 � . INSPECTION'S PHONE NUMBER:(305)762.4949 I FBC 20 BUILDING Permit No. / ,-3 PERMIT APPLICATION Master Permit No. Permit Type: PLUMBING JOB ADDRESS: 100T iii, d 8 yS-�- qq City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: It ' a- L&v '0"-64 qO Is the Building Historically Designated:Yes NO X Flood Zone: OWNER:Name(Fee Simple Titleholder): 41" 6n y dICF Phone#: Address: I OD:R vL, lW! s City: r•`j (5 State: Al Zip: 3 13 TenantfLessee Name: Phone#: Email: CONTRACTOR: Company Name:M&hrlM t'd 2, Phone#: d g' F 01 Address: `?.&AGtG qz(41 City: Mi auj State: Zip: 3'3,;2*3 c�Q Qualifier Name: Phone#:86'-S-- &-990 `0 l State Certification or Registration#: c5 f ' W �(A'1 Certificate of Competency#: $A 0 R d 0' 7 L/ Contact Phone#: Email Address: Lhoo DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work:��[J Type of Work: ❑Address DAlteration ew ORepair/Replace ODemolition Description of Work: 5-0 Q 04 -7-5-0 $e! Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ J6 T Bonding Company's Name(if applicable) 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 ELECTRICAL WORK,PLUMBING, SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and 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. In the absence of such posted notice, the inspection will not be a roved and a rei ection fee will be charged. ftAslr 0, Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_ ,by day of L9 ,20)3 ,by CIMI IVY , who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si Print: P :A11IM404 ANTRELL ca. �b, Notary Public-State of Florida My Commission Expires: M N s®filEYO lea;Expires Jun 15,2013 ,,-F F1� "` Commission#DD 897782 �"` Bonded Through National Natary Assn. APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Dec 11 13 04:29p Chapman Septic Service 1-305-453-5537 p.1 Mission: ' Mck Sao" To prolea promote& �Govemor improve Else healfi �`. .:... �.° of al people In Florida trough integrated state county&community,efforts. John H.Armstrong,Ma,FACS HEALTH State Surgeon Gen"&Secretary Vision:To be the Healthiest State In the Nation REMINDER: A new passport-style photograph will need to be sent in with next yew's renewal application. (As an alternative to prints,digital photos in jpg format will also be accepted via e-mail beginning August 1.2014) Master Septic Tank CorAraetor CHARLES J CHAPMAN 471 BIG PINE ROAD + KEY LARGO FL =37- CHAPMAIII SEPTIC SERVICE,INC. Business Aathorizadorc SA0910674 SMO�'I67 Registration Expires on September 30,2014 Florida Departme"t of Health Division of Disease Control and He2b Protection www.FlorldasHeattb,conn Bureau of Environmental Hear TWITTER:HeaftFLA 4052 Bald Cypress Way,BM A-08 a Tallahassee,FL 32399-1710 FAGEB00K:FLDepeMT=Io0 ieaith PHONE:85012454444 Ext 2088-FAX 8501922-6969 YOUTUBE fldoh Local Business Tax Receipt Miami—Dade County,State of Florida —THIS IS NOT BILL:DO NOT PAY 230862 LBT Q BUSINESSNAMEJLOCATION REC91FTNo. ExPIRIES CHAPMAN SEPTIC SERVICE INC RENEWAL 'SEPTEMBER 3Q, 20'14 10601 SW 194 TERR 230862 Must be displayed at place of business MUM Pt 33157 Pursuant to County Code rl_ Chapter 8A—Art.9&14 ce) U') k L9 U) OWNER BSC.TYPE OF BUSINESS PAYMENT REWIV00 I CHAPMAN SEPTIC SERVICE INC 196 SPECIALTY PLUMBING CONTRACTOR By TAX COLLECTOR C> Worker(s) 10 SM0941167 $75.00 07/14/2013 TXHS2-13--040571 This lodaf Business Tax Reoelpt only confirms paymemof the local 9osiness Tax.The Receipt is not a license, penal%of a cortillcatioa of the holdei s gnali icatlem,to da basinoss.Holder must comply with any govemmental or nongovar►mtentet regulatory laws aad requiremew which apply to the business. The RECEIPT NO.above must be displayed on all sommerclal vehicles—Murat—bade Code See 8a-278. For more Information.visit www miamidads.cov/taxcollectur m it O m CD U Q m N E Q. N s U Q rn N Nt O r U m 0 Dec 11 13 04:29p Chapman Septic Service 1-305-453-5537 p.3 JUL/16/2013/TUR 04:38 PM Contractors Payroll FAX No, 2397686387 P. Ofll/OQ2 DATE(MIarDOft"Y) CERTIFICATE OF LIABILITY INSURANCE e1,tW2013 0243 en 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 ORALTER 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 cerficate,holder Is an AD1317TIONAL INSURED,the po Icy(les)must be endorsed.if SUBROGATION IS WAIVED, subject to the terms and c Inditlorts of the policy,certain policies may require an endorsement.a statement on this certificate does not confer rights to the certiiicate holder in lieu of such endnrsement(s). PRODUCER FINSLFRER H.i ghpoint Risk services LLC (800)728-0523 SSUI LBJ Freeway, Suite 1200 Dallas, TS 73240 INSURERS AFFORDNIM COVERAGE NAIL 1 :cowpanien eropertp oM CaTmJby 7amuraoee caepe.ry _ 1 7 INSURED: AMS 1/c/f: : CWl PM1lN SEPTIC SERVICE INC. C: 8080 NTF SIST ST INSLktERO' LAUDXiZILL, T4 33351 Phone: (305) 661-0628 Fax: (305) 053-5537 11,6LRERE: INSLRER : COVERAGES CERTIFICATE NUMBER- AC13-1500813-1215713 REVISION NUMBER: NO7WI-HSTANDING'ANY REOUIRENEW,TT]?M OR CONOIT:ON OF ANY CONTRACTOR OTHER DOCLM,tENT WITH RESPECT TO WHICH THIS CERTIFICATE mAY 8E ISSUED OR MAY PERTAIN,THE INSIPJ NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLIB,IECT TOALL THE TES,EXCLUSIONS AND CONOIT:ONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEO SY PAIO CLAlN3, L' TYP90FUMRANIZ MRL UeR PDLIGV NUMBHi oAi, oPTY %P U6AIT9 GENERAL LIABILITY mwuu re ��� 7 EACH OCCURRENCE ; COMWERCIP OENERALLIABILRY UAKMIA 10 ftENTED $ CLNMSNAOE © OCCUR NLO EY,p(Nryena persmtl s PER503JN.8ADVAUIURY g GEY:ERALA a�GATE g t3ENY,AOCRBGATE LM-APPU S PM PRODUCTS•COW" Ell: M LOC AUTOMOBILE LIABILITY COh1W4EUISNGMUWT anrrauro (Ea acck'&A $ AIL04NEi3AU'SOS ❑ person] SCHEDULED NJTOS 8001.Y MRY(Per scddenq i IZEOAUTO5 PAOPERTYONW4GE $ (Per acdderc] NOM1lOAM1EDALITOS $ UMBRELLRLIAB CLAPAS-MACE EACH OCCURRENCE $ E%CESS LUAS OCCUR ❑ ❑ •GREGA DEOUCTIFAE RETENTICN S EMPLOYERS'L W9RTTY S ANY PRDPTMETORIEWCLTNE YTN EL.EACHACMENT $ 1000000 OFFICERIAESEREXCLWEn Q WA ❑ DPE26272140360 04101/2013 09/01/2019 EL.DSEASE-EAEMPLOWE $ 1000900 A (M"atary In NH) tryea,deserlbeunder SPECIAL PROVISION below E.LOSEASE-POUGYLIMTT S 1000000 El DESCRIPTION OF MVMTIONSILOCATIOMMMICL ES(Atmehed ACORDIOT,Addldenal Remarks Sehedws'Ifmmre space b required 1. This certificate remains in effect, provided. the client's account is in good standing with AMS. Coverage is nat provided for any employee for which the client is not reportingg wages to AMS. Applies to 100% of he employees of AIMS leased to CHAPMAN SEPTIC SERVICE INC., effective 04/01/2013 2. Insured is afforded Workers Compensation & Employers liability as a co-employer under the policy for employees Leasers from PNS. CERTI CA E HOLDER CANCELLATION SHOULD ANY OF TI-£ABOVE DESCRIBED POLICIES BE CANCELLED 8EFORE TIE VI)AAGH OF MtAM3 SHORES EXPIRATION DATE THEREOF.NO'ICE WILL BE DELIVER=D IN ACWROANCE WITH P:1305) 795-220, F':(305) 756-6372 BUILDIWG OEPARTNEMT THE POUCYPROVISIONS. 10050 RE 2ND AVE MIAMI 520RBS, FL 33138 AUTHOR20 REPRESENTATIVE r' ACORD 25(2010!05) 10 191 -2010 ACORD CORPORATION.Ail HUM reserved. fl 12/11/2013 03:53 7862067066 STATEWIDE INSURANCE PAGE 01 DATE(MM/DD/YY) CERTIFICATE OF LIABILITY INSURANCE I 12111/13 P•ItOAuCER Galloway Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 17354 South Dixie Highway ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FI.33157 —ALTER THE Cf,VERAG�E/1RFF©RDHD SY T146 POLICIES BELOW. Phone(305)255-1661 Fax (786206-7066 INSURERS AFFORDING COVERAGE _ _ _—_—_ NAIC 1R INSURED Jason's Ssptic, Inc. INSURERA: Mesa UM/Special Ins.Co. - 13341 SW 88th Avenue INSURER W. __-- INSURER C__ Miami,Florida 33176 INrunere D — -- _ J Vendor#254564 INSURER E: COVERAGES ---- --- THE POLICIES OR INSURANCE LISTED HAVE SEEN 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 TKE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BI?EN REDUCED BY PAID CLAIMS. INSR ADM PO4CYEFPECTNE POLICYEXPRATION LTR rNSRD TYPE OF INSURANCE POLICY NUMBER DATE lMMIDAtYVYY)DATE: MMEnRf= UNITS GENERAL t rAwLnY EACH OCCURRENCE $1,0001000 ©COMMERCIAL GENERAL LIABILITY 1109083 12/11/2013 12/11/2014 PREMISES(Ea a=rrrreLm) __.$100,000 ❑❑ CLAIMS MADE ❑ OCCUR RED FXP(Any one person) $5,000 P' ® PD:Dad:$1,000/Claim PERSONAL&ADV INJURY $1,000,000 ❑ --_— GENERAL AGGREGATE_ $2,000,000 OWL AGGREGATE LIMrrADPLIES PCR; PRODUCTS•COMP/OP AGG $1,000,000 ® POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY aura •__--- ❑ ALL OWNED AUTOS .... BODILY INJURY U SCHEDULED AUTOS er person) ❑ HIRED AU r 04 ❑ NON OWNED AUTOS BODILY INJURY . (Per acxider>q - PROPERTY DAMAGE ----_ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT _ U ❑ ANY AUTO OTHER THAN KA ACC �. •..- » — AUTO ONLY: AGG EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE__ _- ❑ LI OCCUR I_-i CLAIMS MADE AGGREGATE DEDUCTIBLE - --- - ❑ RETENTION 6 WORKERS COMPENSATION AND - ❑ ERS WC STATLL [lf OTH- EMPLOY 'LIABILITY y� TORY.LIMITS . •. ER _ ANY PROPRIETOR I PARTNER I EXECUTIVE E L EACH ACCIDENT —_-- OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE --T lfgy�q deyaribeunder ___.�.-°--_. __._. ..._.» .....-- -- .:+FElI.lAL PRQMSION3 below F I nLCFA$F-P01 ICY 1 IMIT OTHER DESCRIPTION OF OPRRATIONS I LOCATIONS I VEHICLES I EXCLU91ON8 ADDED 111Y ENDOR'$rMENT I SPIL'GIAL P1tOV1310143 -- Installation,Service,Repair,Excavation,Maintenance and Cleaning of Septic Tanks... "Please note that any changes to this policy must be submitted to the Insurance Company for approval'... CERTIFICATE HOLDER CANCELLATION_ _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE FANCELLED BEFORE THE EXPIRATION DATE T!IEREOF,THE I^�SUNNI INScURER L ENDEAVOR TO MAIL City of Miami Shores 30 DAYS WRITTEN NOTICE TO THE I ERTIFICA HOLDER NAMED TO 10050 NE 2nd Avenue THE LEFT.BUT FAILURE TO DO SO SHALL IMPOSE NO uGA71ON OR LIABILITY Miami Gharc5, Florida 33138 OF ANY KIND UPON THE INSURER,ITS AGENTS OR R EN' TIMES. Attn: Building Dept FA15iii6 Rr�i RF�'aesl�Ai7vI"..F x#305756-8972 se H Romero,Licensed Agent A225234 ACORD 25 91)QF Iii 1983-2009 ACORI)CORPO N.All IigMS reserved. The ACORD name and logo are istered marks of ACORD STATE OF:FLORIDA PERMIT #: 13-SC-1408735 DEPARTMENT OF HEALTH APPLICATION #: AP 1071379 a 4 ONSITE SEWAGE TREATMENT AND D Py DATE PAID: SYSTEM FEE PAID: CONSTRUCTION PERMIT D�partm®Miami-Dade COuntY HGal h CEIPT #: O.S.T.D.S. & It Pr 9mm DOCUMENT #: PR877386 CONSTRUCTION PERMIT FOR: OSTDS New I� APPLICANT: Alex&Emile Rodier PROPERTY ADDRESS: 1009 NE 104 St Miami, FL 33138 LOT: 15 BLOCK: 1 SUBDIVISION: Eveningside PROPERTY ID #: 11-2232-029-0140 [SECTION, TOWNSHIP, RANGE, PARC [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 [ 1,350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 750 ] SQUARE FEET in trench configuration SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ J N F LOCATION OF BENCHMARK: C/L NE 104 St:8.20'NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 30.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POI L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ 72.00 ] INCHES 0 -Install 1350 g septic tank. -Install 750 sq ft drainfield in trench configuration. T -Install 42"of slightly limited soil under bottom of drainfield. H -Elevation of bottom of drainfield to be no less than 5.70'NGVD. -The system is sized for 6 bedrooms with a maximum occupancy of 12 persorls, E for a total estimated sewage flow of 600 g/d. R SPECIFICATIONS BY: Joseph R Piverger TITLE: Engineer Specialist II APPROVED BY: TITLE: Engineer Specialist II Dade CHD Joseph verges G PM DATE ISSUED: 06/07/2012 Approved A 2/07/2013 DH 4016, 08/09 (Obsoletes all previous editions wh amvi used) sate Page 1 of 3 Incorporated: 64E-6.003, FAC g v 1.1.4 AP1071379 SE872103