PERMIT C52-15815 TO SERVE 104 LOTS FROM TRACT 56 AND 7 ;LOTS FROM TRACT 60
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State of Horida
DEPARTMENT OF ENVIRONMENTAL REGULATION
Pinellas County
Countryside
Tract 56 Unit 1
APPROVAL OF INSTALLATION AND USE OF A
SEWAGE COLLECTION/TRANSMISSION SYSTEM
FOR AGENCY USE ONL Y
Anthony L. Shoemaker
City of Clearwater
112 S. Osceola Ave.
Clearwater, FL 33516
Approval No.:
Issued:
Expires:
Treatment
Facility:
C52-15815
December 20, 1978
Auqust 1979
City of Clearwater
Nl~
Dear Mr. Shoemaker:
In reference to your recent application to this department for approval of the installation of a sewage
collection/transmission system to serve the following project:
Project Name:
Project Location.
Countryside Tract 56 Unit 1
1/4 mile south of Countryside Blvd. & SR 586
III single.family homes
Population: 266 people
Flow: ~6 , 600 GPD
Project Description;
Approval of construction only has been granted subject to the following conditions:
1. The design, installation and use of the facilities shall be in accordance with: your applica-
tion dated December 18, 1978 ; the Water Pollution Control Federation
"Manual of Practice No.9"; appropriate provisions of Chapters 403 and 471, Florida
Statutes; and the rules and regulations of the Department of Environmental Regu lation.
2. The approval is only for INSTAllATION of a wastewater collection/transmission system
and does not relate to any water supply aspects. The engineer of record shall supervise
the construction of the engineering features of the system. At the end of construction,
but prior to use, the "Certification/Approval to Use" statement (found on Page 2) must
be completed and submitted tot his department and a copy forwarded to the local pro-
gram (if applicable) of your county.
3. This approval is based on the understanding that adequate reserve capacity, as stated in
your application and certified by the trreatment plant owner, will be available at the
Ci ty of Clearwater NE sewerage treatment plant so that
the wastewaters generated by this project will be collected, treated and disposed of in
compliance with Chapter 403, Florida Statutes and the rules and regulations of this
department.
4. Individual connections that will increase flow to the sewage treatment facility are not in-
cluded in this approval.
DER Form PERM' '-9 (Feb 77) Page' of 2
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5. Before starting construction of this project, approvals from other federal, state, or local
departments/agencies may be required.
6. Construction shall commence prior to
7. Where water and sewer mains cross with less than eighteen inches (18") vertical
clearance, the sewer will be twenty feet (20' - 0") of either cast iron pipe or concrete
encased vitrified clay pipe, centered on the point of crossing.
8. When a water main parallels a sewer main, a separation of at least ten feet (10' - 0")
should be maintained where practical.
District Manager
CERTIFICATION/APPROVAL TO USE
This is to certify that, with the exception of the deviations noted in the attached letter dated
, the installation of this system has been completed and tested in accordance
with the application and approved plans. The system, if properly maintained and operated, shall comply
with the W.P.C.F. "Manual of Practice Number 9", Chapters 471 and 473, Florida Statutes, and the rules
and regulations of the Department of Environmental Regulation. The initial three months of operation
shall be under my engineering supervision.
PROJECT ENGINEER CERTIFICATION
DER APPROVAL TO USE
Signature
Date
Signature of District Manager
Date
Florida Registration Number
(Affix Seal)
cc:
Owner of Treatment Plant
Project Engineer
Local Program
Edward Mazur, Jr.
TBRPC
FPSC
Records Center
DER Form PERM 11-9 (Feb 77) Page 2 of 2
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I tact 56 - Unit 1 Countryside
_ ,_,.____ ~. _~_ 525-6_06~ 0 T)
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~ e.~~Vb~~EPARTMENTO;':~~I';."o'~~=:;AL REGULATION . ~\,C - - '.'; ~n\c;t \
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SEW:~~L~g~r~~I~~?,!~~~~~:s1:fNNs~~TEM \. $OU1\-r~\J;~(,,\P~ \
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Source location: Street
Tract 56 - Unit 1 Countryside
See Attached Plans
County
City Cl earwater
Pinellas
Source Name
lat:
28
o
01
10
"
long.:
82
o
44
10
Appl. Name and Title:
City of Clearwater
112 S. Osceola Avenue, Clearwater, Florida 33516
Appl.' Address:
STATEMENTS BY APPLICANT AND ENGINEER
A. Applicant
I, the ~~/authorized representative of-
am fully aware that the statements made in this application for approval of wastewater collection/transmission facilities are
true, correct and complete to the best of my knowledge and belief. Further. I agree to retai1T~-design-engin1!ef7or-another a
professional engineer registered in Florida, to supervise construction and the initial three months of operation of the facility.
I also agree to ma' ain and operate the facilities in compliance with the provisions of Chapter 403 Florida Statutes, and all
applicable rules n regulaf ns of the De r e nvironmental Regulation. I understand that an approval, if granted
by the Depart en is no ransferable an prompty tify the Department upon said or legal transfer of the approved
f acilit ies. -
City of Clearwater
Signed
Date
~/f.-J {P. 1'17[/
,
Name and Title
Sboeaaker. City Mana..r
* Attach a letter of authorization.
B. PROFESSIONAL ENGINEER REGISTERED IN FLORIDA
I hereby certify that the engineering features of this wastewater collection/transmission system have been designed by me.
in accordance wit C apter 403 orida Statutes and Chapter 17.6, Rules of the Florida Department of Environmental Regu-
lation.
Signatur
/
Mailing Address:
2280 U.S. Hwy 19 N Suite 165
Clearwater, Florida 33515
~
Edward Mazur, r., P.E.
(Plellle TXpe)
Company Name: Post, Buck I ey, Schuh &
J2,n3j gan, Inc.
Florida Registration Number: 18
(Affix 5elll)
Name
Telephone No.:
725-3614
Date:
DER Form PERM 14.3 (Dec. 77) Pege 1 of 4
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DIRECTIONS:
(1) All items must be completed in full in order to aviod delay in processing of this application.
(2) All information to be typed or printed in ink.
(3) Four (4) copies of this application and a check for twenty dollars, made out to State of Florida, Department of Environ-
mental Regulation, will be submitted with this application when sent to the appropriate District/Subdistrict office.
(4) If the project is located in an area under the jurisdiction of a local pollution control and or planning agency, furnish those
agencies with a copy of this application prior to submitting to the Department of Environmental Regulation. Enclose copies
of those agencies remarks with application. The planning agency will certify that the proposed project is in conformance with
the comprehensive area wide water quality management plan as approved by the Department.
(5) This application to be accompanied by one set of engineering drawings, specifications and design data as prepared by a
Professional Engineer registered in Florida, under Chapter 471, Florida Statutes. The basis for design will be the W.P.C.F.
Manual of Practice, Number 9, and other criteria as approved by this DepartiTIent.
(6) Attach 8%" x 11" sketch of the proposed project showing location of the treatment plant and effluent disposal area, its
relationship to the entire service area, and how it ties into the existing system.
ALL INFORMATION TO BE TYPED OR PRINTED IN INK
ALL COPIES OF THE APPLICATION TO BE SIGNED BY: THE APPLICATION, PROJECT ENGINEER AND THE OWNER
OF THE SEWAGE TREATMENT PLANT.
Pinellas
November 28, 1978
(2) Date of application
City of Clearwater
(1) County
(3) Applicant (name and title)
112 S. Osceola Avenue, Clearwater, Florida
Zip
33516
(4) Mailing Address
(5) Telephone Number
442-6131
#;.
(6) Description of establishment to be served:
Tract 56 - Unit 1 Countryside
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b.
Name
L . ( 'f') 1/4 mi south of intersection of Countryside Blvd & SR 586
ocatlon SpeCI IC
a.
a.
List lengths. sizes and material comprising proposed sewer construction mains. Gravity
Force -
6600 L.F. 8" V.C.P., 22 Manhole~
Is this application associated with or part of a Development of Regional Impact (DRI) pursuant to Chapter 380, Florida Statutes,
and Chapter 22F-2, Florida Administrative Code? _Yes ~o
*Note: 104 lots from Tract 56 - Unit 1
7 lots from Tract 60 (Adjacent)
DE R Form PE RM 14-3 (Dec. 77) Pege 2 of 4
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(8) a. Pumping station data:
location
and/or No.
Design Flow GPM
Min.
Max.
Avg.
No Pump Station
serving this project.
b. Emergency provisions (include treatment and disposal of overflow):
(9) Construction schedule of proposed project:
December 1978
Estimated completion date
April 1979
Start Date
Expected date of connection to STP
(10) Estimated costs (show breakdown by components)
See Attachment "1"
(11) Sewage treatment plant serving this project:
Name ........, hllal. OIIdnl ...111 't,
b: location (specific) .... c.a- - .... -. c.a. ~
O C1*~ ef C~...
wner
.. .... _'.,... C~'- ft.
d. Mailing address ' ·
Plant supervisor ....1 "--ilia
a.
c.
e.
f. Certified operator'
z
.
class of certification .&
g. Full time operator
h. Plant influent loading and treatment data:
. Part time operator
(1) Flow (MGD)
Average last 12 months
Average last 30 days
....
......
(2) Anticipated flow upon completion of this project
. tit
(3) Anticipated flow from all projects approved but not yet connected 1.11e
Plant design average 1..
DE R Fof.m PERM 14.3 (Dec. 77) Pllge 3 of 4
,
Pump Design Characteristics
GPM
TDH
GPM
TDH
z
April 1979
County .1..11..
Telephone .. IlSl
Zip 18118
, Not certified
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(4) Treatment efficiencY'
5 Day BOD Total Susp. Solids
Influent E ffl. Percent Influent Effl. Percent
Ibs.lday Ibs.lday Reduction Ibs.lday Ibs.lday Reduction
Avg. last .. 14.1 m
12 Mos. 10 IS H.2
Avg. last 111 ., n.1 - fl" N.5
30 Days
Projected upon ,,,.
completion this 124" .. M.I lllO 48 16.1
project
Projected all
projects appd. 202. 112 N.I 18'0 ,a H.2 ..
but not tied in
PLANT DESIGN AVG. .... aoe ".0 1088 '. 101 ....
.
(12) Statement, sewage treatment plant owner:
The undersigned, owner/authorized representative. of
Clift' 0' ".....na
hereby certify that the above
referenced plant has adequate reserve capacity to accept the wastewaters from this project and will provide the necessary
treatment and disposal as required by Chapter 403, Florida Statutes and all rutes and regulations of the Department. Further,
the unders!1J!!.ed verifies that his treatment plant is operating under a valid permit.
DC ......1. ......,.
No. . Dated. sued by e epa~tmern;'a e connection
of the proposed project will not be in violation of any conditions of said per
Signed
Name and Title
A. L. 8Jao.mmlr~e oC'fb _...
~tJach letter of auth~rizition.
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.._. 111&11..... ........ to ,... ....1...., 1"'1.11" la ,ilia .,.11..'108
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al~'" ..,. a IId.WiIIa "'1' ....... CaT Tt."_. ... ........ .., ,be
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DER Form PERM 14.3 (Dec. 77) PIIg8 4 of 4
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.... ST~~E OF FLORIDA
ljPARTMENT OF ENVIRONMENTAL REGULflON
RECEIPT FO~APPLlCATION FEES AND MISCELLANEOUS REVENUE N?
26787
Received from
Date
Address
Dollars $
Applicant Name & Address
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Source of Revenue
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Revenue Code
Application Number
By
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