PERMIT DC52-2516 FOR RECEIPT APPLICATION TO OPERATE POLLUTON SOURCES
8573
RECEIPT FOR APPLICATION TO OPERATE/CONSTRUCT POLLUTION SOURCES
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ApplicantAddress ~~- (/)0f'/jJ'/t; ~A"~AA/"')~. ~~ 335IP
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J STATE OF FLORIDA I
DEPARTMENl OF ENVIRONMENTAL REGULATIO'N .
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State of Florida
DEPARTMENT OF ENVIRONMENTAL REGULATION
APPROVALOF INSTALLATION AND USE OF A
SEWAGE COLLECTION/TRANSMISSION SYSTEM
March 31. 1977
Pine11as County DW
Anthony L. Shoemaker
Assistant City Manager
City nf Clearwater
112 South Osceola Avenue
Clearwater. Florida 33516
FOR AGENCY USE ONLY.
.
Dear Mr. Shoemaker:
Approval No.:
Issued:
Expires:
Treatment
Facility:
C52-1080
March 31, 1977
Octoher, 1977
Clearwater Northeast
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: Cypress Bend of Coun trys ide Uni t 2.
Project Location; Approximately ~ mile south of the intersection
of State Road 580 and Countryside Boulevard
Project Description: 72 single family homes 252 population
Flow: 25,200 GPD
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 March 15, 1977 ; 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 Regulation.
2. The approval is only for I NST A L LA TI ON 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
Clearwater Northeast 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' of2
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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 in(~hes (18") vertical
clearance, the sewer will be twenty feet (20' - 0") of either c.ast 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.
d1~
Sincerely,
bfJO
Banks B. Vest,
District Manager
Southwest Distr.
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)
BBV/smw
cc: <liMneKc)'f:mce>>tfdej(~t
Project Engineer-James T. Glass
Local Program-Tampa Bay Regional Planning Council
Florida Public Service Commission
Central Files
O)OGE9~
DER Form PERM 11-9 (Feb 77) Page 2 of 2
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525-030.42
D. E. R,
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL REGULATION
APPLICATION FOR INSTALLATION OF
SEWAGE COLLECTION/TRANSMISSION SYSTEMI
------
MAR 29 1
c.:'--C\;"\"'
SOUTH WEST 0\01[\1\.1\
ST. P~TERSBl!RG
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Source Name
Cypress Bend of Countryside - Unit 2 County
S See attached plans ClOty
treeL
ut: 28 0 01 __lQ__ Long.: 82
City of Clearwater
112 S. Osceola Ave. ~ CTear'wa ter, Flori da33016
Pinellas
Source Location:
Clearwater
44
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Appo Name and Title:.
Appl. Address: ___
A.
Applicant
I, the owner/authorized representative of* City of Clearwater
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 retain the design engineer, or
another professional engineer registered in Florida, to supervise construction and the initial three months of operation
of the facility 0 lalso agree to maintain and operate the facilities in compliance with the provisions of Chapter 403 Flo-
rida Statutes, and all applicable rules and regulations of the Department of Environmental Regulation. I understand
that an approvo ,.of granted by the Department' ontransfera d will promptly notify the Department upon said or
legal transfer f tjle appro ed facilities.
;
A March 22, 1977
Signed___
STATEMENTS BY APPLICANT AND ENGINEER
. Anthony L. Shoemaker, Assistant City Manager
Name and TltJe_______
*Attadl a letter of authorization. If applicant is a corporation. a Certificate of Good Standing must be submitted with
application. This may be obtained for a $5.00 charge, from the Secretary of State, Bureau of Corporate Records,
Tallahassee. Florida 32304.
B. PROFESSIONAL ENGINEER REGISTERED IN FLORIDA
I hereby certify that the engineering features of.this wastewater collection/transmission system have been designed by
me. in accordance with Chapter 403 Florida Statutes and Chapter 17-6, Rules of the Florida Department of Environ-
mental Regula. ~. '~. d,/:&;.. .0 2280 US Hwy 19 N Suite 165
'-!d&4- ~L--._-~ Mailing Address: 1-E--
. -' Cl earwa tel'.L...!: Ion da?JS ;)
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Company l\Jllle:~Q$_t......6uc_k.Ley.J.$c_buh & Jerni-
gan, rric
N<lme.
Telephone No.:
725-3614
FJurKJa R~~95ifdti.(?~:tJ.t1ltrlJer:____1 0~~6
(Affix S~al f _ __;..-
Date:._
March 15, 1977
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DER Form PERM 14-3 (Apr 76) Page 1 of 4
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DIRECTIONS:
(I) All items must be completed in full in order to avoid delay in processing of this application.
12) All infurmation to be typed or printed in ink.
(3) I'our (4) <"<'pies of this applkation and a check for twenty dollars. made uut to State of !'Iorida . Department of Environment;11
Rl'!!ulatilln, will he submitted with this application when sent hi the appropriate District/Subdistrkt office.
(4) If the projel"l is located in an area under the jurisdiction of a local pollution control and/or planning agency, furnish those agencies
with a c'opy of this application prior 10 submitting to the Departmc'nt of Environmental Regulaliun. Enclose copies of those agencies re-
marks with application. The planning agency will certify that the proposed project is in conformance with the comprehensive area wide
water 4uality manal!ement plan as approved by the Department.
(5) This applic'ation 10 be accompanied by one set of engineering drawings, specifications and design data as prepared by a Professional
Engineer registered in Florida, under Chapter 47.1, Florida Statutes. The basis for design will be the W. P. C. F. Manual of Practicc. Num-
ber 9. and other c:ritcria as approved by this Department.
(6) Atta.:!! 81;''' x II' sketch of the proposed project showing location of the treatment plant and eft1uent disposal area, its relationship
to the entire servicc area, and how it ties into the existing system.
.,
ALL INFORM~ nON TO BE TYPED OR PRINTED IN INK
ALL COPIES OF THE APPLICATION TO BE SIGNED BY; THE APPLICANT, PROJECT ENGINEER AND THE OWNER
OF THE SEWAGE TREATMENT PLANT.
Pine11as
(I) (ounty__
(2) Date of application__l!arch_J5, 1977
(3) Applicant (name and title) City of Clearwater
112 S. Osceola Ave.,
(4) Mailing AddrcsL___
Clearwater, Florida
. 33516
Ztp_____
(5) Telephone N\lmbeL_~42-6131
(6) Description of establishmenl to be served:
3. Name._____~ress Bend of Countryside - Unit 2
b. Location (SPeCific)__ApE..rOx!ma~el~. 1/4 mile south of the intersection of SR 580 and
COuntrys 1 e 1 vd .---
~. Type: single family homeL~, apartments_._, mobile homeL__, moteL_u,
other (des~ribe)_____
d. TOlal number of units-
72
Flow:
350
GPO/unit
e. Number or units per connection 1
L Number of bedrooms per U1Jit 2 .3. & 4
P I. . 3 5
g. opu atlon per ul11L_________. .
,: h ,. . 72
II. ,..1I1Il cr u ~onne~llonL____.___._____
L lOlal population tll be served u_._._~~~__.__--Flow:
100
__GPCD
.1. I:xpt'([cd average d:Jily !low
17.5 (avg.)
GPM
25,200
GPO
(7) Det:lIls <If propnsed project:
a. List knglh~. sizesand material comprising proposed sewer construction mains. Gravity ~,.-~
rortCn___ .~~~:tJf__~~JLCP~_ 255~ LF 611 VCP
15 manholes
,---,._- ----._--- _.-_..._-_._--------------,....--~-_..__._---,-----..~~- -~-'---.~-
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Is this application associated with or part of a Development of Regional Impact ( DRI ) pursuant to Chapter. 380;'FTl~jd<l :itatutes, and
Chapter :!2F-2, Florida Administrative Code? .........yes ...J<...No
DER Form PERM 14-3 (Apr 76) Page 2 of 4
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(?) a. Pumping station data:
Location'
and/or No.
Design Flow GPM
Min. Max. Avg.
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Pump Design Characteristics
GPM TDH GPM TDH
None
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b. Emergency provisions (include treatment and disposal of overflow):
-------------------------
(9) Construction schedule of proposed project:
Start Date February 1977
Estimated completion date
July 1977
Expected date of connection to STP
July 1977
(1 0) Estimated costs (show breakdown by components) (See Attachment 111")
(11) Sewage treatment plant serving this project:
a. Name. ..... ......a. c.aMl F~"
If." .._,.. a. ... ... C. a. 11
b. Location (specific) . .. '
c. Owner c:er .. CI_~;U'"
P.O'... .~ . . e..... .....
........ I""
County
Telephone
d. Mailing address
... Je.I........-
e. Plant supervisor
f. Certified 'operator
x
class of certification '
; Not oertified
A
g. FuIl time operator
S'
" Part time operator
h. PJant, in~uent loading and treatment data:
(I) Flow (MGD)
Average last 12 months
Average last 30 days
....
.aM
(2) Anticipated flow upon completion of this proj~(;t
.1"
(3) Anticipated flow from all projects approved but not yet connected
.116
Plant design average
....
DER Form PERM 14-3 (Apr 76) Page 3 of 4
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(4) Treatment efficiency
Avg. Last
12 Mos.
Avg. Last
30 Days
Projected upon
completion this
project
Projected all
projects appd.
but not tied in
5 Day BOD
Influent Effl. Percent Influent
Ibs./day Ibs.fday Reduction lbs./day
,.. II ".S ."
Total Susp. Solids
Effl.
Ibs./day
Percent
Reduction
19
91.1
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1M
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90 ..~! 2011
611
17
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109
97.S
IS96
PLANTDESIGNAVG. il'"
JO'
to,.
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(12) Statement, sewage treatment plant owner: ..
The undersigned, owner/authorized representative* of_
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 rules and regulations of the
Department. Further, the undersigned verifies that his treatment plant is operating under a valid permit.
No~C. U-1116 ,Dated,....... ".1 fT' . ,issued by the Department, and the connection
of the proposed project will not be in ViOI.a.t. iO. n of a~Y ..~...n.diti~nSof sa~id per it. .. .....
.Sig!l,ed~' \!l;~ '.. ---------
, . '"--
Name and itle _ ,I
. ., . Type or Print
*Attach letter of authorization." Tille ..".tMlle ...... ........ ..... ....1'........ ....
..... ........ ... ... ... ..... eM car .. c:a..n.e. wtU ."1 .,...., ta_
........ "4 ~~ to ... -..a.,.. It I ~tlfl" .. tide ..'Ik...... u aU CtIy .....
Ul1T'.'-.:t..... ............ a".Jtt...... al.....,. ~1... PIt'"
...... CU"MW." ........... "'.. Cltr ....-..... ..r1''' ~... ............
l...... ............... ....cIt:l8 .... .. _......... .. ..... .... all
C..II fl.......... ...al-.JI..trrmt".. At.... .........
DER Form PERM 14-3 (ApT 76) Page 4 of 4
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ATTACHMENT "111
(10) Estimated Cost - Continued
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Sanitary Sewer (811)..........................$ 32,600.
t-tanho 1 es . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 >>850.
Service Lines and Connections................ 16,550.
-Tota 1;
.$ 56,000.-
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