APPLICATION FOR APPROVAL OF PLANS AND SPECIFICATIONS FOR PUBLC WATER SUPPLY SYSTEM
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This Space For Use By Approving District
Tract 90 - Phase 1
Countryside
525-623.10
STATE OF FLORIDA
. DEPARTMENT OF ENVIRONMENTAL REGULATION
,APPLICATION FOR APPROVAL OF PLANS &
SPECI FICATIONS FOR PUBLIC WATER
SUPPLY SYSTEM
This Space For Use By Approving District
Approval Date
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Permit No.
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lu: J I.... 1)l;.t'AKIMCNI Ul" I:.NVIKUNMa:.NIAL Kt:.liULATlUN
City of C1eal,,'w.ater
Thc_ _' ~
L>ate
February 1, 1980
1.--, , .;'-
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whuse :address is
(lnsen title of body makinj; application. i, e.. municipality, corporation or individual)
P.O. Box 4748 Clearwater
(Street and Number) (City)
~uthuriLed by law tu act for the said Ci ty
(Insert city, town or corporation)
ami \ll cxpcnd its funds fur water supply and treatment works, herewith submit for consideration the plans and specifica.
tiuns and IIthcr necessary data (including Form PERM 13-2A) prepared by .'
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..Po,~~,_~I!~kl ey, Schuh & Jerni qan. Inc.
(Engineer or rum) ,
or ....--.
2280 U.S. Highway 19 N., Suite 165, Clearwater, Florida 33515
(Address)
whu is hereby authorized 10 represent the applicant in the engineering features including supervision of construction and
appropriate certification as to compliance .with the approved plans and specifications of the project for the installation of
A water distribution system
(Oearly describe, new system. new plant. modiftcation, extension) Approx. 1 /4 mi. wes t
Countryside - Tract 90 - Phase 1 I d intersection of SR 586
ocate at
Countryside(~tl~ard
of
and
to serve - -
in/near the city of Clearwater in the county of Pinel1as . State
of Florida. as required by the regulations of the Department and herewith make application to the Department for the appro-
val of this project.
(Subdivision, plant, school, other)
ll1est: plans, specifications and related documents will be approved and accepted by
when they have receiv,ed the approval of the Depar~men~. ,_ .. _'
Cl earwater
(Board. Council, Direeton, Etc.)
Upon construction. tl;'ese facilities will be-owned by
. ,;. ;-Above
llnd will be
operated and maintained by .--:~_ame -,~ '.. . wh'oSe addresiis -
(City forces, name of utility, co., or owner)
Above
(Street and Number) (City or Town)
This application is made under and in full accord with the provisions of Chapter 381, Section 381.031 (1 )(g) 3 and 5 and Sec.
tions 381.251-381.291, inclusive, Florida Statutes. THE APPLICANTS AGREE THAT NO CHANGES IN OR DEVIATiON
FROM THE PLANS AND SPECIFICATIONS APPROVED BY THE DEPARTMENT WILL BE MADE EXCEPT WIlli THE;
CONSENT AND APPROVAL OF THE DEPARTMENT. FURTHER, THE APPLICANTS AGREE TO THE SPECIFIC RE.
QUIREMENTS RELATIVE TO OPERATION AND OPERATiONAL FUNDS THAT ARE MADE A PART OF THIS APPLI.
CATION. (See Proviso No.2. Page 4).
I~ this application associated with or part of a Development of Regional Impact ( DR! ) pursuant. to Chapter 380, Florida Satutes. and
Chapter 221-'-2. Florida Administrative Code? ....-- Yes _.l_..No '
REMARKs:/v6n e
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Edward Mazur, Jr., P.E.
Signa re:
Anthony L Shoemaker, City Manager
I./) . Typqd name.and :ritle of above
Attest: rt+--~ (,.. J2 p~
Signature: City Clerk. Board Secretary, Etc.
Lucille Williams, City Clerk
Ty~mrnd Title o\..A~ve ~
Iypcd Namc and Ha. Registr.llion No. , Countersigned: C / tr h~ e'/l? r ~( ~
Approved as to form &: Signature: ~Mr"fn(fl1llir)C~-""
Charles F. LeCher, Mayor-Corrunissioner
c
Typed Name and Title: ~
Pre pa nil ion of engineering documents certified by:
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21318
El"~GINEER'S
SEAL
Ci ty A tty ~o-Signature: Agent for Operation and Maintenance if different
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lNFORMATIct REGARDING PROPOSED PUBLIC WATERtORKS .
Submit comprehcnsive engineering report with all plans and specifications, and complete such portions of this form as
relate to the treatment plant. (Use supplemental sheets if necessary.)
Name of Water System Supplying Water
City of Clp~rw~tpr
Previous appToV'oIl Pcrmit Number(s)
Est. Cost this Project: Supply S
Treatment S
Distribution S 85 ,000
EXISTING SUPPLY AND TREAlMENT F AOunES:
Total S 85,000
Supply _____
MGD, Treatment
MGD
Storage: Ground
~I. Bev
g;d: Pressure Tm~
glI1.
Service Pumping
or..l1
Capacity of emergency pumpi.ng units: Well
gpm, service
gpm
Utility i!i Capable of Supplying
F-quivalent Residential Connections.
Max. Daily output
MG.
date
F.quivalent Residential Connection't
PROPOSED IMPROVEMENT OR DlSlRIBUnON EXTENSION
Plant increase
MGD
Supply:
Pressure Tank
Plant: Aer:ltoL
Gnd. Storage
F.1ve. Storage
Chlorin:ltor
Service pumping
gpm
Aux. Power for
Present Population (Municipality, institution, etc.)
Additional Population (served by this project)
,216
F-quivalent to
90
re~idential services. .
Estimated population to be connected: 5 y!=3rs
216
10 years
216
20 years
216
Prcsent per capita consumption
1 00 GPD
Per capita estimated future
1 00 GPD
Give any industrial users or abnormal demands
Inten.:onncl:tio/1 with other system
None
cross connections
None
Min. size pipc. _.Ji~Residual pressure at peak load
20 psi
Is fire control provided?
Yes
No permanent dead end connection within
thi s proj ect.
Ucscribc dead-cnd conditions and necessity for nushing
U't I ,. 1- ...... dl 1770 LF 12" DIP, 5500 LF 611 PVC
sl L11};t IS II new plpc Illes u an :Jrger__
Renurks
None
I PROVISOS . - "
The plans 10' Ihe p,opo"d imp,o"men" dIed In the lo"going app\icotion are hlebY app,o"d und" authodlY 01
Chap''' 381. 50cl ion 38\.031 (I) (g) 3 and 5 amI Sections 38\.251.38 \.291. Incluslv<. Flodd. S ta lot". w; <h th e lollowing
provisions:
I. Con,tluct ion 01 ,his p,oj<ct must be commenced within one y= ftom the d. Ie 01 this appllcallon; othe,w;" plan..nd
-",callons must be ",uhmllled 10' app'Ova! by Ihis ll<p',tmenl. The engine" 01 ,,,o,d in this application lxxo<P.ltSb~e
fautJp<I.'li""",.li<ll< ~.ItllIUCXio.)(l('1xix:PJ<lj"",,,,,Ji upOn completion sh.Il inspect 10' eomple" conlonnity 10 the plan1an.d
-",cation'" approv<d, A "pO,t ofsuch insp"tion in wrilinpnd ~gned by the enginee< shall be "nde"d to the intmsted
County Health Department and to the Department of Environmental Regulation.
2. ThIs ,ppro,,1 is given with the understanding thaI upOn the installation of soch wod,s. ils op""tions sholl be placed un.
de< doe ca" ul, compelent pelSon. who" qualifications a" app,oved by the Departmenland the ope"tion sholl he carried
..,t a"OIding 10 b,,1 accepted p"ctice ..d in a"OId.nce w;th the "quirements of Ihe ",I"..d "8Olations 01 the ll<p""
"""I. This includes not only the p,ovlslon of continuing essenWl Innds fo, ope"tion and m.In"nance of chemical suppli<s
... plant ope"tion; but dso the funds for ""inten..'" equipment..d supplying the needs of a suitahle w"," planllabo'"
tory which is required for proper operation of this water treatment facility.
3. W"e< supply facilities includIng m,;ns shall he inswled. cleoned. disinfected. ..d bacledologically cI=ed f 01 """"" in.
K<D'd..ee wilh the blest appli"ble A WW A Stand.,ds ..d [)epartmenl n>les and regulations. .
4. Whe" Wolte< and "we< moins ClOSS with less than 18" vertl'" clearan"'. \he sewe< will be 20' of ei\h" cast i,on pIpe or
amerele encased vitl!fied cloy pIpe. cente<ed on the poinl of Clossing. When a wale< ""in parallel.. sewe, main. a separation
of at lcastlO' should be maintained where practical.
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The orfidal copi" of pl..s and spedt1cations accomp'nying this applIcatIon hav<been sealed and stamped with the
pe,m'l ",'mb" " indicated he<eon. Only such plans aud sp"ifocations a" Included in this approval and any erasu"'. additions
0' aHe"tiuns ,fl"llng Ihe effidency of ope"tion 01 pubtic hcalth p.oleCtlv,VOIu. of the propO"d Unprov<m.." wU\ mal<<
such approval null and void.
District Manager
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By:
...~<:nt