APPLICATION FOR APPROVAL OF PLAND AND SPECIFICATIONS FOR PUBLIC WATER SUPPLY SYSTEM
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TIlis Space For U~l' By Approving District
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Tract 59 - Countryside
525-617.10
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL REGULATION
APPLICATION FOR APPROVAL OF PLANS &
SPECI FICATIONS FOR PUBLIC WATER
SUPPLY SYSTEM
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Th" Space /-oJ' l!sc lly,\ppruvlIlC ll"trwl
Approval Date ______ -_____
Permit No.
Ill, HI.."" 1'1 H\I 1,1 2 1',le,' I <114
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UaIC__'Ober 19, 1979
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(Ins':rl i!lh: of body makiuj; ;Ipplie~tion. I. c., l11uJlieip~lity. .;orporation or individual)
whllse aduress is~.~ox--.1?4~__ Cl earwater
(Stre~t and Nunlbcr) (City)
aUlhuri/,cd hy law to act for the s<iid_ _,___ City
(Insert city, town or corporation) .
and III l'xpcnd ilS fnnds ror wakr supply alld treatment works, hcrcwith submit for consideration the plans ,Hid s'pecifica-
lillns ;JIIl! III hel n,'cl'ss:ny data (il1L1uulll~ Form PERM 13 -2A) prepared by
Po~tJ~uc~~" Schuh & Jernigan, Inc.
(Engineer or firm)
2280 U.S. Highway 19 N., Suite 165, Clearwater, Florida 33515
01
(Address)
whll IS hl'rcby authol jzcd to lepresent the applicant in the engineering featurcs including supervision of construction and
aprmpriale ccrtiricatilln as to compliance with the approved plans and specifications of the project for the installation of
_" _~_~~!.~r di stri bution system
(Clearly ilescribe new systcm, new plant, modification, extension)
I u scrvc
Tract 59/Countryside
I d N. \~. of intersect i on of
ocate at ~-
countryslde ~V~~n~ neauow Wood
(Subdivision. plant, school, other)
in/11lU4' the city uL _. C 1 ea rwa ter in the county of Pi ne 11 as. State
or Florida, as rcquirl'J by the regulations of the Department :md herewith make applicativ:1 to the Dep:utment for :he appro-
val (:1 i1lis proJeC\.
Thl'sc plans, spccin,,'alions and related documents will be approved and accepted by
whcll they lwve n:.:civcd tlleapproval of the Department.
Clearwater
(Board, Council, Directors, Elc.)
Upon ':ollstr\lctioll, thcsc fa.:ilities will be owned by
above
and will be
oper;lletl allu m:Jilll:Jillcd by _'_ .?a.lTIe
whose address is
(City forl:es. name of utility, co., or owner)
above
above
IStrc.:t and Numbcr) (City or Town)
This applil'al ilJll is maul.' tinder and in full accord with the provisions of Chapter 381, Section 381.031 (I )(g) 3 and 5 and Sec-
tions 3gl.2S 1-3~ 1.29\, illdu:,jvc. Florida Statutes, THE APPLICANTS AGREE THAT NO CHANGES IN OR DEVIATION
FROM TIIF PLANS AND SPECIFICATIONS APPROVED BY THE DEPARTMENT WILL BE MADE EXCEPT WITH THE
CONSENT AND APPROVAL OF TilE DEPARTMENT. FliRTI~ER, THE APPLICANTS AGREE TO THE SPECIFIC RE-
QI!JRFMENTS RELATIVE TO OPERATION AND OPERATIONAL FUNDS THAT ARE MADE A PART OF THIS APPLI-
(,ATlON. IScl' Prllvisll Nu. 2. Page 4),
Is this application associated with or part of a Development of Regional Impact ( DRI ) pursuant to Chapter 380, Florida Statutes, and
Clupler 221'.2. Florida Administrative Code? .........yes ....X..No
REMARKS:---. ~on~
ENGINEER'S
SEAL
","'''' ;UII ~lIg;II"';lIg ducu""",., ",tin,,, by' B~I~~__
C /' -.?0; / Anthon~iT~lI Sh~ager
~C'L/C~,_ . ~/~$_ .t~ .. -:-'___ A tte s t~ .p . lYPl"d na'lc and TIlle gf above
SI;:naIlHc. 1',n~lnc.:, rYf-,yerl"d under l'I..r1d~1 Statules ~~ ~ ~
/ / Signature: City (Ierk. Huard Secretary. Elc.
Edward ~ ',---/ J 21318 Lucille William s, City Clerk
r1azur, r., P.E,. , ,.~
' !llcd _~a;nc :1I1d 11l~, lAb," ' ~, nit. ...... ,__
I,pn' 'liJIII': anu I,!", J{l'\(hlla'Il,U No, Countersigned:,' --t ~_ _
Sl.l!nalurc:~ ~~r
Charles F. LeCher, Mayor-Commissioner
Typed Name and Title: XllC~~
Approved as to form & correctness:
~~~llllkti~~
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I '. ' noma,s, .;', Bushn,L-l.ty...A.ttorney
D),I{ h.;m PI R\t ::1
P.l~': :lJf4
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INFORMATIOJ REGARDING PROPOSED PUBLIC WATER wtRKS
Suhmit comprehensive engineering report with all pbnsand specifications, and complete such portions of this form as
relate to the treatment plant. (Use supplemental sheets if necessary.)
Name of Water System Supplying \Vater
City of Clearwater
Previous approvOJll'ermit Number(sl
Est. ('ost this Project: Supply $
Treatment S
D' 'b ' $ 62,070
Istn utlOn
EXISTING SUPPLY AND TREATMENT FACILITIES:
Total S 62,070
Supply _ _ ___'_
MGD, Treatment
MGD
Storage: Ground,
~. E1ev.
g:'Il: Pressure Tank
g;'l1.
Scrvice Pumping
gpm
Capacity of emergency pumpi.ng units: WelI
gpm, service
gpm
Utility is Capable of Supplying
Equivalent Residential Connections.
Max. Daily output
MG.
date
Equivalent Residential Connections
PROPOSED IMPROVEMENT OR DISTRIBUTION EXTENSION
Plant increase
MGD
Supply:_~
Pressure Tank
Plant: Aerator _ ___
Gnd. Storage
Elve. Storage
ChlOrinator _
Service pumping
gpm
Aux. Power for.
Prescnt Population (Municipality. institution, etc.)
Additional Population (served by this project)
336
Equivalent to
140
residen tial services,
Estimated population to be connected: 5 ycars
336
10 ycars
336
20 years
336
Prescnt pcr capit<J consumption
1 00 GPO
Per capita estimated future
100 GPO
Give any induslri:d users or abnormal dcmands_
None
In!ea:ollllelliuJl Wilh other systcm
No '
cross connections
No
Mill, size pipe
411
.. .--- _Rcsidual prcssure at peak Iuad
20 psi
Is fire control provided?
Yes
Descrlhc dC<Jo-rno clll:dillons and necessity for flushing
No permanent dead end connection within
this project.
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LI"llul'r!lli, ..I new ['Irc lines 0.' ,11Il! bll'Cr 4il5,_~.f_~~35~LF 611
RClllarks
None
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PROVISOS
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The plans for the proposed ilOpro'iements cited in the foregoillg 3ppiication are hereby approved under authority of
Chapter 381. Section 381.031 (I) (g) 3 and 5 amI Sections 381.251-381.291, inclusive, Florida Statutes, with the following
provisions:
1. Construction of this project must be commenced within one year from the date of this application; otherwise plans and
specifications must be resuhmitted for approval by this Department. The engin~er of record in this application )t)t~M~
IN~~)O)(*~x>XJ4>eXOOXlXlXOOX)atJ)o(XkbOp~~~)l upon completion shall inspect for complete conformity to the pians and
sp<:cificiltiuns as approved. A report of such inspection in writing and signed by the engineer shall be rendered to the interested
('ounty Health Department and to the Department of Environmental Reguldtion.
2. This approval is given with the understanding that upon the installation of such works, its operations shall be plilced un.
dcr the care of a competent person, whose qualifications are approved by the Department and the operation shall be carried
out according to best accepted practice and in accordance with the requirements of the rules and regulations ljf the Depart-
men L This includes not only the provision of continuing essential funds for operation and maintenance of chemical supplies
for plant operation; but also the funds for maintenance equipment and supplying the needs of a suitable water plant labora-
tory whi.:h is required for proper operation of this water treatment facitity.
3. Water supply facilities including mains shall be installed, cleaned, disinfected, and bacteriologically cleared for service, in,
acCOrdalll:C with the latest applicable A WW A Standards and Department rules and regulations.
4. Where water and sewer mains cross with less than 18" vertical clearance, the sewer wi!lbe 20' of either cast iron pipe or
concrete enc:lsed vitrified clay pipe, centered on the point of crossing. When a water main parallels a sewer main, a separation
of at least 10' should be maintained where practical.
The officjJI copies of plans Jnd specificatiolls accompaJlying this application have been sealed and stamped with the
pcrlllitl1ll1T10er:lS indicated hercon, Gnly sudl plans and specifications are included in this approval and any erasures, additions
ur :llter:ltllJllS Jff.:cting the efficiency of operatioll or public hcaltli protective value- of thc proposed improvemcnts will make
such approval null and void, ,
Diqrlcl M,lIl.l)!,cr
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By:
A~~n!