APPLICATION FOR APPROVAL OF PLANS AND SPECIFICATIONS FOR PUBLC WATER SUPPLY SYSTEM (2)
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This Space For Use By Approving District
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North of Tract 61 - Countryside
(Curlew Rd.)
525-608.14
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL REGULATION
APPLICATION FOR APPROVAL OF PLANS &
SPECIFICATIONS FOR PUBLIC WATER
SUPPLY SYSTEM
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Thl' Space hlf tlse Ih"\l'pro\'ln~ 1>lSlril'l
Approval Date _____
Permit No.
III H I "'"l 1'!'I{\l 11 2 I'ace I 014
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II IIIi 111_.1'_
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____ ,~jty_~~_C~~'C~ate~______ ____
lJatc_ OC~ber 19, 1979
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(\nSCrl i:tk of hody makiug i\pplication. I. c.. municipality, .::orporation or individual)
, P.O. Box 4748 Clearwater
whose adun:ss IS __ ____,__
(Strcet and Number) (City)
authoril.ed hy lJw to act for the said_ _.~ity
(Insert city, town or corporation)
illld 10 expenJ its funds for \viller supply and trcatmcnt works, herewith submit for consideration the plans ;Jnu spceifi':;J.
Ij,)\IS illlU lIlhef nl'eessary data (including. Form PERM 13-2A) prepared by
01
_~s~~~ckley, Schuh & Jernigan, Inc.
(Engineer or firm)
2280 U.S. Highway 19 N.~ Suite 165, Clearwater, Florida 33515
(Address)
willi is hercb~ ;Jutl1w ized to Icpresellt the applicant in the engineering features including supervision of construction and
appropmlc ccrt ification as \0 compiiant.:e wit1~ the approv<::d plans and specifications of the project for the installation of
A water main extension
(Clearly Gcseribe new system, new plant, modification, extension)
I t d t Curl ew Rd. between Countrysi de
oca e a
Bl vd. and Laodmarok) Un ve
\0 serve
Countryside
CSubdivision, plant, school, other)
in!;(IXiXthecityot'__. Clearwater inlhecountyof Pinellas ,State
or Flllliua, as required by th~ regu1atiVlls of the Department Jnd herewith make application 10 the Dep"rtment for the appro-
val (;1' lI.is proj.:CI.
lllesc plans, specificiltions and related documents will be approved and accepted by
when they have received the approval of the Department.
Clearwater
(Board, Council, Directors, Etc_)
Upon CllllSlruclion, Ihese facilities will be owned by
above
and will be
opcr;llcu and maintained by _____~,~me
whose address is
(City forct:s, name of utility. co., or owner)
above
above
(Strcet and Number) (City or Town)
This i1Pl'lil':t1 illn i~ miluc unuer amI in full at.:cord with the provisions of Chapler 38\ , Section 381,031 (l )(g) J and 5 and Sec.
lions JSI.~51-3~1.2,)1, inc!u:;ivc, Florida Statutes, THE APPLICANTS AGREE THAT NO CHANGES IN OR DEVIATION
FROM TIlE PLANS AND SPECIfiCATIONS APPROVED BY THE DEPARTMENT WILL BE MADE EXCEPT WITH THE
CONSENT AND API'ROV AL OF TilE DEPARTMENT. FURTHER, THE APPLICANTS AGREE TO THE SPECIFIC RE.
Q1JJI{U\1ENTS RELATIVE TO OPERATION A~D OPERATIONAL FUNDS THAT ARE MADE A PARTOF THIS APPLI.
CATION. (See Prllviso No.2, Page 4),
Is this application associated with or part of a Development of Regional Impact ( DR! ) pursuant to Chapter 380, Florida Statutes, and
Chap(er 221-.2, Florida Administrative Code? .........yes .....~..No
REMARKS:____ _,_~one_______
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l)n:parallUII 01 engincering docu1llents ~crtlricd by:
~c::/- (,;)';?:z / Antho~r~llI.
c;- 0~--c,-?:?z~~~-1<<---Attest.
Sl~"alllre, ""Clllecr. re)!hl~ unycrrti:';ld:O Stature< __'
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Edward Mazur, Jr., P.E. 21318
.kJ:lr1Ia~~X
oemaker, City Manager
I \p\'u ,.Illll" .In:J i".I. Hl.:!:!}\lf.JJIt,n ~,,\).
ENGINEER'S
SEAL
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INFORMA THIN REGARDING PROPOSED PUBLIC WATER tORKS
Suhmit comprchcnsivc engincering report with all plans and spccifications. and complete such portions of this form as
relate to thc trcatmcnt plant. (Use supplemental shects ifnecessary_)
Name of Waler System Supplying Water_
City of Clearwater
Previous approval Pcrmit Number(sl
Est. Cost this Projecl: Supply $
Treatment $
D' 'b . $ 13,500
Istn utlon
EXISTING SUPPLY AND TREATMENT F ACILlTJES:
Total S 13,500
Supply_ _ ______
MGD, Treatment
MGD
Stor;Ige: Ground,
---PI. Bev.
g;'Il: Pressure Tank
g;'Il.
Scrvice Pumping
gpm
C;Ip;Icity of emcrgcncy pumpi.ng units: Well
gpm, service
gpm
Utility j.. C;IP;Iblc of Supplying
Equivalent Residential Connections.
Max. Daily output
MG.
dale
Equivalent Residential Connections
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PROPOSED IMPROVEMENT OR DISTRIBUTION EXTENSION
Plant increase
MGD
Suppfy:_,
Pressure Tank
Plalll: Acrator_
Gnd. Storage
Elve. Storage
Chlorinator _
Service pumping
gpm
Aux, Power for
I'n:"CIII Poplllation (Muni.:ipalily. institution, etc.)
Additional Population (served by this project)
Equivalent to residential services.
Estimatl'd population to bc connected: 5 years
10 years 20 years
Prescn( per capita consumption
None
Per capita estimated future
Give any illuustri;11 users or abnormal demands.
Inlerc.:lllllleu iop with other system
No
cross connections
No
Mill. size pipe
8"
.- ---_Residual pressurc at peak load
20 psi
Is fire control provided?
No
Descrihe ue;lll-cnu COI:uilions and necessity for flushing
No permanent dead end connection within
this project.
LI\1 Ie 1I~1:1\ "I lie\\' plr.: illl':s 0" ;.Ind LH:.:':r
1495 LF 8"
K~'Il\;Jrk\
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PROVISOS
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TIle plans for the proposed i.nprm'emcnts cited in the foregoillg application are hereby appro~ed under authority of
Chapter 381, Section 381.03 I (I) (g) 3 and 5 and Sections 381.25 I -381.291, inclusive, Florida Statutes, with the following
provisions:
I. Construction of this project must be commenced within one year from the date of this application; otherwise plans and
specifications musl be resuhmitted for ap!'roval by this Department. The engin,er of record in this application il.O~~M~l!(
rMK~:'f:lmc~iroXlx>Xld)e~)'JxtxOO(iro)'J)O{XtrciX~~lXO()Qxi upon completion shall inspect for complete conformity to the phms and
specifications as approved. A report of such inspection in writing and signcd by the engineer shall be rendered to the interested
County Health Department and to the Department of Environmental Regulation,
2. This approval is given with the understanding that upon the installation of such works, its operations shall be placed un-
der the carc of a compctent person, whose qualifications are approved by the Department and the operation shall be carried
oul according to bcst accepted practice and in accordance with the requiremcnts of the rules and regulations d the Depart-
mcnt. 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 mainten:mce equipment and supplying the needs of a suitable water plant labora-
:ory whi.:h is required for proper operation of this water treatment facility.
3. Water supply facilities including mains shall be installed, cleaned, disinfected, and bacteriologically cleared for service, in,
accordance with the latest applicable A v",\V A Standards and Department rules and regulations.
4. Where water and sewer mains cross with less than 18" vertical clearance, the sewer wi!! be 20' of either cast iron pipe or
concrete encased vitrified clay pipe, centered on the point (If crossing. When a water main parallels a sewer main, a separation
of a t least 10' should be main taincd where practical.
Thc ortici:ll copics of plans :lnd specifications accompanying this applicJtion have bcen sealed Jnd stamped with the
pcrullt numhcr liS indicated hereon, Gnly such plans and specifications are included in this approval and any erasures, additions
or :.tlteral1ons affecting thc cfficiency of operatioll or public health protective valuc- of the proposed improvements will make
sUl.:h approval null :lnd void,
Di'ilrlCf Manager
By:
At'enl
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