37 CAUSEWAY BLVDLLIn nd Development & Neighborhood Services C.
o earw� 100 S. Myrtle Avenue, Suite 210
APR 2' 1 2011 Clearwater, FL 33756
' hone: (727) 562 -4567 Fax: (727) 562 -4576
i ELOPM_NT SERVICES DEPT
www.myclearwater.com
APPLICATIO''„' "'' & GRUBBING PERMIT
A non - refundable filing fee of $10.00 is required. DATE
Permit is applicable for 6 months from date of approval. RECEIPT NO.
In accordance with the Community Development Code, I hereby apply for permit to land clear and /or grub the
property described below:
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1. Location of Property: 3-4 Cft5-WA' l ✓t—Vi7 .
2. Project Name: (RA65)3 1::IUL' 5 Oi%S1PUR A 9_WW1aLNtq_
3. Purpose of clearing and /or grubbing: ❑ New Construction ❑ Demolition ❑Tank Removal Other
4. General description of existing vegetation, topography, and surface water (including all existing and /or
P 9 9 �� 9 9
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proposed ditches, canals, and swales) RX��!i P�i'L.it4( _ 'E:QEWALVZ T� OEMMA�
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5. Proposed method of debris disposal j7umNl
6. Tentative date to begin work 2. 4AY . I I
NOW
7. Proposed method of soil erosion control _lift ' T" 1R1?�Q.E
8. )<No-Tree Verification Required ❑ Tree Removal Permit Required
I AM AWARE AND UNDERSTAND THE REQUIREMENT OF SECTION 52.08, CITY CODE OF ORDINANCES
DGr_ADr11K1r_ TDCG DDrYM('T1nK1 DtIDInI(_ f'nK1QTD1IIt'Tinki AK1r) ADT1r1 E'A nl \ /IClr)Kl 7 (1F THE (`.r)RAKAI lKlITV
DEVELO ODE REGARDING EROSION AND SILTATION CONTROL.
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signature of Owner or wn s Representative Address
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Printed Name Ci State Zip Code
+rns's.
Representative' F'
C 22 '' 2021 (32t
L * f / R�y n 7 5_ Telephone ax
Applicant must include Aerial Photograph hoor Scaled Site Plan showing property boundaries and limits of work. This is NOT a
Tree Removal Permit.
DO NOT WRITE BELOW THIS LINE
Based on the above comments and information submitted, the above clearing & grubbing application is:
❑ Approved As S bmitted AApproved - Modified As Noted Above ❑ Denied
Signe Date: '0 I Aah
City Manag r or Designee
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I. GONTRACTPR SHALL INSTALL EROSION 5ARR,IER5 CRAY BALES)
ADJACENT TO ALL EXCAVATION AND STOCKPILE AREAS.
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INTERCEPTORS AND LOCATIONS r OR CORED RUBBER BOOT 1250 OR CORED RUBBER BOOT •~ 1250 FOR ATOP OF FIF EL
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NOTES:
I. PROVIDE 2- 2000 GAL IN SERIES GREASE INTERCEPTORS AS
INDICATED ON SITE PLAN
2. DESICpN STRENGTH SHALL BE IN ACCORDANCE TO H -20 BRIDGE
LOADI'►►vcs w/ 5000" PSI CONCRE,T�EE, 044,pGRADE 60 R.EBAR
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1. GONTRAGTPR SHALL INSTALL EROSION BARRI (WAY BALES) B _
ADJACENT TO ALL EXCAVATION AND STOCKPILE AREAS. z4 DIAMETER
GAS TIGHT CAST CONCRETE 24" DIAMETER CONCRETE 24" DIAMETER CONCRETE
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CLEAN-OUT-----, SECTIONS FRAME TRAFFIC RATED SECTIONS TWO-WAY IRON MANHOLE AND MANHOLE
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WISHED GRADE FINISHED GRADE FINISHED GRADE GLEAN -OU7
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' REQUIRED 1" VENT D 2 VENT
— REQUIRED REQUIRED
2" VENT
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NOTE: 14" WATER LEVEL WATER L'r.VEL
SEEP PLAN FOR ORIENTATION OF
1250 `• CAST IN PLACE ` : 14" CAST IN PLACE 24"
INTERCEPTORS AND LOCATIONS • , NOTCH TOP OF PIPE
OF INLETS t OUTLETS. GALLONS OR GORED RUBBER BOOT 1250 OR GORED RUBBER BOOT I25�i
-'. FOR SAMPLING LADEL
GALLONS = CxALLONB
42" SAMPLING WELL PRECAST, BY
PRECAST MIN. PRECAST 42" f ' PRECAST 42" INTERCEPTOR MANUFACTURER
CONCRETE MIN 6" H MIN 6" 18 X 18 MINIMUM (OR LARGER IF
6
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GREASE INTERCEPTOR INTERCEPTOR
INTERCEPTOR , ` 12" 811 ti .. 12" 8" •: • 12" 8"
SAND CUSHION SAND CUSHION SAND CUSHION
BELOW GREASE BELOW GREASE BELOW GREASE
INTERCEPTOR INTERCEPTOR INTERCEPTOR
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SEATING ..
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.TO.TAL RECAPR,ED.GALLON.
CAPACITY.
PER SEAT..
OPEN.
FACTOR -
GREASE .INTERCEPTORS...
FOR NON - PRIVATE ........
CAPACITY OF GREASE ...
.
.(SEATS) ..
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(GAL /SEAT) .
(HR/12)
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IN GALLONS ........
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SEWAGE. DISPOSAL ......INTERCEPTORS
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GAL.. .
NOTES:
I, PROVIDE 2- 2000 GAL IN SERIES GREASE INTERCEPTORS AS
INDICATED BONN SSITE PLZ APR LOSING tU! 5000P°vl COPIGRETE.R�A E bmBARBRIDGE fiC R 2 1 2Q11
3. CONTRACTOR SHALL OBTAIN VAL AND COMPLY W! ALL
REQUIREMENTS OF LOCAL OFFIGI S PRIOR TO INSTALLATION
4. INTE EPTORS SHALL BE BY OLDCASTLE PRECAST (800- 408 -1452) P Mi E N T
OR EQUJ AS APPROVED BY THE ENGINEER ARCHITECT, t OU.NER }} B Q R F i Q d® SERVIGES
CITY OF CLEARWATER
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