HomeMy WebLinkAbout2005 09 21 - Dewatering Application09f09120,15 19;47 15E158962C.9 GIT; Or SEBASTIAN PAGE +71
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1225 Main Street, Sebastian, Florida 32958
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ENGINEERING DEPARTMENT - APPLICANT INFORMATION SHEET
APPLICATION FOR PERMIT FOR DEWATERING IN THE CITY OF SEBASTIAN
This sheet is part of an application for permission to perform dewatering work within the City in
accordance with terms and conditions as set forth by the City Engineering Department.
ALL DEWATERING ACTIVITIES IN THE CITY REQUIRE A PERMIT.
Name of Applicant: _
Address. LI
Project Location Address:
Engineer of Record: _
Contact Numbers: C
Contractor Name and Adc
Contractor License / Registrationcz
Location of Work:
This discharge water will impact andlor affect a
Email:
Front Swale _ Side Ditch Rear Ditcn f Channel _ Culvert _ Canal _
Right of way _1!;�,-Eaaement_Ctttar' < oft • SrTF 2f -CN-o 2r- C
Description of Work involved:
Does work require a St. Johns River Water Management District Permit? YesX_ No_
If yes, attach tne permit. E-9-? ?Q�;To',,J I
Attach Site map showing at a minimum the follow ng:
a) Area to be dewatered,
b) Location of all turbidity berriors;
C) Type of turbidity barrier at each location: and,
d) General route of discharge and all points of offsite discharge
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CITY Or SEBASTIA
ENGINEERING DEPARTMENT
C- E PLAN,,APPROVED
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09/09/2035 14: 97 :5E155962139 CIr4 OF: SEB_ETIA,, PKtaE a2
Description of each type of turbidity barrier to be used
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Estimated Dates of Start 1 Completion: S£fT z[, 2100 S / . oc -r /� a2 o QS
Hours of Dewatering Operations: 7au
a K_S
tStlmateo Volu�na w uc �+m�a, a..�. - - - -✓
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Conditions of Permit: /aay.o�x �Pai..c� �'�X•,p.. �nc-�, �,ur/w/-iv
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1. The permittee shall take turbidity readings a minimum of once each day at all points of
discharge into ditches, canals, &wales, rivers, streams, or natural lakes, A log shall be kept on
site of all dewatering activites including but not limited to:
a. Name of person sampling.
b. Date and time sample taken
c. Location of sample point.
d. Turbidity reading in NTU's
e. Date and time of turbidity barrier Inspections.
f. Date, time and remedy of turbidity barrier breaches.
g. Person inspecting and/or repairing turbidity barrier.
2. Dewatering discharge must not cause or contribute to flooding of off-site properties
3. There shall be no direct discharges into Outstanding Florida Water (OFW), Class I or Class II
water bodies.
4. City authorized staff, upon proper identification, shall have permission to Inspect and observe
dewatering operations in order to determine compliance with this permit.
5. The permittee must mitigate any adverse impact caused by withdrawals permitted herein on
adjacent land uses or legal uses of water existing at the time of permit application.
under penalty of -p0411.131,1 hereby declare that the statements set forth above are true.
Applicant SlgnatuJrttl -_ �� Date. /y d
Only:
Pre -construction Inspection:
Final
Date:
�.4
Staked Turbidity Barrier
specifications
(Without Floats)
As of April 255 2005
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ISO larnittsted virga polyester:fabl'c
Heat sealed seams
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Wiry; lazzunate on A 9, 1000/1000 denier scrim
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18 ones per sgwc yarfl (6 10 ;r. per sq. yd.)
. Tensile @*rell th p ES?<91-5100:
2251bs Nvan — 204 lbs fill, f1021 daN x 93 daN)
. Tear Stre42rh —fs 941-5513:
100 l`os warp —1191bs Mi (+c5 WN
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3601bs Nr sq, it. t -Ow ym)
15031AW ?. ROGERS DX[va
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(80)) did- IB62
229-244-M04
CRY OF SEBASTIAN 2528
PUBLIC WORKSIENGINEERING
RECEIPT
001001208001 Sales Tax
007501322050 Driveway Penna L , B , U
001501 322900 Street Opening Permit 8 Engineering Fees
680800220301 Street Opening Security Deposit
001501 341910 Zoning Map
001501341920 Copies
001501362100 Community Center Rent
001501362100 Yacht Club Rent
001501 362150 Park Rent Pavilion/Electric:
680800220681 Yacht Club Security Deposit
680800220682 Community Center Security Deposit
680800 220683d law Park Security Deposit
Cash
0 Check%
Amount Paid
Total Paid l 44�6
White - Dept. of Origin • Yellow - Finance • Pink Applicant