HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Frank & Doris Travassos
PROPERTY ADDRESS: 10526 Oakbridge Ct Fort Pierce, FL 34951
LOT: 3 BLOCK:
SUBDIVISION:
PERMIT #:56-SF-2024321
APPLICATION #:AP1458149
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1286438
PROPERTY ID #: 1309500-0006-000-8 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, E.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.'
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND
T [
1,050 ]
GALLONS / GPD SeDtIc New
CAPACITY
A [
]
GALLONS / GPD N/A
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 ERS #Pumps [ ]
D [ 500 ] SQUARE FEET Drafnfield New SYSTEM
R [ I SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD ' [ ] FILLED [X1 MOUND [ ]
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM at EL: 19.96
I ELEVATION OF PROPOSED SYSTEM SITE [ 9.00 ]
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ]
L
u
0
T
H
E
R
FT ][ABOVE 4 BELOW BENCHMARK/REFERENCE POINT
FT IABOVE BELOW] BENCHMARK/REFERENCE POINT
'ILL REQUIRED: [34.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system Is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
400 gpd. ,
SPECIFICATIONS BY- Ian P Moore TITLE: CEHP 17-2072
APPROVED BY: : Environmental Specialist I. St. Lucie C®
aunLCi A coil ar
DATE ISSUED: 12/27/2019 EXPIRATION DATE: 06127/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 A 1459149 SE1235321
STATE OF FLORIDA
a 23 DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[✓ ] New System [ ] Existing System
[ ] Repair [ -] Abandonment
APPLICANT: Frank and Doris Travassos
WELL NO. 59-30IS4
PERMIT NO.%-SF-JtQ433j
DATE PAID: MOVE
FEE PAID: Q-�
RECEIPT #: CC Sc� 7(0000
[ ] Holding Tank
[ ] Temporary
AGENT: RELIABLE TREASURE COAST SERVICES INnIAN RNFR cFpT1r-
NAILING ADDRESS: PO Box 1116, Vero Beach, FL 32961
[ 7 Innovative
TELEPHONE: 772-562-4242
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 3 BLOCK: SUBDIVISION: Oakbridge S/D (PB 57-5) PLAID: Pre.72
PROPERTY ID #: 1309-500-0005-000-8
ZONING: AG-1 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 1.0
ACRES WATER SUPPLY:
[
] PRIVATE
PUBLIC [✓ ]<=2000GPD,[
1>2000GPD
IS SEWER AVAILABLE AS
PER 381.0065, FS? [
No
]
DISTANCE TO SEWER:
N/A FT
PROPERTY ADDRESS: 10526 Oakbridge Ct Fort Pierce, FL 34951
DIRECTIONS TO PROPERTY: X-Street Johnston Rd. Locate#: 303904919 Requested: 10/30/2019
BUILDING INFORMATION [✓] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Insti.tutional System Design
No Establishment Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
1 Single Family j, hC 2677
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
sxGNATvRE: �''.
DATE: 12/112019
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E=6.001, FAC Page 1 of 4
STATE OF FLORIDA PERMIT #.5�4 SF- ZOZ4321
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Frank and Doris Travassos AGENT: Reliable Treasure Coast Services Indian River Septic
LOT; 3 BLOCK: SUBDIVISION: OekbfidgeSID(PB57S)
PROPERTY ID #: 1309-50D-0006400-0
(Tax ID Number
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN:0 YES 0 NO NET USABLE AREA AVAILABLE: 1.0 _ ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY RESIDENCES -TABLET _ ]
AUTHORIZED SEWAGE FLOW: 1500 GALLONS PER DAY ,1500 GPD/ACRE
UNOBSTRUCTED AREA AVAILABLE: 750 SQPT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site SM at EL
ELEVATION OF PROPOSED SYSTEM SITE IS9
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLL�OW{ING PEA
SURFACE WATER: WA FT DITCHES/SHALES: WA FT NORMALLY WET? �.__f YES VO
WELLS: PUBLIC: N/A FT LIMITED USE. NIA FT PRIVATE: 97 FT NON —POTABLE: N/A FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:24 PT POTABLE WATER LINES: 20 FT
SITE SUBJECT TO FREQUENT FLOODING: YES 0 NO lU YEAR FLOODING? � YES 1"y NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
10YR 6/4
10YR 5/1
Refuse[
ORMATION SITE 1
TEXTURE
S
5
SCL
Refusal
USDA SOIL SERIES: Winder loamy sand Like
U TO 27
8 TO 27
27 TO 45
45 TO 45
TO
TO
TO
TO
av" rAt "' LLI; INEURMATION SITE 2
MUNSELL #/COLOR TEXTURE
10YR 514 S
10YR 6M S
10YR 511 SCL
Refusal Refusal
USDA SOIL SERIES:
0 TO 30
10 TO 30
30 To 51
51 TO 51
TO
TO
TO
OBSERVED WATER TABLE:45 INCHES qSELOW
]
EXISTING GRADE.
TYPE:
APPARENT
ESTIMATED WET SEASON WATER TABLE ELEVATION:3
INCHES [BELOW
EXISTING GRADE
c umcm an sa+ = vmomwAWXO Q: 0 ZES 0NO MOTTLING: 0YES
_
L_1 NO
DEPTH: 8 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sandl.8
DRAINFIELD CONFIGURATION: �✓0 TRENCH 9 BED
REMARKS/ADDITIONAL CRITERIA: SHSdeterminedby>10%10YR614s
in both sites.
8M: T1 S1: 3'10 52:3'10
SSTE �UMIaC HY: tan M—o C.C.H.P. 10,2e72
_ DEPTH OF EXCAVATION: WA INCHES
OTHER (SPECIFY)
a 10YR 5f4 matrix at 8 inches in site 1. Refusal due to saturation
: 12/11/19
DH 4015, 0e/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001. FAC Page 3 of 4
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