HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DI
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT: (Adams Homes of Northwest Florida
PROPERTY ADDRESS: 5313 Birch Dr Fort Pierce. FL 34982
LOT:
FEB 2 6 2020
BLOCK: 50 SUBDIVISION: Indian River
PERMIT #:56-SF-2034834
APPLICATION #:AP1464961
DATE PAID:
Permitting
FEE PAID:
ECEIPT #:
CUMENT #: PR1304127
[SECTION, TOWNSHIP, RANGE, PARCEL
PROPERTY ID #: 3402-608-0394-000-7 [OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.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 Seotic New
CAPACITY
A [
]
GALLONS / GPD NIA
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 NRS #Pumps [ ]
D [
500 ]
SQUARE FEET Drainfield New
SYSTEM
R [
]
SQUARE FEET N/A
SYSTEM
A TYPE SYSTEM: [ ] STANDARD [XI FILLED
[ ] MOUND [ ]
I CONFIGURATION: [XI TRENCH
N
F LOCATION OF BENCHMARK: Site BM OI
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D ]
0
T
H
E
R
[ ] BED [ ]
ainted "X" center of intersection
[ 1.00 If INCHES FT ] [ ABOVE BELOW ]BENCHMARK/REFERENCE POINT
[ 5.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
R gu1RGD: LIZ.UU] INCHES EXCAVATION REQUIRED: [ J INCHES
system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
9pd•
APPROVED BY:
BY: Brian J Ingram TITLE: Environmental Specialist II
TITLE: Environmental Supervisor I
Dianna S MaVZ
DATE ISSUED: 02/19/2020 EXPIRATION DATE: -
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHD
08/19/2021
Page 1 of 3
SUBDIVISION: Indian River Estates ID#: 3402-608-0394-000-7
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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.34 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 849.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM
ELEVATION OF PROPOSED SYSTEM SITE Inn
:d X' center of intersection
/ FT 1 I[ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: 29 FT
NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE:
FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 7 FT
PROPERTY LINES: 29 FT
POTABLE WATER LINES:
60 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES EX ]NO
10 YEAR FLOODING? [ ]YES
[X]NO)
10 YEAR FLOOD ELEVATION FOR SITE:
FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL
/ NGVD
SOIL PROFILE INFORMATION SITE 1
SOTT. PROFTTA
TNVORMATTON ATTV. 9
USDA SOIL SERIES:Lawnwood
Munsell #/Color
sand
Texture
Depth
10YR 411
Sand
0 To 9
1OYR 5/1
Sand
9 To 15
10YR 5/2
Sand
15 To 41
1 OYR 611
Sand
30 To 58
10YR 4/4
Sand
58 To 65
REFUSAL
Refusal
65 To 72
USDA SOIL SERIES:Lawnwood sand
Munsell #]Color Texture
Depth
16YR 4/1
Sand
0 TO 9
10YR 5/1
Sand
9 To 15
10YR 5/2
Sand
15 To 41
10YR 6/1
Sand
30 To 58
10YR 4/4
Sand
58 To 65
REFUSAL
Refusal
65 To 72
OBSERVED WATER TABLE: INCHES [
ABOVE / BELOW
1 EXISTING GRADE
TYPE:
[ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:
30
INCHES [ ABOVE
/ FBELOW11
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES
EX ]NO
MOTTLING: [X]YES
[ ]NO
DEPTH: 30.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
r- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR611 stripping in a 10YR512 matrix >10% with diffuse
SBI and S62 1" above BM.
SITE EVALUATED BY:
Y
Ingram, Brian (Title:/
DH 4015, 08/09 (Obsoletes previous editions whiohY
starting at 30" in SB1.
ronmental Specialist 11) (ENVIRONMENTAL HEALTH)
not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 02/17/2020
Page 3 of 4