HomeMy WebLinkAboutStefani Septic and Well PermitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL,
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Donald and Erica Stefani (2nd Residence)
PROPERTY ADDRESS: 20024 Southern Star Dr Fort Pierce. FL 34945
LOT: 1
BLOCK: SUBDIVISION: Sunland Gardens
PERMIT #:56-SF-2087164
APPLICATION #:AP1507155
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1352010
PROPERTY ID #: 2215-700-0003-000-6 [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, 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 SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic 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 HRS #Pumps [ ]
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, top of 4"x4" concrete monument, center of roundabout
I ELEVATION OF PROPOSED SYSTEM SITE [ 22.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3.00 ][ I CHESY FT
IN][ABOVE BELOW BENCHMARK/REFERENCE POINT
I�
D E
O
T
H
E
R
ILL REQUIRED: [3/.UU] INCHES EXCAVATION REQUIRED: [ 49.00] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: B ' J I TITLE:
APPROVED BY
DATE ISSUED:
rian ngr Environmental Specialist II
TITLE: Environmental Specialist II
Brian J Ingr
06/05/2020 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1507155
SE13/1045
St. Lucie CHD
12/05/2021
Page 1 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Donald and Erica Stefani (2r
CONTRACTOR / AGENT: Jared Modlne
LOT: 1
Reside
BLOCK:
SUBDIVISION: Sunland Gardens ID#: 2215-700-0003-000-6
APPLICATION # AP1507155
PERMIT # 56-SF-2087164
DOCUMENT # S E 1311045
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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 10.95 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 16425.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 5000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM, t0)
ELEVATION OF PROPOSED SYSTEM SITE 22.00 [
of 4"x4" concrete mon
/ FT ] [ ABOVE /
center of roundabout
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES (X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 65 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
CCITT. 1DRC)FTT.7 TTTT.YIRMn TTnM CTTP 1
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOI
FT [ MSL / NGVD ] SITE ELEVATION, FT [ MSL / NGVD
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 7/3
Sandy Clay Loam
0 To 4
10YR 4/2
Loamy Sand
4 To 9
10YR 5/8
CMN/PRM RF
5 To 21
10YR 4/2
Sand
9 To 26
10YR 6/3
Loamy Sand
26 To 46
1 OYR 4/2
Sand
46 To 54
513 6/1
Sand
54 To 72
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/3
Sandy Clay Loam
0 To 8
10YR 5/8
CMN/PRM RF
8 To 22
10YR 4/2
Sand
8 To 29
10YR 4/2
Loamy Sand
8 To 15
10YR 6/3
Sand
29 To 51
10YR 4/2
Sandy Clay Loam
31 To 49
5B 6/1
Sandy Clay Loam
51 To 72
OBSERVED WATER TABLE: 4.00 INCHES [ ABOVE / BELOW]] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 5 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 5.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 49 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/8 CMN PROM RF mottling in 10YR4/2 matrix >2% starting at 5" in SB1.
SB1 and SB2 22" below BM.
SITE EVALUATED BY:
Ingram, Brian (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions wh#'ch may not be used) Incorporated: 64E-6.001, FAC
DATE: 06/03/2020
Page 3 of 4
AP1507155 EID2087164 v 1.0.2
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEA H
PAYING ON: #: 56-SF-2087164 BILL DOC #:56-BID-4707677 CONSTRUCTION APPLICATION #: AP1507155
RECEIVED FROM: Jared Modine AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 219202 PAYMENT DATE: 05/29/2020
MAIL TO: Donald and Erica Stefani (2nd Residence)
FACILITY NAME:
PROPERTY LOCATION:
20024 Southern Star Dr
Fort Pierce, FL 34945
1
Lot: Block:
Property ID: 2215-700-0003-000-6
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4422822____
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