HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH ✓�
ONSITE SEWAGE TREATMENT AND DISPSSA
SYSTEM dS
d
o-
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Benjamin Taylor & Heather Phillips
PROPERTY ADDRESS: TBD Carlton Rd Port Saint Lucie, FL 34987
LOT:
PROPERTY ID #:
BLOCK:
SUBDIVISION:
PERMIT #:56-SF-2044630
APPLICATION #:AP1471285
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1320225
4210-323-0004-000-7 [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.
Y
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ]. GALLONS / GPD Sentic 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 [ 375 ] SQUARE FEET
R [ ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [X]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED DO MOUND [ 7
TRENCH [ ] BED [ ]
St Lucie County health dept site RP, nails in oak tree
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
[ 10.00 1 [1 INCHES FT ][ABOVE /LBELOWjj BENCHMARK/REFERENCE POINT
[ 6.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
- t2uia V: L LL.UUI INCHES EXCAVATION REQUIRED: [ 34.00 ] INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Brian J Inyr,am TITLE: Environmental Specialist II
APPROVED BY:
t
DATE ISSUED:
DH 4016, 08/09
Thcorporated:
le� TITLE: Environmental Specialist II
Brian J I ram -
0312612OW EXPIRATION DATE:
(Obsoletes all previous editions which may not be used)
64E-6.003, FAC
St. Lucie CHD
09/26/2021
Page 1 of 3
v 1. 1.4
AP1471285
SE1269615
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency
Clerk's facsimile number is 850-413-8743.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will
constitute a waiver of your right to an administrative hearing, and this order shall become a'final
order'.
Should this order become a final order, a party who is adversely affected by it is entitled
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
second copy, accompanied by the filing fees required by law, with the Court of Appeal in the
appropriate District Court. The notice must be filed within 30 days of rendition of the final order.
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C- 1,47
STATE OF FLORIDA APPLICATION # AP1471285
DEPARTMENT OF HEALTH PERMIT # 56-SF-2044630
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION I DOCUMENT # SE1269615
APPLICANT: Benjamin Taylor & Heather Phillips
CONTRACTOR / AGENT: Pace 2000, Inc
LOT: BLOCK:
SUBDIVISION: ID#:4210-323-0004-000-7
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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 22.02 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 33029.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: St Lucie County health dept site RP, nails iin�IA
n oak
ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ] [ ABOVE /)BE_
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:
100 FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 5
FT PROPERTY LINES: 100 FT
POTABLE WATER LINES:
FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INPORMATTON RTTE 9
[ ]YES Ex ]NO 10 YEAR FLOODING? [ ]YES [X]NO]
_FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/2
Sand
0 To 4
10YR 6/2
Sand
4 To 13
I OYR 5/8
Sand
13 To 17
1 OYR 6/2
Sand
17 To 29
1OYR 518
CMN/PRM RF
20 To 29
10YR 5/3
Sandy Clay Loam
29 To 34
10YR 512
Sand
34 To 42
10YR 5/2
Loamy Sand
42 To 53
10YR 512
Sandy Clay Loam
53 To 72
OBSERVED WATER TABLE: 64.00 INCHES- [ ABOVE / BELOW ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHE
SOIL PROFILE INFORMATION SITE
5-
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1OYR 412
Sand
0.TO5
10YR 5/2
Sand
5 To 16
1OYR 5/8
Sand
16 To 19
10YR 6/2
Sand
19 To 30
10YR 5/8
CMN/PRM RF
30 To 22
10YR 5/2
Sandy Clay Loam
30 To 34
1 OYR 5/2
Sand
34 To 41
1OYR 512
Loamy Sand
41 To 53
1 OYR 5/2
Sandy Clay Loam
53 To 72
EXISTING GRADE
S [ ABOVE
TYPE: [ PERCHED / APPARENT ]
/ BELOW]] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/8 CMN PROM RF mottling in 10YR512 matrix>2% starting at 20" in SB1.
SB1 and SB2 10" below SM. I
SITE EVALUATED BY:
Ingram, Brian
OH 4015, 08/09 (Obsoletes Pralines editions w
(environmental Specialist II) (ENVIRONMENTAL HEALTH)
may not be used) Incorporated: 64E-6.001, FAC
20.00 INCHES
34 INCHES
DATE: 03/23/2020
Page 3 of 4
AP1471285 EID2044630 v 1.0.2
rvp4F. I,i ciTMyF\
j�T. STATE OI FLORTDA
I� ; yy ",I T} DEPARTI EMi NT OP HEALTH
';' I Al.'jVI:'', 't'A`"j ONSITE SETTAG1' TREATMENT AND DISPOSAL SYSTEM
\". •,' SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT:K (�-•Yl1C[X'1\1Yl °'IjPl\III GENT:X PC
LOTi�4 - fl n /r�,
DLOCA: SUBDIVISION: 4/le, ✓7.5l� j�iS
PROPERTY ID ih:_ •-3 Z' j.8
[So -fioD/Towns1T[p/I'arcc
TO HE COMPLETED BY
PERMIT
C-p- 'L-UUU W"C—
No. or Tax DD Number ]
P:PART'MCNT EMPLOYEE,OR OTHER QUALIFIED PERSON.ENGINEERS
SIGN AND SEAL EACH PAGE OF SUBMTTTAT. rnn T.rm.. nTT T..,,:—
PROPERTY SIZE CONFORMS TO SITE PLAN: [xi YES [ ] NO NET USABLE AREA AVAILABLE:__ACRES
TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE PLOW; .GALLONS PER DAY [RESIDENCES -TABLE UOTHER-TABLE2 ]
GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE, ] UNOBSTRUCTED AREA AVAILABLE: " p(D •f" SQFT UNOBSTRUCTED AREA REQUIRED; S FT
BENCHMARTVREFERENCE POINT LOCATION:_S�' S -/j` U \ �C�-r✓I� i� c, "L - e Q ELEVATION OF PROPOSED SYSTEM SITE IS e ---� C
�' [ INCHES /P7' ] [ADOVS/DDIAW'] DE1TCkIl'1ARR/RR • •ArNCL PO •1VT
THE IMiNaluM SET CIC WHICH CAN BE MAINTAINED FROM TIIG ROPOSED SYSTEM TO THE FOLLOWING. F'EATU�.2ES
SURFACE Wl#TEI2: Li FT DITCHES/SWALES: /fi FT NORMALLY WET? [ I YES .1
WELLS: PUBLIC: , OO FT T,IMITT:D USE: ADO FT R�IVATE-�IAI NO
BUILDING FOUNDATIONS; �'� / FT PROPERTY LINES7.iilJfj' T POTABLE WATER LINES:FT
P' SITE -CT TO FREQUENT FLOODING: L 1 YES 0q NO 10 YEAR FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE. ( ] YES L/N NO
, FT MSL/NGVD SITE ELEVATION: FT MSL/1VGVD
M- "' 1N&'ORMATION SITE 1
I COLOR Tr TORE
01
TO
TO
TO
�— TO
TO
TO
USllA SOIL SERIE9TO:
I. QBSEkVED WATER TABLE: 36 INCHES [ADOVE/BL�LO}V
ESTIMATED WET SEASON WATER 'TABLE ELEVATION:
IIIGH.,PTATER TABLE VEGETATION: [ 1 YES [ 1 NO
E.,
SOIL, TEXTURL/LOADING RATE FOR SYSTEM SIZING:
DRAINF'IELD CONB'IGURATION: [ 1 TRENCH [ ] 13ED
SITE FVALUATED
nn 40-5, 12/11 (01
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DE P'T'H
ITO
TO
TO
TO
'xO
TO
TO
TO
USDA SOIL SERIES: TO
'] EXISTING GRADE- TYPE: [PERCHED-ITARENT J
_ INCHES [ABOVE/DELOW ] EXISTING GRADE
MOTTLING: [ ] YES [ ] NO DEPTH: INCI-.iES
DEPTH OF'EXCAVATION:
OTHER ,(SPECIF•Y)
previous editions which may not be used) Incorporated: 64E-6.00'I, FAC
DATE
INCHES
"Moo
3 of 4
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F
-0erLegalNorLcation-Ar
-3230l ID No. (PIP
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MODIFY, OR ARANDON A WELL
❑Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS
❑ Northwest ('Denotes Required Fields Where Applicable
11 E Johns Floridathewarerwellcanb.norlsr
dUto da etoonslble /orsomplednq
40L,
IWYan0B0 River 1. 0e
aypolpd.Ied,1ey=dautl.dy where ol➢➢amble
❑ DEP
❑ Delegated Authority (If Applicable)
or
No, 59-30385
Unique lD
Slipuladons Required (See Attached)
Quad No.__Dellneallon No.
Number
12
Lot Block Unit
37S 38F St Lucip PIDP.�y PaStI IfPc Check If 62-524:❑ Yes O No
Township -Range 'County Subdivision
5. James Paul Tyson 11352 954-818-4269 downlhehole alt net
-Water Well Contractor 'License Number 'Telephone Number E-mail Address
6. PO BOX 881498 Port St. Lucie Ft 34988
'Water Well Contlytors Address - City State ZIP
7. 'rype of Work: 0 Construction ❑ Repair ❑ Modification❑ Abandonment
S. 'Number of Proposed Wells I 'Reacan(a Repair. ModieCa
a.,'Specify intended Use(s) of Well(s): /:R
Domestic ❑ Landscape Irrigation ❑ Agricultural Irrigation ® Site Investigations L/npl
Bottled Water Supply ❑ Recreation Area Irrigation ❑ Livestock Monitoring
] Public Water Supply (Limited Use/DOH) Nursery Irrigation ❑ Test
] Public Water Supply (Community or Non-Community/OEP)� Commercial/Industrial ❑ Earth -Coupled Geothermal
] Class I Injection Golf Course Irrigation B HVAC Supply
HVAC Return
'.lass V Injection: ❑ Recharge ❑ Commercial/Indusidal Disposal ❑ Aquifer Storage and Recovery ❑ Drainage
'emediation:❑ Recovery❑ Air Sparge ❑ Other (camftl
-1 Other (Describo) I -
PEAR 2 S
1 O. Distance from Septic System If 5 200 R. 10 - 11. Facility Description KeSI ence 12. Estimated Start Date ASAP
13,'Estimated Well Depth 00 f . 'Estimated Casing Depth CW ft. Primary Casing Dlameter in. Open Hole: From =To=fl.
14. Estimated Screen Interval: From 2Q T,(� A.
16.'Pdmary Casing Material: Black Steel Galvanized Stainless Steel
Not Cased Other:
16. Secondary Casing: Telescope Casing Uner Surface Casing Diameter_ln.
17. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other
i B.'Melhod of Construction, Repair, or Abandonment: Auger Cable Tool Jetted. et�ry Sonic
Combinallon (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push)'
Horizontal Drilling Plugged by Approved Method Other (Desvi)ei
19. Propose routing Int j for the Primary, Secondary, and Add' F6a Ing:
From To �S Seal Material ( Bentonite t Other )
From To Seel Material ( Bentonite eat Cement Other )
From To Seal Material ( Bentonite Neat Cement Other_ )
From To Seat Materiel( Bentonite Neat Cement Other_ 7 //''
20. Indicate total number of existing wells on site,_ List number of existing unused wells on site_s)
21; Is this well or any exlstin9 well or water with n the owner's contiguous orope riv covered under a ConsumptivefWater Use Permit (CURWUP)
or CUP/WUP Application? - Yes No. fyes,completethefollowing:C%AWPNo. District Well ID No.
22. Latitude. Longitude
23. Data Obtained From: OPS Map Survey Datum: _NAD 27 __NAD 83 _WGS 84
�T L�—Yam...---�, 11352 /\_ �—'j"5' )�;��,. I i
'SlpnaNraot Contractor 'Deans. No. 'S .nature of OwnerorAgent r p ��
Approval Granted By rn' --• Issue Date '?12 &P40Expimeon oale Sw Hydrologist Approval
fee Received 5 Receipt No, Cheek No. mum
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE VVMD OR DELEGATED AUTHORITY. THE
PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES.
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176.0 COVERED
ST. LUCIE COUNTY HEALTH DE--'T.
SITE REFERENCE POINT. NAILS.
IN OAK TREE: ASSUMED ELEVATION
= 10.00'
SB - Jp 0.P $ PORCH /
J
PQNp �° V 1095.93'
1 58 72' COVERED 9 _ SIBORCH
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L4
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FD. I.R. & C.
(PLS3435)
S 1/2 OF NW 1/4 OF SE 1/4 OF SECTION 10,
TOWNSHIP 37 SOUTH, RANGE 38 EAST ST. LUCIE
COUNTY, FILORIDA
ALSO KNOVIIN AS LOT 12 OF THE UNRECORDED PLAT OF
'PINEY PASTURES", ST. LUCIE COUNTY, FLORIDA.
FENCES, CIROSS—FENCES AND DITCHES NOT 'SHOWN
1325.03 (P.) 1325.06' (C.)