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HomeMy WebLinkAboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #: 56-SF-203381 0 APPLICATION #:AP1464259 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1304011 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (GHO Homes) PROPERTY ADDRESS: TBD Buchanan Dr Fort Pierce, FL 34982 LOT: 22 BLOCK: • 9 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-603-0071-000-2 [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 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 [ 500 ] SQUARE FEET Drainfleld New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [I MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM Nail in Tin Tab- C/L of Rd center of property I ELEVATION OF PROPOSED SYSTEM SITE [ 3.001[ INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 11.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D O T H E R system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J Ingram TITLE: TITLE: Environmental Specialist APPROVED BY: %O^^�' zt TITLE: Environmental Supervisor I Dianna S May — 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 II St. Lucie CHD 08/19/2021 Page 1 of 3 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. STATE OF FLORIDA PERMIT NO.%n3FnaD53810 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT .#: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: 6 f- O tlomg�s AGENT: TELEPHONE: 7172- 3-I8-6q3d MAILING ADDRESS: s_r L 3y9(j6 ------------------------------------------------------ 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: zK40 BLOCK: SUBDIVISION: I1"19/4/0 /�--tVOL OrAlr5 WITZ PLATTED: / f5 PROPERTY ID #: ?1(0Z"t,'03-0071- 006 ?i ZONING, _r-5 3 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: V. ?j ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ 3<=2000GPD X>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y U DISTANCE TO SEWER: 2 aV' FT PROPERTY ADDRESS: 7BD IJ UE%FA/U,Q/y J�,ett(� �p,��r ,01W� DIRECTIONS TO PROPERTY: 0J&V- ; 2ER'K 15 �,�1 NJd ' lyogr14 or �r� E V4? ---C OF P G(G d41VA/`1 09-k,6: A&V /SQ 0�jTW S?nG�T' fN l/y/J71Q n/ iLWHI ES?q�f BUILDING INFORMATION [,I RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No �Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 1 J!/uoGt� Inanr./( 2ii10�i�� ZIZO A(G) 2 3 4 [ ] Floor/Equipment // Drains yG1r1 ] 'Other (Specify) ` SIGNATURE: % p.� G. '�f- � DATE: / //20 ho DR 9015, 08/09 (Obsoletas previous a itions w ich may not be used) Incorporated 64E-6..001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # DEPARTMENT OF HEALTH PERMIT # 56-SF-2033810 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1253499 APPLICANT: CdHO Hnmps CONTRACTOR / AGENT: LOT: 22 Laventure & Associates Inc BLOCK: 9 SUBDIVISION: Indian River Estates ID#: 3402-603-0071-000-2 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: 0.91 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2275.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 5600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATxON: Site BM Nail in Tin Tab- C/L Of Rd center of [ I ELEVATION OF PROPOSED SYSTEM SITE 3.00 NCHES / FP ] [ ABOVE A BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 95 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 19 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOTT. PROF= TNFORMATTON STTF. T SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Pendarvis Munsell #/Color sand Texture Depth 1 OYR 511 Sand O To 25 1 OYR 6/1 Sand 25 To 49 10YR 7/1 Sand 32 To 51 1 OYR 2/1 Spodic Material 51 To 60 10YR 5/4 Fine Sand 60 To 72 USDA SOIL SERIES:Pendarvis Munsell #/Color sand Texture Depth 10YR 5/1 Sand 0 To 20 1 OYR 6/1 Sand 20 To 50 10YR 7/1 Sand 37 To 51 10YR 2/1 Spodic Material 51 To 60 10YR 514 Fine Sand ' 60 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 32 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 32.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR711 stripping>10% in a 10YR611 matrix with diffuse boundaries starting at 32" in SB1. Sat and S82 3" below BM. A /j SITE EVALUATED BY: DATE: 02/17/2020 Ingram, Brian (Tilly nvironmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 09/09 (Obsoletes previous editions vhic EY not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 `k s STATE OF FLORIDA PERMIT #. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: 6HO AGENT: Gf+�E1�[I uR;�� .rQ.S.SOC[Rfi�S LOT: BLOCK:__ SUBDIVISION: I'VO[aQN AkfL 6M224f Ml'r 2, PROPERTY ID #: _3yOz- 603^097/-©OOZ [Section/Township/Parcel No. or Tax ID Nu ] 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: [)d YES [ ] NO NET USABLE AREA AVAILABLE: 0,90 ACRES TOTAL ESTIMATED SEWAGE FLOW: D0 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: 2/ ZSO GALLONS'PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: -�/ 60c) SQFT UNOBSTRUCTED AREA REQUIRED: 6(L SQFT BENCHMARK/REFERENCE POINT LOCATION: CL� U," lcOAAO G-ClWLK-�/ ELEVATION OF PROPOSED SYSTEM SITE I3HELO ENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: /.S FT DITCHES/SWALES: /S FT NORMALLY WET? [ ] YES [k] NO WELLS: PUBLIC: 900 FT LIMITED USE: /,nO T PRIVATE: %S FT NON -POTABLE: .SO FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: // FT* POTABLE WATER LINES: 1 10 FT SITE SUBJECT TO FREQUENT FLOODING: [ 7 YES ;K NO 10 YEAR FLOODING? [ ] YES jam] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: SOIL PROFILE USDA SOIL SERIES: TEXTURE DEPTH TO TO TO TOE TO TO OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA:, [ iia •f7%'/L ZA- 66F- Norr 0%35ER�/� nu 2/�V� >rlFG%i SI�2U/c SITE EVALUATED BY: ��/i--G1Ai/ C may_ DATE: 1[L/I//O lct��;zn C /- F02/494 P l--l- szo9 Da 4015, oe/o9 (Obsoletes previous editions which may not be used). Incorporated: 64E-6.001, PAC Page 3 of 4 i