HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
PERMIT #:56-SF-2011906
APPLICATION #:AP1450402
DATE PAID:
FEE PAID:
SYSTEM . •-v_ -----
+�- DID RECEIPT #:
DOCUMENT #: PR1283101
DEC 0 5 2019
CONSTRUCTION PERMIT FOR: OSTDS New S"f. Lucie County, Permitting
APPLICANT: Earnie and Carolyn Rodriguez
PROPERTY ADDRESS: 2351 S Brocksmlth Fort Pierce, FL 34945
LOT: 6 BLOCK: 2 SUBDIVISION: MCNurlen Farms
PROPERTY ID #: 2320-501-0022-000-7 [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 NOLL 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]
X [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps
D [ 500 ] SQUARE FEET Draihfield New SYSTEM
R [ ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED "]]s] MOUND [ ]
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Double P.K. nails in South face of Oak Tree
I ELEVATION OF PROPOSED SYSTEM SITE [ 19.00][ INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
L9
0
T
H
E
R
!ILL REQUIRED: [26.001 INCHES EXCAVATION.REQUIRED: [ 12.00] INCHES
The syst
em is sized for 3 bedrooms with a maximum occupancy of 6:persons (2 per. .bedroom), for a total estimated flow of
400 gpd.
File Cop
L
r SPECIFICATIONS
BY: Dianna S May
_ TITLE: Environmental Supervisor
I
A;PROVED BY:
_ D1.40 .
TITLE: Environmental Supervisor I
St. Lucie CHD
Dianna 5 May
i
DATE ISSUED:
12/03/2019
- EXPIRATION DATE:
06/03/2021
DH 4016, 08/09
(Obsoletes all previous
editions which may not be used)
Incorporated:
64E-6.003, FAC
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 within30 days of rendition of the final order.
- 4905
./ m-e'r
f �'
( 1'a
STATE OF L'LORIDA
• DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
N1EL1, N0.4f1-300�`I
PERMIT NO.�r';2OII^IOlo
DATE PAID:
FEE PAID:
RECEIPT 41:
r
IDIa9 I9
4_Y5 D
APPLICATION FOR:
C %M New System [ ] Existing System
[ ] Repair [ ] Abandonment
APPLICANT:)( ErY ft- acid CarQlyr)
[ ] Holding Tank [ ] Innovative
[] Temporary [ ]
!Ro8i1QUeT_
AGENT: '/. I�Ci1L�
MAILING ADDRESS: X
TELEPHONE:
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT.. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.165(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: 6 BLOCK:: 2 rnrn V(,f SUBDIVISION;
MCNURLEN FARMS PLATTED: 1925
PROPERTY ID 1): x23ZQ-5DI`QQ2.2- ,ZONING I/M, OR EQUIVALENT: [ Y
PROPERTY SIZE: 9.61 ACRES WATER SUPPLY: [XX] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAIt,ABLE AS PER 381.0065, FS? [ Y•/ON ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 2351 SOUTH BROCRSMITH RD., FORT PIERCE -34945
i
DIRECTIONS TO PROPERTY 1.62 MILES SOUTH ON BROCICSMITH ROAD FROM ORANGE AVENUE TO A GRADED
CANAL CROSSING ON WEST SIDE OF ROAD. PROCEDE WEST ON GRADED ROAD 1/4 MILE +- TO SITE ON
THE LEFT (SOUTH). THEIR ARE TWO LOCKED GATES TO GO. THROUGH. /116
BUILDING INFORMATION [X)U RESIDENTIAL _ [ ] COMMERCIAL -
Unit Type of No. of Building • Commercial/Institutional System Design
No Establishment Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC
I
SINGLE FAMILY 3 AC=2308SF
2 TOTAL=3161 SF
3
4
[] Floor/Equipment Drains ] Other (Specify)
SIGNATURE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)'
Incorporated 64E-6.001, FAC .
DATE: OCT. 21, 2019
Page 1 of 4
STATE OF FLORIDA APPLICATION #
DEPARTMENT OF HEALTH - 56-SF-2011906
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1232038
APPLICANT: Earnie and Carolyn Rodriguez
CONTRACTOR / AGENT: Pace 2000, Inc
LOT: 6 BLOCK: 2. -
SUBDIVISION: MCNurlen Farms ID#: 2320-5_d1=6022-000-7
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: 9.61 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 14415.01 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Double P.K. nall5]n South face Of Oak TrE
ELEVATION OF PROPOSED SYSTEM SITE 19.00 [[INCHES /--FT ] [ ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 75 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:
10 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES' '[R]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
SOIL PROFILE
INFORMATION SITE 2
USDA SOIL SERIES:Riviera fine sand
Munsell #/Color Texture
Depth
10YR 5/2
Sandy Clay Loam
0 To 12
10YR 6/6
Sandy Clay Loam
4 To 12
1 OYR 411
Sand
12 To 15
1 OYR 5/1
Sand
12 To 20
1 OYR 611
Sand
16 To 20
10YR 3/1
Sand
20 To 24
1 OYR 7/1
Sand
24 To 37
10YR 414
Sand
37 To 43
1 OYR 5/1
Loamy Sand
43 To 60
10YR 5/1
Sandy Clay Loam
60 To 72
USDA SOIL SERIES:Riviera fine sand
Munsell #/Color Texture
Depth
'10YR 5/2
Sandy Clay Loam
0 TO 10
1 OYR 411
Sand
10 To 18
1 OYR 511
Sand
10 To 22
10YR 7/1
Sand
22 To 28
10YR 3/1
Sand
28 To 36
1 OYR 6/8
Sand
30 To 36
10YR 512
Sandy Clay Loam
36 To 42
10YR 5/2
Loamy Sand
42 To 64
10YR 5/1
Sandy Clay Loam
64 To 72
OBSERVED WATER TABLE: 28.00 INCHES [ ABOVE / BELOW ] - EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED'WET SEASON WATER TABLE ELEVATION: 16.. INCHES [ ABOVE / HELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 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
VVT determined using USDA WSS and soil borings. 10YR6/1 stripping in -a 10YR5/1 matrix >10% with diffused boundaries starting
6" in SB1.
19" below BM. SS218" below RM.
SITE EVALUATED BY:
12 INCHES
DATE: 11/27/2019
May, Dianna (Title: Envir6nmental Supervisor 1) (Florida Departinent of Health in St Lu
DH 4015, 08/09 (Obsoletee previous edition. which may not be used) •Incorporated: 64E-6.001, FAC
Page 3 of 4
y go E abaa 0Vd'400'9-349 :palelodmaul (p9e,, aq qov Sew 4o;qn euapq-,pe snoinesd seaaToegpJ TT/ZT 'STOD, Ila
6TOZ 'LT 'I00 :Qaea SG S : g aQIen7Trna ar,Ts
0 QNV'I num NNdo 3QIM
Sa' S' S' 0 a0 NOIIV00'I" do uv (1911HI'iNIT ua,IluD rivN011Iaav/sxxrrmE
(xalDacts)' um-1,10 I I „ . � am I'] HDNaus [ :NOIZTiuf79I3NOD Q7ZI3NItOIQ
S Z(-IDNI :NOISt7AVDXa 30 HSdH¢ _ `DMIZIS D1HISxS 270a UIVU 9NIati07/aaMXUl 'IIOS
SHl;ONI :HlaWI ON I ] SEX I ] !9N2'ISIOR ON I ] Sax I ] :NOISKJma& may.1 u=- Vbi H9IH
a=D 9NISSIXa I M0MUMAOIlVI SaHDIS2 �'' - :NOIIVAaTH a'iayz 2Ialyx NOSKas SaM aas'ii6.'imtr
[ .LN921VddV / 08HD2I3d ] : adxJ, ' Zavu9 SAMSIXa G s- ; MOI'-19 / HA08W ] S.t'II-IORT : VIRV-1 'dalvM cratmaSHo
:SaIUZS 7los V¢sfIl
os
O.T.
H IMI
z ails NOIZ'
L
S=US Zlos Kasf1
01
OS
ox
oI
Os
01
of
Ol
01
H,T,a aQ Qu11SXa� LTOZOJ/ik '27asNffiY
T Is NOIO;f PmoaNI auYamia 7IOs
aADN/Tsw ma :.NOIlVAaaa =Is aAZM/'ISH Z3 I _ : aSIs 2T0a NOISVAa`Za ¢007.3 Wax OT
ON DI I Sax I I L0Nla007.a UVUX OT oN IX] sax'[ ] :914I¢007a S,Nann=- Ox, Sonems ails
Sd LOOT : saN27 uazvm mEyISod Sa OOT : satq'I, ,u-aaaoua. Z3. . , ST : sx0lavamoa DNIQ'IInH
la 0S : a7gHSod-NON S3 SL = aSKATud asn aZ ikmi Sa—UOZ-:OI'IHnd :.s'PIan
ON [ 1 sax I 3& EJ aN x7lermoN sa, OS.T r saTaras/saHosla S.a , OOZ :uamvm aoeauns
SaMUVaa `JNIMO'I'IOJ MI OSL AIaSLSxS ¢asoccoud41 .,MOUa ¢aMjVjNIVD3 aH NKD HOIHM ]jZ)VglaS pIMUNIX aHS
iffZOd Z2iZ.IIQu/]RTVWI-ID1QaH [MO'130 /3AOIlV] [ .I_i/SHf1�rLl] -SI aylS YiHSSXS ¢as0aO27a So NOIa;VAa'IH
NV'Id dIIS HSS-(I2WIlSSV 00-OT HHUI XVO NI S'IIVN :NOiJ;H3o7 xxioa aDNauQaau/xrnaaHONag
cabs as 009 :aaxlnbaa eauv ¢asonussmi'm Jabs ++ 3S OOZT :a7gV'IIVAV Vaua aaj0aUEsaoNn
[ 7NDV/adD 009Z)109)I3V/aJ000cl-] xvcr aQa sNozTIJ :M07a MVmas azzluOH,T,aK
I ZH`ISV.L-u9HIO/I RIGVI-S9DN7QiS9d I XKa-aaa"sNOTIK"J OOE :Mo7a Hovmas amm'Isa'rasos'
s MIZ)v .I.OT :a7HH7IVAV vauv a7HKSn SM l On,[ " sax IX) :R%Ia all 5 OZ sDwoamoo aZIS xxdad02Ta
'SiIal:E 'I'IK 21TICIROD, '7VIT,SI EMS ao a5va HOKS; UVES GRv MIS Cxv 2laflf7[llS NOIS'\iUISIDTa ZaIAOud ISM
suaarTxONa •Nosuaa aalaizmnb uamio uo'aaxo7araa limuwaa¢ Hlavmi 'ua�NI9NZ xg aHsa7.0 , oa
[ mgtunNQTxa,[,.to'om'[ao1ac/dtt[sntt0y/ttolldas I L;, 000' 2200'l S'QZCGZ-A: ¢I xmdaaoua
IVId Siva Na'RTONONI :NolslAlagns Z :x0o7H 9 :so7
# lipwaa
sNOII�r�IL�Y��as ra�Isxs aim NOII�an'ran� �I=s
'r alm 'risoasia am'a ItSanL vaam z[f)vmas aIssiao
xlwaa ao immmuvaaa
'Ka22To'la AQ UIVI5