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Home My WebLink AboutSewageWlE;l.L- NO. 5`�-3oGro2l��/y dy' 4 STATE OF FLORIDA PERMIT NO. ° DEPARTMENT OF HEALTH DATE PAID' S "j a0a0 t'n ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: 15 [l?jp— CG SYSTEM RECFjIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Clayton and Melea Bell AGENT: Reliable Treasure Coast Indian River Septic TELEPHONE. 772-562-4242 MAILING ADDRESS: P.O. BOX 1116, Vero Beach Florida 32976 TO BE COMPLETED BY APPLICANT OR APPLICANTS 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: BLOCK: PROPERTY ID #: 1407-343-0025-000-7 PLATTED: Pre-72 ZONING: AR-1 I/M OR EQUIVALENT: [ No ® 1 PROPERTY SIZE: 1.04 ACRES WATER SUPPLY: [k] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/0 ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 5242 Slash Pine TRL Fort Pierce, Florida 34951 DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ ] [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC 1 Single Family Residence 3 2188 PIA 3 4 [ ] Floor/E/1j iament Drains [ ] Other (Specify) SIGNATURE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: Page 1 of 4 4 STATE OF FLORIDA PERMIT #. SF-ZG,k& s DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Clayton and MeleaBell AGENT: Reliable Treasure Coast Indian River Septic LOT: BLOCK: SUBDIVISION: PROPERTY ID #:_1407-343-0025-000-7 1Tax lDNumber ] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS 11 MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: I✓] YES [ ] NO NET USABLE AREA AVAILABLE: 1.04 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES-TABLEI ] AUTHORIZED SEWAGE FLOW: 1560 GALLONS PER DAY [1500GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 925 SQFT UNOBSTRUCTED AREA REQUIRED: 563 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM 82 at EL: 21.16 ELEVATION OF PROPOSED SYSTEM SITE IS 4 [INCHES I [ABOVE ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N/A FT DITCHES/SWALES: N/A FT NORMALLY WET? [ I YES I ] NO WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: 96 T NON —POTABLE: N/A FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 40 FT POTABLE WATER LINES:1T7FT SITE SUBJECT TO FREQUENT FLOODING: [ I YES IV] NO 10 YEAR FLOODING? [ ] YES [✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD uVlu tllVC 1LG 11VnvttlJL1'xxuv A1'1'1'i 1 MUNSELL #/COLOR TEXTURE DEPTH IOYR4/1 S 0 TO 26 I OYR 511 S 12 TO 26 IOYR2/I Spodic 26 TO 34 IOYR3/6 FS 34 TO 55 TO ' Refusal (P 55 TO TO TO TO USDA SOIL SERIES: Lawnwoed FS Like OBSERVED WATER TABLE: 52 INCHES [BELOW ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 HIGH WATER TABLE VEGETATION: [ ] YES IV] NO oy1L r1 uzC J 1 VC V1{e'W'1'1V1V b'1'1'1: L MUNSELL #/COLOR TEXTURE IOYR4/I S I OYR 511 S 10YR2/1 Spodic IOYR 3/6 FS Refusal Q 61 USDA SOIL SERIES: Lawnwood FS DEPTH 0 TO 24 14 TO 24 24 TO 32 32 TO 61 TO TO TO TO TO '] EXISTING GRADE. TYPE:[APPARENT ] _ INCHES [.BELOW ] EXISTING GRADE MOTTLING: [✓] YES [ ] NO DEPTH: 12 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/.8 DEPTH OF EXCAVATION: 34 INCHES DRAINFIELD CONFIGURATION: IV] TRENCH [ I BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SHS daemdnedby>10% IOYR 5/1 stripping in a IOYR 4/1 matrix at 12 inches in site 1. Refusal due to Saturation in 2'2 Sh I'10 S2: 1'10 SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072 DATE • 5115120 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 PERMIT #:56-SF-2086329 STATE OF FLORIDA 112 06- �,�1,� APPLICATION #:AP1506523 DEPARTMENT OF HEALTH Gr DATE PAID: ONSITE SEWAGE TREATMENT AND D ECEIVEH FEE PAID: SYSTEM RECEIPT #: JUL 0 7 2020 DOCUMENT #: PR1353836 ST. Lucie County, Permitting CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Clayton -and Melea Bell PROPERTY ADDRESS: 5242 Slash Pine Trl Fort Pierce. FL 34951 LOT: ;t - BLOCK: SUBDIVISION: PROPERTY ID #: 1407-343-0025-000-7 [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.`.•: SYSTEM DESIGN AND SPECIFICATIONS - T [ 900 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A. CAPACITY - N -[ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY I ]GALLONS 6[ ]DOSES PER 24 HRS #Pumps [ ] D [ 375 ] SQUARE FEET Drainfleld new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD I ] FILLED [X] FUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED ( ] N F LOCATION OF BENCHMARK: site BM #2 at EL:21.16 I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][ INCHE3 FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 16.001C INCHES FT I (FAB;Vil BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [30.001 INCHES EXCAVATION REQUIRED: [ 34.003 INCHES system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated Flow of gpd. O T H E R y.. SPECIFICATIONS BY: Ian P M TITLE: M oore IV CEHP 17-2072 APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J I am DATE ISSUED: 06/18/2020 EXPIRATION DATE: 12/18/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 A 1506523 SE1312832 NOTICE OF RIGHTS v 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.