HomeMy WebLinkAboutSewageAPPLICANT: Scott
STATE OF .T'LORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM; l
SITE EVALUATION AND SYSTEM SPECIFICATION= -
Crippen - 0111
CONTRACTOR / AGENT:
LOT:
BLOCK:
APPLICATION # AP1422494
PERMIT # 56-SF-1972741
DOCUMENT # SE1193862
SUBDIVISION: ID# `: 2112-441-0003-000-6
�i
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: 1.00 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED'SEWAGE FLOW: 1500.00 GALLONS PER DAY [1500 GPD%ACRE I OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1150.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Nail in tree painted Orange W Of System
ELEVATION OF PROPOSED SYSTEM SITE 36.00 [ INCHES / FT ] [ ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 100 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: 100+ FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 20 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
ROTT. PROFTT.R TNFORMATTON RTTF. 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
10YR 5/1
Sand
0 To 12
10YR 5/3
Sand
12 To 22
1OYR 7/2
Sand
22 To 32
7.5YR 5/6
CMN/PRM RF
22 To 32
1 OYR 5/2
Sand
32 To 48
10YR 5/1
Sand
48 To 54
REFUSAL
Refusal
54 To 72
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
10YR 5/3
Sand
0 To 12
10YR 6/2
Sand
12 To 30
7.5YR 5/6
CMN/PRM RF
19 To 30
10YR 5/2
Sand
30 To 48
10YR 5/1
Sand
48 To 54
REFUSAL
Refusal
54 To 72
OBSERVED WATER TABLE: 22.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [XI TRENCH [
r . REMARKS/ADDITIONAL CRITERIA
Sand/0.80 DEPTH OF EXCAVATION:
] BED [ ] OTHER (SPECIFY)
f determined using USDA WSS and soil borings. 7.5YR 516 CMN Prom RF mottling in 10YR 6/2 matrix > 2% starting at 19" in
S61 31.5" below BM. SB2 36" below BM.
SITE EVALUATED BY:
- ` Collier, Hunter (Title: Environmental Specialist 1) (Florida Department of Healtn in st. t_
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 07/10/2019
Page 3 of 4
AP1422494 EID1972741 v 1.0.2
STATE OF FLORIDA
.DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #:56-SF-1972741
APPLICATION #:AP1422494
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1.244958
.f;ONSTRUCTION PERMIT FOR: OSTDS New -'
APPLICANT: SCOT Crippen
V,PROPERTY ADDRESS: 24909 Orange Ave Fort Pierce, FL 34945
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 2112441-0003-000-6
[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 [ 1,200 ] GALLONS / GPD Septic New CAPACITY
A [ J 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 [ 575 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: (X] TRENCH [ ]'BED [ ]
N
F LOCATION OF BENCHMARK: Nail in tree painted Orange W Of system
I ELEVATION OF PROPOSED SYSTEM SITE [ 36.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 31.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D i
O
T
H
E
R
REQUIRED: L Z3.UU] INCHES EXCAVATION REQUIRED: L' 1 LvU nZb
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BYI Hunter A Collier TITLE: •, Environmental Specialist I
APPROVED BY: �, h TITLE: Environmental Specialist I St. Lucie CHD
Hunter A Collier
DATE ISSUED: 07/18/2019 EXPIRATION DATE: 01/18/2021
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 AP1422494 SE1193862