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STATE OF FLORIDA APPLICATION # AP1357896
DEPARTMENT OF HEALTH
PERMIT # 56-SF-1867289
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
1zo gip! SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE10$8773
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APPLICANT: Ashley Erickson
CONTRACTOR / AGENT: Reliable Treasure Coast Services
LOT: 18-20 BLOCK: 6
SUBDIVISION: Jay Gardens ID#: 2311-601-0103-000-8
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: jX]YES ( ]NO NET USABLE AREA AVAILABLE: 0.84 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1259.99 GALLONS PER DAY j 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SOFT
BENCHM.ZLEK/REFEREENCE POINT LOCATION: 40dr
ELEVATION OF PROPOSED SYSTEM SITE 3.00
stem E side of N Cardinal
/ FT ] ( A80VE / BELOW I BENCHMA XIREFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES (X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT( MSL / NGVD I SITE ELEVATION: FT ( MSL / NGVD
CnTT. DnnFTT.R TV7f11ZMATT011 RTTV 7 ROTT. PROFTLP INFORMATION SITE 2
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
I OYR 413
Fill - Loamy Sand
0 To 15
10YR 513
Fill - Sand
15 TO 19
10YR 5/1
Sand
19 To 34
1 OYR 6/1
Sand
29 To 37
1 OYR 6/2
Sand
37 To 54
10YR 811
Sand
54 To 69
HOLE CAVING
Refusal
69 To 72
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
1 OYR 4/3
Fill - Loamy Sand
0 To 20
1 OYR 512
Fill - Sand
20 To 24
1 OYR SM
Sand
24 To 38
1 OYR 6/1
Sand
38 To 42
10YR 6/2
Sand
42 To 62
10YR 811
Sand
62 To 72
OBSERVED WATER TABLE: 47.00 INCHES (
ESTIMATED WET SEASON WATER TABLE ELEVATION:
ABOVE / BELOW) EXISTING GRADE TYPE:
29 INCHES ( ABOVE / BELOW ]
I PERCHED / APPARENT ]
EXISTING GRADE
HIGH WAc^ER TABLE VEGETATION: [ ]YES
[X]NO MOTTLING:
IX]YES [ ]NO
DEPTH: 29.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60
DEPTH OF EXCAVATION: 20 INCHES
DRAINFIELD CONFIGURATION: [ I TRENCH
[X ] BED [ ] OTHER
(SPECIFY)
I- RERARKS/ADDITIONAL CRITERIA
VSWT determined using USDA WSS and soil borings.
0YR6/1 stripping In 10YR5/1 matrix. >10% with diffuse boundaries starting at 29" In S61.
B1 3" above BIN. 8132 8" above SM. //
SITE EVALUATED BY:
Ingram, Brian (Title: E ronmental Specialist 10 (ENVIRONMENTAL HEALTH)
DH 4015, 08/05 (Obsoletes previous editions which y not be used) Incorporated: W-6.001, PAC
AP1357890 EID1887289
DATE: 08/06/2018
Page 3 of 4
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STATE OF FLORIDA
j- DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
A ;,• CONSTRUCTION INSPECTION AND FINAL APPROVAL
:,,Con rveC,pp S4�
APPLICATION #:
PERMIT #:56-SF-1867289
DommNT #:FI1224463
DATE PAID:08/01/2018
FEE PAID:350.00
RECEIPT #:56-PID-3633676
APPLICANT: Ashley Erickson
AGENT: Bruce Mc Cullers (Reliable Treasure Coast Services)
PROPERTY ADDRESS: 251 N Cardinal PI FortPierce, FL 34945
LOT: 18-20 BLOCK: 6
SUBDIVISION: Jay Gardens ID#: 2311.601.0103-000-8
CHECKED [X3 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[013
TANK SIZE [11 1060.00 [21
[
] [271
SURFACE WATER
FT
[ ]
[02]
TANK MATERIAL Concrete
[
] [283
DITCHES
FT
[ ]
(031
OUTLET DEVICE
[
] [29]
PRIVATE WELLS 77
FT
_
[ ]
[043
MULTI -CHAMBERED [ Y N
[
] [301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER
[
] [311
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1, Unknown 2,
[
3 [321
POTABLE WATER 45
FT
[ ]
[071
WATERTIGHT
[
] [33]
BUILDING FOUNDATIONS 5
FT
[ ]
[081
LEVEL
[
] [341
PROPERTY LINES 7
FT
[ ]
[091
DEPTH TO LID
[
] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 3
(10]
AREA [1] 675 (2] SQFT
[
] [36]
DRAINFIELD COVER
[ 3
[111
DISTRIBUTION BOX HEADER X
(
] 1371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1, 7.00 2,
[
] (38]
SLOPES
[ ]
1131
DRAINLINE SEPARATION
[
] [391
STABILIZATION
[ ]
[14]
DRAINLINE SLOPE
[ ]
(151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE / sELow ]BM 14.00
[
3 [401
UNOBSTRUCTED AREA
[ ]
(171
SYSTEM LOCATION
[
] [411
STORWaTER RUNOFF
- [ ]
[181
DOSING PUMPS
[
] [42]
ALARMS
[ ]
(191
AGGREGATE SIZE
[
] (43]
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[
] [44]
BUILDING AREA
( 3
[211
AGGREGATE DEPTH
[
] [453
46
LOCATION CONFORMS WITH SITE PLAN
FATE SIGRADING
FILL / EXCAVATION MATERIAL
[ ]
[ 3
INL
[ ]
[221 FILL AMOUNT
[ 3
[471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ]
[231 FILL TEXTURE
[ 3
[483
OTHER INFILTRATOR ARC 24
[ 3
(241 EXCAVATION DEPTH
ABANDONMENT
[ ]
[251 AREA REPLACED
[ ]
(491
TANK PUMPED
[ ]
[261 REPLACEMENT MATERIAL
[ ]
1501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED 3:
St. Lucie CHD DATE: 10/19/2018
1 Dianna S May (Florida Department of Heait
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : � Z / St. Lucie CHD DATE: 10/19/2018
Environmental Supervisor l Dian a S May (Florida Department of Heal
(Explanation of Violations on following page)
DH 401.6, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC fILE C ® age 2 of 3
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620.58' (C) 620.59' (P) SRC
75.00' (P) ~
_O T 22 ;
CCUPIcD) l
4�
28.7'
21.1'
Page 1 of 1
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EDGE OF DIRT ROAD 12" CMP . 41
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...---� fir._. ,, .y.:..._..,v,..uiF �. /•
75.00'-(PT ' X t-'y _X —A
1 l
6.0' DRAINAGE i
EASEMENT (P) .7 L=39.36', R=25.00' r
I CHORD=35.42'
4=90'12'12" '\ SRC
E CHB=N 45'03'09" W
{ I i 6.0' DRAINAGE
27.4 I EASEMENT (P)
POLE BARN{
1--STO" FRAME SHED Ui
4.a•~ --
F H in St.! LJci ! County', a I
L---Jnvironmerrft' 'I ealth x
Site Plan Approved �arl Construction'
SLup rs es All Pr vipu S'rte Plans �°bT 0 600
1
0STDS,# 5F-1&(�7 & Well
X
0.0' DRAINAGE
EASEMENT
ate: 45 ! I I17_
75.00' (P-) I
�'
'
on ! ' e oa
`
5.0' DRAINAGE
_
EASEMENT (P)
`
W000 F� NCEti'.1TE
6' W00 ENCE
_O T 17
'CUPIED)
75.00' (P) a I
.0.4V. —
sRCWc
(OFFSET 1' SOUTH) * "
PUMP I _ .�
HOUSE vfiL0,.,L, CONCR Ecr,
LO 1 { �a ` LOT 19 0
1 I i Jw� o� Q
1-STORY
' ! ! FRAME 27.4'
o I RESIDENCE
Q V I {
di 1-STORY t�0� r-19.4'
FRAMEt.
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LOCATION . �� DRIVE t WALK <
6.0' ! { { GRAVEL
I 1' DRIVE
75.G0' (P 1 { { { 85,00' (P)
I" 7 1 f N 89'50'45' E 135.09' (C) SRC x
In
/EYOR'S GLOBAL POSITIONING SYSTEM (G.P.SJ NOTES:
3.P.S. SURVEY METHOD: REAL TIME KINEMATIC (RTK)
3.P.S. RECEIVER TYPE: DUAL FREQUENCY LEICA GS 14 / CS 15
3PS/GLONASS GNSS (GLOBAL NAVIGATION SATELLITE SYSTEM), SEAS,
BODE AND PHASE (L1 AND 12)
L=39.18
CHORD=
CHB=N
MOCO LAr
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Page 1 of
�E STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
i SYSTEM
rcoo w�c'��
CONSTRUCTION PERMIT FOR: OSTDS Existing Modification
APPLICANT: Ashley Erickson
PROPERTY ADDRESS: 251 N Cardinal PI Fort Pierce, FL 34945
PERMIT #: 66-SF-I 867289
APPLICATION #: AP1357896
DATE PAID:
FEE PAID:
RECEIPT #:
DocUMENT #: PR1138741
LOT: 18-20 BLOCK: 6 SUBDIVISION: Jay Gardens
PROPERTY ID #: 2311-601-0103-000-8 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST HE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
361,0065, 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
PER.41T 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 DEVELOPUSENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic existing CAPACITY
A ( I GALLONS / GPD NIA CAPACITY
N [ I GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK-1250 GALLONS]
E{ [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D [ 667 I SQUARE FEET Drainfield new SYSTEM
R [ I SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [XI STANDARD [ ] FILLED [] MOUND [ ]
I CONFIGURATION: ( I TRENCH [XI BED [ I
N
F LOCATION OF BENCHMARK: 40d nail in PP E of system E side of N Cardinal
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][INCHES ET J[ BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 14.00I[ INCHES FT If ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D F
0
T
H
E
R
ILL REQUIRED: [ 1.00I INCHES EXCAVATION REQUIRED: [ "LU.UU 7 INCHES_
The system is sized for 4 bedrooms with a maximum ocdupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Brian J Ingram,, TITLE, Environmental Specialist iI
APPROVED BY: i Environmental Specialist II St. Lucie CHD
Sr an a T-nqramll
DATE ISSUED: 08/08/2018 tl EXPIRATION DATE: 02/08/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not bo used)
incorporated: 64E-6.003, PAC Page of 3f
v S.l.a API-357896 SE1088773 r
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Page 2 of _
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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Page 3 of
OF FLORTDA
EPARTMENT OF HEALTH
SEWAGE P drT NO. z�
TPSATMENT JUM D xS DATE PAID;
APPLSCATION POSAL FEE PAID:
FOR CONSTRUCTION PERMIT RECEIPT #:
'�PLZCATION FOR;
[ I New System G�
I I Existing System [ ] l
oding Tank
[ 7 Abandonment H�[ I APPLICANT: j, , [ 7 Temporary Innovative
[
AGENT: RELiA,gLE TREAS -
E COAST SERVICES INDiAN RIVER SEPTIC
XAILING ADDRESS: POBox II16, Vero73each,PL 32961 TELEPHONE: 772-562-4242
TO BE COMPLETED BY `-�--
BY APERSON LICENSED APPLICANT OR ,ApPLx �
C05( S m)ORR489. AGENT. SYSTEMS MUST BE CONSTRUCTED
P..PPLT_ PURSUANT TO 489.105 (3) (mj OR 489.552
CANT S RESPONS2$ILITY TO PROVIDE DOCMZN+TATION OF THE D
PL•�TTSD (F !/DD/yy) _TP c , FLORIDA STATUTES. IT 2S TEM
-REQUESTING CONSIDERATION OF S `.M THE LOT WAS CREATED OR
PROPERTr ��_� TATUTORY GRANDFATHER PROVISIONS.
-��iION
LOT' -20 BLOCK: (_0 SUBDI)vISION: 02h&
PLATTED:
PROPrR ID *2 -( -D f
y NING:� I/M ORE U
PROPERTY - sq EQUIVALENT. [ IN ]
�Y S ZE : ___._, ACZE S WATER SUPPLY:
[�] PRIVATE PUBLIC [ 7<=2000GPD [ 7>2000GPD
IS 55W 'R AVF.ILA3z?, AS PER 381
0065, FS? [ /N ]
DISTANCE TO SEWER:
PROPER:i: xDD_RvSS:
DI_1REEC^IONS To PROPERTY: X-Street:
Locate #; Requested:
BUILDING INFORMATION
Unit Type Of
No Establishment
1 SLNGLE FAIVIILY
2
3
4
I✓7 RESIDENTIAL [ ] COMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sa_ft Table 1, Chapter 64E-6, FAC
[ ] Floor/Equipm#t Drains i [ ] Other (Specify)
SIGNATURE:
DH 4015, 08/09 (Obsr.Yletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE. ,) -25 )
Page 1 of 4
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