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HomeMy WebLinkAboutHealth application n R=i',IET D ]AN 31 Z0r6 PERMIT #:56-SF-173;1578 Qic APPLICATION #:AP1270408 i STATE OF 'FLORIDA DATE PAID: DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: . V/0 i DOCUMENT #: PR1045914 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Grande Construction) PROPERTY ADDRESS: TBD Davis St Fort Pierce, FL 34982 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 3409-111-0001-030-1 [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 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 Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [g] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Site BM Mag NiD in Rd LB7805 Elev 11.94 NW property corner I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ] [ INCHES FT ] [ABOVE FBELOW1 BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 1.00 ] I INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [22.00], INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow O of 300 gpd. T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with H s.64E-6.013(3)(f), FAC. ff-%jola E ="ILE C "' Y' SPECIFICATIONS BY: Brian J In am TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J Ing DATE ISSUED: 01/10/2017 EXPIRATION DATE: 07/19/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.0031 FAC Page 1 of 3 v 1.1.4 AP1270408 SE1019934 ii 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. I i STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, Permit No. REPAIR,MODIFY,OR ABANDON A WELL r� Kra •', OSouthwest Florida Unique ID off` 'r' o PLEASE FILL OUT ALL APPLICABLE FIELDS ^ '' ❑Northwest ('Denotes Required Fields Where APphcabie) Permit Stipulations Required(See Attached) ❑St.Johns River The water well contractorls responsible for completing M,. ... „l []South Florida this form and forwarding the permit application tothe 62-524 Quad No. Delineation No. ❑Suwannee River appropriate delegated outhodrywhereappricable. ❑DEP CUPMNP Application No. 0Delegated Authority(If Applicable) > 1. SrR-."- D �....`.s:� � r1 t✓� ds :.:�-c r�.a� F7 , . �� t-r.-c GL V. f� ' `Owner,Legal Name if Corporation Address 'City *State "ZIP Telephone Number 2. b/I ,. -5 S '1T G i e IBC Well Location-Address,Road Name or Number City 3. :5-tej`J- /f I- eatvI — U_-'�11 i `Parcel ID No.(PiN)or Alternate Key(Cir e O e) Lot Block Unit 4 q -3 6 5 `(y 1 i Check if 62-524:❑ Yes❑ No *Section or Land Grant 'Township "Range *County Subdivision -x`7`�� �63- �=9-7- /-f/3 'Water Well Contractor lei. 'License Number 'Telephone Number E-mail Address 6. � 5 q0 /C.r t,-" l 2 _ A c 0 C_. -c OC-6 5''try-7 Z 'Water Weil Contraotor's Address City State ZIP 7. *Type of Work: T9 Construction ❑ Repair ❑ Modification❑ Abandonment 'Reason for Repair, Modfication,or ADandonmenl 8. 'Number of Proposed Webs 9. 'Specify Intended Use(s)of Weli(s): � D D id ❑ Domestic Pi Landscape Irrigation [] Agricultural Irrigation Site Investigations [=�, ❑ Bottled Water Supply ❑ Recreation Area Irrigation ❑ Livestock Monitoring ❑ Public Water Supply(Limited Use/DOH) ❑ Nursery irrigation ❑ Test JAN T 9 2017 ❑ Public Water Supply(Community or Non-CommunitylDEP) Commerelatlindustrial❑ Earth-Coupled Geothermal ❑ Class I Injection Golf Course Irrigation 8 HVAC Supply HVAC Return Class V Injection:❑ Recharge 0 Commercialllndustrial Disposal ❑ Aquifer Storage and Recovery❑ Drainage DOH in St Lucie Cov illy Remediation:❑ Recovery❑ Air Sparge ❑ AVIRUMERUM Other (Describe) TH ❑ Other (Describe) 1 O.'Distance from Septic SysteT <_200 ft. 11.Facility Description i ti �rtii•/v� 12.Estimated Start Date 13.'Estimated Well Depth !U L ft. -Estimated Casing Depth ! ft. Primary Casing Diameter 'Z- in. Open Hole: From To ft. 14.Estimated Screen interval:From `rj 4 To ft. 15.13rimary Casing Material: Black Steel Gaivt anized PVC Stainless Steel Not Cased Ot er: 16.Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. 17.Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other 18-Method of Construction,Repair,or Abandonment: Auger CabiC eTool' Jetted Rotary Sonic ,S Combination(Two or More Methods) Hand Driven(Wei ofn and Point) Hydraulic Point(Direct Push) Horizontal Drilling Plugged by Approved Method Other (Describel 19.Proposed Grouting Interval forthe Primary,Secondary,and Additional Casing: ' From To Seal Material( Bentonite Neat Cement Other ) From To Seal-Material( Bentonite Neat Cement Other ) From To Seal Material( Bentonite Neat Cement Other ) From To Seal'Material( Bentonite Neat Cement Other 1 20.Indicate total number of existing wells on site List number of existing unused wells on site 21"Is this well or any existingg.well or water withdrawal on the owner's contiguous proper�lyy covered under a Consumptive/Water Use Permit(CUP/WUP) or CUPNVUP Appllcatlon? Yes No If yes,complete the following:CNWUP No. District Well ID No. 22.Latitude Longitude 23.Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 Ihemby:aoMylhal ivrgieompty.wsh thaapplic-bte mks or Tdle4a,Florida Admin@tWive Cod*,and thota walar Ieedfythatl am the owner orlhe property,that me tnrormauon arovtlN isawavio,andlhallamavrareofmy useperms aranincrol recharpepemu'I;ifneeaed.h$s been ondis be obtained pdortocommencement ofwea responsliKes under chapter 373,Florida Statute*,to mahain or pmpedy.abandon Wswaft:or,l ceddy%at l am unsimclion.l hither Capd'y.port allinfonruUon fmvfded In thisappscandn is accurate and drat twig obtain the agomdor the Omer.that the Information providod is accurato,and that l haw informed tho owner of their nacessaryapprogaL'fmm opteriedentstafe,or loll yovammenl5.it apptfgbfe.lograo7opmvidoavien responsibilities asslated above.Ovmereansentsiosnowingpamondelofthlswmcioroele$alodrmnhornyaceosc eamp'teilatiroport,(o crib Distria%441a3p days after compiuvon at the eaashudlan,repair,moogitapon,or to thowell site during the cansWcllon,repair.modification.or abandonment authofeed fi)iihis permit. abandcnmoefaGlliurcod Ivj Ibis:pairrd;of 1h pertnA grpralPoa ydlichever occurs Irst i L -2 t -47 'Signatur of Contractor 'License No. }lature of Owner or Agent 'Date vra:' ,N . Approval Granted By Issue Datel Explralion Date 7 < PY Hydrologist Approval Iniliatt Fee Received 5 Receipt No. Check No. THIS PERMIT IS NOT VAUD UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE VArmD OR DELEGATED AUTHORITY, THE PERMIT SHALL.BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION,REPAIR,MODIFICATION,OR ABANDONMENT ACTIVITIES. r1CD"C..rro+`Coc��CMld1"t.:�::�..:..:.t�a r STATE OF FLORIDA PERMITAPPLICATION TO CONSTRUCT, REPAIR,MODiFY,ORABANDONAWELL FermitNo. � / s, ❑Southwest Florida Unique ID -•^ e'�`�f PLEASE FILL OUT ALLAPPL{CABLE FIELDS j O�Northwest (-Denotes Required Fields Where Applicable) Permit Stipulations Required(See Attached) t ! 0St.Johns River The waterwellcontractorlsresponsiblelorcompleting �. []South Florida thrs form,and forwarding the permit dppllcaUontothe e2-524 Quad NO. DellneatlonNo. DSuwannee River apprcprirrtedelegatedouthoritywhereapplicable. ODEP CUPNWP Application No. ❑Delegated Authority(If Applicable) :, .•. e 1. 'S7 'efa14' nbv:5 `iJll :."yrtSt.,N� G� Si � f�iQrrr e S 'Owner,Legal Name if Corporation `Address 'Cic y"State ZiP Telephone Number 2, "Well Location-Address,Load Name or Number,Cii:7, "Parcel ID No.(PIN)or Alternate Key(Circle One) Lot Block Unit, 4. 4-1 -5* Check tf 62-524:❑ Yes❑ No *Section or Land Grant 'Township 'Range *County Subdivision 5. �2tl/C✓14y 5 fs-��[.L �wL� �Lr"1 / � �j„ Vr1-7 `(y& 'Water Well Contractor "License Number Telephone Number E-mail Address "Water Well Contractor's Address City State ZIP 7. `Type of Work: vpConstruction ❑ Repair ❑ Modification❑ Abandonment 8. "Number of Proposed Wells 'Reason for Repair. Modiri onment 9. `Specify Intended.Use(s)of Well(s): 0 n 9 Domestic Landscape Irrigation ❑ Agricultural irrigation ❑ Site Investigations Bottled Water Supply B Recreation Area lrrigatlon ❑ Livestock ❑ Monitoring ❑ Public Water Supply(Limited Use/DOH) ❑ Nursery Irrigation ❑ Test HPublioWater Supply(Community or Non-Community/DEP)❑ Commerciallindustnal❑ Earth-Coupled Geothermal ��� 9 Z01 Class I Injection ❑ Golf Course irrigation B HVAC Supply HVAC Return Class V Injection:❑ Recharge ❑ Commercial/Industrial Disposal ❑ Aquifer Storage and Recovery❑ Drainagerv OH in St UdID CO Remediation:❑ Recovery❑ Air Sparge ❑ Other (D—ribe) F1R0d{dM LTH ❑ Other (Destrlbe) 10."Distance from Septic System if 5 200 ft.= 11.Facility Description ,`- * —yam u 12.Estimated Start Date. 13.'Estimated Well Depth IDS ft. -Estimated Casing Depth r! r ft. Primary Casing Diameter :;7- in. Open Hole: From To ft. 14.Estimated Screen Interval:From 8-4 To t-0 5-ft. 15."Primary Casing Material: Black Steel alvanized PVC Stainless Steel Not Cased Other: 16.Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. 17.Secondary Casing Material: Black Steel Galvanized PV Stainless Steel Other 18.`Method of Construction,Repair,or Abandonment: Auger Cable Tool Jetted Rotary Sonic Combination(Two or More Methods) Hand Driven(Well Point,Sand Point) Hydraulic Point(Direct Push) Horizontal Drilling Plugged by Approved Method Other (Describe) 19.Proposed Grouting Interval for the Primary,Secondary,and Additional Casing: From To Seal Material( Bentonite Neat Cement Other ) From To Seal Material( Bentonite Neat Cement Other ) From To Seal Material( Bentonite Neat Cement Other ) FfQm To Seal Material( Bentonite Neat Cement Other 1 20.Indicate total number of existing wells on site List number of existing unused wells on site 21."Is this well or any existing well or water withdrawal on the owner's contiguous property covered under a Consumptive/Water Use Permit(CUPI.WUP) or CUPlWUP Application$ Yes No If yes,complete the following:CUP/WUP No. District Well-ID No. 22.Latitude Longitude 23.Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 I hereby ceNfylhallwglcompywah.No appGcobfa rulesor7nb4g,Florida AdmIn'Wiarwe CodC.aad lhalawater Ieearty Nat l amtho wmererthe proparty,lhai the Information provideliso:a:ralo.endthatl am avrareofmy use Vemillra1ifs:iafreelurCe pemYf,(heeded,fiss baen erwpt bo obloineE prior to cartunonocmertt orwcl! responsQrSllu under Chapter373,Florida Slalulas,to maimain"properly abandon itivweti;or.I cerrdy Nat lam wrWruUmrl I ruidterecrllylhalalltatormatlon promadinthis aDptmoami-rate andlhal lvnlobtain the agent for the ovmor.that the information provided is acwrato,and Nat i haw lnfoonadthe owner of Nolr necossasy opprovtil from allier rederii,alale,or:loeal governments,It appgpEte.I aarea to provide a wall responsibT91"asslaledabovo. m Ownarcanaents to dlowtnp ponormel ofilm�YMD or OalegateA AulAodiy access wplellon report to the 061ikiwiNbl30 days aeercampleGan oflite wnsWyean,repair,madiftallon,or tolhowell Ac during the construcilon,repalr.medilaaUnn,or abandonment oulhorizod by this pemJA i1 obadonment aulhodrzed by this permit;of the Ami4 60alioit;whichaver'ocairs first. `Signature of Contractor 'License No. i' ature of Owneror Agent 'Date Approval Granted By Issue Date V1111 7 Expiration D.tiaMlIff Hydrologist Approval Iludale Fee Received S Receipt No. Check No, THiS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION.REPAIR,MODIFICATION,OR ABANDONMENT AGnV(TIES. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT M 56-SF-1731578 BILL Doc#:56-BID-3330185 CONSTRUCTION APPLICATION#:AP1270408 RECEIVED FROM: Grande Construction AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 2992 PAYMENT DATE: 01/10/2017 MAIL TO: (Grande Construction) FACILITY NAME : C PROPERTY LOCATION: TBD Davis St Fort Pierce, FL 34982 Lot: ' Property ID: 3409-111-0001-030-1 EXPLANATION or DF 1 .4- TITY FEE -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123- OSTDS Construction Site Evaluation 1 $ 115.00 126-OSTDS Construction Permit(New or Mod, Amendment) 1 $ 55.00 127-OSTDS Construction System Inspection 1 $ 75.00 128- OSTDS Construction System Inspection Research Fee 1 $ 5.00 133- OSTDS Construction Reinspection 1 $ 50.00 -1 -Surcharge (All) 1 $ 15.00 -1 -OSTDS New Permit Surcharge 1 . $ '100.00 Greg Oldakowski greg@grandefl.com PO Box 881765 Centpleting your project Port St.Lucie,FL 3498$ with quality and integr!M 772-336-7240 772-785-8851 fax www.zrandefl.com certined oenerai contractor 1505127 1115 RECEIVED BY- VancOW AUDIT CONTROL. NO, 56-AID-3167925 I 4=7 DAZZ ITS DIMVa. am s3C'Stt',EM •�� • `°°:" `��` AlppLICA,TION .FOR CONSTRUCTION PERMIT 1�rPpLTTION FOR: [k-r Near S�rs�sm [ � E�ia :n�' T. C �• Iri�crratii+'Ge .C I ���a�:r [ I Abaadtnm�tt [ 7. Temporary APPLTCANr3 aq-0� ,40r /^ic- • — ; � kL�n/SX- �R.•-S, TELOPIroms AGENT. (.T 12u(a C.J�O MAILING ADDRESS:: T.0. go�C $�t���� dYl-'t �'• �1 L�b �� 5��c1`G� TO SR COMP7RTED .BY APPUIC= OE AFPLICA'N rS` AUTH90RZZED AGER:£: SYSTEMS .MUST BE CONSTRUCTED BY .A PERSON Z TCM$ED :rUASUANT TO -4 Sq�.:;J05 t3) (m) .OR 4.81 i,5$2, VZQRT'AA 91ATUTE9. TT IS TIC APVtxMW,S RESpbsWYSx]�x TO .-pX0V-jbE nOC! AT:r0X .01? THE °DATE TIDE L-07 WAS tR TF,1)- 09 PLATM .(MM/DD/2Y) %r IMOUSSMING CON`SXDZMTXON OF STATUTORY (MMW$.AfiUER `M1ZQ`V`T,1005- �rsaa�atsrs�Ca�c�': PROPERTY IN'�'OF2DtiTSON S b C 6CsP�}7fjSGSZ l PT�� 1 ZOT-$ sLfieK: SxMDIVI0.10m4 FIsAfiTEII:.' ... PRUPERvy YD = 31401 _ it t- 0.0.0 } -- O 3 0-- 1 ZONED G% R5- 3 /M opt. E.Q=VJMMW, :ri Y PROPERTY 0123. ACRES W4TLR SUPPLY: [✓] 221, VATS PUBLIC [ 7:<=R aOGPD j 1 0b QGPD IS SEWE;3i AVAILAZLE -kS PER 381.006$, FS? [ Y DISTANCE TQ SEWERS FT � PROPERTY A`DDR'ESS; T•3.'17 . lam. pV!S ST. �=�'•PlF�C.6' DXRECTXONS TQ PROPERTY: O Pab'2 12 t D 66 W,sue TO �iOVts S!' S6,9 MAP ON -----• Sk-,,zvGl( , 8(QILDIN(3 INBORbiAT ON PT FESIDENTIAL C 7 comm Amum Unit `Pype Of o. Bu1Zd ng NO. N�rtab�,t Costi 8rciaZ/Xu0t;jt0agnal: System Design a�aez R Bodrobms Aria OCIft Table 1, C$a ::er :6 Er - S, MC 1 2o(,3 ,6jc S r,R 2 3a0$Tlfl',v4. 3tDb.✓T�lSL6r11b 3 4 110"elEgu pmeab Drains C 1 Oth r (Speei y): &IGN'AT.TJ32Es i'ZD S DATE; 3:i1e0xp0ra .. DH ?�Q•�,5� 0Slog I 09' (Olxeolotes riviaus ed�:tinne which t�•ay �xct bie xzsed� ted 64E-5 00�., BAC i APPLICATION # AP1270408 STATE OF FLORIDA DEPARTMENT OF HEALTH PERMIT # 56-SF-1731578 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1019934 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Grande Construction CONTRACTOR / AGENT: Grande Construction LOT: BLOCK: SUBDIVISION: ID#: 3409-111-0001-030-1 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: 0.50 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 750.00 GALLONS PER DAY [ 1500 GPD/ACRE 1 OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1100.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM Mag NiD in Rd LB7805 Elev 11.94 NW property corner ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE,,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: 80 FT NON-POTABLE: 90 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]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:Ankona sand USDA SOIL SERIES:Ankona sand Munsell#/Color Texture Depth Munsell#/Color Texture Depth 1 OYR 411 Sand 0 To 9 1 OYR 411 Sand 0 To 9 1OYR 5/1 Sand 9 To 16 1 OYR 5/1 Sand 9 To 15 1 OYR 611 Sand 16 To 24 1OYR 6/1 Sand 15 To 26 1 OYR 7/1 Sand 24 To 40 10YR 7/1 Sand 26 To 40 1 OYR 2/1 Spodic Material 40 To 60 7.5YR 2.5/2 Spodic Material 40 To 61 7.5YR 3/3 Spodic Material 60 To 64 7.5YR 3/3 Sand 61 To 72 1 OYR 4/3 Sand 64 To 72 OBSERVED WATER TABLE: INCHES ABOVE / BELOW EXISTING GRADE TYP • PERCHED / APPARENT 63.00 [ �] E. [ �] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR7/1 stripping in 10YR6/1 matrix 10%with diffuse boundaries starting @ 20"in SB1. SB1 5"below.SB2 2"below. SITE EVALUATED BY: DATE: 01/13/2017 Ingram,Brian(yl le:Environmental Specialist 11)(ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions w ich may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4 AP1270408 EID1731678 v 1.0.2 i STATE' 'OF FLORIDA DEPAR.TMEOT OF HEALTH. ONSTTE SEWAGE TREA'Z'NlENT' AND DI.SPOSAT� SYSTEN! SITE EVALUATION AND SY STEM SPECIFr'CATIONS cC tio� � "f� APPL'IC�N y P LOT: $LOCR; SUBilIVTSTON: PROPERTY ID #; 3.`E�cl - .I,l l - a00 I - D 3 0 — 1 ["S:ection/TcwnshxpJ'parc�l No. o� 'Tax ID Ntunb•er] TO BE GOMPTiE'1'ED HY ENGINEkR, HEART$ DEPART`mmm EMPLOYEE.,OR _dTHER QUALTFZED 1zERSON. ENGINEERS MUST PROVIDE REGISTRXTT6X :NUMBER AND S=GN'AWD SEAL EACIi PACE OF..S,UBMZTTAL:._COMPrrETE._ALL .fTEMS.. PROPERTY SIZE (.'CONFORMS TO SITE PLAN: [ ] YES [ ] NO NET USABLE AREA .AVAIIABIE-. ACRES TOTAL ESTYMATED SEWAGE FLOW: GIMLONS PER DAY [RES2DENCNS=TIMIX I/OTHMR TABLEZJ AUTHORIZED' SEWAGE mow.; GALtiONS PER DAY [1.500 GPDIACRE OFF 25`Q•0 GPb/,A."�,] UNOBSTRUCTED A= AVAILABLE`. SQFT UNOBSTRUCTED AREA REQUIRED: 8QFT BENCHMA.RX/R:EF:ERENCE POINT LOCATION-;:. ELEVATION OF EROPOSED SYSTEM 'S'-ITE I= ' INCHESIFT] .[AHOVE/BELowl 'BlT��G•'�-Hbl�K/REFERENCE �OSNT TAB MYNIMUM' SETBACK WHYCH CAY�T BE MAINTAINED F�LOM Tim PROPOSED SYSTEM wo TNE: FOTiLOWzNGI b'EAZ!URES SIIRFACE, WATLltz� .. FT DITCHES/SwALES s FT NORI�lAT;trY WE, [ -YES ( ] NO WELLS: PIIBLIC! :FT LIMITED USE% FT PRxVATE;. FT NON-POTABLE:• FT BUILDING FOUNDATTONSs. . .. . FT PROPERTY LINES-. FT POTABLE 'WATER LINESs. FT SITE SUBJECT TO FREQUENT FL00DTNGs [ .] YES [ ]: NO 10' YEAR FLOO]?ZNG:? [ ] YES C ] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT. -MSL/NGVD SITE: ELEVATION':: RT' M$Z,/NGVD .SOIL PROFILEE:-lW..oja TION SITE. I SOIL PROFILE..INFORMATION :SIT_E 2. . MiJNSEL?a ##/CoLoR TEXTURE.. I?EPTF� M KS= #/COYi02i TEXTURE. ._ DEP_TFi Ta TO. TO Ta TO TO. TO TO To. TO TO TO. TO y .. . .. TO T . O . USDA :SOIL $ERNES-s, USDA SOIL. .SEltIES i )WEAVED WATER TABLE: INCHES [A$OVE / BELOW] EJCT'STING -GRADE. TYEEs:[PERCHED / APPARENT] 3STZMATED WET SEASON -WATER TABZZ .ELEVATION: . INCHES [AEOVE /' BELOW] EXTSTING GRADE -IIGFi WATER TABLE VVEGETATIOlTs [ ] YES' T. ] iO MOTTD3:Xa: C .] YES [ ] NO DERTHz INCHES 30IL TEXTUREILOADING .RATE FOR SYSTEM SIZING:: DEPTH. 07 .EXOAVATZOrI.; ;I INCFTES )RAINVTX CONFX(; MATrON; [ J TRENCH [. ] 8ED [ ] OTHER (:SPECI�`7t� UDUM tS/ADDITIOmL CRITERIA:. CITEEVALUATED .Byts !H 403-5, 0e/09 [obsoietee previous. edittcas V?h'4ch.ay not b:e used} Moo cpo 16M 648-6:001-FAG. Page 3 of 4 (DESCRIPf-lON-.-A PARCEL OF LAND LYING IN THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF THE NORTHEAST i/4 OF SECTION 9,TOWNSHIP 36 SOUTH, RANGE 40 EAST, ST. LUCIE OUNTY, FLORIDA AND BEING MORE PARTICULARLY BOUNDED AND DESCRIBED AS FOLLOWS: OMMENCE AT THE SOUTHWEST CORNER OF SAID NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4,THENCE RUN NORTH,ALONG THE WEST LINE OF SAID NORTHEAST 1/4 MIDWAY ROAD I f THE NORTHEASj 1/4 OF THE NORTHEAST 1/4.A DISTANCE OF 433.50 FEET TO THE NORTNWIEST CORNER O?THDSE).ANDS DESCRIBED IN O.R. BOOK 334, PAGE 390, PUBLIC RECORDSf sr. LUCIE COUNTY. FLORIDA AND THE POIPIT OF BEGINNING;THENCE CONTINUE NORTH,ALONG SAID WEST LINE OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF THE NORTHEAST WHITE CITY/4,A DISTANCE OF 100.00 FEET;THENCE RUN FAST.ALONG THE SOUTH LINE OF LANDS DESCRIBED IN O.R.BOOK 512,PACE 2555,PUBLIC RECORDS OF ST. LUCIE COUNTY. FLORIDA,A DISTANCE OF 240.00 FEET; THENCE RUN SOUTH, PARALLEL WITH SAID WEST LINE OF THE NORTHEAST OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4. A DISTANCE OF 100.00 FEET,MORE a a OR LESS,TO A POINT ON THE EASTERLY PROJECTION OF THE NORTH LINE OF SAID LANDS DESCRIBED IN O.R. BOOK 334,PAGE 390;THENCE RUN WEST,ALONG SAID NORTH LINE OF N SITE LANDS DESCRIBED IN O.R. BOOK 334, PAGE 390 AND PARALLEL WITH SAID SOUTH LINE OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4 OF THE NORTHEAST 1/4,A DISTANCE OF 240.00 o FEET TO THE POINT OF BEGINNING. LESS THE WEST 20.00 FEET THEREOF FOR ROAD RIGHT-OF-WAY PURPOSES. 4 3 GOPHER RIDGE ROAD �/A NORTH LINE SECTION 9 - _ — 599'46'�51"W— F� 66U;10' � �j �n � m I NC'15'36'W - I (BEARING BASE) NORTHEAST CORNER SECTION 9 38/40 10 a S 130.17' / FOUND 5/8'IRON ROD&CAP I PER F.D.E.P.C.C.R. NO. 074494 STAMPED'LS 3336' I i 40' 20' FOUND 5/8" IRON ROD&CAP 0.59'NORTH 1 .za.,r'"' I STAMPED "LS 3335" O.R.B.S/2,PAGE 2555 1.07' WEST 33' SOUTH r I I (OCCUPIED) SET STAMPED IRON ROD &CAP (NOT TO SCALE) SET WEST STAMPED LB 78D5" LOCATION MAP 9n I I SET 5/8"IRON ROD&CAP +° STAMPED "LB 7805" `Y 240.00'(D) pro c r° a� LEGEND&ABBREVIATIONS [q y N89'46'S1"E 220.00'D LLI a +" '�•' �: x�a x O.R.R.- 0(`F1CIN. RECORDS BOOK 3 v FENCE CORNER +� n U.E.- UTILITY M x a r++• �� <d O O 4 } I O,v 0.77'SOUTH- F.F.E. FINISH FLOORLOOK ELEVATION a"'F I I--•o I F 334 i 4'HARE FENCE FENCE CORNER D.E.- DRAINAGE EASEMENT vQa fq x w IY z I I �� 0.15'SOU111 - CENTERUNE Liar o Iz �. ma F a i y PROPOSED ((P�] PLAT A- DELTA ANGLE m�Inow fn �+ Im p 4 n �/ ow Os, GONG. o N (M3- MEASURED R-- RADIUS o a^ I Coll I "•D.o' i h PATIO a C- CALCULATED L•- LENGTH m Q D-gi �+w o GRAPHIC SCALE o- -O D w 30 D 30 R.C.P.- REINFORCED CONCRETE PIPE la o. ro.• I 13 I " qq V5 o� `° o U P.B.- PLAT BOOK I� 21 OI IH' �I qS / Gw a Dy ai= CL.B.- LICENSED BUSINESS CONCRETE BLOCK&STUCCO `• 1I= Z � x>I ^I+�^l tI I n I / 17.s o 0�0 6/ W FEET CONC,- CONCRETE 1�ol PROPOSED u 136 n ce ( ) ��- GUY ANOOD CHOERR POLE LA I e li CONE r1 I inch = So' ft El- ELEVATION o m I u�i L — J ! PaRal 10fi33' `Fl bi ®-WATER METER zb I= O ^ ,�� 50.00 si.7 o OHU-�� X D UTILITY UNE ICi '� PROPOSED POTABLE WATER 16UL Z LIRVEYOR'3 NOTESaFce IomWATER VALVE IPROPOSED I .o PROPOSED IRRIrr,Rwt WEll RETPRODUCT'ONS OF THIS LAW ARE NOT VAUD%WHOUT THE SIGNATURE AND ORIGINAL 20' CONC.msyW II ,'' DRIVEWAY 1SET STAMPED'LB 7800"IRON C5&CAP RAISED 2 ADDITIONS OR DELETION TO OF A FLORIDA NSED SURVEY MAPSR AND OR REPORTS BY OTHER THAN THE I 1 SIGNING PARTY OR'PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING +,Da I T PARTY OR PARTIES, +`yax� Tr__ e I N89'46'51"E 0'2 .00p) 3-LANDS SHP. OWN HER NN WEREE140NTS CF RABSTRACTED FOR RICHTS-OF-WAY, E/SWENT5, I` yAI O.RB.334, PAGE 390 4.UNDERGROUND IIAPROVWEHTS,IF ANY,WERE NOT LOCATED EXCEPT AS SHOWN. I ( j fOUND 1/2'IRON ROD (OCCUPIED) SECTION 9 5.DESCRIPTION SHOWN HEREON AS PROVIDED BY CLIENT, I NO IDENTIFICATION &FIELD SUt;\TLY LAST CONDUCTED ON OCTOBER 26,2016. POINT OF TOWNSHIP 36 SOUTH COMMENCEMENT 3o I 1.93'NORTH 7.SYMBOLS SHDYJI4 HEREON ARE NOT TO SCALE. SOUTHWEST CORNER OF iD. 0.19'WEST RANGE 40 EAST &THE NORTH LINE OF SECTION 9 IS ASSUMED TO BEAR SOUTH 89'46'51"WEST AND no SET 5/8"IRON ROD&CAP ALL OTHER DEMINGS_SHOWN HEREON ARE RELATIVE THEREIC, NORTHEAST 1/4 OF h�` STAMPED"LB 7805' 9.OVERALL PARCEL CONTAINS 0.51 ACRES.MORE OR LESS. NORTHEAST 1/4 OF o \ 10. HORIZONTAL.RELATIONSHIPS,AS SHOWN HEREON,ARE BASED ON THE FLORIDA STATE NORTHEAST 1/4 OF Z'H \WEST LINE OF NORTHEAST 1/4 OF NORTHEAST PLANE COORD)NATE GRID,EAST ZONE. USING THE NORTH AMERICAN DATUM OF 1983 WITH SECDON 9/36/40 1 1/4 OF NORTHEAST 1/4 OF SECTION 9/36/40 THE 2011 ADJUSTMENT(NSRS 2011). _11.BY GRAPHIC PLOTTING ONLY,.SAID DESCRIBED PROPERTY IS LOCATED WITHIN AN AREA H SURVEYOR'S CERTIFICATE ANG A FLOOD ZONE MIGNATIDN OF"ir,ACCORDING TO THE FEDERAL.EWERGENCY MANAGEMENT AGENCY(F 4A)ON FLOOD INSURANCE RME MAP(FIR91)PANEL NUMBER 1 HEREBY CEP.TIFY THAT THE BOUNDARY A14D TOPOGRAPHIC SURVEY AS SHOWN HEREON IS A TRUE AND CORRECT 12111CO277J, HAVING AN EFFECTIVE DATE OF FEBR.UARY 16,201L2.THIS.NFORMATION REPRESENTATION OF A FIELD SURVEY MADE UNDER MY DIRECTION AND CHARGE AND SAID SURVEY IS TRUE AND CERTIFIED TO SHOULD BE CONFIRMED VITi THE APPROPRIATE COUNTY PRIOR TO CONSTRUCTION. AOCUPP-ATE TO IIHE BE=T OF MY KNOWLEDGE AND BELIEF. I FUMER CERTIFY THAT SAID SURVEY COUPLIES WITH THE GRANDE CONSTRUC71DR INC. 12.ELEVATIONS SHOWN HEREON ARE RELATIVE TO THE NORTH AMERICAN VERTICAL DATUM APPLICABLE STANGAFd)S OF PRACTICE FOR SURVEYS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL OF 1988(NAVD LIB)AND REFERENCE ST LUCIE COUIQY BENCHIAARK 'OLIGPS',HAVING SU.WDRS AND MAPPMS W CHAPTER SJ-17, FLORIDA ADMINISTRATIVE CDDE,PURSUANT TO SECTION 472.027, AN ELEVATION OF 14.54 FEET. FLOADA STATUTES. ' CNiLSURv- MCi4-GROUP, INC. TE2 23-zz'E4 l l DAVISIMEET D,No. g /�\� ( S STREET BNDY TOPO BOUNDARY AND TOPOGRAPHIC SURVEY � � ;�5ji7 ILSU�� 1--30 013 GRANDECOIVSTRUGTION >=_ �� DAVIS STREET QY; @WAN C.KIERNAN DATE OF SIGNATURE COPYRIGHT©20T6WdMa Eepinetrmg DHeWn By' Sheet PROFESSIONAL SURVEYOR&MAPPER All 18{DIIS RESFTIIEDE IBtANDAVENUE LB. No.7805 STATE'OF FLORIDA.REGISTRATION N0. 6101 C(VA.SURVOESK3A CROUP.INE,FlwWa 34950 gK 1oI 1 WHITE CITY,FLORIDA J