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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL,
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Marvin Kelly
PROPERTY ADDRESS: 11600 Twin creeks Dr (GUEST HOUSE) Fort Pierce, FL 34945
LOT: BLOCK: SUBDIVISION:
PERMIT #:56-SF-2166975
APPLICATION #: AP1578437
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1455186
PROPERTY ID #: 2333-234-0001-000-5 [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 FEE'
R [ ] SQUARE FEE!
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ j
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [ j FILLED Dc] MOUND [ ]
TRENCH [x] BED [ ]
Site BM MAG NiD, trav pt, elev 18.24
I ELEVATION OF PROPOSED SYSTEM SITE [ 9.00 ][INCHES FT ][ABOVE
E BOTTOM OF DRAINFIELD TO BE
L
D I
0
T
H
E
R
1.00 ] [INCHES FT ] [ ABOVE
BENCHMARK/REFERENCE POINT
BENCHMARK/REFERENCE POINT
ILL REQUIRED: [Z0-UU7 INCHES EXCAVATION REQUIRED: [ 54.UU] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
300 gpd.
SPECIFICATIONS BY: Brian J Ingram TIC: Environmental Specialist II
APPROVED BY: "� TITLE: Environmental Specialist II St. Lucie CHD
Bri J Ingram
DATE ISSUED: 10/239020
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
AP1578437
EXPIRATION DATE: 04/23/2022
SE141I LE COPTe 1 of 3
STATE OF FLORIDA PERMIT NO.51-'4SF' i910f bC1-TV
DEPARTMENT OF HEALTH DATE PAID:
' ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT #:
%WE APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT:
AGENT:
MAILING ADDRESS:
TELE�HONE : � 1-2,09 �
TO BE COMPLETED BY APPLICANT OR APPLICANT'S 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: SUBDIVISION: N� PLATTED:/ VS% 72-
PROPERTY ID # :S�C, ,43, ��5� � ,40 _� [ � ZONING: �CJ I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE:/ ACRES WATER SUPPLY: [x] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /O] DISTANCE TO SEWER: FT
PROPERTY ADDRESS:.
AullE
DIRECTIONS TO PROPERTY:
4;A&f-1L'�, 7x8"v&,6( %i/�,� i
BUILDING INFORMATION [XI RESIDENTIAL [ ] CONbERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment / Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC
1
N-� ��.�if� 2�T�
3
4
[ ] Floor/Equipmen Drk ins [ ] Other (Specify)
SIGNATURE: . A DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Marvin Kelly
CONTRACTOR / AGENT:
LOT: BLOCK:
SUBDIVISION: ID# : 2333-234-0001-000-5
APPLICATION # AP1578437
PERMIT # 56-SF-2166975
DOCUMENT # SF1413460
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: 14.58 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 21870.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 2000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM MAG NA trav pt, elev 18.24
ELEVATION OF PROPOSED SYSTEM SITE 9.00 [ 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: FT
NORMALLY WET: [ ]YES
[ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE:
100 FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 100 FT
POTABLE WATER LINES:
58 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES [X]NO
10 YEAR FLOODING? [ ]YES
[X]NOj
10 YEAR FLOOD ELEVATION FOR SITE:
FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL
/ NGVD
SOIL PROFILE INFORMATION SITE 1
WATT. 1DRAFTT.7.
TWT,"1 MnTTnV eTma! 7
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1CYR 3/2
Organic Soil
0 To 6
1 CYR 4/2
Loamy Sand
6 To 20
1CYR 5/8
CMN/PRM RF
16 To 20
1CYR 4/2
Sandy Clay Loam
20 To 26
1CYR 7/2
Sandy Clay Loam
26 To 45
1CYR 6/2
Loamy Fine Sand
45 To 51
1CYR 6/2
Fine Sand
51 To 60
1CYR 5/2
Sandy Clay Loam
60 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/2
Organic Soil
0 To 4
1 CYR 4/3
Sand
4 To 14
1 CYR 4/4
Sandy Clay Loam
14 To 20
1 CYR 5/8
CMN/PRM RF
18 To 20
1 CYR 4/2
Sandy Clay Loam
20 To 32
1 CYR 6/2
Sandy Loam
32 To 54
10YR 6/2
Loamy Sand
54 To 60
10YR 5/2
Sandy Clay Loam
60 To 72
OBSERVED WATER TABLE: 46.00 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/0.60 DEPTH OF EXCAVATION: 54 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/8 CMN PROM RF mottling in 10YR4/2 matrix >2% starting at 16" in SB1.
SB1 9" below BM. SB2 7" below BM.
SITE EVALUATED BY:
Ingran%Brian (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
D8 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, PAC
AP1678437 EID2166975
DATE: 10/05/2020
Page 3 of 4
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FDOH in St. Lucie County
Environmental Health
Site Plan Approved for Construction
Suporsedes All Previous Site Plans for
OSTDS #56- (0 " & Well #59-3kT12
Date:10h-g
Revievker:
y Ron Raymond Construction
Kelly Residence
St. Lucia county. Florida
CC) F_S-T- t�iJ S
Steve LiCausi Design Group. Inc.
RESIDENTIAL DESIGNERS
4905 R i-, Place. FL Pic— FL 34882
Offi—(772) 785-6465