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HomeMy WebLinkAboutSewage ApprovalPERMIT #:66-SF-2211896 ni­.,;.." R. ncnruI"fnvylpn� ,- np1RnR194 BLOCK: SUBDIVISION: LOT: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER PROPERTY ID #: 3234-231-0001-000-5 [OR TAX ID NUMBER] — ACCORDANCE WITH SPECIFICATIONS AND STANDARDS ur 0� _ SYSTEM MUST BE CONSTRUCTED IN CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE 381.0065, F.S., AND ANY CHANGE IN MATERIAL , SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD R TIME. THE APPLICANT TO MODIFY THE WHICH SERVED AS A BASIS FOR SSSUANCE OF THIS PERMIT, AND VOID. PERMIT APPLICATION. SUCH DOESMODIFICATIONSNOT MAY THEAPPLICANTICANTHI FROM PERMIT MPLIANC MADE H NULL HER FEDERAL, ISSUANCE OF THIS PERMI STATE, OR LOCAL PERMITTING REQUIRED,FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS Seotic new CAPACITY T [ 900 ] GALLONS / GPD tic GALLONS / GPD CAPACITY LONE A [ ] ] GALLONS GREASE INTERCEPTOR CAPACITY [MAX MU O CAPACITY SINGLE I ]GLOBES : 240 H� #Pumps N [ [ K [ ] GALLONS DOSING TANK CAPACITY ( ] Grainfield new SYSTEM D [ 500 ] SQUARE FEET SYSTEM R ( ] SQUARE FEET I N/A STANDARD [ ] FILLED X MOUND ( ] A TYPE SYSTEM: ( ] (] I•CONFIGURATION: ( ] TRENCH [x] BED ( ] N F LOCATION OF BENCHMARK':' Orange paint Hall. In W side Of post near SE propertyBELOW BENCHMARK/REFERENCE POINT I ELEVATION OF PROPOSED SYSTEM SITE [ 1I [ ABOVE 1.00 ][ INCHES FT ](ABOVE BENCHMARK/REFERENCE POINT E BOTTOM OF GRAINFIELD TO BE BELOW L EXCAVATION REQUIRED: [ 30.001 INCHES D FILL REQUIRED: [ 28.001 INCHES The system is sized for 2 bedrooms withi a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow o O 300 gpd. T Minimum 225 gal dosing tank required if; gravity flow to drainfield cannot be achieved. H E i R TITLE: Environmental Specialist III SPECIFICATIONS BY: Brian J Ingram _ St. Lucie aHD I TITLE: Environmental Specialist III APPROVED BY: Brian J In am EXPIRATION DATE: 08/15/2022 DATE ISSUED: 02/15/2021 editions which may not be used) Page 1 of 3 DH 4016, 08/09 (Obsoletes all previous Incorporated: 64E-6.003, FAC AP1606194 SE1482549 NOTICE OF RIGHTS A parry whose substantial linterest 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'. I 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. HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: MAIL TO: Kylie Fasnacht FACILITY NAME: PROPERTY LOCATION: TBD Carlton Rd Port Saint Lucie, FL 34987 I St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 i Lot: Block: Property ID: 3234-231-0001-000-5 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New i 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection -1 -Well Construction _ I i I RECEIVED BY: WhighamJL CONSTRUCTION APPLICATION #: AP1606194 AMOUNT PAID: $ 660.00 PAYMENT DATE: 12/09/2020 QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 1 $ 115.00 AUDIT CONTROL NO. 56-PID-4825916 i STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE,TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT PAPi P ICATION FOR: j PERMIT NO. . C1 1S e DATE PAID: O FEE PAID: tri(�=Kj RECEIPT #: New System [ ] Existing System [ ] Holding Tank [ ] Innovative ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGENT: MAILING ADDRESS: , Qy J c9 11 JlX�1 t I u{� TELEPHONE -7a 1.s Ji U 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: PLATTED: 006,5 PROPERTY ID # : o �� 1 "' OW ZONING: I /M OR EQUIVALENT: [ Y i lJ PROPERTY SIZE:c>(V'v v ACRES WATER SUPPLY: []� PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381..0065, FS? [ Y /j�NN ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: f L7(�N r' !Jog DIRECTIONS TO PROPERTY: ��(�(�VIOICJC e 1=�i� `j\J .ras lfw -�--,, �� +- 9 Cyr (f &SA i-o" BUILDING INFORMATION [] RESIDENTIAL [ ] COMMERCIAL Unit Type of No Establishment 1 doubic cud - 2 3 4 [ ] Floor/Equipment SIGNATURE: i No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 6- _. 1 &4 ""'"']-\Other DATE: / (-y - g DH 4015, 08/09 (Obs'oletes `previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 APPLICANT: i STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL.,SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION Fasnacht CONTRACTOR / AGENT: LOT: BLOCK: SUBDIVISION: I ID#:3234-231-0001-000-5 APPLICATION # AP1606194 PERMIT # 56-SF-2211896 DOCUMENT # SE1482549 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: 20.03 ACRES TOTAL ESTIMATED SEWAGE FLOW: 1300 GALLONS PER DAY [ RESIDENCES -TABLE( / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 30045.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 7,50.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange Paint nail in W side of post near SE corner of property ELEVATION OF PROPOSED SYSTEM SITE 11.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINfTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: 1125 FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 USDA SOIL SERIES: Munsell #/Color Texture 10YR 413 Sand 10YR 6/1 Sand 1 OYR 6/1 Sand 1 OYR 7/8 CMN/PRM RF 10YR 6/8 Sand N 6/ Sandy Clay Loam 10YR 6/2 N 6/ Sand Sandy Clay Loam N 6/ MARL HOLE CAVING Refusal OBSERVED WATER TABLE: 32.00 INCHESi ESTIMATED WET SEASON WATER TABLE ELEVAT HIGH WATER TABLE VEGETATION: [ ] SOIL TEXTURE/LOADING RATE FOR SYSTEM DRAINFIELD CONFIGURATION: [ ] TREN REMARKS/ADDITIONAL CRITERIA I WSWT determined using USDA WSS and soil bori 10YR718 CMN PROM RF mottling in 10YR6/1 matri SITE EVALUATED BY: Ingram, 136 DR 4015, 08/09 (Obsoletes previous editions [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD 0^VT T3Dn7JTT.L. CTTW. i Depth 0 To 14 14 To 24 14 To 24 14 To 24 18 To 24 30 To 36 34 To 44 44 To 49 49 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 13 1 OYR 6/2 Sand 13 To 18 10YR 6/8 Sand 18 To 22 1 OYR 7/1 Sandy Clay Loam 22 To 27 1 OYR 7/3 Sand 27 To 36 10YR 3/2 Sand 30 To 36 5GY 5/1 Sandy Clay Loam 34 To 43 REFUSAL Refusal 43 To 72 [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ON: 14 INCHES [ ABOVE / BELOW ] EXISTING GRADE YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 14.00 INCHES SIZING: Fill - Sand/0.60 DEPTH OF EXCAVATION: 30 INCHES CH [X] BED [ ] OTHER (SPECIFY) x ngs. >2% starting at 14" in SB1. SB1 10" below BM. SB2 11" below BM. 12 DATE: 02/12/2021 (T t : Environmental Specialist 111) (ENVIRONMENTAL HEALTH) h may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1606194 EID2211896 v 1.0.2 aim. MLq,W u. YT kU. Ir fir lov At HOW W 2 VATS mp. opt 7., WAY . . . . . . . Custom Soil Resource Report - St: Lucie County, Florida 32—Pineda sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol. 2x1 nb Elevation: 0 to 100 feet Mean annual precipitation: 47 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 355 to 365 days Farmland lassification: Farmland of unique importance Map Unit Composition Pineda and similar soils: 85 percent Minor components: 15 percent Estimates iare based on observations, descriptions, and transects of the mapunit. Description of (Pineda Setting Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across slope shape: Concave, linear Parent I aterial: Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 tol 19 inches: sand Bw - 19,, to 35 inches: sand Btg/E - 35 to 38 inches: sandy loam Btg - 38 to 60 inches: sandy loam Cg - 60i to 80 inches. loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 3 to 18 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content: 4 percent Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity., Low (about 4.6 inches) 3retivelgroups Land capability classification (irrigated): None specified. Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) 10 Custom Soil Resource Report Other vegetative classification: Slough (R155XY011 FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Hydric soil rating: Yes Minor Components Malabar Perceni, of map unit: 6 percent Landform: — error in exists on — LandforIn position (three-dimensional): Tread, dip, talf Down -slope shape: Linear, concave Across -slope shape: Linear, concave Ecological site: R155XY011 FL - Slough Other vegetative classification: Slough (R155XY011 FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: Yes Wabasso Percent of map unit: 5 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: No Valkaria Percen�, of map unit: 2 percent Landform: Drainageways on flatwoods on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -'slope shape: Linear, concave Other vegetative classification: Slough (R155XY011 FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: Yes Hallandale Percent of map unit 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: Yes 11 S "�V IN \C j FDOH in St. Lucie C� Environmental".Health . n Site Plan Approved for Construction 3 Supersedes All Previous Site Plans for OSTDS #5�-S�'.221 $�� &Well #g9- ��1 J�Jr Date: Reviewer: r� .f�