HomeMy WebLinkAboutSewage ApprovalPERMIT #:66-SF-2211896
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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
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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
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IN
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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�