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HomeMy WebLinkAboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: James Wright PROPERTY ADDRESS: 6400 Koblegard Rd Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: PERMIT #:66-SF-1928661 APPLICATION #: AP1634051 DATE PAID: FEE PAID: RECEIPT #: DocuMENT #: PRI620681 PROPERTY ID #: 1304-211-0001-000-1 [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 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 [ 375 1 SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] FUND [ 1 I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange spot NE comer Of existing building porch I ELEVATION OF PROPOSED SYSTEM SITE J 50.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 35.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D F 0 T H E R REQUIRED: [33.UU] INCHES EXCAVATION REQUIRED: [ 31.UU] INCHES system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J IngrQ TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J In i DATE ISSUED: 03/12/2021 EXPIRATION DATE: 09/12/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1634051 SE1488133 -faioI -o33S APPLICATION #:AP1400747 `{ STATE OF FLORIDA PERMIT #: 56-SF-1 928661 DEPARTMENT OF HEALTH DOCUMENT #: FI 1275810 t� c ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM RECEIVED 02/28/2019 ,y. CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: MAR 2 2 2021 FEE PAID :515.00 RECEIPT #:56-PID-3866964 Permitting Department APPLICANT: James Wright S'. Lucie Court/ AGENT: Jason Hams (All About Septic Services Inc.) PROPERTY ADDRESS: 6400 Koblegard Rd Fort Pierce, FL 34951 LOT: 1 BLOCK: SUBDIVISION: ID#: 1304-211-0001-000-1 CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION [ ] [01] TANK SIZE [1] 1090.00 [21 [ ] [021 TANK MATERIAL Polyethylene [ ] [031 OUTLET DEVICE [ ] [041 MULTI -CHAMBERED [ LLY N ] [ ] [051 OUTLET FILTER Polylok PL-68 [ ] [06] LEGEND 1. 70-143-11DC4 2. [ ] (071 WATERTIGHT [ ] [081 LEVEL [ ] [091 DEPTH TO LID DRAINFIELD INSTALLATION [ ] [101 AREA [1] 384 [2] SQFT [ ] [111 DISTRIBUTION BOX HEADER X [ ] [ 12 ] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [131 DRAINLINE SEPARATION [ ] [141 DRAINLENE SLOPE [ ] [151 DEPTH OF COVER [ ] [161 ELEVATION [ ABOVE / BELOW ]BM 35.00 [ ] [171 SYSTEM LOCATION [ ] [181 DOSING PUMPS [ ] [191 AGGREGATE SIZE [ ] (201 AGGREGATE EXCESSIVE FINES [ ] [211 AGGREGATE DEPTH SETBACKS [271 SURFACE WATER 100 FT [281 DITCHES 43 FT [291 PRIVATE WELLS 100 FT [301 PUBLIC WELLS FT [311 IRRIGATION WELLS [321 POTABLE WATER [331 BUILDING FOUNDATIONS [341 PROPERTY LINES [351 OTHER FILLED / MOUND SYSTEM (361 DRAINFIELD COVER [371 SHOULDERS [381 SLOPES [391 STABILIZATION ADDITIONAL INFORMATION [401 UNOBSTRUCTED AREA [411 STORMWATER RUNOFF [421 ALARMS 57 [431 MAINTENANCE AGREEMENT (441 BUILDING AREA [451 LOCATION CONFORMS WITH SITE PLAN FT FT FT FT FT FILL / EXCAVATION MATERIAL I ] [46] FINAL SITE GRADING [ ] [221 FILL AMOUNT I ] [471 CONTRACTOR Jason Hams (All About Septi [ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 EQ36 (single c [ ] [241 EXCAVATION DEPTH ABANDONMENT [ ] [251 AREA REPLACED [ ] [491 TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED Comments: Comments are on page 2. CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 03/22/2019 DISAPPROVED Envir tal Specialist II n Ingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM I APPROVED / DISAPPROVED . St. Lucie CHD DATE: 03/22/2019 'Environmental Specialist ll n J Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC - Page 2 of 3 EH Database v 1.0.1 AP1400747 EID1928661 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Violation Number Comment Comments APPLICATION #:AP1400747 PERMIT #: 56-SF-1 928661 DOCUMENT #:F11275810 DATE PAID:02/28/2019 FEE PAID : 515.00 RECEIPT #:56-PID-3866964 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. New ST, outlet filter, and 4x8 long TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final inspection for potable water line setback, building foundation setback, mound system, storm water runoff, building area, site plan conformity, and final site grading. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1400747 EID1928661 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. 1 HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #. 56-SF-1928661 BILL DOC #:56-BID-5191301 CONSTRUCTION APPLICATION #. AP1634051 James Wright AMOUNT PAID: $ 545.00 CREDIT CARD 001399 PAYMENT DATE: 03/01/2021 MAIL TO: James Wright FACILITY NAME: PROPERTY LOCATION: 6400 Koblegard Rd Fort Pierce, FL 34951 Lot: Block: Property ID: 1304-211-0001-000-1 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 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection 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 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4895411 e STATE OF FLORIDA PERMIT NO. - 101 q $ l DEPARTMENT OF HEALTH DATE PAID: 31 i -L ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: ,5Hz� ift SYSTEM RECEIPT #: •,~`°°"` APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: C �br< ��rir�l�-� AGENT: I TELEPHONE: �✓ -'��5 J MAILING ADDRESS: �3� /�,��;f,{1t�/`('� �� JrJ►ir�rlc���f'l ��' 33 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 1 LOT: BLOCK: / 9 %y//A SUBDIVISION:/I-- �•( � PLATTED: PROPERTY ID # : -3 c- / i4t //— �)(_�7'l-'�J Z�.'� ZONING: 9 l J I/M OR EQUIVALENT: [ Y /Ise ] PROPERTY SIZE:T, ORES` WATER SUPPLY: [�] PRIVATE IS SEWER.AVAILABLE AS PER 381.0065, FS? [ Y �J PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 1 ! 2 G 3 4 [ ] Floor/Equ PUBLIC [ ]<=2000GPD [ 1>2000GPD 4 DISTANCE TO SEWER: �V '/ A FT [ ],RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 711 t Drains [ ] Other (Specify) DH 4015, 68/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: " "' G� L Page 1 of 4 Al, R STATE OF FLORIDA APPLICATION # AP1634051 DEPARTMENT OF HEALTH PERMIT # 56-SF-1928661 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1488133 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: James Wright CONTRACTOR / AGENT: LOT: BLOCK: SUBDIVISION: ID# : 1304-211-0001-000-1 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: 8.80 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 12450.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Oranqe Spot NE Corner Of existinq buildinq porch ELEVATION OF PROPOSED SYSTEM SITE 50.00 [I INCHES I/ FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 70 FT POTABLE WATER LINES: 100 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO1 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD .gnTT. PRnTVTT.F. TNFARMATTnM RTTF. 1 SATT. PPOPTT.F. TNFr)RMATTAN STTF. 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Loamy Sand 0 To 17 1 OYR 5/8 CMN/PRM RF 9 To 17 1 OYR 7/2 Sand 17 To 23 10YR 5/4 Sand 23 To 26 10YR 512 Sandy Clay Loam 26 To 31 10YR 6/3 Sand 31 To 39 5GY 5/1 Sandy Clay Loam 39 To 50 5GY 6/1 Sand 50 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 2/1 Loamy Sand 0 To 4 10YR 512 Loamy Sand 4 To 14 10YR 5/8 CMN/PRM RF 9 To 14 1 OYR 7/1 Sand 14 To 25 10YR 5/3 Sand 25 To 28 1 OYR 5/2 Sandy Clay Loam 28 To 31 10YR 6/3 Sand 31 To 41 5GY 5/1 Sandy Clay Loam 41 To 52 5GY 611 Sandy Clay 52 To 72 OBSERVED WATER TABLE: 56.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT] ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 9 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 9.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [X ] TRENCH [ (- REMARKS/ADDITIONAL CRITERIA Sand/0.80 DEPTH OF EXCAVATION: ] BED [ ] OTHER (SPECIFY) WSWT determined using USDA WSS and soil borings. 10YR518 CMN PROM RF mottling in 10YR512 matrix > starting at 9" in S132. SB1 52" below BM> S62 50 below BM. SITE EVALUATED BY: Ingram, Brian e: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsolates previous editions ch may not be used) Incorporated: 64E-6.001, FAC AP1634051 EID1928661 31 INCHES DATE: 03/08/2021 Page 3 of 4 v 1.0.2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: James Wright PROPERTY ADDRESS: 6400 Kobleqard Rd Fort PiercWfL 34951 LOT: 1 BLOCK: PROPERTY ID #: 1304-211-0001-000-1 PERMIT #:56-SF-1928661 APPLICATION #: AP1400747 DATE PAID• FEE PAID: RECEIPT #: DOCUMENT #: PR1207814 IpN: ,.p. j [SECTION�,TOWNSHIP, RANGE, PARCEL NUMBER] R AX _:# NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE --ftT� �G ICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPAR PROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OJ 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 -D [ 900 ] GALLONS / GPD Septic new CAPACITY A [ ] GALLONS / GPD 4N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY s[ .. jGAL•LONS`P--'71[ ]DOSES PER 24 HRS #Pumps [ ] [ 375 1 SQUARE FEET Drainfield n��YSTB 1 e a W "'4 R [ ] SQUARE FEET N/A 4Y A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange spot NE corner of existi I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R [ 50.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT [ 35.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT REQUIRED: [ 33.UU] INCHES EXCAVATION REQUIRED: [ 3'I.UU ] INCHES system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of gpd• SPECIFICATIONS BY: w Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: ✓+'TITLE: Environmental Specialist II St. Lucie CHD Brian a IngraV DATE ISSUED: 03/19/2019 EXPIRATION DATE: 09/19/2020 DE 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 v 1.1.4 AP1400747 SE1157579 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,Qa party who,,is adversely affected by it is entitled to judicial review pursuant to Section 120.68, WO Statutes-IReyiew proceedings are governed b the Florida Rules of Appel late Pr • WO Such. roceedi s may be commenced 9 YQ:� � 9� Y by filing one copy of a Notice of Appeal with t�i Ag �Cy;i le f e Department of Health and a second copy, accompanied by the filing fees requirwt to Court of Appeal in the appropriate District Court. The notice must be filed within "; d, sL. rendition of the final order. UwU WL" ,n W t ;yw St. Lucie County Health Department 5150 NVV Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-1928661 BILL DOC #:56-BID-4088905 CONSTRUCTION APPLICATION #: AP1400747 RECEIVED FROM: All About Septic Services Inc. AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 02/28/2019 MAIL TO: James Wright FACILITY NAME: PROPERTY LOCATION: 6400 Koblegard Rd Fort Pierce, FL 34951 1 Lot: Block: Property ID: 1304-211-0001-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -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 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3866964 i i i STATE OF FLORIDA DEPARTMENT OF HEALTH ' ONSITE SEWAGE TREATMENT AND DISPOSAL <.. SYSTEM APPLICATION FOR CONSTRUCTION PERMIT New System [ ] Existing System Repair Abandonment ING ADDRESS: [ ] Holding Tank [ ] Temporary PERMIT NO. F- � asUU DATE PAID: FEE PAID: M VS-16 RECEIPT #: r�J W [ ] Innovative a�TElT,EPHONE BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT:•.`.S3L�STEMS MUST BE CONSTRUCTED A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE 'LICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR MTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS - PTO PERTY INFORMATION LOT:_ BLOCK:_ SUBDIVISION: -'� PLATTED: PROPERTY ID ## : J Sy 7 - a!L-- ©00 P (00 -' ZONING: I/M OR EQUIVALENT: [ Y 'j PROPERTY SIZE: 3. ACRE WATER SUPPLY: [TC] PRIVATE PUBLIC { ]<=2000GPD [ ]>2000GPD I(S SEWER AVAILABLE qqA��S PER 381.0065, FS? [ Y 1/ N DISTANCE TO SEWER: JAIA FT PROPERTY ADDRESS: V 9 ©C C -� • t S T— �, DkRECTIONS TO PROPERTY : (- (5 . # �., , tom' YL, o 1Lc� . j �) e ; .g j x BUILDING INFORMATION [-�<] RE4IDEJgEIA. [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft _Table 1, Chapter 64E-6, FAC I 1 = �'� 3 ( icvyl;r-- � � 5�4� 13 i 4 I I ] Floor/Equ' m nt Drains [ ] Other (Specify) . � S IGNATURE : DATE: � r✓, :iOF OH 4015, 08/09 (Obsoletes previous editions which may not be used) incorporated 64E-6.001, FAC Page 1 of 4 i STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: James Wright CONTRACTOR / AGENT: All About Septic Services Inc. LOT: 1 BLOCK: SUBDIVISION: . ID# : 1304-211-0001-000-1 APPLICATION # A P1400747 PERMIT # 56-SF-1928661 DOCUMENT # SF1157579 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: 8.30 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 12450.00 GALLONS'; PER,. DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 5000.00 SQFT X9i a U90BSTgtUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orangesgo ELEVATION OF PROPOSED SYSTEM SITE 50.00 �[ BELOWI] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PRO SED-SYSTEM O THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 15 NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 '.FT PROPERTY LINES: 70 FT POTABLE WATER LINES: 100 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]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 SATT. PRnFTT.F. TNFARMATTAN STTF. 9 USDA SOIL SERIES:Pineda sand Munsell #lColor Texture Depth 1 OYR 4/2 Loamy Sand 0 To 17 10YR 5/8 CMN/PRM RF 9 To 17 1 OYR 7/2 Sand 17 To 23 1 OYR 5/4 Sand 23 To 26 1 OYR 5/2 Sandy Clay Loam 26 To 31 1 OYR 6/3 5GY 5/1 Sand Sandy Clay Loam 31 To 39 39 To 50 r. 5GY 6/1 Sand 50 To 72 OBSERVED WATER TABLE: 56.00 INCHES [ ABOVE / BELOW ] EXIS'TING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 9 INCHES [ ABOVE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXC.' DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 CMN PROM RF mottling in 10YR5/2 matrix >2% starting at 9" in SB2. SB1 52" below BM. SB2 50" below BM. /-7 SITE EVALUATED BY: Ingram, Brian (Titi : nvironmental Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1400747 EID1928661 USDA SOIL SERIES:Pineda sand Munsell #lColor Texture Depth 1 OYR 2/1 Loamy Sand 0 To 4 1 OYR 5/2 Loamy Sand 4 To 14 1 OYR 5/8 CMN/PRM RF 9 To 14 1 OYR 7/1 Sand 14 To 25 ''I OYRo5/3,,. Sand 25 To 28 OYk-, 5/2F ', w Sandy Clay Loam 28 To 31 10® t 6/, = % Sand 31 To 41 50f 5/1w Sandy Clay Loam 41 To 52 5 6/ Sandy Clay 52 To 72 [ PERCHED / APPARENT ] EXISTING GRADE DEPTH: 9.00 INCHES ATION: 31 INCHES DATE: 03/08/2019 Page 3 of 4 v 1.0.2 V� Xk- f ' - P � .`.-.; + ! � �`� ��� 1 j•� � k ;:,f la�:,Ji, a �°. 4 L a __ p y ^ ;,,k iy i . � ! d,,,,.ci +,r -.. JY i ' k t TIE) Av W I -j .1, wn lit lit tilts n. an Not Ovy: WS Its, TO A 1 f' if ISO Ott ITT' NOWd.will ALao 1 My , FF v TV, Ek 'VI at :Sol too 27° 3331"N 27" 33' 17" N Custom Soil Resource Report p Soil Map N N 5551M 56622, 5EM 566320 55MM 5554M 555470 3 3 Map Scale: 1:2,130 & printed on A porhait (8.5' x 11") sheet � Mebis N 0 30 80 120 180 $ A0 100 200 400 600 Map projection: Web Mercator Corner mordfnates: WG584 Edge ta: UIM Zone 17N WGS84 6 27" 33' 31" N I ZP 33 17" N 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 classification: Farmland of unique importance Map Unit Composition Pineda and similar soils. 85 percent Minor components: 15 percent Estimates are 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 material. Sandy and loamy marine deposits Typical profile A - 0 to 5 inches. sand E - 5 to 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 - 60 to 80 inches: loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural 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 in profile: 4 percent Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Low (about 4.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D 16 Custom Soil Resource Report Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241FL) Other vegetative classification: Slough (R155XY011 FL) Hydric soil rating: Yes Minor Components Malabar Percent of map unit: 6 percent Landform: — error in exists on — Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear, concave Across -slope shape: Linear, concave Ecological site: Slough (R155XY011 FL) Other vegetative classification: Slough (R155XY011 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) Hydric soil rating: No Valkaria Percent 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: Concave, linear Other vegetative'classification: Slough (R155XY011 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) Hydric soil rating: Yes 38—Riviera fine sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 2tzw2 Elevation: 0 to 80 feet Mean annual precipitation: 44 to 59 inches Mean annual air temperature: 68 to 77 degrees F 17 Custom Soil Resource Report Frost -free period. 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Riviera and similar soils: 80 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Riviera Setting Landform: Flats on marine terraces, drainageways on marine terraces Landform position (three-dimensional): Tread, talf, dip Down -slope shape: Linear Across -slope shape: Linear, concave Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: fine sand E- 6 to 28 inches: fine sand BM/E - 28 to 32 inches: fine sandy loam Btg - 32 to 42 inches: sandy clay loam C - 42 to 80 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class. Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 6.00 in/hr) Depth to water table: About 3 to 18 inches Frequency of flooding: None Frequency of ponding. None Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Moderate (about 6.0 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w . Hydrologic Soil Group: A/D Forage suitability group: Sandy over loamy soils on flats of hydric or rriesic lowlands (G155XB241FL) Other vegetative class cation: Slough (R155XY011 FL) Hydrcc soil rating: Yes Minor Components Wabasso Percent of map unit. 8 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) 18 Custom Soil Resource Report Hydric soil rating: No Hallandale Percent of map unit: 4 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 (11155XY003FL) Hydric soil rating: Yes Pinellas Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: Cabbage Palm Flatwoods (R155XY005FL) Hydric soil rating: No Floridana Percent of map unit: 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric soil rating: Yes Oldsmar Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex, linear Across -slope shape: Linear. Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: No 55—Winder loamy sand Map Unit Setting National map unit symbol: 1 jpwk Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Winder, drained and bedded,. and similar soils: 67 percent Winder, hydric, and similar soils: 15 percent Minor components: 18 percent 19 Custom Soil Resource Report Estimates are based on observations, descriptions, and transects of the mapunit. Description of Winder, Drained And Bedded Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex, concave Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: loamy sand E - 6 to 12 inches: sand Btg1- 12 to 33 inches: sandy clay loam Btg2 - 33 to 49 inches: sandy loam Cg1- 49 to 61 inches., loamy sand Cg2 - 61 to 80'inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class. Poorly drained Runoff class: 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 12 to 18 inches Frequency of flooding. None Frequency of ponding: None Calcium carbonate, maximum in profile: 5 percent Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G 1 56BC341 FL) Hydric soil rating:- No Description of Winder, Hydric Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear, concave Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: loamy sand E - 6 to 12 inches. sand Btg1-12 to 33 inches. sandy clay loam Btg2 - 33 to 49 inches: sandy loam 20 Custom Soil Resource Report Cg1- 49 to 61 inches: loamy sand Cg2 - 61 to 80 inches. sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural 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 0 to 12 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum in profile: 5 percent Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341FL) Hydric soil rating: Yes Minor Components Pineda Percent of map unit. 3 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Linear Across -slope shape: Concave Hydric soil rating: Yes Riviera Percent of map unit: 3 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Hydric soil rating: Yes Floridana Percent of map unit: 3 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Hydric soil rating: Yes Hallandale Percent of map unit. 3 percent Landform: Flats on marine terraces Landform position (three-dimensional): Interfluve, talf 21 Custom Soil Resource Report Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Winder, shell substratum, hydric Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear, concave Across -slope shape: Linear Hydric soil rating: Yes Wabasso Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Wabasso, gravelly substratum Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No 22