HomeMy WebLinkAboutAPPROVED Enviro Health InfoSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT:SaAeSmM
PERMIT # . 56- SP — I 7 ”..Sis)
AGENT: Reliable Treasure °NISI Services Indian River Septi4
LOT. 11 BLOCK:2 SUBDIVISION:Suwween0fMcauenFwms
PROPERTY ID #:2n0-801-0024.0104 [Tax ID Number 3
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: [1 ] YES [ ] NO NET USABLE AREA AVAILABLE: gm ACRES
TOTAL ESTIMATED SEWAGE FLOW: aM 1 GALLONS PER DAY (RESIDENCES-TABLE 1
AUTHORIZED SEWAGE FLOW: 14520 GALLONS PER DAY [1500GPIDIACRE 1
UNOBSTRUCTED AREA AVAILABLE: 1000 SOFT UNOBSTRUCTED AREA REQUIRED: aM SQFT
BENCHMARK/REFERENCE POINT LOCATION:NotweamoerWEAeingMeWBOdingaEL22A6
ELEVATION OF PROPOSED SYSTEM SITE /817 [INCHES ] [BELOW ] PSINCHMARX/REFE:RENCE POINT.
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 155 FT DITCHBES/SWALES:WA FT NORMALLY WET? [ I YES I ] NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: 117 FT NON-POTABLE: N/A FT
BUILDING FOUNDATIONS: 10 FT PROPERTY LINES: 140 FT POTABLE WATER LINES: 78 FT
SITE SUBJECT TO FREQUENT FLOODING: [J YES [V] NO
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROF/LE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE
10Th 4/4 FM S
MYR4/1
10YREM
10YR 6/2
DEPTH
0 T016
16 T030
21 T030
30 T040
10Y5/1 SCL 40 TO 531OYRW1 S 63 TO 72
USDA SOIL SERIES: MappeciasPmecb0S
TO
TO
TO
OBSERVED WATER TABLE:58 INCHES [BELOW
ESTIMATED WET SEASON WATER TABLE ELEVATION: 21
HIGH WATER TABLE VEGETATION: [ I YES [J] NO
10 YEAR FLOODING? I j YES JJ NO
FT MSL/NGVD SITE ELEVATION:
SOIL PROFILE INFORMATION SITE 2
FT MSL/NGVD
MUNSELL */COLOR TEXTURE DEPTH
10Th 4/4 Fill S 0 T018
H1YR4M S 18 To 28
10YRW1 S 22 T028
10YR6/2 S 28 TO 45
WY 5/1 SCL 45 TO so
10YR6/1 50 T072
TO
TO
TO
USDA SOIL SERIES: MamediefteMES
1 EXISTING GRADE. TYPE: APPieRNT
INCHES [BELOW ] EXISTING GRADE
MOTTLING: [i] YES [ I NO DEPTH:21 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Smdia DEPTH OF EXCAVATION: N/A
DRAINFIELD CONFIGURATION: [J] TRENCH [ j BED I ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA: SHSdetenninedlay>108.10YR5/1sWpOmpnalOYR4/11neddx8121001eSMDW1.
Imams
SITE EVALUATED BY: Ian Moore C E H P. 19-2072 DATE: 12/9/19
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAG Page 3 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
1,/ New System
[ I Repair
[ I 1 Existing System
Abandonment
APPLICANT: JOSEPH & THERESA CRESPI
AGENT: Alexander J. Piazza PSM, Inc.
I J
Vi L Mo sct- so 4 o
PERMIT N0514,sr-rioevs&g
DATE PAID: IDbliel
FEE PAID: 4cAc.1 c‹-
RECEIPT #: On=s 1/1-P
Holding Tank ( J Innovative
Temporary [
Sc -5- - 98Q, - 3(43 a
MAILING ADDRESS: 619 SW Minn= Street, Pon SL Lucie, Honda 34983
TELEPHONE: 772-340-7770
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: II BLOCK: 2 SUBDIVISION: MCNURLAN FARMS PLATTED: 1925
PROPERTY ID #: 23201-501-0024-000-1 ZONING: R I/M OR EQUIVALENT: [ No
PROPERTY SIZE: 9.535 ACRES WATER SUPPLY: [j] PRIVATE PUBLIC [ ]<=2000GPD [ 3>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No 3 DISTANCE TO SEWER: FT
PROPERTY ADDRESS: BROCKSMITH ROAD
DIRECTIONS TO PROPERTY: SEELOCATIONMAP
BUILDING INFORMATION [i] RESIDENTIAL
Unit Type of
No Establishment
i. RESIDENTIAL
2
3
4
[ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAG
0
Sized for Camper and fill = house. Art5
[ ] Floor/Equipment Drains [j]
SIGNATURE: Alexander J Piazza
7 (..--Avoi its
Other (Specify) GARBAGE GRINDERS / DISPOSALS
Duo" "pal
?Jaya
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE: 1 1-25-19
Page 1 of 4
E BOTTOM OF DRAINF/ELD TO BE
D FILL REQUIRED:
0
1'
[21.00] INCHES
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCT/ON PERMIT FOR: OSTDS New
APPLICANT: Joseph & Theresa Cresol (Guest House)
PROPERTY ADDRESS: 2465 S Brocksmith Rd Fort Pierce, FL 34945
LOT: 11 sLocx: 2 SUBDIVISION: McNudenFamis
PROPERTY TD #: 2320-501-0024-000-1
PERMIT #: 56-SF-1709558
APPLICATION #: AP1455686
DATE PAID:
FEE PAID:
RECEIPT IP
DOCUMENT #: PR1286768
[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 PER/OD 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 [
A [
N [
K [
900 1
1
GALLONS I GPD Septic new CAPACITY
GALLONS / GPD N/A CAPACITY
GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
GALLONS DOSING TANK CAPACITY ]GALLONS @I 1DOSES PER 24 HRS &Pumps (
D [ 375 ] SQUARE FEET Drairifield new SYSTEM
R [ 1 SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD I I FILLED DE] MOUND [ I
I CONFIGURATION: [x] TRENCH [ ] BED I 1
F LOCATION OF BENCHMARK: NW comer of existing metal building at elev 22.46
/ ELEVATION OF PROPOSED SYSTEM SITE 1 17.00 1 (I INCHES FT 3 [ ABOVE A BELOW I BENCHMARK/REFERENCE POINT
14.00 ] ii INCHES FT I [ ABOVE 4 BELOW h BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [ 1 INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
SPECIFICATIONS BY: Ian
APPROVED BY:
P Moor
Brian J ram
DATE ISSUED: 01/02/202
TITLE:
TITLE: CEHP 17-2072
Environmental Specialist II SL Lucie CHD
EXPIRATION DATE: 07/02/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 TP1455686 5E1235811
Page 1 of 3
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