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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Deborah Sherrod (Shox LLC)
PROPERTY ADDRESS: TBD Glades Cut -Off Rd Port Saint Lucie, FL 34987
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 4220-434-0001-000-8
PERMIT #:56-SF-2277168
APPLICATION # : AP1659815
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1582477
[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'jCOMPLIANCE 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 FEET Drainfield New SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: ORANGE SPOT WITH NAIL IN 5TH POST W OF FPL
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
E OF SITE.
[ 6.00 ] [ INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
[ 14.00 ] [ INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
FILL REQUIRED: [26.001 INCHES EXCAVATION REQUIRED: [ ] 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 B : Nicole Montanez TITLE: Environmental Specialist II
APPROVED BY: l�A TIE: Environmental Specialist II St. Lucie CHD
Nicol M ntan z
DATE ISSUED: 06/22/2021 EXPIRATION DATE: 12/22/2022
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 AP1659815 SE1537049
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.
3
ry .I(0553
r ST 'OF FL'ORID11 PERMtT APPLICATION TO CONSrTRU T, 9 31
REPAIR; MODIFY OR ABANDON A WELL, A -
' Permd No r"
r a Florida Urnque,lb
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PLEASE FILL.OUTALLAPPLICABLErFiELDS3
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River 4
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,`Well Location Address :oad Naive rN SrnbeG C` `
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'Secitpn,or Land Grant +i GMeck tf 62t4.
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•Wet r Weil Co ractar 'Cicadae Number 'Tete/p�honeaNuJ/t�ytb%e�r Email res's
elt,G nano ractor's_Addres
F7 Type of;Work - Construction Repair INodtticaGon = Abandonment 4-
Reason r air catwn, ofAbsntioninent ..
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:rPubiic Wa6er Suppnly (Gtammunity;or Non=Community/DEP� TGoif,:Course lmgafion HVAC Supply >.
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10' Distance fro Se tics stem if �2t)0 fi 11: Faah `0 caption ' 12 Estimated Start Date`+.
P Y �1!€ y.
13 'Estimated WellaQepth fi ., 'Eslimat i Gasng,Depth ft: "P, nmary;Casing Qiameter in Open Hole From To ft,
14 Estimated Screeninterval; FramTo ft _
i0Pnmary Casing�Ma anal -Black Sfeef Galvanued �„ PVC Sfamiess;Steel ,
Not Cased Other
r 16'. Secondary Ca "sing Telescope Casing` '!Liner, Surface Casing .Diameter .E iri
" 17 Secondary Casing blatenal BlackrSteel t. Galvanized PVCr`'> Stainless Steel i Other
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GombineNpn (Twoaor Moreeivtethods) Hand Driven (Weli'Point Sand Pdintj '_�'Hydrauiic Paint'(DlrecbPush)
-... NorizcnCal Dnllin`gay ?iuggetl;by Approved Method fi OMar tpesc I ey ,
19 Proposed outin± rvaJ for the,PrtmaryW Secondary antl Additional Easing ;
. °From To: Seat MAfenai ( ' Bentonite 8ieat Gernent Other'
A' , FromTo= Seal Matenah� BentoniteNea(Cemeni� , � Other =.
From jo` Seal Mat -anal ( Sentghite Meat tvefneni Other _ )3
From _ T : ,S Seal_ Mferiai [ .. f3entonite Nest Cement Other , )
a w 20 vindicate total number of_exisbng welts on'site �' '. Listwnu�nber,of extsting;unusedwells on'ste _
2 "Is this well or any,existing wet! orvraterwitiidcawat on he owner's contiguous pri3 . ' covered under a Consumptiv6MOtia Usf3 Permd{CUPIWUB)
or CURNVUP Application? 'Yes p1Qo If yea complete the}fgllowing, CUPIWJUP�No .. Ois_ tact Welt ID No
s IM Latitude- tt `
23 DataQbtainedFranl 'GM " Map SurveysDatuLn NAD27NAD83= UVGS84'
.- _. ,.. •7roegGgero7S!Inuilwe mmply';w•Ih th•opplrtnbl Halos ulJao•0. fiorda,gdmd¢lralivo Cal•,,and theta ate ,;:.,,' �IeeMylhallrur3 Ncavn•rerthe"(`.ropety,thotth•tntwmaao�°,pror.do"dnaxumta„aiE Kati antaiva!a ofmy
° R; r»'P daullflWrroitiargo'pcmi4. i1n6odeJ.fiaoteOor°A ee pi.— p�avlo etumm"nwmmtofwvn „_._. ,napa9eibdAiw atN�iChaPW�373; Florida 9Wtulpa.lgreawf n,oe,pmp•�fyphandan Nis o_'W7rv.l t•R;fytluiinm
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s .'` 'necoesary app; 9110 Wo lagme to,prw4t! a wed leseonih i ,.. .... tad'a ., .. t+to'aho»iig'iv Myf of Uiui;iNMDn O.[og.url Aueior yacecs.
corhytaatin1e m•.DiavicF,vedun$0 dara;efMr gimpia4on of moconagl7ohm repar;maddiraaon, ar , f•°" toted e+te, �np dlo ueuon.ro GmOdiBfALon,arawndttrmonCdutiannd tiy,lAerpmm 5
iibandonrnerit Ihoruod Hy Ut spormf ril !!!tI
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`y Si otur oiContractor � �__ �, _ _ „, _. 'Cleanse No , SI�naT_ _ erorAg• t a ' at ,
A 'or al Granted a� � � y t '' �lssue Hate r Expiration Date Hy¢rologlst Approval
r 11
Y Fee Received S O.�- Reeaip N jti�"5t�_ Ctt"eckNo �%�-
} W 4 t
iHIS PERMI'_T iS NOT VALIQUNTIL PROPERLY SIGNED BY AN THORIZED (�FFfCER OR'rREPRESENTATNE`OF THE WMD OE2_DELEGAT.Eb AUTHORITY THE "
sPEFiMIT;SN/1Lt,8E`AVAILABL'5'AT THE=WELL SITE"bURihlG ALL,CONSTRUCTIOlV REPi11R _MObIFICAT,ION; OR ABANDQNMENTACTIVtTIES
'.eer,e ancnn nnn`c1t f.. t eon,.,, nn'i t r• �, en r n � :.w > nnta W;
' $ ` St. Lucie County Health Department
' 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2277168 BILL HOC #:56-BID-5270484 CONSTRUCTION APPLICATION #: AP1659815
RECEIVED FROM: All Florida Permittinq AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 8183 PAYMENT DATE: 04/29/2021
MAIL TO: Deborah Sherrod (Shox LLC)
FACILITY NAME:
PROPERTY LOCATION:
)J-149DTBi3-Glades Cut -Off Rd
Port Saint Lucie, FL 34987
Lot: Block:
Property ID: 4220-434-0001-000-8
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-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: WhighamJL AUDIT CONTROL NO. 56-PID-4958621
STATE OF FLORIDA PERMIT No. S�- �� ((Q$
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �o
SYSTEM RECEIPT # :
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
0 New System Existing System Holding Tank Innovative
Repair Abandonment R-Temporary R
APPLICANT: SHOX LLC / DEBORAH SHERROD # 772:260:7821 (,au --rut- AeneSS
AGENT: ALL FLORIDA PERMITTING / KITINA BLOOM TELEPHONE: 813-717-9841
MAILING ADDRESS: 13815 E. US HWY 92 DOVER. FL 33627
EMAIL: ALLFLPERMITTING(&AOL.COM
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: N/A BLOCK: N/A SUBDIVISION: NSA PLATTED: N/A
PROPERTY ID #:
4220.434.0001.000.8
ZONING: AG-5 I/M OR EQUIVALENT: [ Y /O]
PROPERTY SIZE: 15.27 ACRES WATER SUPPLY: � PRIVATE PUBLIC 1:1<=2000GPD >2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /ON 3 DISTANCE TO SEWER: FT
PROPERTY ADDRESS: "TBD" GLADES CUT-OFF RD PORT ST. LUCIE, FL 34987
DIRECTIONS TO PROPERTY: SEE MAP -
BUILDING INFORMATION.
Unit Type of
No Establishment
1 NEW MH
2
3
4
Floor/Equipment
SIGNATURE:
RESIDENTIAL ❑ COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1600
Other (Specify) i•
DATE:
DR 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
Propertyy Card
Page 1 of 2
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: TBD
Parcel ID: 4220-434-0001- Account #: 179884 Sec/Town/Range:
000-8 20/37S/38E
Map ID: 42/19X
Zoning: AG-5 Count Use Type: 6000 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Shox LLC
20 37 38 THAT PART OF SEC MPDAF: FROM SW COR OF
21750 Glades Cut Off RD
SEC, TH N 89 45 21 E ALG S SEC LI 3087.33 TO POB; TH N
Port Saint Lucie, FL 34987
00 50 00 E 600 FT, TH N 89 45 21 E 1074 FT, TH S 00 50 W
539.99 FT, TH N 89 45 21 E 374.21 FT TO NWLY RD R/W LI
OF GLADES CUT-OFF RD, TH S 44 46 59 W ALG R/W LI
84.89 FT, TH S 89 42 21 W 1389.28 FT TO POB-(15.27 AC -
664,969 SF) (OR 3736-1733, 1738)
Current Values Historical Values 3-year
Just/Market: $174,083 Assessed: $8,857 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $8,857 2020 $174,083
$8,857
$0
$8,857
2019 $174,083
$8,434
$0
$8,434
2018 $174,383
$8,049
$0
$8,049
Date
04-06-2015
04-06-2015
04-06-2015
View:
Year Built: 2003
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Book/Page
Sale Code Deed Grantor
3736 / 1738
0130 TR Sherrod (TR) Joan
3736 / 1733
0130 TR
3736 / 1733
0130 TR Sherrod (TR) Joan
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 3,600 SF
Type
Roof Cover: Sheet Metal
Frame:
Story Height: 1 Story
A/C %: N/A%
Heated %: N/A%
Sprinkled %: N/A%
Exterior Data
Roof Structure: Gable
Grade: 22
No. Units: ON/A
Interior Data
Electric:
Heat Type:
Heat Fuel:
Total Areas
Price
$100
$100
$100
Building Type: FarmPole
Effective Year: 2003
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Finished/Under Air
0
(SF):
Gross Sketched Area
3,600
(SF):
Land Size (acres):
15.27
Land Size (SF):
664,969
Total Building Count:
1
Special Features and Yard Items
Qty Units Year Bit
https://www.paslc.org/RECard/ 4/29/2021
HOMEOWNER AUTHORIZATION TO PULL PERMITS
DATE: 3) l o / �-f
TO WHOM IT MAY CONCERN:
I, ��J( G. �/� �+�c� c , HEREBY
GRANT PERNIISSION TO:
THE FOLLOWING AGENTS OF ALL FLORIDA PERMITTIr G. INC.
KITINA BLOOM
STEVEN BELL
DAVID COLLINS
TO OBTAIN ANY,PERMITS AND UTILITY TAPS NECESSARY TO EXPEDITE
THE DELIVERY AND SETUP OF MY/OUR MANUFACTURED HOME.
HOMEOWNER'S
SIGNATURE:
CONTACT #:
HOMEOWNER'S
SIGNATURE:
CONTACT #:
'ai
Ali
LO
Ao lY
.n 4
At"
7'
I
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
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)
Interpretive groups
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
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: 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
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: 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 (G155XB141FL)
Hydric soil rating: Yes
38—Riviera fine sand, 0 to 2 percent slopes
Map Unit Setting
National map unit symbol: 2tzw2
11
Custom Soil Resource Report
Elevation: 0 to 80 feet
Mean annual precipitation: 44 to 59 inches
Mean annual air temperature: 68 to 77 degrees F
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: Drainageways on marine terraces, flats on marine terraces
Landform position (three-dimensional): Tread, dip, tall
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
BME - 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
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
Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water capacity: Moderate (about 6.0 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: A/D I -
Forage suitability group: Sandy over loamy soils on flats of hydric or mesic
lowlands (G155XB241 FL)
Other vegetative classification: Slough (R165XY011 FL), Sandy over loamy soils
on flats of hydric or mesic lowlands (G155XB241 FL)
Hydric soil rating. Yes
Minor Components
Wabasso
Percent of map unit: 8 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tread, talf
12
Custom Soil Resource Report
Down -slope shape: Linear, convex
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
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), Sandy
over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL)
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 (R155XY003FL), Sandy
soils on flats of mesic or hydric lowlands (GI 55XB141 FL)
Hydric soil rating: Yes
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),
Sandy over loamy soils on stream terraces, flood plains, or in depressions
(G155XB245FL)
Hydric soil rating: Yes
Oldsmar
Percent of map unit: 2 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Linear, convex
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
13
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Environmental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS #5[p -5E- n`171 �g & Well #59 3 { 7
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I
RETURN AIR PER "PA69-DS-3" UNDERCUT DOOR
Whole House Fan Notes:
UP to 1428 Sq Ft. = 1 50 cfm fan
1429 to 2571 Sq. Ft. = 1 90 cfm fan
2572 and above = 1 110 cfm fon
Environmental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS #56-SF- 3-3-1'1 l & Well -31-1
Date: t'I
Reviewerx %c,ol,Q LA. �41
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REVISED 412012 / 3:47pm adh
remove dormer
REVISED 412 //2 / 6: / OAM ADH
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MUST USE TDE TIE DOWNS UNDER ALL SITEBEAM.
STATE OF FLORIDA APPLICATION # AP1659816
DEPARTMENT OF HEALTH PERMIT # 56-SF-2277168
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1537049
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Deborah Sherrod (Shox LLC)
CONTRACTOR / AGENT: All Florida Permitting
LOT: BLOCK:
SUBDIVISION: ID# : 4220-434-0001-000-8
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: 15.27 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 22904.99 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: ORANGE SPOT WITH NAIL IN 5TH POST W OF FPL METER, E OF SITE.
ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCHES / FT ] [ABOVE / BELOW ] 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: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 50 FT POTABLE WATER LINES: 40 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
4ATT. DRnL+TT.F. TNFARMAmrnN RTTF 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 6/3
Fill - Sandy Clay Loam
0 To 6
1 OYR 5/3
Fill - Sandy Clay Loam
0 To 6
10YR 4/2
Fill - Sand
6 To 9
1 OYR 5/2
Sand
9 To 24
10YR 6/2
Sand
16 To 24
1 OYR 8/2
Sand
24 To 36
1 OYR 6/8
MANY/PRM RF
27 To 36
1 OYR 6/2
Sand
36 To 47
1 OYR 3/2
Sandy Loam )
47 To 57
REFUSAL
Refusal
57 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 5/3
Fill - Sandy Clay Loam
0 To 17
10YR 3/2
Fill - Sandy Clay Loam
6 To 17
10YR 4/1
Sand
17 To 27
10YR 5/2
Sand
27 To 31
1OYR 6/2
Sand
27 To 31
10YR 7/2
Sand
31 To 41
10YR 6/8
MANY/PRM RF
31 To 41
1OYR 6/3
Sand
41 To 45
10YR 3/2
Sandy Loam
45 To 72
OBSERVED WATER TABLE: 53.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: .
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED
r- REMARKS/ADDITIONAL CRITERIA
Sand/0.60 DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
5WT determined using USDA WSS and soil borings. 10YR6/2 stripping in a 10YR5/2 matrix > 10% with diffuse boundaries starting
16" In SB1. SB1 6" ABOVS BM. S132 8" ABOVE BM
SITE EVALUATED BY:
Montanez, N,cole (Tit I Environmental pea atist II) (Florida Department of Health in S
DR 4015, 08/09 (Obsoletes previous editions which may not beed)� Incorporated: 64E-6.001, FAC
INCHES
DATE: 06/10/2021
Page 3 of 4
EID2277168 v 1.0.2
R E V I S 1 0 N S BY DATE BY DATE
CULPEPPER �k TERPENING INC
ADD PROPOSED WELL JDJ 4/15/21 FIELD SG 2 24 21
CONSULTING ENGINEERS I LAND SURVEYORS REVISIONS PER COUNTY COMMENTS` JDJ 5/17/21 CALCS
........ ...:... ....
' ...�,;. 2980 SOUTH 25th STREET 0 FORT PIERCE, FLORIDA34981
,3`� `'„ PHONE 772 464-3537 • FAX 772-464-9497 • w .ct-eiig.com .... ... ....... '„ ., DRAWN„ GLM 3 5 21
151 SW Fr AGLER AVENUE • STUART, FLORIDA 34994 ' DETAILED
... .... ..... ... ..... . [ ..... .. ....
PHONE 772 220-3376 • FAX 772-464-9497 & w .ct-engkom CHECKED
E.., .......5........ °.... .... .... STATE OF FLORIDA CERTIFICATION No. LB 4286 "' "'.............."' """"` '^"''"'
APPROVED
...a"n a . an.:X. . .da x -k ..-,.« .. .'. :: ,.43a,. x: v .•: v w,.WWann ke •, v.7777777 .. y +e.r...5 r n d -. A5'. ei. l". �, .rd .•.�.o-A .,h+ .
DATE: 3-05-2021
HORIZ. SCALE:1"=50'
VERT. SCALE: N\A
JOB No. 15-011
SHEET 1 OF 1