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HomeMy WebLinkAboutSewageSTATE OF FLORIDA ',CENTRAX #: 56-SF-08424 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID $ CONSTRUCTION PERMIT RECEIPT OSTDSNBR 05-0529-'N 1CONSTRUCTION PERMIT FOR: - yf. X;�]New System [ ].Existing System [ ] [ ]H ora[ er ( ]Repair ]Abandonment APPLICANT:' Collura / DiFrancesco Const.AGENT:ALEXANDER PIAZZA" � S PROPERTY STREET ADDRESS: Bridle Way Ln Fort Pierce FL 34987 _,_....-..... "„ LOT: 17 BLOCK: SUBDIVISION: Carlton Country Esta; ; [Section/Township/Range/Parcel No:] "_ PROPERTY ID #: 11-36S-38E-. [OR TAX ID NUMBER] ' SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME, PERIOD. ANY CHANGE IN MATERIAL'FACTS WHICH SERVED'AS A•BASIS FOR ISSUANCE..OF THIS PERMIT; ,..REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIQNS 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 PROPERTY DEVELOPMENT. SYSTEM DESIGN AND SPECIFICATIONS n T:[ 1350 ]Gallons SEPTIC TANK MULTI-CHAMBERED/IN SERIES: Y. A [ 0 ]Gallons. MULTI-CHAMBERED/IN SERIES: [Y ] N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY "K [ 450 ]GALLONS DOSING TANK CAPACITY [ 113 ]GALLONS @ [4 ]DOSES PER 24 HRS # PUMPS[ 1 ] e D [ 923 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEMIt1'�(+' / it, [ 0 ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ N ]STANDARD [ N ]FILLED [ Y ]MOUND N ] I CONFIGURATION: [ N.--']"TRENCH [ Y ] BED [ N ] N F LOCATION TO BENCHMARK:rcL of Road Near Center of Lot I ELEVATION OF PROPOSED SYSTEM SITE [ ] [ INCHES ] [ ABOVE.]BENCHMAR'K/.REFERENCE POINT• E BOTTOM OF DRAINFIELD TO BE [ 27.0 ] [ INCHES ] [ ABOVE ]BENCHnARK/!REFERENCE POINT L D FILL REQUIRED:( 42. ]INCHES EXCAVATION REQUIRED: [ 0_0 ]• INCHES OTHER REMARKS: The licensed contractor installing the system is responsible for installing, the minimum category of tank in accordance with s. 64E-6.013(3)(f), FAC. If decide to run gravity from plumbing stubout to septic system - home stubout invert to be 39 inches above reference point. Audio•and visual alarms must be installed and working at4'time of final inspection. .t -SPECIFICATIONS BY:POLISSKY, JODI TITLE: ' APPROVED BY: Polissky, Jodi ,c� TITLE: Environmental Spec, St. Lucie CHD DATE'ISSUED: 9/19/05 EXPIRATION DATE: 3/19/07 DH 4016, 03/97 (Obsoletes previous editions which may not be used) \ (Stock Plumber: 5744-001-4016-0) [ostds-cons-4016-11 Page 1 of 2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM N SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Collura / DiFrancesco Const. AGENT: ALEXANDER PIAZZA CENTRAX #: 56-SF-08424 OSTDSNBR : 05-0529-N LOT: 17 BLOCK: SUBDIVISION: Carlton Country Esta ID#: 11-36S-38E- TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER.'S MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE LL EM . PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 5.13 ACRES TOTAL ESTIMATED SEWAGE FLOW: 600 GALLONS PER DAY [64E-6, TABLE 11 AUTHORIZED SEWAGE FLOW: 7695 GALLONS PER DAY [1500GPD/ACRE OR 2500GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 3000 SQFT UNOBSTRUCTED AREA REQUIRED: 1846 SQFT BENCHMARK/REFERENCE POINT LOCATION: C/L of Road Near Center of Lot ELEVATION OF PROPOSED SYSTEM SITE IS 3.00 [ INCHES ] [ ABOVE'] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES:: SURFACE WATER: N/A FT DITCHES/SWALES: 15+ FT NORMALLY WET? [ ]YES [ X ]N0. WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: 75+ FT NON -POTABLE: N/A ,FT' BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 20+ FT POTABLE WATER LINES: N/A FT' SITE SUBJECT TO FREQUENT FLOODING: [ ]YES [ X ]NO 10 YEAR FLOODING? [ ]YES [ X ]NO 10 YEAR FLOOD ELEVATION FOR SITE: 0 FT NGVD SITE ELEVATION: 0 FT NGVD SOIL PROFILE INFORMATION SITE 1 Munsell #/Color Texture Depth to I 3 to iR 1_R to 27 27 to 34 14 to 79 to t_ to USDA. SOIL SERIES: 32 Pineda Sand SOIL PROFILE INFORMATION SITE 2 Munsell #/Color Texture Depth 1nVR-3/2-'Vnr, RN Fine Sande n to 6 1OVR-6/1-aY Fine Rand 6 to 1R 10VR-4/3-RN Vinp Rand 1R to 30 1AVR-9.49 -R YW Fine Rand RO to RFi 10YR-6/6-B YW Refusal R6 to to to to USDA SOIL SERIES: 32 Pineda Sand OBSERVED,WATER TABLE: 19.00 INCHES [ BELOW ] EXISTING GRADE TYPE: [ APPARENT ESTIMATED WET SEASON WATER TABLE ELEVATION: 0.00 INCHES [ BELOW ] EXISTING GRADE. HIGH' WATER TABLE VEGETATION: [ ] YES [X] NO MOTTLING: [ ] YES [X] NO DEPTH: 0.0 SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Fine Sand/0.65 DRAINFIELD CONFIGURATION: [ ]TRENCH [ X ]BED [ REMARKS/ADDITIONAL CRITERIA: INCHES _ DEPTH OF EXCAVATION: 0.0 INCHES ] OTHER (SPECIFY) _SITE EVALUATED BY: JOHN HANSON DATE: 9/12/05 6H-4015, 03/'97-(Obsoletes previous editions which may not be used) (Stock Number: 5744-003-4015-1) [ostds_eval_4015-3] Page 3 of 3 STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT + APPLICATION FOR: [ X ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ]' Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Domenick A. and Theresa J. Collurac/0 Pl_ (7t,y&ego Cbhs1 0�0) -77gI AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 1-772-380-0000 MAILING ADDRESS: 1216 SE Industrial Boulevard, Port St. Lucie, Florida 34952 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 DATE LOT: 17 BLOCK: -- SUBDIVISION: Carlton Country Estates PLATTED: 104 PROPERTY ID #: [Section/Township/Range/Parcel No.] ZONING: PROPERTY SIZE: 5.13 ACRES [Sgft/43560] PROPERTY WATER SUPPLY: [X] PRIVATE [ ] PUBLIC PROPERTY STREET ADDRESS: Bridle Way Lane, Fort Pierce, FL 34988 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION [ X ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Residential 24-4 29 1���1� 3 4 .[ X ] Garbage Grinders/Disposals [ X] Spas / Hot -Tubs [ ] Floor/Equipment Drains [ ] Ultra -low Volume Flush Toilets [ ] Other (Specify), APPLICANT'S SIGNATURE: DATE: DH 4015, 10/97 (Previous Editions May Be Used) 8-05-05 Page 1 of 3 AJ P JOB#: 05-0463 _ _ 9STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Domenick A. & Theresa J. Collura V PERMIT #. AGENT: Alexander J. Piazza PSM, Inc. LOT: 17 BLOCK: -- SUBDIVISION: Carlton Country Estates PROPERTY ID #: [Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS 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: 5.13 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 900 +\- SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: 230' West of center of cul-de-sac of Bridle Way Lane ELEVATION OF PROPOSED SYSTEM SITE IS 8 [INCHES/FT] [ABOVE/BELOW] 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: 200 FT LIMITED USE: 100 FT PRIVATE: 75 FT NON -POTABLE:. 50 FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 11 FT POTABLE WATER LINES: 100 'FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ X ] NO 100 YEAR FLOODING? [ ] YES [X] NO 100 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR USDA SOIL SERIES: TEXTURE DEPTH TO TO TO TO TO TO TO TO TO OBSERVED WATER TABLE: 40+ INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE:[PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ X ] BED REMARKS/ADDITIONAL CRITERIA: _SITE EVALUATED BY: DH 4015, 10/96 (Replaces HRS-H Form ,4015 [page DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) which may be used) INCHES DATE: 8-05-05 Page 3 of 3 AJ P J 0 B#: 05-0463 Feb 12 04 08:36a Rita Waters 772-465-3355 P.1 STATE OF MORMA PERMIT APPLICATION TO CONSTRUCT. REPAIR, MODIFY, OR ABANDONA WMI' 13 SoWtwest ❑ Norov"d 3 FOt�1l NU$TEQ Fl A= WT C0Y�1.E &X L} SL dOhta RMOt no woDgr!.�,car�tri6sdp►(r (Drool,*" Ov! •� ❑ Booth Ffaida tio+rserrd><trtralidptppNnd b IA. approlprlet datpebat s� Stnasr = River Y �IPP c► Ecac sax roR APPRcPduiff d ffldY 2:v1Fr"ahZtS� - -4,v fwn XHC $��?b Lvntsov+tt pnr'E •QI`tr�C z° v-r VUM L—Add am" camacw TraiC- ' i •:- Ayr ''f - .y. T.-,•� 'e=1:.. •. on emi tot t�tOCil ParturN4. " d Sc* No. W 62424 vwb• 13 .V Agplie daotlor -F( JB state r ail, T. F wow of propoaed waits check Bee use e4 watt ff' Q;teL Norm) Q Monitor ❑ Wgatloi '(Reeder&& ❑ kewdon (Business) ❑ Pubfie Water Supply (Business) ust Other Distance ftm aeptia system jq R DWanoe from tounda6 3 �,�t. 5 Ise Fi�rn� (.. 2eS; dl�w Est; noW st wt o(oonstrw�on dais S lePT IA Z o G B foew ConsiavcUan (] Reollr'lltit"N �AMrtdenmerltr. m N(Reason for abartdonmeet) 9. EsWrAtbd: wel Depth o o - it cishp Dv"m L it �sa—+eree+ YttsrYai frvllt Zs tom o c,aa,u.a+t�r peui�t r i7� fvc y $Q811UtaDBf�t CeMCn Grove 2 10.tf.ppacable: Pm=tod From, 0 to r00,seattr6aiermt FAX0__,id. •. •• g :� :::;_:::, .:, ; ONMENTAL HEALTH DIVISION From 60�,,;;tSs�4uitet4l ORwaarspdrrfWMJppi° - .:� ..-'.s'�%%ti•::`- -.� •.. - • • , iiOrQ/retlledatd�P�bAwarde'dlrafra�rta. i 1. Tew=" Cash+p 0 or prier ❑ (dw-Wens) c meter • am-3ted Q / Gehwimad (]! PVC rl Other (s M*Y ' 14. Uelhod o(ConstMOM fi' rtart' (3tabii too( a Qw 6frlsftoli C] Auser © other (spedNk 13. indicate rota No. of watts on site D . list No. of unused wets on tits � 14. is this wed or any othrwa0 arwaterwybdr'aitel6tf uis airnsar. oova.d W* aCga�.MhtarUsePanna(CMAWP)orCUPMUPAppiatial'P 14�Ng QYa (ilyea die kffixv W CUPANUP No. Distrtd well ID No - - ta L"Ghwe Dstaot>apueanmWs DI+r=WI3orsl+M[36WdAnNAWVE3NAD*jZ kvA��p SEP 1 200; ST LUCI 15.Ib�OrwiMKloim.dywiMM�JudT�dF1011r�A0�NM1LwCtdt '. •..Ifdt�dlMa�orlrlrpgrb.Mhi/ga�0on/rY�oN�Y.�a9lrlr�rwndar sdialat�brarpaRiandfeYlaeArp�y�.r�wd�l,tlrMM�iMMiWi , :%,:: adeCNi0YF77LriAd WAkOM.b�lnnbatPupYlrAnlaN�.�kK1a�NlrMfw �flir: :+ sr9wraefoifdor rr�l.ro.rr/ostrriAl�ort YO*a� :4��r-_. l�,.rlvt sMwrwo,i o.rm.d<prAhdw�+okodllo iftnbb d.@W=Wdbbm- s a1do11St�+0iwbwJlerie 6ils bk4! fic';" ,rc. a•,.i�yw.,.; Mir M� vMYMrI Owner Number. Fee Receipt No.: tnspecW by: Date: 1M > Fr NOT wwM UNre. oaoPiRLr 3lt3N 6V AN AVDM D 0FFCBt0RFa%WWAm+E of THE pwmrt �>3� � oVA aoa, A TT. m WE ocrrtiNG ALL �LUVG OPERATIONS.