HomeMy WebLinkAboutOnsite sewage treatment and disposalI
FILE COPY
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR: -
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
[✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Associated Homes Inc.
AGENT: Atlantic Land Designs of the Tc, Inc.
MAILING ADDRESS: PO Box 1421 Jensen Beach, Florida 34958
TELEPHONE: 772-398-4290
Email - ALD5543@Gmail.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: 29 -30 BLOCK: 84 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1956
PROPERTY ID #: 3420-610-0417-000-2
I
ZONING: RS-4 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [,(]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: 6013 Spruce Drive ,
DIRECTIONS TO PROPERTY: See attached Map
BUILDING INFORMATION [✓l 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 4 2878 total
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE- DATE: 06-26-2021
DH 4015, 08 9 (Obs etes previous editions which may not be used)
Incorporated 6 - .001, FAC Page 1 of 4
of
o� STATE OF FLORIDA
v � DEPARTMENT OF HEALTH
Q ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Associated Homes Inc.
PERMIT #.
.AGENT: Altnatic Land Designs of the TC, Inc.
LOT : 29-30 BLOCK: 84 1 SUBDIVISION: Indian River Estates Unit 9
PROPERTY ID # : 3420-610-0417-000-2 [ Section/Township/Parcel No. or Tax ID Number ]
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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW:. GALLONS PER DAY [RESIDENCES-TABLEI/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT
BENCHMARK/REFERENCE POINT LOCATION: CL of Lot at CL of road
ELEVATION OF PROPOSED SYSTEM SITE IS [ 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 [✓] NO
WELLS: PUBLIC:200 FT LIMITED USE:100 FT PRIVATE:75 FT NON—POTABLE:50 FT
BUILDING FOUNDATIONS:? FT PROPERTY LINES:11 FT POTABLE WATER LINES:100 FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 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 TEXTURE DEPTH
USDA SOIL SERIES:
'!: u
TO
TO
TO
TO
TO
TO
TO
TO
OBSERVED WATER TABLE: 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 [ ] BED
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY:
DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
DATE:
INCHES
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
6/29/2021
6013 Spruce Dr - Google Maps
oogle yaps 6013 Spruce Dr
ti a �� - `;I nse�eamPamy -
I
Ipksla OeP�s t
1 Ptunpe De k
Setrtel Chaslmas� U; 7'eevJlZ'
d
ii
1
ser�mhwaQ
9 ]
Fmgn"IM1.00dBe .
Jaep Rem FIAT Ff. Cierce�
akotls�Ml'! ii I� T 4i{r�eo'arsQ �i Ij �` ! I� �i
=._ _�� GeorgeEnglend !j i �I
— '; Pdq Salg� i
ii
cclsns efrg uicq S g Q $ li a '��--�
F tonvanyrCv fI �! i Ii
GawpE FLnEmg I I t I
qum�nmgasvbu s it I �( i� �l j � waivottrcnl
w:nua :: gl:cwx auatefsancirreP"
I EnePlIIfier 16otlY"Q If Ei ii 1 i
it 11 aftsT HEM OO CA
r ? v}I ry
H g
4
f xr a^
... �.m Cl. nvirtotl.q'
Map data @2021 500 ft
https://www.google.conVmaps/place/6013+Spruce+Dr,+Fort+Pierce,+FL+34982/@27.3552218; 80.315686,16z/data=!4m5!3m4!1s0)08deefaO53140db7:Ox474blfel60flO3O9!8m2!3d27.3546805!4d-80.3016475 1/2
BOUN1DAFRY SURVEY
LEGAL DESCRIPTION:
(Supplied by Client)
LOT 29 & 30 IN BLOCK 84 OF INDIAN
RIVER ESTATES UNIT 9, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK
10, PAGE 74 OF THE PUBLIC RECORDS OF
ST. LUCIE COUNTY, FLORIDA.
-ABBREVIATIONS:
SET = SET 5 8" IRON R,,EBAR WITH
YELL OWI CAP MARKED IRON,
FD = FOUND 5/8 IRON REBAR
�U I GHT OF WAY
I = IyIEASURED
P = PLATTED
C = CALCULATED
= RADIUS OF CURVE
L = LENGTH OF CURVE
D= DELTA OF CURVE
FFE = FINISHED FLOOR ELEVATION
OH -OH -OH- = OVERHEAD WIRES
X-X-X- = CHAT LINK FE CE
-E7-EX3 = PLASTIC FENC
0-0-0- = MOOD FENCE
CONC. = CONCRETE
C.P.= CONCRETE PAD
Cov.= COVERED
® �ATER ® POWER � ELECTRIC
ETER POLE BOX
0
�w
O
J O
0000 4" O
Y Cn i Cb
U � ,
OJ II LLJ
O] r
W be
L� Q O
Oo
O �? O
J F 0
O
Z
a
O c)
14,
00 o z O
0
�� o
m II , L�J
1 w
N W >• p
p L� m O
Z O
,v- O
W O
N
xIq P .
h
SET .4-
'SURVEYORS NOTES:
1, UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE SHOWN HEREON.
2. ALL LOT DIMENSIONS SHOWN ARE PER PLAT UNLESS OTHERWISE SHOWN.
3. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE LOCATED UNLESS
OTHERWISE SHOWN.
4. THIS SITE LIES WITHIN FLOOD INSURANCE RATE MAP ZONE X MAP#
12111CO281 K DATED: 2-19-20.
5. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE SURVEYOR
AND IS PROVIDED AS A COURTESY, THE FLOOD ZONE SHOULD BE VERIFIED
BY A DETERMINATION AGENCY,
6. BEARINGS SHOWN HEREON ARE BASED ON THE CENTER LINE OF
SPRUCE DRIVE AS BEING 400'00'00"E ACCORDING TO THE PLAT
DESCRIBED HEREON.
7. P.U,D.E. DENOTES PUBLIC UTILITIES AND DRAINAGE EASEMENT,
U,E, DENOTES UTILITY EASEMENT,
B. THE ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF
THE SURVEY, THE EXPECTED USE/PURPOSE OF THIS SURVEY IS HOME
CONSTRUCTION. ACCURACY=1 FOOT IN 7.500 FEET OR BETTER,
9. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY ANYONE OTHER THAN
`THE SIGNING SURVEYOR IS PROHIBITED WITHOUT WRITTEN CONSENT,
LOT 27 & 28 BLOCK 84
NO SEPTIC / WELL CONFLICTS
1 11 11
CAl m
61 LOT 29 BLOCK 84
VACANT
C
00
43.37'
31.37'
TIER
LOT 30 BLOCK 84
VACANT
43.37'
0
0
:9
------ 308'
r--
AREA RESERVED FOR I
SEPTIC SYSTEM x\,v
783 SQUARE FEET
x\�1L
-----cd-
0
0
116 O
C.
N
/ Z
9
^i
O
II
W
Lj
B00
0 4
W p
O
d
o cD
a m
LLJ
O
O
O
O
O
Z
SET
u^u
W
25.30' p
13.66'
v O
,V O P
O
g v O
FD. N90'06'00"E 125.00 _ FD. _ _ _ _ _ —
LOT 31 BLOCK 84
PROPO ED PLOT PLAN F.F.E. = 19.80
TO dONTRAdm. HEALTH DEPT., AND BUILDINd DEFT. APPROVAL) SEPTIC IN BACK YARD WELL IN FRONT YARD
-ter DRAINAGE PROPOSED
AND
xIOUND
AIL
Q �
N
a W
N
C5 N
o:
`SET NAIL
o
i�
x
I �>
W
Z
mQ G
O
� a=
I
L
IFOU�ND
c0
,n
0
�[
FOUND
Tn*n��*
ludo