HomeMy WebLinkAboutSewage VOIDEDSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Darren & Anna Casey
CONTRACTOR / AGENT: William Arthur - Architect
LOT: 13 BLOCK: 30
SUBDIVISION: ID# : 1436-603-0024-000-7
APPLICATION # AP1583200
PERMIT # 56-SF-1370381
DOCUMENT # SE1454476
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: 0.32 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 799.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: NiD,E
ELEVATION OF PROPOSED SYSTEM SITE 16.00
/I BELOW 1] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROQ HE ROWPR.
•O THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWAL 'S: NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FTFT NON -POTABLE: 50 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 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 INFORLAATION FTTM 1 RATT. PRr1FTT.F. TNFr1RTMTTAN CTW.. 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 6/4
Sand
0 To 9
10YR 6/2
Fine Nand
9 To 20
1OYR 4/1
Loamy Sand
20 To 29
1OYR 5/1
Sand
23 To 29
1OYR 5/2
Fine Sand
29 To 37
1OYR 4/3
Fine Sand
37 To 56
1OYR 5/2
Fine Sand
56 To 72
e47
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 6/3
Sand
0 To 22
1 OYR 4/2
Sand
22 To 30
1OYR 5/1
Sand
25 To 32
1 OYR 513
Fine Sand
32 To 39
1 OYR 4/3
Fine Sand
39 To 53
1 OYR 5/2
Fine Sand
53 To 72
1,G GRADE TYPE: [ PERCHED / APPARENT ]
OBSERVED WATER TA13LE: 50.00 INCHES [ ABOV :, °,/ �BEL rT� ] $ wMG11
ESTIMATED WET SEASON WATER 7'/,nLi: ELEVATION: 23 IN,�G+ iE ,A[ ABOVE / BELOW ]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [Y, O �MOTTLI]YES [ ]NO DEPTH:
23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION:
INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS ADDITIONAL CR' iE!IIA
WSWT determined using USDA WSS and soil borings.
10YR5/1 stripping in 10YR4/1 matrix >10% with diffuse boundaries starting at 23" in SB1.
S131 and S62 16" below BM.
42 -
SITE EVALUATED BY: tM� DATE:
12/28/2020
In jram, Bria (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes prev�� :s editions hich may not be used) Incorporated: 64E-6.001, FAC
Page 3 of 4
AP1583200 EID1370381
v1.0.2
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Darren & Anna Casey
PROPERTY ADDRESS: 2304 Atlantic
LOT: 13 BLOCK: 30
PROPERTY ID #: 1436-603-0024-000-
PERMIT #: 56-SF-1370381
APPLICATION #: AP1583200
DATE PAID:
FEE PAID:
RECEIPT #:
Doem-mm #: PR1496665
p s
&'t [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 [ 1,050 ] 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 N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N '
F LOCATION OF BENCHMARK: NiD, E side of rd near NW property corner
I ELEVATION OF PROPOSED SYSTEM SITE [ 16.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 15.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D F- -
0
T
H
E
R
ELL REQUIRED: [i9.UU] INCHES! m E?CCAVAT.,IION REQUIRED: [ ] INCHES
"n �a tiaA
The system is sized for 3 bedroo t"Witfih'a %4' xirpi m bccu ncjr.- f 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
APPROVED BY:
BY: Brian J IngrzR TITLE: Environmental Specialist II
_ TITLE: Environmental Specialist II
Brian a Ingr
DATE ISSUED: 01/05/2021 EXPIRATION DATE:
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHD
07/05t2022
Page 1 of 3
v 1.1.4 AP1583200 SE1454476
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.E Fl rida�5�i3tut6s: E�%, Jew proceedings are
governed by the Florida Rules of AppellateMZ
ocedw`'re. r uC _ pr'`ce`e ings may be commenced
a
by filing one copy of a Notice of Appeal wite Agencyi lero%hey"epartment of Health and a
second copy, accompanied by the filing feet quir``d b�y�law with th Court of Appeal in the
appropriate District Court. The notice must Ede. filed ifvit�ii'n 30 das�of rendition of the final order.
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