HomeMy WebLinkAboutConditions For Issuance Of Water Well PermitseBridge Web Viewer \<.� Oo GD � n4 3 ar
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Mission:
To protect, promote & improve the health
of all psopte in Florida through integrated
Slate, county & community efforts.
Vision: To be the Health€est State In the Nation
Ron DeSantis
Governor
Scott A. Rivkees, MD
Slate Suhgeen General
Florida Department of Health in St. Lucie County
Conditions for Issuance of Water Well Permits
Effective July 24, 2017
• Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie)
prior to constructing or abandoning any well.
a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email
SLCDOH-WELLSOIFLHEALTH.GOV
b. Provide the following information:
i. Permit number
ii. Driller name
ill. Address
Iv. Date and time to begin construction/abandonment
• A minimum of 24 hours' notice is required before constructing any public water supply
wells. Please call our main office at 772-873-4931 and speak with Environmental
Health Staff or provide notification by email to SLCDOH-WELLS@FLHEALTH.GOV
• Submit revisions to permit and/or site map within 48 hours of well construction or
abandonment.
Florida Department of Health -St Lucie County
Division of Disease Control and Health Protection
Bureau of Environmental Health
Location: 3855 S US Highwayl, Fort Pierce, FL 34982
Malting: 5160 NW Milner Drive, Port St. Lucie, FL 34983
Phone 772-873-4931
Fax 772-595-1306
FloridaHealth.gov
Accredited Health Department
• - Public Health Accreditation Board
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STATE OF FLORIDA F
REPAIR, MODIFY, OR
❑ Southwest
❑ Northwest
❑ St. Johns River
❑ South Florida
❑ Suwannee River
❑ DEP
❑ Delegated Authority (If
2.
`Welt Location -Address, Road Name ar Number,
3. of— —tFo
'section or Lana urant - immsnip rumqu Z
W11MMccMU
Page 2 of 5
IIT APPLICATION TO CONSTRUCT; 69-32562
NDON A WELL PetmitNo.--
;ME ouTALLAPPLICABLE FIELDS Florida Unique ID
ion, RequiredFieldsWhereApplicable) Perron Stipulations Required(See Aftelied)
waterwaftconracwrs►agmsblaforwnw1a ng
form and rb=n trrg fhePwW epptfeaffW fo fhe 62-624 Quad•No. DellneaNan No �
qpdafe dalegstod eathmffyWham APAUMN&
7s�*Typs of work: ^IZConstruction Repair Mot
8. *Number of Proposed Wefts I
9.'Specify intended Use(s) of (s):
mastic Landscape Irrigation
Bottled Water Supply Recreation Area lmgati
Public Water Supply (Limited Use/DOH)
Public Water Supply (Community or Non -Community![
,Class I injection
Class V Injection: Recharge---jCommerciaUlndushiE
Remediation: Recovery Av Sparge Others (
Other pacribe)
10.*Dlstanee from Septic System if s200 ft. 11. Fr
IVEstimated Well Depth _ZC(. `Estimated Casing
14. Estimated Screen Interval: From To tL7
15.*pdmMCasing MateriaF.. - Black Steel _
NotCased 7
16. Secondary Casing: Telescope Casing Ligr
17. Secondary Casing Material: Black Steel l
18.*Method of Construction, Repair, orAbandonment: _
mbinaWn (two or More Methods) Ha
Horizontal Drilling Plugged by Approved
19. Proposed Grouting Interval for the Primary, Secondary, 4
From Tc Seal Material L—Bentonite
From Tb Aeal Material L_Bentonhe,
From To Seat Material (__Bentonite
From To Seal Material L_—Bentonite
20. Indicate total number of odsting walls on site
21.*lsthiswell or any exlstingwell orwaterwithdrawal on the
or CUPANUP Application? Yes 4—No If yes,
22. Latitude Longitude
23. Date Obtalned From: PPS mapw
Approval Granletl
Fee Received S1% J * 41�°— A KeCSIPr
THIS PERMIT IS NOT VALiD UNTILPROPERLY SIGNED BYAN E
PERMITSHALL SEAVAILABLEATTHE WELLSITE DURINGALL
nFP Form: 62-632B Mf11 Incoroorotsd in 62-=AUD(1), FAC. I
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CUPANUPAppllsation No.
3 770 J ' p,,� i Gt /A Y Tt `-7tiflOL -7
•City 'State *ZIP *Telephone Number
AL-
1 1 2
Lot Bloat Unit
IT Suj2dndslon Check if 82 5224• _Yes No
771 —Szi— ly2?, �t7�G
umber *Telephone Number Erna Address
Cgv State ZIP
cation Abandonment
Agricultural Irrigation Site investigation
q Livestock _Monitoring
_Nursery Irrigation Test CTS Zd2'
CommerclaUindusbial Earth -Coupled Geothermal
:P) Goff Course irrigation HVAC Supply
HVAC Return
Disposal Aquifer Storage and Recovery_Drainagee FDO in St LuAL County
ENVHEALTH
rsaibe) Official Use Only
(Nola: Not au type,�gt Wells lye perwbd by a g� p�tmn® &" tr)
itify Description .S` � 12. Estimated Start Date
h 4tt. *PrtrnaryCasing Diameter').--ln. Open Hole: From To
Galvanized PVC Stainless Steel
Surface Casing Diameter in.
,nixed 6NVC Stainless Steel +er
4uger Cable Tool Jett to Sonic
Driven (Weil Point, Sand Point) Hydraulic Point (Direct Push)
4hod Other (oessllbo+
Additional Casing:
Neat Cement Other )
eat Cement Other
—Neat
Cement Other
_Neat Cement Other )
tistnumberof existing unused wellsonsite
mees contiguous property covered undera ConsumptivelWater Use Permit (CUPMUP)
mplete the following: CUPMUP No. District Well iD No.
Datum: MAD 27 NAD 83 WGS 84
319raU
gym
Ia-2 ftd1smemovn�arde0F0P@ftMNol P tan=ma,wdllmtlamvmwdvW
reap =W4N C2pter3r,% RMWSSftW1" IpmakWnorDf Aftd tdarnit-.I M- WIAm
'3hl
ih0 �etd twom MW, mum hlmmW.�md�P awls itmmikndaUaallI—Sgym,^d�ye�roC��w','mur~
ar
m' 111�61Bd17�i10� top^ma4FoM ar IdBftftedbyffib90MF���5!
6V•sranature
of Owner orAnent 711ats
issue Dallelglni I Fxpiration De HydrologlstAppraval ,anlat+
tt,.3— Le481 Check No. t 4 -- -
ED OFFICER OR REPRESENTATIVE OFTHE WMD OR DELEGATEDAUTHORITY. THE
Date: Orlaber7.211110 - Page 1 of
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Page 3 of 5
FIND 5/89R
ID
SEBNOAS7
.W
FN0 6 R
'NO ID
1
>4 i"-
1wW�coo
2x?
� DIY.=21.9•�f
CONCRETE
GRAPHIC SCALE
0 15 30 60
(1HFim)
1 Inch = 30 ft.
519-3Q'sua �
0CT 15 2021
FDOH In St Lucie County
ENVIRONMENTAL HEALTH
LOT29
•
BLOCKI59
VACAW 1
xZg'�
N9000100"E 1132. 50'
+.2.�
F- 2J.8 .1.25 s LOr.i7
75 i� U RADIUS BLOCK 159
rRoaasE/��l PnFCOM
ONBSR71rYRES1DENCy goo SQ
FF.6eZ�S' ORAINFII
2,300..� Imo' "3E��2fi 2
i
x 'IRc V &,2477'S90,00'00'
4 LorM \ \
OWSII RMFIDEN/QE \
h �
af
IJ2.
AND
iur ur tnu
_EL.=22.64' NAVO '88
EXISTING 1
I DRAIN U)
' AREA ' I
00
O
J
ao
n� wz
�z
O 0
4
0
XiE
m
' o
x�n
4�
Wz
av .
a tit
o Ncc
iEiF
wl .1-2
BLOGYl59
ONESMIRY
RESIDENCE
THE WELL IS FOUND IN
THE FRONT AND THE
DRAINFIRD IS FOUND
IN REAR OF LOT 15
UNDA Y AND T-OPMRAPHIC VERO BEACH SURVEYING, INC. LB 8438
5500 WINTER GARDEN PARKWA Y 1874 ROBALO DRIVE, VERO BEACH, FL 32960 FORT PIERCE, FLORIDA 34951 772-567-1653 www.verobeachsurveying.comOWE
PROPOSED IMPROVEMENTS AND GRADES verobeachsurveying@gma[I.cam
HAVE BEEN PROVIDED BY THE CLIENT, JOB#21-147 DATE REVISIONS BY
DATE: 9/25121
SCALE.,1" = 30'
THIS MAP OF SURVEY AND REPORT CONTAINS 2 PAGES AND ARE NOT DWN. BY: L.S.
FULL AND COMPLETE WITHOUT ONE ANOTHER. CKD. BY: M.C.
PAGE 1
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Michelle Franklin, CFA-I Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
I
Site Addtcss:.5500 WINTER Parcel ID: 1301-614-0077-000-2 Account #: 3549 Sectrown/Range: 12/34S/39E
GARDEN PKWY Map ID: 13%2S Zoning: RS4 Count Use Type: 0000
Jurisdiction: Saint Lucie County
Ownership
Ghazanfar Saeed
Mohammad Afzai
3614 Promenade WAY
Fort Pierce, FL 34982
Current Values
Just/Market: $15,800 Assessed:
Exemptions: s0 Taxable:
Date Book/Page
08-19-2021 4670 / 1762
04-19-2008 2965 / 1512
06-03-2005 2269 / 1771
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths:'0
Half Baths: 0
Type
Legal ..Description
LAKEWOOD PARK -UNIT 12- BLK I59 LOT 17 (0.24 AC-10,600 SF)
(MAP ] 3/12S)
Historical Values 3-year
911 Year Just/Market Assessed Exemptions Taxable
911 2021 $15,800 $7,911 $0 $7,911
2020 $10,600 $7,192 $0 $7,192
2019 $8,700 $6,539 so $6,539
Roof Cover: I Roof Structure:
Frame: Grade:
Story Height: No. Units: 0
Interior Data
A/C %: 0°/a Electric;
Heated %: N/A% Heat Type:
Sprinkled %: 0% Heat Fuel:
Building Type:
Effective Year: NIA
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Price
Total Areas
FinishedlUnder Air (SF):
0
Gross Sketched Area (SF):
0
Land Size (acres);
0,24
Lana size (Sr,):
10,600
Total Building Count;
1
al Features and Yard Items
Qty Units Year Bit
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
®Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
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Page 5 of 5
°.,.: St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2007724 13ILLDOC#:56-BID-5616482 CONSTRUCTION APPLICATION #. AP1735048
RECEIVED FROM: Reliable Treasure Coast Services Sept! AMOUNT PAID: $ 420.00
PAYMENT FORM: CHECK 1149 PAYMENT DATE: 10/06/2021
MAIL TO: Ghazanfar Saeed
FACILITY NAME:
PROPERTY LOCATION:
5500 Wintergarden Pkwy
Fort Pierce, FL 34951
Lot: 17
Property ID:
1301-614-0077-000-2
Block:
159
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
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
-1 = Well Construction
1
$
115.00
RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-5279410
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Page 1 of
_ STATE OF FLORIDA WELL COMPLETION REPORT
South:vest _
o,� .. _ • 5= FatL Uu' R_t anal C:.E_E '1cLJ5
"� f , f�Or hvaest f'DsrGtas Pe ;Dirac -ieF_ s :.mane AFp
St ,Johns River
tY' b
�;-• :South Florida
5t:w2nnee River
—DEP
-DelegaiedAutholty ;I. App1caole).
7 ENV!
,.'Fein I Number � {Q 'CVPMUP %Lmber '010 Number 62.524 Deli ,eal:on No.
VNumber of peratitted'wells constr::cted, repaired, or abandc:,a2 'NLnber of aernzed wets nc! =nstruved, repa^ed, or abaidoned
3 'Cw.-.ier s Name G 40A ZA A j14 f' ^� 4 �''Co�mplet on Gary K. Florida Ur,que 10
6 `,, �«�" ll)f�1Ti•2.f;-.IaL7i�E•R1 it it? ILI
Vgelt Location-Addriess, P,oad Na .e or Number. City ZIP '
7 'County_ =. r' uz- 14r -Section hand Grant'iaxrnship 'Range
8. Lalituce Long fude
9. Data Obtained From: GPS Map '_ _Survey Datum: NAO 27 NAD 83 WGS'84
'0.'TypeofWark Carks uction Reoait __ laJilication _fAbandcnmen.
1 ' pec:fy Intend Usets} of VVe;l(s)Agncuh trot Irr ga6on _Site InvestigationDomestic _Landscape Ir- gatior �L vestocK Vhlonftcrt'tg
_Bp fled Water Supply �RecreatiorlArea I•rigafien Nursery Irrgatior Test
_P-blic Water S..pply (U-ndted Use'DOH; �Cc rsmerciallrldustrial ___Eartn-Cosplec Gec.hermal
Public Water Supply (Community or Nor-Corrrmmni:yiDEP ) Goff Course taiga for _HYAC Supply
Mass i Injeczion —}-IVAC Return
Class V Inyeetion. _Recharge Corr me.-ccaKridustrial Disposal ^Aquifer Storage and Recovers _ Drainage
ReTpa& Win: _Recovery �Ai Sparge �Otner,c+, •abl
_____Oihe, goes: - be. _
12.'DW flethod: Auger Cable Tool Rotaru Ccmbinancn (Two er More fAetzOds: Jetted So-ic
Hor:ortal Drifting Hyaraulic Point ;Direct Push) Other
13 'Meas.tre9 Static Ylater Level 42 ft. Meas,r-ed ;lj-nping Water Level-ft. Mer Hot rs 3; GPRf,
14,•rleasuringPoint t0escrtbe) Wn-chis f. Above Belaw LaruSurface 'Fiawtzg;_Yes No
15'Casing Material: Black Steel Ga aan¢ed 4 ?VC S:a ntess Steel _Not Casec Other
16.—Val Well Depth -96—ft CaSed Depth '60 f_ 'Open lice: From Tc — h 'Screen- Frcrr i1 To �ltt Slot Size--;40
;?'Abandonment Other(ESplainj
Ffom ft. To ft. No. a' Bags S=at plater ai (Check One; Neat Ce riert Bentorite Oter
FroZTo ft. No. of Bags_ Seal ltlateaa (Check O,ne; Neat Ce-^ert Berilorite Other
Fro,. Tc ft. No. of Bags Seal Platenm : (Check One): Neat Cement Bentonite Other
From ,c fLNo. of Bags Seal materia: ;Check One,: Neat Cement B:ntonne Other
Froryt' ft To ft No. of Bags Seat P.4ateria: (Cl tick Ore;: _Neat Cemzal 6?ntan a Other
8 'Surface Casi:lg Dia-rete• and Depth
Dia n. Frcr @. To 'L NO. of Bags Sea f0w.cnat ;Check One). Neat CemerN--Berrorlke_Ctr-er
Dia i. F-w f:. To ft. Na of Bags Sea &law-ial ;Check Ore►'®Meat Cam ent`Ben:orilz_Cthe(
19 'Prima ^ sing Diame:e• and Depth:
Dia Ir n. Frorr—ift. To b ft. No cf Bags Seal rdlate•IGI,Check One) —heat Cerrent BentanilsOther
Dra .n. From F.. To ft- No of Bags Seal f►7atenal (Check OT;e) ,Meat Cerrent�___Bentcnite Other
Dap ,n. =ram f: To f.. No of tags Seal hlater.al (Check One).=_Neat Czrren=Serton$E Other
Dia in. From $ C fL No of Bagsgs Seal Al
Mater.al (Creek One) Neat Cement Bertc^iher 011ier
Did in. From ft Tc ft No of BaSeal ater at (Check One)•_Neat C.emenC�Bartcnite`Otner
20.*Uner Casino Diameter -and Depth:
Dia A From R. To R 4e. or 9a34seal Material (Cheep Ons► Neat Cc new:"Oertoni;e Oahe-
Dim From it. To ft No. of Bags Sea hla:arial (C•'rec k One): Neat CC-Mr1t^8entoniA Other
Dia "In. Frem ft. To „- _1t. No. of Baas Sea Pila:erial (C-,eci Ore):— seat Ce-*-if Bentoni-e_Other
2 ,,'Telescope Cas• ia:meter and Depth
a Frcr-t R To i No. of 6azs Seal P. aterial ,Check One'.. _(rsal Cement—Bentanife_vMar
Dia n. From ft. To It. Mo. cf asps Seal Uaterial (Check One'. _Neat Ce^tert Benton te�Q:N3r
Dia n. Fr� f1 c::. To . No. c' Eaas Sea Material (Check One; _Neat Ce-nert Benton to Other
22. Puma Type (if Known): 2-3. Cher, cal Analysis {When ReQLired):
Centrifuga Jet Sub. le-s ble T,rrbine lrcn
Horsepaver ?u'np Gaaedly (GP?Aj rlm S3lfatc _ epm C tar �e p; m
PL.mp Depth ft Intake Depth t Laaoralory lest Ffela lest Kit
24 )rSsfer %Intl Cpntrado
-Contractor Narrre r �f�IL -;sense Nutuw; ca 764 E-ina IA(td-rss e
'Contractor s Signature Dr:ller's +Jerre ;?rc t or Type)�'
:t CRM 'r that IN irfv r lr to Proe,60r r..:t,- z 3:rt, rrrr3 a•,a, w I
FCRMLEG-R.C75.D2 trot1C►
Rue440--41't')(a) FAC.
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Oct 19 21,12;56p PA
SOUTHWEST FLORIDA WATER MANAGE
2379 BROAD STREET. BROOKSVILLE, FL
PHONE: (M) 79&7211 or (800) 423-1476
vAkw..SWPWMD.STATE.FLUS
ST, JOHNS RIVER WATER MANAGEMENT
40W9 REID STREET, PALATKA, FL 32178-14
PHONE: (386) 329.4500
VVW ftSJMVWD.COM
NORTHWEST FLORIDA WATER MANAGEI
152 WATER MA NAGEMENT DR.. HAVANA,
(U.S. Highway 90.10 miles west of Tallahass
PHONE, (850) SM5999
WWW.NWF WMD_STATE _FL.HS
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
P.O. BOX 24680 v
3301 GUN CLUB ROAD
WEST PALM BEACH, FL33416-4680
PHONE: (561) 686-8800
W W ..SFWMD.GOV
SUWANNEE RIVER WATER MANAGEMENT DISTRICT
9225 CR 49
NT DISTRICT LIVE OAK, FL 32060
PHONE: (386) 362-1001 or (800) 226-1066'(Floddai only)
92333A712 WWW.MYSUWANNEERIVER.COM
-DRILL CUTTINGS LOG (Examine cuttings every 20 It oral fotmalion changes. Note cavillees and'depth to pmdudng zone. Grain Sae: F=F1rte,
M=Medturn, and CoCcome)
From fL - h.
To
Color
Grain Sae (F. M, C)
Material 6ALIij 4AP-zA-1"
From ft
12
&
Color
Grain Size (F PA Cj
Material
F ft.
To
color—1
Grain size (F, M. C)
MateriaI TA14&AC 29a6d
From ft.
To
ft
Color
I Grain Sae (F. M, C)
Materie
Fromit
To
ft -
Cates
Grain Sine (F, M, C)
Matedatg
From ft.
To
IL
Color
Grain Size (F M, C)
Material
Fmm t.
To
R
Color
I Grain Slze (F, M. C)
Material "
Homo t.
To
%
Color
I Groin Size (F, M, Cam_
Material '
From—ft
To
fL
Color
1 Grain Size (F. M, C)___
Material
From R
To
%
Color
I Grain Sloe (F M, Q
Material
From-1
Tfl
R
Color
I Grain Size (F M, C)
mater�l
Frorr�_1L
'M
8.
Color
I Grain Size (F, M. C)_ ".
Material
Flom iL'
TO
is
Color.
Grain Size (F. M. C)_
Material
from 1t.
Tb
%
Color
I Grain Size (F, M, C)
Material
Frain it
To
it
Color
I Grain Size (F, M, C)
Material
From it
To -it.
Color
Grain Size (F, M. C)
Material
From fL
To
1L
Color
I Grain Size (K M. C)
Werra
From R
To
ft.
Color
Grain Size (F M. C)
Material
From ft
To
11
Color
Grain Size (F M, C)
Material
From R
To
_ fl.
Color.
I Grain Size (F. M, C)
Material
From tL
Tc
fL
Cotor
I Grain She (F, M. C)
Material
Fmm_ ft
To
f .
Color
I Grain Size (F M. C)
Material
.From-9
To
8.
Color
I Grain Size (F. M. C)
MRIVial
From R
To—ft.
Color
I Grain Size (F. M. C)_;
Material
From_— fL
To
R
Color
I Grain Size (F. M. C) '
Material
Fm-,L_ iL
To
%
Color.
I- Grain Size (F. M; C) '
Material
Comments:
•
I ,
`IJetaifed Site Map ofWeil Location
Give dtstanoes from all reference pokft or structimes, septic systems, sanitary hazards, and contamination sources within 600 ft oiwell.
rUMM Lr a-MWJa.ire ialuf HUI9 4UDQAll (1) (a)# FAA.
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STATE OF FLORIDA
DEPARTMENT ' OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Ghazanfar Saeed
PROPERTY ADDRESS: 5500 Wintergarden Pkwy Fort Pierce, FL 34951
LOT: 17
PROPERTY ID #:
BLOCK: 159 SUBDIVISION: Lakewood Park
PERMIT #:56-SF-2007724
APPLICATION #: AP1735046
DATE PAID:
FEE PAID•
RECEIPT #:
DOCUMENT #: PR1673090
1301-614-0077-000-2 [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, E.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 FEE'
R [ ] SQUARE FEE'
A TYPE SYSTEM: [X]
I CONFIGURATION: [X]
N
F LOCATION OF BENCHMARK:
Drainfield New SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [] MOUND [ ]
TRENCH [ ] BED [ ]
BM: Top of iron rod at elevation 23.57
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
[ 32.00 ] [ INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
[ 9.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 40.001 INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS 4Y:- Ian P Moore TITLE: CEHP 19-2072
APPROVED BY: T : Environmental Specialist II St. Lucie CHD
Nicole Mon anez
DATE ISSUED: 10/11/2 21 EXPIRATION DATE: 04/11/2023
DR 4016, 08/09 (Obsoletes'all previous edi 'ons which may not be used)
Incorporated:' 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1735046 SE1609496