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HomeMy WebLinkAboutSEWAGESTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Harry Blue CONTRACTOR / AGENT: Atlantic Land Design LOT: BLOCK: APPLICATION # A P'1288775 PERMIT # 56-SF-1759940 DOCUMENT # SF1035073 SUBDIVISION: ID#:3304-601-0004-000-5 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: 2.70 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 6750.00 GALLONS PER DAY [ 1500 GPD/ACRE OR r 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 3000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: nail in tree W of ELEVATION OF PROPOSED SYSTEM SITE 23.00 [ 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: 100 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 50 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 INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Winder loamy sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 5 10YR 5/3 Sand 5 To 12 10YR 5/2 Sand 12 To 65 7.5YR 5/8 CMN/PRM RF 17 To 27 10YR 5/1 Fine Sand 65 To 72 7.5YR 5/6 Loamy Sand 65 To 72 USDA SOIL SERIES:Winder loamy sand Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 6 10YR 5/3 Sand 6 To 13 10YR 5/2 Loamy Sand 13 To 29 7.5YR 5/8 CMN/PRM RF 18 To 27 7.5YR 6/4 Loamy Sand 27 To 66 10YR 5/2 Sandy Loam 29 To 46 10YR 5/2 Loamy Sand 46 To 63 10YR 5/1 Fine Sand 63 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) 7 REMARKS/ADDITIONAL CRITERIA JSWT determined using USDA WSS and soil borings. .5YR5/8 CMN PROM RFs starting in 10YR512 matrix @17" SB1 B1 23" below BM. S132 22" below BM. SITE EVALUATED BY: Ingram, Brian (fie: Environmental Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC 46 INCHES DATE: 05/22/2017 Page 3 of 4 AP'1288778 EID'1759940 v 1.0.2 STATE OF FLORIDA PERMIT DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: �r� ` � .Q, AGENT: (-1 1J LOT: BLOCK: SUBDIVISION: I c6 j4 PROPERTY ID #: J�Z?� ,Q j 00UL(,. M0 - [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: K YES [ ] NO NET USABLE AREA AVAILABLE: l.` L ACRES TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 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: Z:� drie 6 , '�7C,(L�r417tn� ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFE ENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: ion FT DITCHES/SWALES: % 5' FT NORMALLY WET? [ ] YES M NO WELLS: PUBLIC: -2-L76 FT LIMITED USE: IdO FT PRIVATE: _7FT NON -POTABLE: FT BUILDING FOUNDATIONS: -7 FT PROPERTY LINES: JJ _FT POTABLE WATER LINES: 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: wii, rAux'IbB IM-URMATION SITE 2 MUNSELL #/COLOR TEXTURE USDA SOIL SERIES: DEPTH TO 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: DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ]'TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: DATE: INCHES DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 Map data ©2017 Google 500 ft�-----.— c �f �l J *4) 4S Property Card Page 1of1 54-5G-17S 5 y yv Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: TBD Parcel ID: 3304-601-0004- Account #: 151467 Sec/Town/Range: 000-5 04/36S/39E Map ID: 33/04N Zoning: AG-2.5 Use Type: 9900 Jurisdiction: Saint Lucie County Ownership Kathleen M Valentino 3226 SW Hambrick ST Port Saint Lucie, FL 34953-4552 Current Values Just/Market: $35,508 Assessed: Exemptions: $0 Taxable: Legal Description TROY ACRES (PB 42-15) LOT 3 (2.69 AC) (OR 3910-1333) Historical Values 3-year $740 Year Just/Market Assessed Exemptions Taxable $740 2016 $35,508 $740 $0 $740 2015 $29,590 $740 $0 $740 2014 $29,590 $740 $0 $740 Sale History Date Book/Page Sale Code Deed Grantor 08-30-2016 3910 / 1333 0001 WD Tryon Robert C 02-15-2005 2163 / 1314 XX00 WD Drawdy,Phillip M 07-25-2002 1564 / 1739 XX01 PR Poteat (Est),Guy E Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF Exterior Data View: Roof Cover: Roof Structure: Year Built: N/A Frame: Grade: Primary Wall: Story Height: No. Units: 0 Interior Data Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Price $105,000 $200,000 $80,000 Building Type: Effective Year: 2014 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas c)f" Finished/UnderAir 0 Ske(Ch (SF): Gross Area (SF): 0 �. Land Size (acres): 2.69 Land Size (SF): 117,176 Total Building Count: 1 Special Features and Yard Items Qty Units Year Blt This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 5/2/2017 STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPTWE #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [,K] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: , II kI a /'Pk.,;i��� AGENT: �Gw`CLL n-LPf .� �05 TELEPHONE: -72 'Z,,Ot/- 7,606 MAILING ADDRESS :'—Pt� --------------------------------------------------------- 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: BLOCK: SUBDIVISION: �fi75�f �( { �� PLATTED: /icfb� PROPERTY ID # : �Sl��{ V -�( Q%� C�C�(5 . ZONING: -2 I /M OR EQUIVALENT: [ Y / N PROPERTY SIZE: �• ACRES WATER SUPPLY: [ PRIVATE PUBLIC [x]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO FT PROPERTY ADDRESS: �R,5� f r (�i1Vcc �j �� )SEWER: �-� • I P S ! O DIRECTIONS TO PROPERTY: o yyn BUILDING INFORMATION [j( ] RESIDENTIAL [ —]—COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 N�r1 Lt,,4v/e4( �tc�r�cfL 2 Liu r 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: Qo i e,-, r S u 4 r, Gr f i5 DATE: L117-911:7 DH 4015, 08/09'-446soletes 1�i vious editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 04� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM �► mac' SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT #. C� �ir'�� APPLICANT: Ct�r� �U� AGENT: iC� /- /�(Cl/l5 1 ��� LOT: BLOCK: SUBDIVISION: I C6 /- PROPERTY ID #: �j7j0�{-(ocj(� d�0�-��Zj ^ S [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: K] YES [ ] NO NET USABLE AREA AVAILABLE: �`� ACRES TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 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: Ldae6 fbrl ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES/FT] [ABOVE/BELOW] BENCHMAR /REF RENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: IOc? FT DITCHES/SWALES: /15- FT NORMALLY WET? [ ] YES M NO WELLS: PUBLIC: -7-.06 FT LIMITED USE: j00 FT PRIVATE: '7 5 FT NON-POTABLE:�D FT BUILDING FOUNDATIONS: —7 FT PROPERTY LINES: JJ _FT POTABLE WATER LINES: v o 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 STTF.1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: SOIL PROFILE INFORMATION STTF. 9 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: 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: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: DATE: DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 Google Maps _^:Thomas'Producea =_- ,_W Midway.Rd Map data ©2017Google 500Re �~!