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STATE OF FLORIDA BY PERMIT #= 56-SF-2447698
DEPARTMENT OF HEALTH ST LUCIE 001INTVAPPLICATION #: AP1786502
ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID:
SYSTEM FEE PAID
CONSTRUCTION PERMIT
RECEIPT #:
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Joseph Baer
PROPERTY ADDRESS: 771 Campbell Rd Fort Pierce, FL 34945
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 2309-341-0004-000-0
DOCUMENT # : PR1736525
[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 [ 900 ] 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 @E ]DOSES PER 24 HRS #Pumps [ ]
i
D E = 500 ],'SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ l STANDARD [ ] FILLED [x] MOUND
I CONFIGURATION: [ J TRENCH [x] BED [ ]
W
F LOCATION OF BENCHMARK: 20d nail in SE fence post, N of system
I
I ELEVATION OF PROPOSED SYSTEM SITE [ 16.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL, REQUIRED: [26.00] INCHES EXCAVATION REQUIRED: [ 54.001 INCHES
0
T
H
E
R
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
9pd.
SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist III
APPROVED BY: r TITLE: Environmental Specialist III _
Brian J In am
DATE ISSUED: 02/15/2022 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
v 1.1.4 AP1786502 SE1653005
St Lucie CHD
08/15/2023 ;
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iS_•
STATE OF FLORIDA
DEPARTMENT OF -HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO. 8
DATE PAID: /I ig.12S
FEE PAID:
RECEIPT # ;
[f ] New System [ 7 Existing System [ ] Holding Tank .[ ] Innovative
[ ] Repair j j Abandonment [ ] Temporary [ ]
APPLICANT: �,Jy C, �' L-i);"14M DrAC1C
AGENT:
MAILING ADDRESS: -77 96-L 1
TELEPHONE: -7 742
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.I05(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:
PLATTER:
PROPERTY ID #: ZONING: ��r f I/M OR EQUIVALENT. [ Y0 ]
PROPERTY SIZE.: j.0 ACRES WATER SUPPLY: [✓] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y
j�S� 1�
PROPERTY ADDRESS: "' �i f � &C —
DIRECTIONS TO PROPERTY:
] DISTANCE TO SEWER':
T r i (.Li f Lj
BUILDING INFORMATION [ RESIDENTIAL [ ] COMMERCIAL
FT
Init Type of -No. of Building Commercial/Institutional System Design
Jo Establishment Bedrooms Area Sgft_ Table I, Chapte= 64E-6:1 FAC
2
3
4
]
aims [ 7 Other (Specify)
,f ---��-
IGNAT[3RE : t f : r'L- g �.�-'�''- DATE:-
STATE OF FLORIDA APPLICATION # AP1786602
DEPARTMENT OF HEALTH PERMIT # 56-SF-2447698
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1653005
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Joseph Baer
CONTRACTOR / AGENT: ACCURATE SEPTIC SERVICES
LOT: BLOCK:
SUBDIVISION: ID# : 2309-341-0004-000-0
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: 3.04 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 4559.99 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE
20d nail in SE fence post, N of system
16.00 ( INCHES / FT ] ( ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 10 FT PROPERTY LINES: 27.7 FT POTABLE WATER LINES: 62 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [XINO 10 YEAR FLOODING? ( ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
."r,+,* - -1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #lColor
Texture
Depth
10YR 411
Loamy Sand
0 To 5
10YR 511
Sand
5 To 26
10YR 6/1
Sand
16 To 26
10YR 4/3
Sandy Clay
26 To 54
10YR 4/3
Sand
54 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 611
Sand
0 To 22
1 OYR 7/1
Sand
17 To 22
10YR 414
Sandy Clay Loam
22 To 54
10YR 4/2
Loamy Sand
54 To 72
OBSERVED WATER TABLE: 59.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ( PERCHED / APPANT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW I EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [XINO MOTTLING: [XIYES [ ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X I BED
i- REMARKS/ADDITIONAL CRITERIA
Sand/0.60 DEPTH OF EXCAVATION: 54 INCHES
[ ] OTHER (SPECIFY)
WSWT determined using USDA WSS and soil borings.
10YR611 stripping in IDYR511 matrix>10% with diffuse boundaries starting at 16" in SB1.
S131 1B" below BM. S8215" below BM. _
SITE EVALUATED BY:
Ingram, Brig tie: Environmental Specialist 111) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions hich may not be used) Incorporated: 64E-6.001, FAC
DATE:
02/11/2022
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