HomeMy WebLinkAboutSEWAGE CONSTRUCTION PERMITSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
SCANNE®_
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JCTION PERMIT FOR:
New System [ ] Existing System
„Repair [ ]Abandonment
)LICANT: Louran Builders
CENTRAX #: 56-SF-08494
DATE PAID:
FEE PAID $
RECEIPT
OSTDSNBR 05-0608- -N
[ ]Holding Tank [ ] Innovative Other
[ ]Temporary [ ]
AGENT:WILLIAM BENNETT
PROPERTY STREET ADDRESS: Birch Dr Fort Pierce FL 34982
.,
LOT: 17 BLOCK: 57 SUBDIVISION: Indian River Estates
PRQAERTY ID #: - - -
[Section/Township/Range/Parcel No.]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
PERIOD. 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 PROPERTY DEVELOPMENT.
SYSTEM DESIGN AND SPECIFICATIONS
T [' 900 ]Gallons SEPTIC TANK
MULTI-CHAMBERED/IN SERIES:
[Y ]
A [ 0 ]Gallons
MULTI-CHAMBERED/IN SERIES:
[Y ]
N [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
K [ 0 ]GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS @
[0 ]DOSES PER 24 HRS # PUMPS[
0 ]
D [ 462 ]SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 0 ]SQUARE FEET SYSTEM
A TYPE SYSTEM: , [ N ]STANDARD [ N ]FILLED
[ Y ]MOUND [ N ]
I CONFIGURATION: [ N ]TRENCH [ Y ]BED
[ N ]
N
F LOCATION TO BENCHMARK: Nail In C/L of Road @ North Property
Line
I ELEVATION OF PROPOSED SYSTEM SITE [ ] [ INCHES
] [ BELOW] BENCHMARK/REFERENCE
POINT
E BOTTOM OF DRAINFIELD TO BE [ 6.0 ] [ INCHES
] [ ABOVE] BENCHMARK/REFERENCE
POINT
L
D FILL REQUIRED:[ 29.0 ]INCHES EXCAVATION REQUIRED:
[ 84.0 ] INCHES
OTHER REMARKS:
Thq licensed contractor installing the system is responsible for installing the minimum
category of tank in accordance with s. 64E-6.013(3)(f), FAC.
Home stubout invert to be 18 inches above reference point.
Excavation certification to be submitted prior to inspection.
MUST SUBMIT AN "AS -BUILT" SITE PLAN PRIOR TO INSPECTION DUE TO SETBACKS FROM THE SEPTIC
SYSTEM TO SURROUNDING WELLS.
F Lro" =�" C 0 P Y
SPECIFICATIONS BY:POLISSKY, JODI
APPROVED BY: Polissky, Jodi J I
TITLE:
TITLE: Environmental Spec St. Lucie
AM
DATE ISSUED: 1/25/06
DH 4016, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744-001-4016-0) [ostds_cons_4016-1]
EXPIRATION DATE: 7/25/07
r
Page 1 of 2
STATE OF FLORIDA
DEPARTMENT OF HEALTH r
ONSITE SEWAGE DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
Louran Builders
WILLIAM BENNETT
CENTRAX #: 56-SF-08494
OSTDSNBR : 05-0608-N
BLOCK: 57 SUBDIVISION:'Indian River Estates ID#: ---
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S
�]ST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE AT.T. ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [XI YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
TOTjU. ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [64E-6, TABLE 11
AU H; ORIZED SEWAGE FLOW: 345 GALLONS PER DAY [1500GPD/ACRE OR 2500GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: 924 SQFT UNOBSTRUCTED AREA REQUIRED: 923 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Nail In C/L of Road Q North Property Line
ELEVATION OF PROPOSED SYSTEM SITE IS 5.00 [ INCHES ] [ BELOW ]BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES:
SURFACE WATER: N/A FT
DITCHES/SWALES:
15 FT NORMALLY WET? [ ]YES
[ X
]NO
WELLS: PUBLIC: N/A FT
LIMITED USE: N/A
FT PRIVATE: 75 FT NON -POTABLE:
N/A
FT
BUILDING FOUNDATIONS:
7 FT PROPERTY
LINES:
10 FT POTABLE WATER LINES:
N/A
FT
SITE SUBJECT TO FREQUENT
FLOODING: [ ]YES
[ X ]NO
10 YEAR FLOODING? [ ]YES
[ X
]NO
10 YEAR FLOOD ELEVATION FOR SITE: 0 FT
NGVD
SITE ELEVATION: 0 FT
NGVD
SOIL PROFILE INFORMATION SITE 1
Munsell #/Color Texture
1OYR-6/1-GY Fine Sand
10YR-7/1-T. rW Fine Sand
10YR-7/1-RR Ra-rdpan
10VR-7/1-RK Refusal
USDA SOIL SERIES: 21 Lawnwood San
Depth
n to 13
17; tO 34
A4 tO I
-4S tO 72
to
to
to
4--
SOIL PROFILE INFORMATION SITE 2
Munsell #/Color Texture Depth
1nVR-6/1-GzV vinn Sand 0 to 1A
1 0YR-7-41 -T. r1y Fine Sand 1 A to 36
1 OVR-2/1 -RK Mar z an 3C, tO 4n
10YR-7/1-RK RAfuRal 4n tO
to
to
to
to
USDA SOIL SERIES: 21 Lawnwood San
OBSERVED WATER TABLE: 28.00 INCHES [ BELOW ] EXISTING GRADE TYPE: [PERCHED ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:13.00 INCHES [ BELOW ] EXISTING GRADE.
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: 0.0 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Fine Sand/0.65 DEPTH OF EXCAVATION:84.0 INCHES
DRAINFIELD CONFIGURATION: [ ]TRENCH [ X ]BED [ ]OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY: JOHN HANSON DATE: 1/3/06
DH 4015, 03/97 (Obsoletes previous editions which may not be used)
(Stock Number: 5744-003-4015-1) [ostds_eval_4015-3] Page 3 of 3
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
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LIP.
Approval Granted By.
Owner Number. Zee
Issue Date:
as
Approval =
$ Receipt No : Check No.:
THIS PERMIT NOT
AVAILABLE AT THEDWELL SITE SURFING A DRILLING OPERATIONS This permit s wa REPRESENTATIVE
forgo days from datef blue. S�L