HomeMy WebLinkAboutSEWAGE TREATMENT & DISPOSALSTATE OF FLORIDA APPLICATION # AP1317930
DEPARTMENT OF HEALTH PERMIT # 56-SF-1806718
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1056239
APPLICANT: John & Kaylin May
CONTRACTOR / AGENT: Know it Now, Inc
LOT: 6 BLOCK: 2
SUBDIVISION: St. Lucie Gardens ID#: 3414-501-1406-100-2
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: 1.31 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1965.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM Orange survevors disk in road. Elevation 15.41
4.00 [
ELEVATION OF PROPOSED SYSTEM SITE
/ FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 40 FT POTABLE WATER LINES: 75 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:Waveland fine sand
Munsell #/Color Texture
Depth
1 OYR 411
Sand
0 To 11
1 OYR 5/1
Sand
11 To 25
1 OYR 6/1
Sand
19 To 33
1 OYR 211
Spodic Material
33 To 48
1 OYR 3/2
Sand
48 To 57
HOLE CAVING
Refusal
57 To 72
USDA SOIL SERIES:Waveland fine sand
Munsell #/Color Texture
Depth
1 OYR 4/1
Sand
0 To 13
10YR 5/1
Sand
13 To 26
1OYR 611
Sand
21 To 35
10YR 211
Spodic Material
35 To 45
1OYR 3/2
Fine Sand'
45 To 57
HOLE CAVING
Refusal
57 To 72
OBSERVED WATER TABLE: 26.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES ( ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED
r REMARKS/ADDITIONAL CRITERIA
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 20.00 INCHES
Sand/0.60 DEPTH OF EXCAVATION: 48 INCHES
[ ] OTHER (SPECIFY)
VSWT determined using USDA WSS and soil borings. .
OYR6/1 stripping in 10YR5/1 matrix > 10% with diffuse boundaries starting at 20" In SB1.
81 15" below BM. S6212" below BM.
SITE EVALUATED BY:
Ingram, Brian (Tine: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 12/07/2017
G-t- A 4
File
AP1317930 EID1806718 v 1.0.2
STATE OF FLORIDA PERMIT NO. I
DEPARTMENT OF HEALTH DATE PAID: IZ F l 4r7
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT # :
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: JOHN MAY AND KAYLIN MAY
AGENT: BILL HYATT TELEPHONE: 772-925-2250
MAILING ADDRESS: 5220 US HIGHWAY 1, #140 VERO BEACH, FL 32967
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: 6 BLOCK: 2 SUBDIVISION: ST. LUCIE GARDENS PLATTED: Y
PROPERTY ID #: 3414-501-1406-100-2 ZONING: AG-5 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 1.31 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: NA FT
PROPERTY ADDRESS: XXXX DYER ROAD, PORT ST. LUCIE, FL 34952
DIRECTIONS TO PROPERTY: FROM US-1 AND DYER ROAD HEAD EAST 1.1 MILES +/-, THENCE HEAD
EAST ON CARTLON ADAMS ROAD 0.57 MILES +/- TO DYER ROAD, THEN MEANDER .69 MILES +/-
TO THE PROPERTY (LOCATED ON THE WEST SIDE OF ROAD)
BUILDING INFORMATION
Unit Type of
No Establishment
1 PROPOSED RESIDENCE
2
3
4
[%/] RESIDENTIAL [ ] CObMRCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
4 NA
2NIb
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE :�L/DATE
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: PERMIT #: 56-SF-1806718 BILL Doc #:56-BID-3637819 CONSTRUCTION APPLICATION #: AP1317930
RECEIVED FROM: Know it Now, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 12370 PAYMENT DATE: 12/05/2017
MAIL TO: John & Kaylin May 060j g AAA-9`1 tJ
Slnc� C.�
W r�7
FACILITY NAME.:
PROPERTY LOCATION:
TBD Dyer Rd
Port Saint Lucie, FL 34952
Lot: 6 Block: 2
Property ID: 3414-501-1406-100-2
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3446587
:....:.,.. ,: St. Lucie County Health Department
u 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT#:56-SF-1806718 1311-Looc#:56-BID-3650027 CONSTRUCTION APPLICATION #: AP1 317930
RECEIVED FROM: Know it Now, Inc AMOUNT PAID: $ 80.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 01/03/2018
MAIL TO: John & Kaylin May
FACILITY NAME:
PROPERTY LOCATION:
TBD Dyer Rd
Port Saint Lucie, FL 34952
Lot:
i
Property ID: 3414-501-1406-100-2
EXPLANATION or DESCRIPTION:
-1 - OSTDS Revision
2
Block:
126 - OSTDS Construction Permit (New or Mod, Amendment)
QUANTITY FEE
1 $ 25.00
1 $ 55.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3460670
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 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
second copy, accompanied by the filing fees required by law, with the Court of Appeal in the
appropriate District Court. The notice must be filed within 30 days of rendition of the final order.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
AND DISPOSAL
APPLICANT: John & Kaylin May
PROPERTY ADDRESS: TBD Dyer Rd Port Saint Lucie, FL 34952
LOT: 6 BLOCK: 2
PROPERTY ID #: 3414-501-1406-100-2
SUBDIVISION: St. Lucie Gardens
PERMIT #:56-SF-1806718
APPLICATION #:AP1317930
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1084981
[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 [ 667 ] SQUARE FEET
R [ ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
Drainfield New SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED DQ MOUND [ ]
TRENCH [XI BED [ ]
Site BM -
disk in road. Elevation 15.41
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCBES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D ]
0
T
H
E
R
%L" Mf2waimu: L LL.UU] INCHES EXCAVATION REQUIRED: [ 48.UU ]. INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s. 64E-6.013(3)(0, FAC.
Original permit modified to reference the site benchmark not available at time of initial site evaluation.
SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II
APPROVED BY: � "-"r /�Ni TITLE: Environmental Specialist I St. Lucie CHD
Dianna S M
DATE ISSUED: 01/03/2018
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
v 1.1.4 AP1317930
EXPIRATION DATE: 06/07/2019
SE1056239
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