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Home My WebLink AboutAPPLICATION FOR CONSTRUCTION PERMIT. M STATE OFI fTMEN SORIDA PERMIT NO. 'C"I M OF HEALTH DATE PAID: ONSITE SE GE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT # : APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: _ JkP4 New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment ] Temporary [ l R �[ APPLICANT: 0 14 TELEPHONE : 727 AGENT: MAILING ADDRESS : l 4o"U 123 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PUREUANT 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 RE STING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOTAMU BLOCK: Z SUBDIVISION: PLATTED: PROPERTY IIDD # : , 6j00' v 0 0 — ,? ZONING: I /M OR EQUIVALENT: [ Y / N ] O O ZEACEES PROPERTY SIZ "`3 WATER SUPPLY: [ ] PRIVATE PUBLIC [2000GPD [ ]>2000GPD <= IS SEWER AVAILABLE AS PEE 381.0065, FS? [ Y�/ T ] DISTANCE TO SEWER: O FT PROPERTY ADDRESS:+11 'S SIt� ` ' DIRECTIONS TO PROPERTY: W.. _ A-LQn_%% S•_ e_k P amrw, not). t i Lu c.c Olk ", Lk l e n n Alz BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: DH 4015, 08/09 (O olete previous editions which may not be used) 1 � Incorporated 64E-6.001, AC �i`� age 1 of 4 STATE OF FLO t1m. s f r APPLICATION # AP1323852 DEPARTMENT O HEiiLTH PERMIT # 56-SF-1815835 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1060925 SITE EVALUAT ON AND SYSTEM SPECIFICATION APPLICANT: Southern City Developm nt CONTRACTOR / AGENT: Brian Bea LOT: 47 & 48 BLOCK: 20 SUBDIVISION: Indian River Es ates ID#: 3402-807-0200-000-8 TO BE COMPLETED BY ENGINEER, TH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND S EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE LAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.91 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TASLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2275.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCAT ON: Orange spot on CL of road NE of property ELEVATION OF PROPOSED SYSTEM S= 4.00 [ INCHES / FT ] I 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: 40 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 75 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT T SITE SUBJECT TO FREQUENT FLOOD G? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOj 10 YEAR FLOOD ELEVATION FOR SI FT[ MSL / NGVD] SITE ELEVATION: FT [ MSL / NGVD �..rt .,snz.*�e+ r�nano►n`mrnta aTmr SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 5/1 Fine Sand 0 To 26 1 OYR 6/1 Fine Sand 22 To 35 10YR 6/2 Sand 35 To 40 10YR 211 Spodic Material 40 To 56 10YR 5/3 Sand 56 To 65 10YR 5/2 Loamy Sand 65 To 72 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 5/1 Fine Sand 0 To 24 10YR 6/1 Fine Sand 24 To 30 10YR 6/2 Sand 30 To 39 10YR 2/1 Spodic Material 39 To 52 10YR 5/3 Sand 52 To 60 10YR 5/2 Loamy Sand 60 To 72 OBSERVED WATER TABLE: 60.00 IRCHES [ ABOVE /�] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE E TION: 22 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 22.00 INCHES SOIL TEXTURE/LOADING RATE FOR TTRENCH STEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 56 INCHES DRAINFIELD CONFIGURATION: [ [X ] BED [ ] OTHER (SPECIFY) - REM1%RKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and sc II borings.10YR6/1 stripping >10% with diffused boundaries starting at 22" In a 10YR511 matrix found in SB1. SB7 and SB2 4" below SM. SITE EVALUATED BY: i DATE: 01/19/2018 May, Dian a (Title: Envlrodffiental Specialist 1) (Florida Department of Health In St Luc DR 4015, 08/09 (Obsolotes previous editLons which may not be used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1323862 EID1815836 v 1.0.2 STATE OF FLO IDA' DEPARTMENT 01 HEALTH ONSITE SEWAG TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: C APPLICANT,: (Southern City Deve PROPERTY ADDRESS: TBD Silver LOT: 47 & 48 BLOCK: PROPERTY ID #: New Fort Pierce, FL 34982 c PERMIT #:56-SF-1815835 APPLICATION # : AP 1323852 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1089940 SUBDIVISION: Indian River Estates [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 FOP 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 DES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIOISS 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 @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET Drainfleld New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDA RD [ ] FILLED EXI MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Orar ge spot on CL of road NE of property I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 it INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 2.00 ]I INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 120.001 IN HES EXCAVATION REQUIRED: [ 56.001 INCHES The system is sized for 3 bedrooms i vith a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with H s. 64E-6.013(3)(0, FAC. E R SPECIFICATIONS BY: Dianna S APPROVED BY: DATE ISSUED: 01/19/2018 DH 4016, 08/09 (Obsoletes all p evii Incorporated: 64E-6.003, FAC v ,1,4 TITLE: Environmental Specialist I TITLE: Environmental Specialist I St. Lucie CEO EXPIRATION DATE: 07/19/2019 editions which may not be used) AP1323852 SE1060925 Page 1 of 3 i STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New - APPLICANT: (Southern City Development) PROPERTY ADDRESS: TBD Silver Oak Fort Pierce, FL 34982 LOT: 47 & 48 BLOCK: 20 SUBDIVISION: Indian River Estates PERMIT #:56-SF-1815835 APPLICATION # : AP1323852 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1089940 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID # : 3402-607-0200-000-8 [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 Sentic 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 FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Orange spot on CL of road NE of property I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D i 0 T H E R [ 4.00 ][ INCHES FT ][ABOVE JBELOW BENCHMARK/REFERENCE POINT [ 2.00 ] [INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT a, REQUIRED: [ LU.UU] INCHES EXCAVATION REQUIRED: [ bb.UU ] INCHES ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 10 gpd. ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(0, FAC. SPECIFICATIONS BY: Dianna S May TIC: Environmental Specialist I APPROVED BY: /7= TITLE: Environmental Specialist I St. Lucie CHD Dianna S May DATE ISSUED: 01/19/2018 EXPIRATION DATE: 07/19/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1323852 SE1060925 1 1. NOTICE 6F 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.