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HomeMy WebLinkAboutOSTDS NEWI '� j ", '. ok STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: APPLICANT: Ralph Jr. & CatherinE PROPERTY ADDRESS: 485 Bridlewood Way Fort P OSTDS New LOT: 2 BLOCK: E PROPERTY ID #: 2310-801-0050-000-2 PERMIT #:.66-SF-1663199 APPLICATION #:AP1220563 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #:PRIO02386 Dorian [SECTION, TOWNSHIP, RANGE,.PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCEI WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. I 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 TO APPLICANT FROM COMPLIANCE WITH OTHER . FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. I SYSTEM DESIGN AND SPECIFICAT16NS T 900 1 GALLONS GPD Septic CAPACITY I A I GALLONS GPD N/A CAPACITY N I GALLONS GREASE INTERCEPTOR CAPACITY �MAX ' IMUM CAPACITY SINGLE TANK:1250 GALLONS] K GALLONS DOSING TANK CAPACITY ]GALLONS @[ ]DOSES PER 24 HRS #Pumps r D 375 1 SQUARE FEET SYSTEM R I SQUARE FEET N/A SY6TEM A TYPE SYSTEM: STANDARD E I FILLED fxl MOUND I I I CONFIGURATION: [x] TRENCH BED N F LOCATION OF BENCHMARK: site BM 2 set mag nail in disk elpv 100.25 SE corner of lot I ELEVATION OF PROPOSED SYSTEM SITE 1 13.00 1 FT ABOVE � BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE E 2.00 11 FT I[ BELOW I BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 133.001 INCHES ---------- -- N REQUIRED: INCHES The system is sized for 3 bedrooms with a maximum occupancy I of 6 persons (2 per bedroom), for a total estimated flow 0 of 300 gpd. T The licensed contractor installing the system is responsible for inLalling the minimum category of tank in accordance with H s. 64E-6.013(3)(0, FAC. E R SPECIFICATIONS BY: Brian J Ingram APPROVED BY: AeVde, ��� TITLE Brian J.Yngram DATE ISSUED: 01/25/2016 DH 4016, 08/09 (Obsoletes all previous editions Incorporated: 64E-6.003, FAC v 1.1.4 TITLE: Environmental ental Specialist PI may not be used) SE983216 fl CHD 7 Page 1 of 3 NOTICE OF RIGHTS I A party whose substantial interest is affec administrative hearing pursuant to sections 120.5 proceedings are governed by Rule 28-106, Florid� administrative hearing must be in writing an ' d m uss Department, within twenty-one (21) days from the Agency Clerk is 4052 Bald Cypress Way, BIN # A Agency Clerk's facsimile number is 850-410-144E Mediation is not available as an alterneftiv( Your failure to submit a petition for hearini will constitute a waiver of your right to an adminisl a 'final order'. I Should this order become a final order, a I entitled to judicial review pursuant to Section 120. are governed by the Florida Rules of Appellate Pr commenced by filing one copy of a Notice of App( Department of Health and a second copy, accoml with the Court of Appeal in the appropriate Districl days of rendition of the final order. ad by this order may petition for an i9 and 120.57, Florida* Statutes. - Such i Administrative Code. A petition for be received by the Agency Clerk for the receipt of this order. The address of the )2, Tallahassee,. Florida 32399-1703. The remedy. within 21 days from receipt of this order ative hearing, and this order shall become l�arty who is adversely affected by it is 1 58, Florida Statutes. Review proceedings �cedure. Such proceedings may be 61 with the Agency Clerk of the' I . pnied by the filing fees required by law, � Court. The notice must be filed within 30 M 11 . .... STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SYSTEM APPLICATION FOR CONSTRUC APPLICATION FOR: New System Existing System Repair Abandonment APPLICANT: RALPH R. RAY, JR. AND CATBRINE A. R, AGENT: BSE CONSTRUCTION GROUP MAILING ADDRESS: - 535 NW NIERCANTILE PLACE AND DISPOSAL TION PERMIT VA 5q-Z,5 '6 el- cp(j l PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: Holding Tank Innovative ;Temporary TELEPHONE: 772-344-8201 107, PORT ST. LUCIE, FL 34986 TO BE COMPLETED-BY'lAPPLICANT OR APPLICANT'� AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON`;LIC9NSED PURSUANT TO 489.105(3�(m) OR 489.552-, FLORIDA STATUTES. IT IS THE APPLICANT'S:RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE10T WAS CREATED OR 'PLATTED'(MR/DD/�*YY.)::IIF-REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY'.INFORMATION LOT: 2 "tL6CK: 'E SUBDIVISION: PROPERTY ID #: 2310-801-0050-000-2 SUBDIVISION PLATTED: OCT 1950 ZONING: AR-1 I/M OR EQUIVALENT: E No I - PROPERTY ACRES WATER SUPPLY: VI -PRIVATE PUBLIC [ ]<=2000GPD [- 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? E No I DISTANCE TO SEWER: FT PROPERTY ADDRESS: 485 BRIDLEWOOD'WAY,FORTPIERCE, FLORIDA DIRECTI . ONS�_TO PROPERTY: TAKE 1-95 TO ORANGE A�VE. OOVEST ON ORANGE AVE. TO BRIDLEWOOD WAY. TAKE A LEFr ON BRIDLEWOOD WAY AND GO PAST IJEES AVENUE TO SECOND LOT ON RIGHT. BUILDING INFORMATION V] RES -'Unit Tyj?6'b;k No. of No Establishment Bedrooms SINGLE FAMILY 3 2 [ I COMMERCIAL Commercial/Institutional System Design Table 1, Chapter 64E-6, FAC 3 4 Floor�]Equip`r'd'e�h't I)r'aiins',''.'f�', Other (Specify) A) SIGNATURE: A DATE: 01/04/2016 - DH 4015, 08/09 (Obsoletes pievlou's' editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 I STATE OF FLORIDA DEPARTMENT OF HEATTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION, APPLICANT: Ralph Jr. & Catherine Ray CONTRACTOR / AGENT: BSE Construction Group LOT: 2 E SUBDIVISION: Dorian ID#: 231 0-801-0050-000-2 APPLICATION # AP1220563 PERMIT # 56-SF-1653199 DOCUMENT # 9F983216 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUSl, PROVIDE REGISTRATION NUMBER AND SIGN AND SE2 OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLON AUTHORIZED SEWAGE FLOW: 615.01 GALLON UNOBSTRUCTED AREA AVAILABLE: 2100.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM 2 sc ELEVATION OF PROPOSED SYSTEM SITE 13.00 1 I ]NO NET USABLE AREA AVAILABLE: 0.41 ACRES PER DAY RESIDENCES-TABLE1 OTHER -TABLE: 2 PER DAY 1500 GPD/ACRE. OR 2500 GPD/ACRE UNOBSTRUCTED AREA REQUIRED: 562.50 SQFT nag nail in disk elev 100.25 SE corner of lot �fl / FT I [ ABOVE / I BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM T9 I E PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: I ]YES [XINO WELLS:, PUBLIC: FT LIMITED USE: �FT PRIVATE: 75 - FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTk LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? ]YES 10 YEAR FLOOD ELEVATION FOR SITE: FT SOIL PROFILE INFORMATION SITE I USDA SOIL SERIES:Nettle's sand Munsell #/Color Texture Depth 10YR 211 Sand 0 To 5 1 OYR 6/2 Sand 5 To 35 1 OYR 2/1 Spodic Material 35 To 41 2.5Y 4/2 Fine Sandy Loam 41 To 72 _j OBSERVED WATER TABLE: 23.0 0 INCHES [ ABOVE /FEL ESTIMATED WET SEASON WATER TABLE ELEVATION: 9 HIGH WATER TABLE VEGETATION: [ ]YES I X ]NO SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: X I TRENCH BEI RE1,1ARKS /ADDITIONAL CRITERIA WSWT determined by using USDA WSS and soil borings. S6 Sandy Redox. 10YR712 and 10YR711 stripping In 10YR612 matrix. 101 SB1 and SB2 13" below BM ly [ X ]NO 10 YEAR FLOODING? [ ]YES 1XINO] MSL / NGVD.] SITE ELEVATION: FT I MSL / NGVD SOTT, PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Nettles sand Munsell #/Color Texture Depth 1 OYR 2/1 Sand 0 To 6 1 OYR 6/2 Sand 6 To 35 1 OYR 2/1 Spodic Material 35 To 41 2.5Y 4/2 Fine Sandy Loam 41 To 72 flI EXISTING GRADE TYPE: PERCHED / I INCHES I ABOVE / EXISTING GRADE MOTTLING: [ X ]YES E ]NO DEPTH: 9.00 INCHES Sand/0.80 DEPTH OF EXCAVATION: INCHES OTHER (SPECIFY) @ 9" In SB1 SITE EVALUATED BY: Ae-1 6ie�y_ Ingram, 9rian (Title: Environmental S �eclalist 1) (ENVIRONMENTAL HEALTH) DH 4015, 08109 (Obsoletes previous editions which may not be used) Incoxporated: 64E-6.001, FAC DATE: 01/25/2016 Page 3 of 4 EID1663199 v 1.0.2 APPLI T: RAI LOT: 2 PROPERTX ID #: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SITE EVALUATION AND SYS DISPOSAL SYSTEM SPECIFICATIONS PERMIT #. PH R. RAY, JR. AND CATHRINE A. RAY I AGENT: BSE CONSTRUCTION GROUP BLOCK: E suBDivisim-DORZAN SUBDIVISION 2310-801-0050-000-2 1 Section/Township/Parcel No. or Tax ID Number TO BE C MPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE.,OR OTHER QUALIFIED PERSON. ENGINEERS I I MUST P IDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTX SIZE CONFORMS. TO SITE PLAN: [VI YES � [ ] NO NET USABLE AREA AVAILABLE: 0.42 ' ACRES TOTAL ESTIMATED SEWAGE FLOW: —GALLONS PER DAY RESIDENCES-TABLEUOTBER-TABLE2 I AUTHORIiED SEWAGE FLOW: GALLONS PER DAY 1500 GPD/ACRE OR 2500 GPD/ACRE UNOBSTR!3CTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENC /REFERENCE POINT LOCATION: (SrM BENCHMARK TWO) SEE SURVEY ELEVATION OF PROPOSED SYSTEM SITE IS 0.75 BELOW BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINEE MOM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE� WATER: 75 FT DITCHES/SWAlLES: 15 FT NORMALLY WET? [ I YES NO WELLS: UBLIC: 200 FT LIMITED USE:100 FT PRIVATE: 75 FT NON -POTABLE: 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES:10 FT SITE SUBJECT TO FREQUENT FLOODING:- YES NO 10 YEAR FLOODING? YES NO 10 YEAR�FLOOD ELEVATION FOR SITE: FT MSL/NGV`D SITE ELEVATION: FT MSL/NGV`D SOIL PROFILE INFORMATION SITE 1 MUNSELL, #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO —TO 7- TO USDA 90IL SERIES: SOIL PROFILE INFORMATION SITE 2 MUNSELL VCOLOR TEXTURE TO TO TO TO TO TO TO TO USDA SOIL SERIES: DEPTH OBSERVED WATER TABLE: INCHES [ABOVE/BELOW 11 EXISTING GRADE. TYPE:j PERCHED /APPARENT I ESTIMAT D WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE HIGH WA ER TABLE VEGETATION: YES NO MOTTLING: I ]YES I I NO DEPTH: -INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION:-. INCHES DRAINFIELD CONFIGURATION: TRENCH BED OTHER (SPECIFY) REMARKSIADDITIONAL CRITERIA: SITE EVALUATED BY: DE 4015, 12/11 (obsoletes previous editions whi . ch may L/L_ DATE: 01/04/2016 be used) Incorporated: 64E-6.001, FAC Page 3 bf 4 I Pro�erty C' ard S ite Address: 485 Parcel ID: 2310-801-0050- Account #: 150604 Sec/Town/Range: BRIDLEWOOD WAY 000-2 10/35S/39E ap-ID: 23/10S Zoning: AR- I Use Type: 0 100 Jurisdiction: Saint Lucie County Ownership Legal Description Cathrine A Ray QUIRANS/D BLK E LOT 2 (0.41 AQ (OR 1635-1166) Ralph R Ray Jr 4 5 Bridlewood Way Fort Pierce, FL 34945 Current Values Historical Values 3-year Ji sttMarket $15,500 Assessed: $15,500 Year Just/Market Assessed Exemptions Taxable EKemptions: $15-1500 Taxable: $0 2015 $15,500 $15,500 $15,500 $0 2014 $15,800 $15,800 $15,800 $0 2013 $21,300 $21,300 $21,300 $0 Sale History I Diple Book/Page Sale Code D eed Grantor Price 12-31-2002 1635/1166 01 Q I C Ray,Cathrine A $100 09-01-1983 0411/1202 01 CIV $0 12-01-1981 0368/1681 01 C V $0 Primary Bullding Information Finished Area of this building: 768 SF Gross Area of this building: 768 SF 1Z E x rior Data View: Roof Cover: Asph Shingle Roof Structure: Gable Building Type: HE+ Year Built: 1977 Frame: Grade: E+ Effective Year: 1977 Prim� try Wall: Conc Block Story Height: I Story No. Units: I Secondary Wall: Int,rior Data Bedrooms: 0 A/C %: 0% Electric: AVERAGE Primary Int Wall: Full ],laths: I Heated %: 0% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 I Sprinkled %: 0% Heat Fuel: Primary Floors: CONC GRD TotalAreas Finished/Under Air 768 (SF): Gross Area (SF): 768 Land Size (acres): 0.41 Land Size (SF): 17,860 Total Building Count: I Special Featur6s and Yard Items Type Qty Units Year Blt SITE DEV S-F 1 1 2001 This information is believed to be correct at this time but it is subject to change and is not warranted. Q Copyright 2016 Saint Lucie Couniy Property Appraiser. All rights reserved. Page I of I http://www.�aslc.org/RECard/ 1/19/2016 N yzl,�,W��, psi �CMK 04he &VA o - tftirg "VA IR A� - ;g, , ri, Q�m 1, tl- A-1 r, m b" n�, - 41 Al "Mon y all; IV,� 75 .05 �,�l "ruk 2 7� 4, ai. W"s- I ", 4f P�, wr 0 rL p :3 0 Cf) 0 co E 0 A z 0 PE w 0 LL z a. TF ca o a 0 cts C3 0-0 EL w (L) CL d) cc 'a U) E ca E w E L a) CL 0 :E; —ca co E Cc 10 a) > —0 0 ca 0 a) E 0 > E - E 16 �6 M(D C) 75 U) a) E 12 a) a3 E 2) 'n w (D .1 0 0 CD d) Co r- C0 0 ci, m > a) 10 0 co m cc c 0 CL C3 .— 0) ? 2 0 0 V 2 m E U) 4)ID E C.) cli LO E —0 lu-) CL w 0 w E co 0) CL w :3 E a) a) a) CD 0 (D d, . cc ic 0 ZO E in CL ? to a. CD a) .0 2 z r 04 a) 2 m E 0 ca W Um) Cc LL cr� 0 3 m 13 W, On -0 c 2 o CO M c 0 4) w 5 < co 2 IS 16 cu :3 z V 0 M 0 :3 A .0 (D c m a! E o C6 E .2t, ca E 0 .2 ra Co 0 4= a) a rwn CL (D (A m w �a co 0 ? 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U. m 0 0 2 0 'a < .6 =0 =0 U, co U) -r_ .2 o ca m .5 0 .2 0 (9 (D > C,M = a. 0 w = co U) > U) CD (D U) LU -10 X X a f( @ 4Q + 40) m CL El I U) to I- i Custom Soil Resource Report Map Unit Legend A, 25 Nettles and Oldsmar sands 1.2 100.0% Totals for Area of Interest 1.2 100.0% Map Unit Descriptions The map units delineated on the detaih or miscellaneous areas in the survey z maps, can be used to determine the ci A map unit delineation on a soil map n major kinds of soil or miscellaneous ar according to the taxonomic classificatii class there are precisely defined limits f however, the soils are natural phenom( of all natural phenomena. Thus, the ra beyond the limits defined for a taxonor class rarely, if ever, can be mapped wi classes. Consequently, every map unit for which it is named and some minor other than those of the major soils. soil maps in a soil survey represent the soils a. The map unit descriptions, along with the iposition and properties of a unit. resents an area dominated by one or more is. A map unit is identified and named of the dominant soils. Within a taxonomic the properties of the soils. On the landscape, a, and they have the characteristic variability e of some observed properties may extend - class. Areas of soils of a single taxonomic out including areas of other taxonomic made up of the soils or miscellaneous areas mponents that belong to taxonomic classes Most minor soils have properties similai� to those of the dominant soil or soils in the map unit, and thus they do not affect use and management. These are called noncontrasting, or similar, componentsi I They may or may not be mentioned in a particular map unit description. Other minor components, however, have properties and behavioral characteristics divergen I t enough to affect use or to require different management. These are called contrast ' ing, or dissimilar, components. They generally are in small areas and could not be mapped separately because of the scale used. Some small areas of strongly contrastiri ' g soils or miscellaneous areas are identified by a special symbol on the maps. If included in the database for a given area, the contrasting minor components are identified in the map unit descriptions along with some characteristics of each . A few areas of minor components may not have been observed, and consequently they are not mentioned in the descriptions, especially where the pattern was so complexthat it �Vas impractical to make enough observations to identify all the soils and miscellaneous areas on the landscape. The presence of minor components in a�map unit in no way diminishes the usefulness or accuracy of the data. The objective of mapping is not to delineate pure taxonomic classes but rather to separate the landscape into landforms or landform segments that have similar use and management reqd I irements. The delineation of such segments on the map provides sufficient information for the development of resource, plans. If intensive use of small areas is planned,� however, onsite investigation is needed to define and locate the soils and miscellaneous areas. I Custom Soil Resource Report An identifying symbol precedes the ma I p unit name in the map unit descriptions. Each ,description includes general facts aboul t the unit and gives important soil properties and qualities. I Soils that have profiles that are almo., differences in texture of the surface la that are similar in composition, thickn Soils of one series can differ in textun degree of erosion, and other characte differences, a soil series is divided int detailed soil maps are phases of soil indicates a feature that affects use or to 2 percent slopes, is a phase of the alike make up a soil series. Except for -r, all the soils of a series have major horizons ,s, and arrangement. of the surface layer, slope, stoniness, salinity, stics that affect their use. On the basis of such soil phases. Most of the areas shown on the )ries. The name of a soil phase commonly ianagement. For example, Alpha silt loam, 0 JDha series. Some map units are made up of two or more major soils or miscellaneous areas. I - - These map units are complexes, associations, or undifferentiated groups. A complex consists of two or more sc pattern or in such small areas that the pattern and proportion of the soils or r areas. Alpha -Beta complex, 0 to 6 pe An association is made up of two or r miscellaneous areas that are shown -, anticipated uses of the map units in tI or necessary to map the soils or misc relative proportion of the soils or misc Beta association, 0 to 2 percent slopE An undifferentiated group is made up could be mapped individually but are interpretations can be made for use a the soils or miscellaneous areas in a i made up of only one of the major soit of all of them. Alpha and Beta soils, 0 s or miscellaneous areas in such an intricate cannot be shown separately on the maps. The iscellaneous areas are somewhat similar in all -ent slopes, is an example. ore geographically associated soils or 3 one unit on the maps. Because of present or a survey area, it was not considered practical ilaneous areas separately. Th ' e pattern and fflaneous areas are somewhat similar. Alpha - is an example. f two or more soils or miscellaneous areas that riapped as one unit because similar id management. The pattern and proportion of lapped area are not uniform. An area can be -or miscellaneous areas, or it can be made up :o 2 percent slopes, is an example. Some surveys include miscellaneousareas. Such areas have little or no soil material and support little or no vegetation. RoIck outcrop is an example. I Custom S 1 11 Resource Report St. Lucie County, Florida 26—Neftles and Oldsmar sands Map Unit Setting National map unit symbol. jpvI Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Compositic n Oldsmar and sft�Jflarsofl& 4�0 percent Nettles and similar soils: 40 percent Minor compone ' nts: 20 percent Estimates are based on ob slervations, descriptions, and transects of the mapunit. Description of Nettles Setting Landform: Flatwoods on marine terraces �andfbrm position (thre dimensional): Talf Down -slope shape: Linear Across -slope shape: Lir ear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 8 inches: sand E -, 8 to 33 inches: sand Bhl - 33 to 39 inches: s nd Bh2 - 39 to 55 inches: s n d Btg - 55 to 80 inches: Tine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 31 to 50 inches to ortstein Natural drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (O.d6 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding. one Frequency of ponding: None Salinity, maximum in pro 1.1e: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available waterstorage in profile: Very low (about 1.6 inches) Interpretive groups Land capability classifical tion ftdoated): None specified .Land capability classifical tion (noniffigated): 4w Hydrologic Soil Group: 6/D Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (GI56BC141FL) 10 Custom So I il Resource Report Description of Oldsmar Setting Landform: Flatwoods o Landform position (thre( Down -slope shape: Co Across -slope shape: U Parent material. Sandy Typical profile A - 0 to 5 inches: sand E - 5 to 32 inches: sanc Bh - 32 to 42 inches: s-, Big - 42 to 80 inches: fi marine terraces dimensionan: Talf d loamy marine deposits e sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class: High Capacity of the most W11, g layer to transmit water (Ksat): Moderately low to moderately high (0.96 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: I None Salinity, maximum in proffle: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio,, maximum in profile: 4.0 Available waterstoragelin profile: Low (about 4.9 inches) Interpretive groups Land capability classffl Land capability classffl Hydrologic Soil Group: Other vegetative clas& (G156BC141FL) Minor Components Pineda Percent of map unit. 4 Landform: Drainagew-, Landform position (thrf Down -slope shape: Lii Across -slope shape: C Other vegetative classi lowlands (G15613C Pepper Percent of map unit., 4 Landform: Flatwoods i Landfonn position (thrE Down -slope shape: Q Across -slope shape: L Other vegetative classi (G156BC141FL) (irrigated): None -specified (noniffigated): 4w tion: Sandy soils on flats of mesic or hydric lowlands on marine terraces, flats on marine terraces firriensional): Dip r 9tion: Sandy over loamy soils on flats of hydric or mesic I FL) marine terraces dimensionan: Talf r bn: Sandy soils on flats of mesic or hydric lowlands Custom So�jl Resource Report Oldsmar Percent of map unit: 4 pbrcent Landform: Depressions on marine terraces Landform position (threeldimensional): Dip Down -slope shape: Concave Across -slope shape: Co cave Other vegetative classification: Sandy soils on stream terraces, flood plains, or in depressions (G156BC145FL) Wabasso Percent of map unit: 4 pircent Landform: Flatwoods on Imarine terraces Landform position (three-dimensional): Talf Down-slqpe shape: Convex Across-slopeshape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 1 .1 Ankona Percent of map unit. 4 pi Landform: Flatwoods on Landform position (three - Down -slope shape: Con - Across -slope shape: Lin Other vegetative classific (G156BC141FL) I 12 terraces 'onal): Talf Sandy soils on flats of mesic or hydric lowlands STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELI L I 0 Southwest PLEASE FILL OUTALLI API 0 Northwest (*Denotes Required R 0 St Johns River I 7he water wet/ contract6ris o South Florida thIs tann and forwardh4 (he El Suwannee River appirpdate delegated authe ODEP El Delegated Authority (if Applicable) I 2. 49-5 6Weltf LA-712 C� 4=-4' Vj *Well Location -Address, Road Name or Number, City 3.- —g-310 go( �00.5-0 coo --I- *Parcel ID No. (PIN) orAltemate Key (Circle One) 4. 'Section or Land G t T w hip *Range jCoun wo/ 7 -15 0, - - , 01�1 -" 7/7;f� r,. "-gF N 3`3 S' 7. *Type of Work: Construction ____Pep6tr Modification V' 1, 8. *Number of Proposed Wells 9. *Spftllj�lntended Use(s) of Well(s): Agri _41Domesfic —Landscape Irrigarion — I Bottled Water Supply Area Irrigation —Lives —Nurs! Public Water Supply (Urnited Use/DOH) Corri Public Water Supply (Community or Non-Community/DEP) —Golf I Class I Injection Class V Injection: Recharge Commerciallindustrial Disposal— Remediation: ___Recovery __Ar Sparge —Other (Describe) Other (oascriba) (Not, I 0.*Dlstance from Septic System if s200 ft. Facility Descriptic IVEstimated Well Depth --fL *Estimated Casing Depth v--fti 14. Estimated Screen Interval: Frorr=Tc�=% 15.*Primary Casing Material: Black Steel Galvanized NotCased —Other 16. Secondary Casing: `- 'Telescope Casing 'Liner 'Ir�u ai 17. Secondary Casing Material:­—Sla-ck Steel!:7=-Gl9vanized� I 8.*Method of Construction, Repair, or Abandonment: —Auger I-' Combination (Two or More Methods) Hand Driven (Well HorizontalDrIfling ____Plugged by Approved Method 19. Proposed Grouting Interval for the PrImar36 Secondary, an d fflonal C FronL ToL.­Seal Material L_Bentonite t Cer From TO Seal Material C Bentonite at Cen Cen From —TO Seal Material L_Bentonit eat Cen e eat Cen From —TO Seal Material (_BentonitC 20. Indicate total number of existing wells on site_ 21 !Is this well or any existing well orwater withdr Afon the owner's contigu 0 11 ....orCUPMUPApplicafion?.. - Yes .7No If yes. complete the to 22. Latitude Longitude 23. Data Obtained From: —GPS — map ----�Sufvey I hereby cerffylhal I willcomplywith the 2pplicabla rates cITAIle40. FlorfdaAdmIndstrative Code. and that a water use poinfiloradificlal ruchaigo pennit.1ineeded. has been or%M be ablatied prior to commencement Orwell COnst—tIon. I fudhercerMy that oil Information provided in this application is accurate and that I will ablodn .acessaryapprovalfrom other Federal, slate. orlocafsovernmoats� froppritable. Ingrealopmvideawell p n port to the Watfidwithtni 30 days aildrcomplellon of the construction, repair. mod1ficallon. of bandonmentou a bythispenaiLatutopernuiexpimuon.whichuvcrc=mf'nL m *Signature of Contractor *License No. Approval Granted By Issue D� Fee Received $. // — Receipt No. THIS PERMIT IS NOT MALID UNTIL PROPERLY SIGNED BYAN AUTHORIZED OFF1 'ABLE FIELDS s Where Applicable) ;onsible for completing mit application to the where applicable. 'I< - 5F-- 1(0:5 3 tlq'7 Quad No. — ---- -Delineation No._ I Application No. I EL 3. �". �Oj-- *Stata ZIP Lot Block Unit bdivision Check if 6 4 —Yes —No Pie Number E-mail Address -C f^elcf- .. *Reason Irrigation -Site InvestiglatiDn __Monitoring ation Test findustrial Earth -Coupled Geothermal Arigation HVAC Supply HVAC Return lr Storage and Recovery ____Drainage IN] JAN 2 7 201 Lucie County Heal Dept )NqgA, T& KWALTIDIVIS Not all types dwells are periffilted bya given perniftlIng authority) 1 12. Estimated Start Date 145&e Irimary Casing Diameter 9-rl-in. Open Hole: ft. _PVC Stainless Steel Casing Diameter in. ­­Stainiess Steel a Tool —Jetted Rotary ____Ponic Sand PolnQ Point (Direct Push) ir (Describe) bliff-of existing unused wells on site property covered under a Consumpfive/Water Use Permit (CUPMUP) 'ng: CUPMUP. No. District Well ID No. Datum: NAD27 NAD 83 WGS 84 I corlify that I am The owncrafthe property. that the Information provided Is accurate. and thatl2M 0W2m Of aw tesponsibMes underChapler373. FloddoStatules. to maIntainorpropedyabandon this wait or. I certiWhal I am the agent for the Owner that the Information provided Is accurate. and that I ban Weaned the owneroRheir responsibmes; as stated above. Owner consents to allowEng personnel of this WMO arDelegatedAtithofityamess to the well site during the construction. repair. modifiCall'On. Of abandonment aulhorized by this permli. 'Dale �/7 �6 Expiration Date 7N/ Hydrologist Approval In' iffals Check No. OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE I. � STATE OF FLORIDA PERMIT APPLItATION REPAIR, MODIFY, OR ABANDON A WELL OSouthwest PLEASE FILL OUTALLAPPI 0 Northwest ("Denotes Required FIE 0 St. Johns River 0 South Florida The wafer well contractor Is n 0 Suwannee River this lban a nd forwatroffng the ; appropriate delegated outharl ODEP 0 Delegated Authority (If Applicable) *OWner, Le' I N e if Co ration *Address Li—V Y? L­044 2. 1 <.; 7 9 714 "Well Location -Address, Road Name or Number, City Z310 - nt - O'S-b--Ccro —2 *Parcel ID No. (PIN) orAltemate Key (Circle On . 10, - ­�?, 5 5 -V5,P - . -- *Section or Lana Gr t 1p *Range *County &92r,1"175 7 *Watpr Well Contractor "License Nuthber *Tell 32 5+ 'Water Well ContracW s Address Citlr '.*Type of Wark:. V b6fisthiction —Repair Modification 1. "Number of Proposed Wells �Spry Intended Use(s) of Well(s): Domestic Landscape Irrigation ____Agric —Bottled Water Supply Recreation Area Irrigation ---Livel Nurs __Public Water Supply (Limited Use/DOH) Corr __public Water Supply (Community or Non-Community/DEP) Golf —Class I Injection 'lass V Injection: Recharge C mmercialfindustrial Disposal 0 lemediation: —Recovery ____Air Sparge Other (Describe) __Pther (Descdbe) ate; Not O."Distance from Septic System if s2ooft.-75LL 11. Facility Des �Iptlon VEstimated Well Depth iLft- -Estimated Casing Depth _ZLft. "Prin 4. Estimated Screen Interval: From a VS, / ft. —25 T S."Primary Casing Material: Black Steel ___�ZGalvanized NotCased —Other. 5. Secondary Casing---reTescope Casino------tlffe—f­­ Surface C; 7. Secondary Casing MaterlaIL-=====8Iack Steel _r:=-"V5M:fdd _P1 &*Method of Construction. Repair. orAbandonment: _____Auger _ZCa Combination (Two or More Methods) Hand Driven (Well Pdlr —Horizontal Drilling ____?IuggedbyA r ethod ot 9. Proposed Grouting Interval for the Prima e ndary, and Additional Casin! From, �2 T -Seal Materiall tonite Neat Cement 10 - From L=Tq Seal Material entonite Neat Carried From TO, Seal Material dhtonite Neat Cemenf Bentonite------ From 0, 'Seal Material iw Nbat Cemenf 0. Indicate total numberof existing wells on site - List numt Vie this well or any existing well or water withdrWa/1 on the owner's contiguous I or CLIP1WUPAppIIcaffon?..�es No If yes, complete the followii 2. Latitude Longitude 3. Data Obtained From: GPS —Map ___Survey iorellyceat, that IwIllcomplywlith the appri ble rules ofTitho 40, FloAdaAdmInIsImfive Code. and that a wafer Cal no *11be ablolned pflarto commencementalwell :epermilerad;r,dairechatgDpeffniLif adled. has been crvA -ristruction. I furthercertily thatall Inhurnaffionjurovided In thisapplIcaltan Is accurate and that I willablain icessary approval from otherfedaral, state. at local governments, Happlicablo. logrealoprovideftwell m"""on "'pod"' the Dishictwithin 3D days allorcomplellan of the construcilon. topolt. modiricallon. or ..d.mn..l...h.rIzed by this parent. at the parml exphation. whichavoraccurs rerst. Signature of Contractor "License No. ,pproval Granted By Issue Date ee Received $ Receipt No. CONSTRUCT, !LE FIELDS 'Florida Unique ID Vhere Applicable) Permit Stipulations Required (See Attached) sible for completing application to4he 62-524 Quad No. Delineation No. ire applicable. CUP/WUPApplicallon No. I N r-y_l �3c�4-15 "State *ZIP Lot Block Unit- ubd!Vtslon Ch 6 Yes — No 7�ff� Number E-mailAddress 3,6,y :;7 State ZIP for Repair, Irrigation Site Investigation . -Monitoring ation Test findustrial ____Earth -Coupled Geothermal JAN 2 7 2016 .Irrigation HVAC Supply HVAC Return tr Storage and Recovery -Drainage St Lucie County Health types ofwells are permitted by a given permitting authority) - e— 12. Estimated Start Date ry Casing Diameter n. Open Hole: FrorrL. —T q—=ft. Stainless Steel Diameter - In. _____�Stalnless Steel ____Pther a Tool —Jetted —Rotary Sonic Sand PoInQ -Hydraulic Point (Direct Push) r (Describe). unused wells on site covered under a ConsumptiveMater Use Permit (CLIPMUP) CUP/WUP. No. District Well ID No. NAD 27 NAD 83 WGS 84 I am The ownerafthe pmperty. that the Information provided Is Bccurale. and that I am swamormy les under Chapter373. Flaiijdalitatules. to maInIaln or propody abandon ft wetter. I ceffirythall am r1he owner. that the InformationprovIded Is accurate. end lhall have informed the owneraftheir losessialedabova. Owner consenis to alleMng per3annel of LhIs WMD or DefegaledAulhodlyacces. Its dudng tho consliuction. iepatr, modification. or abandonment authorized by lbb permit. or Expiration Date 7L'�.La Hydrologist Approval Initials Check No. HIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BYANAUTHORIZED OFFICER 6R REPREsENTATIVE OFTHE WMD OR DELEGATED AUTHORITY. THE —.11 —.1 1 — .—All — I A-- - Ill I ­­ — 1-1— .1 . ­­1 —A.- —M — A