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Home My WebLink AboutOSTDS NEWSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #: 56-SF-1860113 APPLICATION # : AP 1353282 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1125561 SCANNED ry 7 Bly CONSTRUCTII N PERMIT FOR: OSTDS New .rgt. Ludis� CCU* APPLICANT:i Jerry&Rita Swain PROPERTY A111 DDRESS : TBD Carlton Adams Rd Fort Pierce, FL 34947 LOT: 9 1I1 BLOCK: SUBDIVISION: Lukes Lots PROPERTY I#: 2236-700-0009-000-3 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM FIST 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 SATISFACT Y PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SJ�LO VED AS A BASIS FOR ISSUANCE OF THIS PERMIT, , REQUIRE THE APPLICANT TO MODIFY THE PERMIT PLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE" NULL AND VOID. ISSUANCEOFTHIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,05I0 ] 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 [ ] r I _ D [ 66 ] SQUARE FEET Ddrainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SY TEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIG TION: [ ] TRENCH [X] BED [ ] N 11 . F LOCATIO of BENCHMARK: Orange painted 16d nail in S side of oak off NW house corner I ELEVATI OF PROPOSED SYSTEM SITE [ 31.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM'JN F DRAINFIELD TO BE [ 16.001[ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [33.00] INCHES EXCAVATION REQUIRED: [ 57.001 INCHES i The sys� em is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of O 400 gpd� T The lic�� sed contractor installing the system is responsible for installing the minimum category of tank in accordance with H s. 64E-6.013(3)(f), FAC. R PTLE CODV SPECIFI `TIONS BY: Brian J In ram TITLE: Environmental Specialist II APPROVED i Y: TITLE: Environmental Specialist II St. Lucie CHD Brian J In am DATE ISSUED: 07/16/2018 EXPIRATION DATE: _ 01/16/2020 DH 4016, (Obsoletes all previous editions which may not be used) �Incbrpor�'ted: ��0�8/09 64E-6.003, FAC },. Page 1 of 3 �� v 1.1.4 AP1353282 SE1085665 • A PLICANT'S NAME: L� GAL DESCRIPTION:/) 07'L /_Zeh �� V /�r�i � �V4+ f —.✓r ! - �� 1�'_. XK S^ 2— 5^.. � 11"_ t 1 .p t - . II certify that there are no potable private wells within 75 feet of the available area for the ?r posed septic. system, that there are no non -potable wells within 50 feet of the available area Po the proposed septic system, that there are no wells .within 25 feet of a pesticide -treated buy lding foundation, that there are no public wells that serve less than 25 people or less than 15'homes or businesses within 100 feet of the proposed septic system, that there are no public w II Is that serve more than 25 people or more than.15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at' ast 10 feet from. the available area for the proposed septic system unless the plans show the line to be double sleeved, that.there is not a gravity sewer line, low pressure sewer line or va uum sewage line in a public easement or right-of-way that abuts the property., that there are' no lakes, streams, wetlands, or surface water within 75 feet of the available area for the pros osed septic system unless the property was created prior to 1972, that the septic system is pr..9,,; osed on the side of the lot farthest from surface water, that all private wells, septic sys;' ems and surface water on adjacent or .contiguous .land within 75 feet of the -applicant's lot arellshown on the site plan, that all public wells within 200 feet -of the applicant's lot are sh � n on the site plan, and that the location of building or residences, swimming pools, rec rded easements, paved areas or driveways, sidewalks, the general slope of the property, till's d areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or we 'lands are shown on the applicants lot. Th 11 natural grade elevation in the area of 'the proposed septic system and the benchmark must be 1hown on the site plan. Please locate the benchmark within .200 feet of the proposed septic MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. does, Nun, • . O of • m, • sT4% fill CERTIFIED BY: (�!i/.1/'' G,S FLORIDA PROFESSION AL. .0 .: do DATE:,jg;;�/3 JOB NO.: I'I /. APPLICANT'S NAMGf E: �%11iB4111 LEI AL DESCRIPTION: •rc ss"•q- �?-ter..-,, �` t ``` i �� rL¢til'RODSEII�SP^YST'Elll51�E IN`4RMArTII)Y��,�, .� ere are no potable private wells within 75 feet of the available area for the � certify that there p pro, osed septic system, that there are no non -potable wells within 50 feet of the available area for "the proposed septic system, that there are no wells within 25 feet of a pesticide -treated bui ding foundation, that there are no public wells that serve less than 25 people or less than 15 I iomes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the, proposed septic system, that the water line from the water meter or well to the structure is at 11 ast 10 feet from the available area for the proposed septic system unless the plans show thel line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vac um sewage line in a public easement or right -of --way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proosed septic system unless the property was created prior to 1972, that the septic system is pr I osed on the side of the lot farthest from surface water, that all private wells,. septic Sys ems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are sh n on the site plan, and that the location of building or residences, swimming pools, reJI rded easements, paved areas or driveways, sidewalks, the general slope of the property, fill d areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or we lands are shown on the applicants lot. Th �� natural grade elevation in the area of the proposed septic system and the benchmark must be hown on the site plan. Please locate the benchmark within 200 feet of the proposed septic MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. IIItli� ��`Pp,LES AR�,p, ose Nit, 4971 STATE OF FLORMA ' • `� kqvw CERTIFIED BY: FLORIDA PROFESSIO AL NO.: DATE: � /_? - 149 JOB NO.: