HomeMy WebLinkAboutOSTDS NEWSCANNED
BY
STATE OF FLORIDA St. Linos c®unv
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
PERMIT FOR: OSTDS New
. Mike Difranrescn
ADDRESS: 8310 Andrews Ave Fort Pierce, FL 34950
3 BLOCK:
ID #: 2323-601-0003-000-4
SUBDIVISION:
PERMIT #: 56-SF-1 518031
APPLICATION #:AP1133845
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR928299
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS
AND STANDARDS OF SECTION
81.0065, F.S., AND CHAPTER 64E-6, F.A.C.
DEPARTMENT APPROVAL OF
SYSTEM DOES
NOT GUARANTEE
ATISFACTORY PERFORMANCE FOR ANY SPECIFIC
PERIOD OF TIME. ANY
CHANGE IN
MATERIAL FACTS,
ICH SERVED AS A BASIS FOR ISSUANCE OF
THIS PERMIT, REQUIRE THE APPLICANT
TO MODIFY THE
ERMIT 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 Septic 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 [ 334 ] SQUARE FEET Drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED G[] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Iron Rod (top)
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ]t INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
Yt
r
D E
0
T
H
E
R
1, k(Z%2Ul1tMLJ: L Lb.UUJ 11VUt1ZA" 151LU&VA•1•1U11 ttN%1U1k(ZLJ: L J LVUnNb
e system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow
200 gpd.
e licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
64E-6.013(3)(f), FAC.
SPECIFICATIONS BY: Andre Gat ood TITLE:
APPROVED BY
DATE ISSUED
Environmental Specialist II
TITLE: Environmental Specialist II
Andrew R Gatewood
01/29/2014 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1133845 SE918315
St. Lucie CHD
07/29/2015
Page 1 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
ION PERMIT FOR: OSTDS New
Mike Difrancesco
ADDRESS: 8310 Andrews Ave Fort Pierce, FL 34950
3 BLOCK: SUBDIVISION:
ID #: 2323-601-0003-000-4
PERMIT #:56-SF-1518031
APPLICATION #: AP1133845
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR928299
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
YSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
81.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
ATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
HICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
ERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
SSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
TATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Septic 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 [ 334 ] SQUARE FEET Dralnfleld SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED fx] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [g] BED [ ]
N
F LOCATION OF BENCHMARK: Iron Rod (top)
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ]t INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT I ABOVE BELOW] BENCHMARK/REFERENCE POINT
D E
O
T
H
E
R
.LLL xSQUIF.EED: L 1b.UUI INCHES EXCAVATION REQUIRED: L I INCHES
The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow
of 200 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.
SPECIFICATIONS BY: Andre Gat ood TITLE: Environmental Specialist II
APPROVED BY
DATE ISSUED
TITLE: Environmental Specialist II
Andrew R Gatewood
01/29/2014 EXPIRATION DATE
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC `
v 1.1.4 AP1133845 SE918315
St. Lucie CHD
07/29/2015
Page 1 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
� �,p ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
"e APPLICATION FOR CONSTRUCTION PERMIT
ATION FOR:
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
[✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[� ] Repair [ ] Abandonment [ ] Temporary [ ]
kR LICANT: MIKE DIFRANCESCO CONSTRUCTION, INC. (772-201-7797)
]ENT : ARNOLD SURVEYING, INC. TELEPHONE: 772-460-8211
1
ADDRESS: 4888 N KINGS HWY #425, FORT PIERCE, FL 34951
11
T'Q BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BF 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
I�MTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
INFORMATION
: 3
BLOCK: N/A SUBDIVISION: CROUCHVILLE ACRES
PLATTED: 11/1992
PERTY
ID #: 2323-601-0003-000-4 ZONING: SF
I/M OR EQUIVALENT:
[ No ]
PERTY
SIZE: 7.82 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [
]>2000GPD
SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PERTY ADDRESS: 8310 ANDREWS AVENUE
DIRECTIONS TO PROPERTY: FROM THE INTERSECTION OF HWY 70 (OKEECHOBEE RD) AND COOLIDGE RD:
NORTH ON COOLIDGE RD; LEFT ON ANDREWS AVE; SITE IS ON RIGHT
11BUILDING INFORMATION
Unit Type of
No Establishment
1 SINGLE FAMILY
[✓] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 854
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: P,j/�%� DATE: 01/28/2014
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT #.
MIKE DIFRANCESCO CONSTRUCTION, INC. (772-201-7'AGENT : ARNOLD SURVEYING, INC.
LOT: � BLOCK: N/A SUBDIVISION: CROUCHVILLE ACRES
ID # : 2323-601-0003-000-4 [ Tax ID Number
TO B11 COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUSTIPROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE -OF SUBMITTAL. COMPLETE ALL ITEMS.
MY SIZE CONFORMS TO SITE
PLAN:
[✓] YES [ ]
NO NET USABLE AREA AVAILABLE: 7.82 ACRES
ESTIMATED SEWAGE FLOW:
100
GALLONS
PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE 2 ]
.IZED SEWAGE FLOW:
400
GALLONS
PER DAY [ 1500 GPD/ACRE ]
RUCTED AREA AVAILABLE:
600
SQFT
UNOBSTRUCTED AREA REQUIRED: 473 SQFT
RK/REFERENCE POINT LOCATION: TOP OF IRON ROD 10' SOUTH OF POND ON WEST PROPERTY LINE
ON OF PROPOSED SYSTEM SITE IS1 [FT ] [BELOW '] BENCHMARK/REFERENCE POINT
THEIMINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURYACE WATER:75 FT DITCHES/SWALES:10 FT NORMALLY WET? [ ] YES [✓] NO
WELDS: PUBLIC:200 FT LIMITED USE:100 FT PRIVATE:75 FT NON—POTABLE:50 FT
BUI ING FOUNDATIONS FT PROPERTY LINES:10 FT POTABLE WATER LINES:10 FT
SI SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 EAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE
DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
NED WATER TABLE: INCHES [ABOVE/BELOW r] EXISTING GRADE. TYPE: [PERCHED /APPARENT ]
FATED WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE
WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
TEXTURE/LOADING RATE FOR SYSTEM SIZING:
FIELD CONFIGURATION: [ ] TRENCH [ ]
KS/ADDITIONAL CRITERIA:
BED
DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
EVALUATED BY; l� �✓`�% 77�/ DATE: 01/28/2014
INCHES
4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4