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Home My WebLink AboutDEPT OF HEALTH SEWAGE TREATMENT AND DISPOSAL APPLICATION CONSTRUCTION PERMT� + I ` SCANNED �rabltLo STATE OF FLORIDA PERMIT N0,5f jN /"/� 7 F DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: 7 '.h W SYSTEM., RECEIPT #:� APPLICATION FOR CONSTRUCTION PERMIT APPLI11 TION FOR: [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT : GRANDE CONSTRUCTION OF FLORIDA, INC I j AGENT I GREG OLDAKOWSKI, PRESIDENT TELEPHONE: 772-336-7240 I MAILI G ADDRESS: P.O. BOX 881765 PORT ST LUCIE, FL 34988 III TO BEICOMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A B_�E�R��SON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUNENTATION�OF THE DATE THE LOT WAS CREATED OR PLAT 41D (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. I PROPS TY INFORMATION LOT:, BLOCK: 38 SUBDIVISION: INDIAN RIVER ESTATES -UNIT 4 PLATTED: BOOK 10 I PROPE II TY TD #: 3402-605-0122-000-1 ZONING: RS-2 I/M OR EQUIVALENT: [ Yes ] PROPERTY SIZE: .51 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [w'0]<=2000GPD [ ]>2000GPD I IS SEI R AVAILABLE AS PER 381.0065, FS? [ Yes ] DISTANCE TO SEWER: N/A FT I PROPS TY ADDRESS: 4701 BUCHANAN DR., FT PIERCE DIREC I IONS TO PROPERTY: MIDWAY RD., EAST PAST U.S. 1 TO BUCHANAN DR„ NORTH TO PROPERTY I BUI I G INFORMATION [✓] RESIDENTIAL - [ ] COMMERCIAL Unit)I Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC I 1 SINGLE-FAMILY RES 3 . 3008 total 2 Z.O Z; ru I 3 II 4 �I I I [ ] Floor/Equipment Drains [ ] Other (Specify) ✓ �jZas, SI DATE: 7-10-18 DH 4915, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC - Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1354448 DEPARTMENT OF HEALTH PERMIT # 56-SF-1861945 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT it SE1089774 SITE EVALUATION AND SYSTEM SPECIFICATION APPLIC i Grande Construction of Florida CONTRACTOR R / AGENT: Grande. Construction LOT: 8 BLOCK: 38 SUBDIVISION: Indian River Estates ID#:3402-605-0122-000-1 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTR14XON NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPER iSIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.51 ACRES TOTAL E IMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTH03 D SEWAGE FLOW: 765.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1100.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCH! /REFERENC I�IE POINT LOCATION: Site BM #2 N&D E side of Buchanan near S property line extended ELEVATI L OF PROPOSED SYSTEM SITE 1.00 [ INCHE3 / FT ] [ABOVE / BELOW ] BENCHMARK/REFERENCE 'POINT IIJ THE XINIPM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE ATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES . [X]NO WELLS: i PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: 80 FT BUILDING i FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE CT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PR ILE INFORMATION SITE 1 SOIL PROFTI.E INFORMATION SITE 2 USDA So Munse L SERIES:Lawnwood sand J #/Color Texture Depth 10YR 4/11[l Sand 0 To 5 10YR 614111 Sand 5 To 17 10YR 3/31 I1 Sand 17 To 22 10YR 5/1 1I1I Sand . 22 To 37 10YR 6/1 1 II Sand 27 To 39. 10YR 3/311ll Sand 39 To 43 10YR 6111Ill Sand 43 To 58 10YR 4/4$j Sand 58 To 64 HOLE C/ ING Refusal 64 To 72 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 411 Sand . 0 To 17 10YR 5/1. Sand 17 TO 34 1 OYR 6/1 Sand 27 To 40 10YR 4/3 Sand 40 To 48 10YR 7/1 Sand 48 To 65 HOLE CAVING Refusal 65 To 72 I OBSERVE>�iWATER TABLE: 45.00 INCHES [ ABOVE/ BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATII�II WET SEASON WATER TABLE ELEVATION: 27 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH I R TABLE VEGETATION: [ ]YES [X]NO' MOTTLING: [X]YES [ ]NO' DEPTH: 27.00 INCHES SOIL TI TURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFI�': CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) RE l/ADDITIONAL CRITERIA [SI3 SWT d I miined using USDA WSS and soil borings. 0YR611 ipping in 10YR511 matrix >10% with diffuse boundaries starting at 27" In SB2. 1 3" above BM. SB2 T' above BM. SITE E II DATED BY: DATE: 07/18/2018 Ingram, Brian (Tit) Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015,IQ8/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1354448 EID1861945 v 1.0.2