HomeMy WebLinkAboutLETTER ABOUT EXISTING ON SITE SEWAGE SYSTEMMission:
j To protect,; promote & improve the health
of all peop+e in Florida through integrated
state, cou ty & community efforts. HEALTH
Vislon : To be the Healthiest State in the Nation COG®f
4 49
Keith Isernia
6001 Myrtle Dr
Fort Pierce, FL 34982
January 31, 2019'
SCANNED
BY
St Lucie Cot
�lnjy
RBI: Contingency Letter �
Application Document No: AP1388O55
C�ntrax Permit Number: 56-SF-1863486
(ATDS Number:
60�01 Myrtle Dr
Fo`I Pierce, FL 34982
I'
Lot:25 Block:66 Subdivision: Indian River Estates
DLr Applicant:
T is will acknowledge receipt of an application dated 12/13/2018 for a permit to use an existing
o site sewage treatment and disposal system located on the above referenced property.
Fr'bm a review of your completed application, it has been determined your existing system. is
ad ,equate for the proposed use.
If ',ou have any questions on this matter, please call our office at (772) 873-4905.
Sincerely,
Brian Ingram, Environ ental Specialist II
Ron DeSantis
Governor
Florid (Department of Health www.FloridasHealth.com
in ST. L - CIE COUNTY TWITTER:HealthyFLA
5150 NIyII Milner Dr, Port Saint Lucie, FL 34983 FACEBOOK:FLDepartmentofHealth
PHONE (772) 873-4931 . FAX: (772) 873-4893 YOUTUBE: fldoh
Cd
x STATE OF FLORIDA
DEPARTMENT OF HEALTH
iti. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
VJ SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICATION # AP1388055
PERMIT # 56-SF-1863486
DOCUMENT # SE1150585
APPLICAN Keith Isernia PP A .
as
CONTRACTOR / AGENT: Keith Isernia
�gB �a
LOT: 25 BLOCK: 66 Lu
cie
ucie l4��eouq,
SUBDIVI ION: Indian River Estates ID# : 3402-609-0523-000-4
TO BE CO LETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRAT{ON NUMBER.AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY IIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.28 ACRES
I.
TOTAL ES MATED SEWAGE FLOW: 300 GALLONS PER DAY [ R—TABLE1 ESIDENCES/ OTHER —TABLE 2 ]
AUTHORIZ D SEWAGE FLOW: 345.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
REFERENCE POINT LOCATION: Orange Spot On SW
OF PROPOSED SYSTEM SITE 2.00 [ 1:NCHE:
of screened enclosure
/ FT ] [ ABOVE /IBELOWI] BENCHMARK/REFERENCE POINT
THE MINIifM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACETTER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 78 FT NON —POTABLE: FT
BUILDING OUNDATIONS: 5 FT PROPERTY LINES: 8 FT POTABLE WATER LINES: 45 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR IIOOD'ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROEIILE INFORMATION SITF. 1 SOIL PROFILE INFORMATION SITE 2
USDA SOI
Munsell
SERIES:Lawnwood sand
#//Color Texture
Depth
10YR 4/2
Sand
0 To 13
10YR 4/1
Sand
13 To 25
10YR 5/1
Sand
25 To 40
1 OYR 6/1
Sand
32 To 40
10YR 2/1
Spodic Material
40 To 45
10YR 3/4 JIj
Sand
45 To 52
10YR 4/3
Sand
52 To 72
I�
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 3/3
Sand
0 To 9
10YR 4/1
Sand
9 To 21
10YR 511
Sand
21 To 33
10YR 6/1
Sand
33 To 39
10YR 2/2
Spodic Material
39 To 45
10YR 3/3.
Fine Sand
45 To 62
HOLE CAVING
Refusal
62 To 72
OBSERVED TER TABLE: 40.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 32 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATIIR TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 32.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/ DEPTH OF EXCAVATION: INCHES
DRA3:NFIE I CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
RE S/ADDITIONAL CRITERIAW WST Det rlrmined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundies starting at 32" in SB1
SITE EVALUATED BY:
Ingram, Brian (Title: E ronmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, OI/09 (Obsoletes previous editions which Y not be used) Incorporated: 64E-6.001, FAC
DATE: 01/31/2019
Page 3 of 4
AP1388055 EID1863486 v 1.0.2
[ ]
APPLI
AGENT
`" �� STATE OF FLORIDA PERMIT NO.
DEPARTMENT OF HEALTH DATE PAID: 2 l
'c• ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: O
SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
ON FOR:
System [ Existing System [ ] Holding Tank [ ] Innovative
air [ ] Abandonment [ ] Temporary [ l
1K I -��F LSD 0- i
ADDRESS: Coco
TELEPHONE :7 7? ,10/ 0 Z
zR 3t(9'rZ
TO BE �FOMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PiRSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLI p T'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF_ STATUTORY -GRANDFATHER -PROVISIONS
.
PROPERTY INFORMATION `
LOT: BLOCK: SUBDIVISION:-f��:� _ PLATTED:
I
PROPERI Y ID # : 2(l UZ (co ZONING: 12s I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: a 1-3ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [tom ]<=2000GPD [ 1>2000GPD
I
IS SE IR AVAILABLE AS PER 381.0065, FS? [ Y /Q� DISTANCE TO SEWER: FT
PROPER1IY ADDRESS: 6021 . h (, I � -,7SQ
6
DIRECTONS TO PROPERTY:
Ij
BUILDIIIG INFORMATION [ SIDENTIAL [ ] COMMERCIAL
11 Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
2
3
i
i
4
[ ]I loor/Equ ment 4ras [ ] Other (Specify)
S2GNAT DATE: I �_, ! 3
DH 401 , 08/09 (Obsoletes previous editions which may not be used)
IncorPgFated 64E-6.001, FAC Page 1 of 4