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Home My WebLink AboutD O H SEWAGE TREATMENT APPLICATION PERMITs I APP CATIC [ New [ ] Rev AGENT: 0 1Q, STATE :OF FLORIDA PERMIT NO.-SF-14�383 DEPARTMENTOF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: c' SYSTEM RECEIPT #: n,raa APPLICATION FOR CONSTRUCTION PERMIT NED N FOR; i Lucie County System Existing System [ ] Holding Tank { ] Innovative it [ ] Abandonment [ ] Temporary [ ] Jerry & Sylvia Lawson ZNER SURVEYING INC TELEPHONE(772.) 288 7206 ADDRESS: 2740 SW MARTIN DOWNS BLVD #333, PALM CITY, FL. 34990 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY 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 PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER' PROVISIONS. INFORMATION LOT: 31 BLOCK: N/A SUBDIVISION: iiIVER BRANCH ESTATES PLATTED: August 1989 PROPERTY ID #: 3404-809-0007-000-1 ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: 0.50 ACRES WATER.SUPPLY: [] PRIVATE PUBLIC [11 ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5144 Cherry Palm Way, Fort Pierce Fl, 34981 DIRECTIONS TO PROPERTY: SEE ATTACHED BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL I Unit Type of No, of Building Commercial/Institutional: System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 ' RESIDENCE 3 2220 2 3 4 i 1 ] Floor/Equipment Drains [' ] Othe (Specify) i SIGNATURE: DATE: 7-10-18' ' DH 4015, 10/97 (Previous Edition May Be Used) ONLINE VERSION Page 1 of 4 APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. i STATE OF FLORIDA DEPARTMENT OF HEALTH, ONSITE SEWAGE TREATMENT AND.DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: I Jerry & Sylvia Lawson APPLICATION # ; AP1357964 PERMIT # 56-SF-1867383 DOCUMENT # 8E1'.090166 CONTRACTORS/ AGENT: KARNERINC LOT: 3 BLOCK: SUBDIVISION: River Branch Estates ID#: 3404-809-0007-000-1 TO HE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X,]YES [ ]NO NET USABLE AREA AVAILABLE: 6.50 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLE/ ./ OTHER -TABLE 2 ] 1500 GPD/ACRE OR [2500 GPD/ACRE AUTHORIZED SEWAGE FLOW: 1250.00 GALLONS PER DAY [ UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000:00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange paint "X" CL of Rd on N side of s. ul-de-sac. ELEVATION OF PROPOSED SYSTEM SITE 19.00 [ INCHES / FT ] [ ABOVE;/ BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES.:' FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS•: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 76 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X],NO 10 YEAR FLOODING? [ ]YES EX]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD RnTT. PROFTI.F. TNFC) TON STTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Riviera fine sand I Munsell #/Color Texture Depth 10YR 3/2 Fine Sand 0 To 6 10YR 4/1 Fine Sand 6 To 26 10YR 5/1 Fine Sand 2:1 To 36 1 OYR 5/2 Fine Sand 36 To 40 1OYR 5/1 1 Sandy Clay Loam 40 To 55' 1 OYR 5/1 f Loamy Sand 55 To 61 10YR 511 Sand 61 To 72 I I USDA SOIL SERIES:Riviera fine sand Munsell #/Color Texture Depth 1 OYR 3/2 Fine Sand b To 6 10YR 4/1 Fine Sand 6 To;.26 1OYR 5/1 Fine Sand 26 To.38 1 OYR 5/2 Fine Sand 38 To 45 10YR' 5/1 Sandy'Clay Loam. 45 T0.55 1 OYR 5/1 Loamy Sand" 55 To 66 1 OYR 5/1 Sand 66 To 72 OBSERVED WATER TABLE: 66.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ .PERCHED ./ APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH:_ 21.00 INCHES I , £.61IL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELDICONFIGURATION. [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) -REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. R611 stripping in a 1 OYR4/1 matrix >10% with diffused boundaries starting @ 21" in SB1. and 8B2 h9" above BM. SITE EVALUATED BY: Ingram, Brian (Title: Environme t Specialist II) (ENVIRONMENTAL HEALTH) ^DR 4015, 08/i9 (Obsoletes previous editions which may not used) Incorporated: 64E-6.001, FAC AP1357964 EID1867383 DATE: 08/16/2018„ Page 3 of 4 v 1.0.2 - f STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT APPLICANT:-- u'' � C3' ,' Sylvia i ct<SC F AGENT: _ 'i '" :, SURVEY--, NG� ENC LOT: BLOCK:' ='_ SUBDIVISION: _ly.R =? =Sq`' =� I PROPERTY ID #:3404-809-0007-000-1 [Section/Township/Parcel NO. or Tax ID Number] TO BE COMPLETED $Y ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON: ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE'ALL ITEMS.. PROPERTY SIZE CONFORMS TO SITE PLAN: [-1] YES [ ] NO NET USABLE AREA AVAILABLE: 0.50 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE23 AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 965 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT t BENCHMARK/,REFERENCE POINT LOCATION: Found Iron row at center _ Cu �eSac at El. 10.63 NAND ELEVATION�OF PROPOSED SYSTEM SITE IS_ __ [INCHES/FT] [ABOVE/BEZ;OW] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 7S FT DITCHES/SWALES: 15 FT NORMALLY WET? [ ] YES [ ] NO WELLS: PUBLIC:h/A FT LIMITED USE: FT PRIVATE: 7�'- FT NON -POTABLE 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [-4] NO 10 YEAR FLOODING? [ ] YES [y] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD JKME�'i'LVN- SL'L'Y7 J. TEXTURE DEPTH TO I _ USDA SOIL SERIES: TO TO TO TO TO TO TO DRMATION S.LIXN Y COLOR USDA SOIL SERIES: TEXTURE DEPTH' TO TO TO TO TO TO TO TO TO OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE:[PERCHED /APPARENT] ESTIMATED1 WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES A SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF.EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [�] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVAI;UATED 'BY : - DH 4015, "10,/96 (Replaces M-H Form 4015 (p'ug4 3] which may be used) `DATE : Page 3 of 4 n HEATH - +PAYING ON: I RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port -Saint Lucie, FL 34983 PERMIT* 56-SF-1867383 BILL DOC #Z&BID-3858350 CONSTRUCTION APPLICATION #t AP130964 KARNERINC AMOUNT PAID: $ 515.00 CHECK 2003 PAYMENT DATE: 08L4/2018 MAIL TO: jJerry& Sylvla Lawson FACILITY NAME PROPERTY LOCATION: 5144 Cherry Palm Way Fortl Pierce, FL 34981' 3 Lot Block: Property ID:, 3404-809-0007-00071• EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research fee 1 $ 5.00 -1 - Surchlarge.(All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100:00 123 OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod; Amendment) 1 $ 55,00 127 = OS { DS Construction -System Inspection 1, $ 75,00 133 - OSTDS Construction Reinspection 1 $ '50..00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3633847 Eli X k �RB,ani'•`Y i'-0 at 7.�>xi h Y' 5 rDxE}h.'NiaCYk'`s �X��z�r:s@`ss. rya xzxv z X x�Y'Y�1s �""M MU �., Wx � XYa3N.tX R0 X �� s �a s A . t iIF 1 "A ry } t- n.a. P, A in i . ien\ IRS 48 i Y•..XY�x;. - c sa h �z a IVY 15' r A e w ip, u o wt k�s Aga Custom Soil Resource Report Lucie County, Florida 38-Riviera fine. sand, 0 to 2 percent slopes Map Unit Setting . National map unit symbol. • 2tzw2 Elevation: 0 to 80 feet Mean annual( precipitation: 44 to 59 inches Mean;annual air temperature; 68 to 77 degrees F Frost -free period., $50 to 365 days Farmland classification; Farmland of unique importance Map Unit Composition Riviera and similarsoils. 80 percent Minor components: '20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Riviera Setting Landform: Drainageways on marine terraces, flatwoods:on. marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -slope shape: Linear, concave Parent material: Sandy and loamy marine deposits 'Typical profile. A - 0 to 6 inches: fine sand E - 6 to 28 inches fine. sand Bt/E - 28 to 36 inches: fine sandy loam Btg - 36 to; 42 inches: sandy clay. loam C 42 to 80 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 ,inches Natural drainage class: Poorly drained Runoff class: Very high, Capacity of the most limiting layer to transmit water (Ksat) .Moderately high to high (0;60 to 6.00 in/hr) Depth to water table: About 0 to 12 inches Frequency of flooding: None Frequency of ponding: None Salinity maximum in profile; Nonsaline to very slightly saline (0.'0 to 2.0 mmhos/cm) Sodium adsorption ratio; maximum in profile: 4.0 Available waterstorage in profile Low (about 5;8 inches) Interpretive ,groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group:: A/D Ecological site: Slough (R155XY011 FL) Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL). 10 I Custom Soil Resource Report 48—Wabasso sand, 0 to 2 percent slopes Map Unit Setting. National map unit symbol; 29vyr Elevation: 0 to 70 feet Mean annual precipitation: 46 to 55 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period. 355 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Wabasso and similar soils: 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transects of the mapunit., Description ,of Wabasso Setting Landform: Fiatwoods on marine terraces Landform position (three-dimensional): Tread, .talf Down -slope shape: Linear Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A 0 to 6 inches: sand E - 6 to 25 inches: sand Bh - 25 to 30 inches: sand Btg - 30 "to 58 inches: sandy clay loam Cg - 58 to 80 inches: 'loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 9 to 50 inches to strongly contrasting textural stratification Natural drainage class: Poorly drained Runoff class: Very low Capacity of the most limiting layer to transmit water (Ksat): 'Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum in profile: 5 percent Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Very low (about 1.4 inches) Interpretive groups Land capability classification (irrigated): None specified 12