HomeMy WebLinkAboutD O H TREATMENT - DISPOSAL CONSTRUCT PERMIT-Fqp STATE OF FLORIDA C TRAX #: 56-SF-07762
r-
DEPARTMENT OF HEAL E PAID:
ONSITE SEWAGE TREA L
POSC
u
P E PAID $
CONSTRIICTION PERMI R CEIPT
OSTDSNBR 04-1032- -N
f�
NSTRUCT ON PERMIT FOR:
X ]New System [ ]Existing System [ ]Holding Tank
]Repair [ ]Abandonment [ ]Temporary
] Innovative .Other
PPLICANT: Louran Bldrs. / Garcia AGENT:ATLANTIC LAND DESIGN
ROPERTY STREET ADDRESS: 625 Coconut Ave Port St. Lucie FL 34952
OT: 31 BLOCK: 1 SUBDIVISION: River Park
[Section/Township/Range/Parcel No.]
ROPERTY ID #: --- [OR TAX ID NUMBER]
YSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF CHAPTER 64E-6,FAC
EPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC TIME
ERIOD. ANY CHANGE IN MATERIAL FACTS WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT,
EQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS
•ERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM
OMPLIANCE WITH OTHER FEDERAL, STATE OR LOCAL PERMITTING REQUIRED FOR PROPERTY DEVELOPMENT.
I
YSTEM DESIGN AND SPECIFICATIONS
[ 900 ]Gallons SEPTIC TANK MULTI-CHAMBERED/IN SERIES: [Y ]
I 0 ]Gallons MULTI-CHAMBERED/IN SERIES: [Y ]
i [ 0 ]GALLONS GREASE INTERCEPTOR CAPACITY
[ 0 ] GALLONS DOSING TANK CAPACITY [ 0 ]GALLONS JJQ [0 ]DOSES PER 24)nHHRSS #�U�PS[
0462 S DARE FEET PRIMARY DRAINFIELD SYSTEM�/v G' /�
[ ]SQUARE
[ 0 1 ]SQUARE FEET SYSTEM
TYPE SYSTEM: [ N ]STANDARD [ Y ]FILLED [ N ]MOUND [ N ]
CONFIGPR.ATION: [ N ]TRENCH [ Y ]BED [ N ]
LOCATION TO BENCHMARK: C/L of Road Center of Lot
ELEVATION OF PROPOSED SYSTEM SITE [ ] [ INCHES ] [ ABOVE]BENCHMARK/REFERENCE POINT
BOTTOM OF DRAINFIELD TO BE [ 0.0 ] [ INCHES ] [ ABOVE)BENCHMARK/REFERENCE POINT
FILL REQUIRED:[ 12.0 ]INCHES EXCAVATION REQUIRED: [ 84.0 ] INCHES
)THER REMARKS:
'he licensed contractor installing the system is responsible for installing the minimum
:ategory of tank in accordance with s. 64E-6.013(3)(f), PAC.
Home stubout invert to be 12 inches above reference point.
Excavate 411xl4'x7' deep.
Sleeve potable water lines within 10 feet of drainfield.
Potable water lines may not be installed within 2 ft of drainfield.
;PECIFICATIONS BY:POLISSKY, JODI
TITLE:
--r2
APPROVED BY: Polissky, Jodi L TITLE: Environmental Spec St. Lucie
nTTTJ-rOOTTLITI_ 7•f /" /AA T}V TITTIT mTr•�r rnmr. /� /w�
u
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE DISPOSAL'SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
kPPLICANT: Louran Bldrs. / Garcia
kGENT: ATLANTIC LAND DESIGN
:,OT: 311 BLOCK: 1 SUBDIVISION: River Park
CENTRAX #; 56-SF-07762
OSTDSNBR : 04-1032-N
70 BE COMPLETED
wu PRO
BY ENGINEER,
TRATION NUMBER
HEALTH DEPARTMENT EMPLOYEE,
AND SIGN AND SEAT EACH PAGR
OR OTHER QUALIFIED PERSON. ENGINEER'S
OF SUBMITTAL-nM T TT TTEMR
?ROPERTY
SIZE CONFORMS TO SITE PLAN: (XI YES [ ]NO
NET
USABLE AREA AVAILABLE: 0.31 ACRES
-OTAL ESTIMATED SEWAGE FLOW:
300 GALLONS
PER DAY
[64E-6, TABLE 11
LUTHORIZED SEWAGE FLOW:
775 GALLONS
PER DAY
[1500GPD/ACRE OR 2500GPD/ACRE]
JOBSTRUCTED AREA AVAILABLE:
1200 SQFT
UNOBSTRUCTED AREA REQUIRED: 857 SQFT
REFERENCE POINT LOCATION: C/L of Road Center of Lot
OF PROPOSED SYSTEM SITE IS 6.00 [ INCHES ]_[ ABOVE ]BENCHMARK/REFERENCE POINT
'HE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES:
SURFACE WATER: N/A FT DITCHES/SWALES: 15 FT NORMALLY WET? [ ]YES [ X ]NO
TELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT NON -POTABLE: N/A FT
3UILDING IFOUNDATIONS: 5 FT PROPERTY LINES: 11 FT POTABLE WATER LINES: 10 FT
'ITE SUBJECT TO FREQUENT FLOODING: [ ]YES [ X ]NO 10 YEAR FLOODING? [ )YES [ X ]NO
1-0 YEAR FLOOD ELEVATION FOR SITE: 0 FT NGVD SITE ELEVATION: 0 FT NGVD
SOIL PROFILE INFORMATION SITE 1
Munselll#/Color Texture Depth
1eVR-6/11 _r_v Finp Cand n to 14
I
1nVR_6/2_T. R [lV Finp Sand 14 tO IA
1 nVR-7/1 T. 92V Finp Cand 7n to 36
TnVR_S/2_� RN Finp Cand '46 to 40
1 nVR-2/1 _R'K Hard= an 4n tO 49
1nVR-9/I_RN Finp Cand T.n 4A tO SA
1nVR:5/ _RN Rpfnaal SA tO 72
to
USDA SOIL SERIES: 2 Ankona Sand
SOIL PROFILE INFORMATION SITE 2
Munsell #/Color Texture Depth
1nVR-6/1-ay Finn Capri n t0 1A
1 nVR-6r/2-T. R AV Fins Cand 1 A t0 Cn'
1 nyR-7/1 -T. aV Finp Cand 3n t0 7f,
10YR-5/2-r. RN pimp Cand A t0 42
IOYR-2/1-BK Aar Pan 42 tO 49
1nVR_S/-4_RN Finp Cand. to 4A tO 6n
1nVA_8;/lq_RN RpFnaal fin to
i
t0
USDA SOIL SERIES: 2 Ankona Sand
)BSERVED WATER TABLE: 30.00 INCHES [ BELOW ] EXISTING GRADE TYPE: [PERCHED
0TIMATED WET. SEASON WATER TABLE ELEVATION:30.00 INCHES [ BELOW ] EXISTING GRADE.
iIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [XI NO DEPTH: 0.0
30IL TEXTURE/LOADING RATE FOR SYSTEM SIZING Fine Sand/0.70 DEPTH OF EXCAVATION:84.0
)RAINFIELD CONFIGURATION: [ ]TRENCH [ X ]BED [ ]OTHER (SPECIFY)
2EMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY: BRUCE MC LEOD
DATE: 12/2/04
INCHES
INCHES
3H 4015, 03/ 0 (obsoletes previous editions which may not be used)
(Stock Number: 5744-003-4015-1) (ostds_eval_4015-3]
Page 3 of 3
O.
STATE OF FLORIDA PERMIT DATE
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMM AND DISPOSAL FEE PAID:
SYSTEM RECEIPT:
APPLICATION FOR CONSTRUCTION PERMIT
?PLICATIQN FOR:
X ] Newisystem [ ] Existing System [ ] Holding Task [ ] Innovative
] Repair [ ] ameat [ ] Temporary [ ]
PPLMCAM is Louran Builders -Garcia.
11
SENT: At7.aatic Laced Design TELEPHONE: 398-4290
1
AILING ADDRESS: 1218 sE Industrial Boulevard, Port St. Lucie, Florida 34952
O BE COLLETED SY ' APPLICMT OR APPLICANTS AUTSORIZED AG8N1'. SYSTEMS MST 88 CONSTRUCTED
Y A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS TEE
PPLICANTIS RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
SLATTED (M/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATBBR PROVISIONS.DATE
•--------�-------------------------------------------------------
PROPERTY INFORM)►TION
,OT: 31; BLOCK: 1 _ SUBDIVISION: River Park -Unit 2 PLATTED:
I
?ROPERTY ID #: [Section/Township/Range/Parcel No.] ZONING:WPUBLIC
PROPERTY SIZE:` .31 ACRES [Sgft/43560� �f +PROPERTY WATER SUPPLY:
BROPERTYISTREET ADDRESS: 625 Coconut � 34952
J_T
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING IINFORMATION
unit
No
1
2
3
4
I
[ X ] Gaibage Grinders/Disposals
[ ] Ultra -low Volume Flush Toilets
I
I
APPLICANT'S SIG
M 4015,1 10/97
1
At r% ■AH----�--
[ X ] RE im -AL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedroa®s Area Sgft Table 1, Chapter 64$-6, FAC
3
[ 8 ] Spas / Not Tubs [ ] Floor/Equipment Drains
[ ] Other (Specify)
DATE: 10/20/04
Page 1 of 3
STATE OF FLORIDA PERMIT
DEPARTMENT OF MALTS
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE LVALIIATION AND SYSTEM SPECIFICATIONS
PLICAm., Louran Builders-Gatci.a _ AGENT: Atlantic Land Design
T: 31', BLOCK:
1 SUBDIVISION: River Park Unit 2
OPERTY ID #: [Section/T0mmShip/Parcel No. or Tax ID Number]
I BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENZ' EMPLOYEE, OR OTHER QUALIFIED PERSON. ALLENGITEMS
fST PROVIDE REGISTRATION MMER AND SIGN AND SEAL' EACH PAGE OF SUBMITTAL- COMPLETE ALL I'1'ffi�lS.
tOPERTY SIZE CONFORMS TO SITE PLAN: [ X ] YES 13 NO NET USABLE AREA AVAILABLE31 ACRES
F
)TAL ESTIMATED SEWAGE FLOW:
300 GALLONS •PER DAY [RESIDENCES -TABLE 1/OTBEi-TABLR2]i
TTSORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACR$ OR 2500 GPD/ACRE]
QOBSTRIICTED AREA AVAILABLE: 900 SQPT UNOBSTRUCTED AREA REQUIRED: SQFT
3NC/RBFERENCE POINT LOCATION: Centerline of road at midpoint of lot
CaVATION OF .PROPOSED SYSTEM! SITE IS_�, LImMHES/FT3 [ABOO /BELOW] B—=C.NlW/FjmmUgmE POINT
MINIMUM SETBACK WHICH CART BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
EM URFACE TER: 100 FT DITCHES/SWALES: _ 15 FT NORMALLY WET? [ ] YES [ X ] NO
ELLS: PUBLIC: 200 FP LIMITED USE: 100 FT PRIVATE: 75 FT NON -POTABLE:_ 50FT
UILDINGIFOUNDATIONS: 7 FT PROPERTY LINES: 11 FT POTABLE WATSR.._LINES: 100 FT
:ITE SUBJECT TO FREQUENT FLOODING:[ ] YES [ x ] NO
.00 YEAR FLOOD ELEVATION FOR SITE: FT MSL+/NGVD
• rr
TO
TO
TO
TO
TO
TO
TO
TO
USDASOIL SERIES:
too YEAR FLOODING? I ] YES [X] NO
SITE ELEVATION:_ FT MSL/NGVD
A
MONSELL $/COLOR TEXTURE DEPi'S
TO
TO
TO
TO
TO
TO.
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE: 37+ _ INCHES IASOVE / ] EXISTING GRADE. TYPE:[PERCBED / APPAFa=l
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE /BELOW] EXISTING GRADS
HIGH WATER TABLE VEGETATIOmT: [ ] YES I 3 NO MOTTLING:DEPTH:
I ] YES [ 3 NO IDS
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: ISMS
Di A32 FIELD CONFIGURATION: 13 TRENCH L x] BED 13 OTHER (SPECIFY)
RBbtARSS/ADDITIONAL CRITERIA:_
SITE EVALUATED BY:
DATE: 10/20/04
= 4015,1 10/96 (Replaces ERS-H
31 AdA may be used)
Page 3 of 3