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Home My WebLink AboutD O H PAPERWORKi, 1. y EIFILE ciyr STATE OF FLORIDA DEPARTI-MNT OF HEALTH 09SITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Lvdia and Peter Hall PROPERTY ADDRESS: LOT: 66 BLOCK: PROPERTY ID #: 4224-501-0066-000-8 Port Saint Lucie, FL 34952 PERMIT #:66-SF-1437967 APPLICATION #:AP1087463 DATE PAID: SUBDIVISION: Treasure Coast Air Park FEE PAID: RECEIPT #; DOCUMENT#: PR888908 SCANNED BY St. Lucie Counh, [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE_ SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT 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 T 900. 1 GALLONS GPD Septic CAPACITY A I GALLONS GPD N/A CAPACITY N I GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K I GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps D 500 1 SQUARE FEET R I SQUARE FEET A TYPE SYSTEM: STANDARD I CONFIGURATION: TRENCH N N/A [ I FILLED ExI BED SYSTEM SYSTEM [XI MOUND r I F LOCATION OF BENCHMARK: INTERSECTION OF SKY KING AND SKYMASTER I ELEVATION OF PROPOSED SYSTEM SITE 1 12.0011 FT ] [ ABOVE /� BENCH19LRK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE 1 10.00 1[ FT I [� BELOW I BENCHMARK/REFERENCE POINT L D I 0 T H E R �" �Uu��W; L 14U.UU] j INUMzb The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(�, FAC. SPECIFICATIONS BY: AndrX R N.w..d ) TITLE: Environmental Specialist 11 APPROVED BY: � 4 TITLE: Environmental Specialist II St. Lucie CHD 'd. ChAZA DATE ISSUED: 11/05/2012 EXPIRATION DATE: 0510512014 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAc Page I of 3 � 1.1.4 �1087463 SES62421 STATE' OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: I X I New System L I Existing System Holding Tank I I Repair [ I Abandonment Temporary APPLICANT: U-111111 PERMIT -SH &�3 �/o 7- DAT . PAID. FEE PAID : RECEIPT #: �:;CftvjiD r%ovaELVIe I I-Ucie cn,,,y AGENT: PAUL WELCH INC. TELEPHONE: 772 785-9888 MAILING ADDRESS: 1984 SW BI LTMORE ST. #114, PORT ST. LUCIE, FL 34984 - - - - - - - - - - - - - - - - - - - - - - - - - - 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. PROPERTY INFORMATION LOT: 66 BLOCK: SUBDIVISION: TREASURE COAST AIRPARK PLATTED: PROPERTY ID #: 422,47�QI-0066-000-8 ZONING: R I/M OR EQUIVALENT: I NO I PROPERTY SIZE: 4.70 ACRES WATER SUPPLY: I X ] PRIVATE PUBLIC [ ]<=2000GPD I ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? f Na DISTANCE TO SEWER: __�VA FT PROPERTY ADDRESS: LOT 66, TREASURE COAST AIR�ARK' DIRECTI6NS TO PROPERTY: SEE SITE PLAN BUILDING INFORMATION 511L, RESIDENTIAL COMMERCIAL Unit Type of No. of Building Commercial/ Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC RESIDENTIAL 3 BR 1700SF 2 Ploor�Rquipment Draln.s ZX) Dt�her� F SIGNATURE: PAIJLWELCH,P.E. PaRegNo29945 DATE. DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page I of 4 STATE OF FLORIDA APPLICATION # AP1087463 DEPARTMENT OF HEALTH PERMIT # 56-SF-1437967 ONSITE SEWAGE TREAT14ENT AND DISPOSAL SYSTEM DOCUMENT # SE882421 SITE EVALUAT . ION AND SYSTEM SPECIFICATION 'SCMN_SD j3v APPLICANT: Lydia and Peter Hall Lucie cat 1pit CONTRACTOR / AGENT: Paul Welch Inc. LOT: 66 BLOCK: SUBDIVISION: Treasure Coast Air Park ID#: 4224-501-0066-000-8 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUSI PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUB�UTTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES I ]NO NET USABLE AREA AVAILABLE: 4.70 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [I RESIDENCES-TABL OTHER -TABLE 2 AUTHORIZED SEWAGE FLOW: 7050.00 GALLONS PER DAY [1 1500 GPD/ACRE I OR 2500 GPD/ACRE UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMIkRK/REFERENCE POINT LOCATION: INTERSECTION OF SKY KING AND SKYMASTER ELEVATION OF PROPOSED SYSTEM SITE 12.00 [� / FT ] [ ABOVE /F� iLOW I BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 130 FT DITCHES/SWALES: 15 FT NORMALLY WET: I ]YES EXINO WELLS: PUBLIC: NIA FT LIMITED USE: N/A FT PRIVATE: 100 FT NON -POTABLE: N/A FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 140 FT POTABLE WATER LINES: N/A FT SITE SUBJECT TO FREQUENT FLOODING? E ]YES [X ]NO 10 YEAR FLOODING? [ ]YES XIN01 10 YEAR FLOOD ELEVATION FOR SITE: FT I MSL / NGVD I SITE ELEVATION: FT C MSL NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 1 OYR 311 Fine Sand 0 To 2 10YR 311 Fine Sand 2 To 6 10YR 4/3 Fine Sand 6 To 12 1 OYR 514 Sandy Clay 12 To 30 1 OYR 514 3ravelly & Larger Minera 30 To 54 1 OYR 5/3 3ravelly & Larger Minera 54 To 72 USDA SOIL SERIES:Wabanso sand Munsell #]Color Texture Depth 10YR 3/1 Fine Sand 0 To 6 1 OYR 3/1 Fine Sand 6 To 12 1 OYR 614 Sandy Clay 12 To 30 10YR4/1 Sandy Clay 30 To 54 10YR 5/3 3ravelly & Larger Minera 54 To 72 OBSERVED WATER TABLE: 6.00 INCHES [ ABOVE EEI EXISTING GRADE TYPE: I / APPARENT ESTIMATED NET SEASON WATER TABLE ELEVATION: 2 INCHES C ABOVE EEI EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES I ]NO DEPTH: 2.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING; Fine Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ I TRENCH [X I BED E I OTHER (SPECIFY) - REMARKS/ADDITIONAL CRITERIA SIM EVALUATED BY: .,....nza ..) t ,;C �ucio uourny trivironmenmi mea DH 4015, 08/09 (Obsolete. p�avioss editions which �y notrb7 ..ad) In. orated: 64E-6. 001, FAC INCHES DATE: 11/02/2012 Page 3 of 4 AP1087463 EIDW7967 v 1.0.2 d' r LOT: 66 STATE OF FLORIDA PERMIT DEPARTMENT OF EIEALTH� Sly. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS St, Lucie courltjt LYNDA & PETER HALL AGENT: PAUL WELCH INC. BLOCK: SUBDIVISION: TREASURE COAST AIRPARK PROPERTY ID #: 4224-501-0066-000-8 [Section/Township/Parcel No. or Tax ID Number]. TO BE 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: fX] YES [ I NO NET USABLE AREA AVAIIABLE:__,�.70 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: >400 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACREJ UNOBSTRUCTED AREA AVAIIA33LE: 2000+ SQFT UNOBSTRUCTED AREA REQUIRED: 1008 SQFT BENCMO.RK/REFERENCE POINT LOCATION: C/L SKYMASTER DRIVE ELEVATION OF PROPOSED SYSTEM SITE IS 12 [INCHES/FT] POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 15 FT NORMALLY WET? [ I YES [XI NO WELLS: PUBLIC: 200 FT LIMITED USE: 100 FT PRIVATE: 75 FT NON-POTABLE:-50 FT BUILDING FOUNDATIONS: 6 FT PROPERTY LINES: . 10 —FT POTA13LE WATER LINES: 100 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES EXI NO 10 YEAR FLOODING? [ I YES [XI NO 10 YEAR FLOOD ELEVATION FOR SITE: BM-6"+/- FT MSL/NGVD SITE ELEVATION:, BM + 12"+/- MSL/NGVD �Ul� V�VbIbZ lNb'VkCMAXIL)N SITE I 14UNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: MUNSELL #/COLOR TEXTURE DEPTH TO_ TO TO TO TO TO TO TO TO USDA SOIL SERIES: OBSERVED WATER TABLE: 12 INCHES [ABOVE 5E� EXISTING GRADE. TYPE: IrEll / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ABOVE / EXISTING GRADE HIGH WATER TABLE VEGETATION: f ] YES (X] NO MOTTLING: [ I YES [XI NO DEPTH: - INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 0.6 — DEPTH OF EXCAVATION; 84 INCHES DRAINFIELD CONFIGURATION: E I TRENCH E X] BED I I OTHER,(SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY; Pla Reg No. 2994S Dazw; I C. - 30 - rL- DB 4015, D8109 0bsOlebss� ptsvloua ediblons, which nzay not be used) )nCorpora�edl a4r�S.DW, FAC Page 3 oE A