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Home My WebLink AboutD O H PAPERWORKPROPERTY ADDRESS: 333 Baysinger Ave Fort Pierce, FL 34982 LOT: 7-16 BLOCK: 9 SUBDIVISION: Regina Palms PROPERTY ID #: 3403-501-0219-000-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] i 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 SPECIFICATIONS T [ '900 ] GALLONS / GPD SeDtic New CAPACITY A I ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K I ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 376 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfield New SYSTEM N/A SYSTEM STANDARD [ ] FILLED pr] MOUND [ ] TRENCH [ ] BED [ ] Site BM set nail & disk in crown of road I ELEVATION OF PROPOSED SYSTEM SITE [ 20.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 27.00 ][ INCHES FT ] ABOVE BELOW] BENCHMARK/REFERENCE POINT L D FILL REOUIRM r 1jS nn, 0 T H E R system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist x APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD Bunter A Collie DATE ISSUED: 04/29/2019 EXPIRATION DATE: 10/29/2020 DR 40161 08/09 (Obscletes all previous editions which may not be used) Incorporated: 64E-6.003, FAO Page 1 of 3 v 1.1.4 AP1409822 SE1163778 'IG�Jtv- Ft 8 .Or SPATE UP ftORIDAPERMITAPPEICATION TO CONSTRUOT; REPAIR; MODIFY, ORAAANDONAVELL I]`SOuftsbt FLFASEALLOUrALLWKICABLEFIELDS' ❑Noithweat (•Denotes:RequlradFterds-WhereAppikable) 13 St Johns Muir ygatandadorkraspbnsn84iroompsBna LISouth, Flolfda p� ibmandPolwa�ingawps�rnRapptkabonfoRa LI Suwanhee River eupmn eredoreyarodaurna ry apyviatre 0 DER 13DetegaWAUtho(ity(IfAPPlicabley— -.---- `.----- t.andacape'trrtge8on__fldeiturrl trdgatton. _tiecea6ortnAreaIntgaUon d< led UselDOH) W Intgatlon: imiti111yorNahCorofnunHylUEP). `Ccmmw'd2UNdLL9tilal _ PolfCoww dg`atkm _-Rewvery _- Afr*_arge Deplft'�ff... jet% •State '71P'-- -Telephone: Number - b -_ eiodi� Unlf Check ifOZ-04:. Yes. E-mall dress. 5' -UgNy� 1 2 9 2019 12. EsHmated.Start Data-- - -- - . open How: Frum_To. -.--_8 it37rlmsry.Crsb�M®terfeU =Black Steel, �Getvantzad �PVO=5lafitess:Steel' __No_tGased 16.SecoridaryCastn9 'refeampeGes(ng,._Uner._SLr cocadno Dfam®fer__. _ _In. 17. Secondary CaW gl MatedsL• __Black Wet GaNaniied__PVC Jef_SWnless Steet- 18.*Maftd bf Cdbftc ion, ttepat orAbandonm rW -. -.Auger t%Cabte Taol__ Aftad - _ _ Rotary =Sort¢. . _CombhW*rl (f Wa or More'Methcda) -_}land Otfven (vMl PcK Sand f'01nQ _Hychuuo Point (Direct Push) _Hodzordal (Milling---PtugBw bIrAPArevad Mafift _-Otlier (oram6at-- Ustmunberofoidstingunusedweltsonstts - -- -- - orCUPAdA,1PApplfcmfon't-_.-Yes ✓_No, Byes.complete the fbUowkg:CUPANUPNo_ -- —_- --. DkWctWell IDNo. Lat[Wrfe. - - Longitude. DataOWMWFrom:=GPS _htaP - -Suzy Datum:,_NAD27_W83 WGS84 �rarcgarrwmmwanti. eclamt:li(M01{tlN.W.iWLL/d+r�iha9enr�.WWltwly r NCaroM�a@MMP@aatlY+o8tl4Ni� h'fICYR .^��.Ppxllllld,d.rMkNJ�p _ biCM�aCPLTb C0A6i0 NeSrypgit pImiJ�YrM0LUtm1�o1�adi�pF/x0'k4Ne✓Vai1arRllACIWb@l1 �GI WNrwat�1{J@dCMN1tlifYmY�.TU'tieLaaI�Q'DCLbWd YEPR1�ep1YN�YgO tJMriI@aK91�ihQIaWkLYfRr+�OJ4sYltbfaMiliAL�i gWWMRYY`vwK�G,q1b\M4 30 mb%aY :F!la'!/h1@1CRtltp4E.D3T1iPO.'=bMYiLCb1l1Cl1iI.YfI�OR_B1CYbeIQrpQpAAW�NQYR(��W1I➢1ewpYCiW�N0Cil0ptld0.lMa��Cb'ia,YadP0Y1bM,a� 1l' pwm YSIY, tW. rowcrawdey „o- A -1L^-= --.. -- IsweDatb cl L`1. 15__ Ex*wcothi.141Li11.o. HydrdogetAppm Rxetved a,._ - -- _ _ — ftewitNe. -- --- --_- - - _--. _ _ Chick Ift, _ M M1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT WRL PWN)t-QNO. 5q-agy,!! PERMIT NO. _g -Iej alai DATE PAID. FEE PAID: RECEIPT #: .Qttp L APPLICATION FOR: [� New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: ' ` �// .1/ 2 )% M 0, e 4 Y-YYJ I 1 " r� y� AGENT: �{Ch/K l.. )/l�f-YI'li,�„P VS �„ C ��¢�'f-yn�,eSt� GjSST Th<TELEPHOCNE: 172- 201 '7 L g% MAILING ADDRESS: �$ L(U GQ+n,d 5'carl PI nL I tz�)L ] it Pl-e,rct. rl L 31/192 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:7= (> BLOCK: -1 SUBDIVISION: R%S« in i PkLYKn PLATTED: PROPERTY ID #: 39o'-j !4o oaB Ado-Z ZONING: _ RS 3 I/M OR EQUIVALENT: [ Y ' PROPERTY SIZE: 452S41IT ACRES WATER SUPPLY: [� PRIVATE PUBLIC I ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / 03 PROPERTY ADDRESS: DIRECTIONS TO PROP BUILDING INFORMATION Unit Type of No Establishment 1 5irlli%4- FAr tL� 2 3 4 ['P ] Floor/Equipment SIGNATURE: DISTANCE TO SEWER: FT [tT RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6 PAC Other (Specify) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: _ e% % f/ " 201 Q Page 1 of 4 STATE OF FLORIDA APPLICATION 0 AP1409822 DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT q 56 SF-1942721 SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT #SE1163776 AVPLICANT: Timothy & Audra O'Carroll CONTRACTOR / AGENT: D(Francesio Construction Inc. LOT: 7-16 BLOCK: 9 SUBDIVISION: Regina Palms IDO: 3403-501-0219-000-2 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 1.70 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2650.00 GALLONS PER DAY EL 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOPSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM set nail & disk In crown of road ELEVATION OF PROPOSED SYSTEM SITE 20.00 [ INCHES]/ FT ] BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 55 FT POTABLE WATER LINES: 21 FT SITE SUBJECT -To FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOl 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD] SITE ELEVATION: FT [ MSL / NGVD SOTT. PRORTT.R T°II4Nnv"MvT .. SOIL SERIES:Taxttile sand y sell #/Color Texture Depth 3/1 F Sand 0 TO 10 4/1 Sand 10 To 23 6/1 Sand 12 To 23 7/1 Sand 23 To 36 2/1 Spodlc Material 36 To 42 1 OYR 2/2 Sand 42 To 66 7.5YR 5/4 Sand 66 To 72 SOTT. PROPTT.R Tra➢Y UURr 7n ovm n USDA SOIL SERIES:Tantile sand Munsell #!Color Texture Depth 1 OYR 411 Sand 0 TO 10 2.5YR 6/4 Loamy Sand 10 TO 12 1 OYR 4/1 Sand 12 To 23 1 OYR 511 Sand 17 To 23 7.5YR 7/1 Sand 23 To 44 1 OYR 3/3 - Sand 44 To 68 10YR 211 Send 68 To 72. OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XI YES [ ]NO DEPTH: 17.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: O INCHES [X] TRENCH [ ] BED [ ] OTHER (SPECISY) r' REMARKS/ADDITIONAL CRITERIA SWr determined using USDA WSS and soil borings. 10YR 611 stripping In 10YR 4/1 matrix > 10%with diffuse boundaries starting 17" In 3132. SDI 12" above BM. S02 20" above SM. SITE EVALUATED BY: uj.l W I DATE: 04/29/2019 M Collier, Hunter (Title: En ironmental Specialist 0 (Florida Department of Health In St L De 4015, 08/09 (Obsoletes pzevioue editions which may not be vend) Insoiporated: 64E-6. 001, FAC Page 3 0£ 4 AP1409822 EID1942721 v 1.0,2 APPLICANT'S NAME: TAP7 if Alvd aot Oe LEGAL DESCRIFMON- 7 I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within I00'feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, filled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. The natural grade elevation in the area of the proposed septic system and the benchmark must be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR ORENCINEER. damfi1rM-'SL?11L%UPI cePPp U7 CERTIFIEDBY: FLORIDA PROFESSIONAL NO.: DATE: g-7== 0��?JOB NO.: / APPLICATION #:AP1409822 STATE OF FLORIDA PERMIT #:56-SF-1942721 DEPARTMENT OF HEALTH .E . ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI1353680 04/19/2019 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: FEE PAID:515.00 RECEIPT #r56-.PID-3905985 APPLICANT: Timothy & Audra O'Carroll AGENT: Mike DiFrancesio.(DiFrancesio Construction Inc.) PROPERTY ADDRESS: 333 Baysinger Ave Fort Pierce, FL34982 LOT: 7.16 BLOCK: 9 SUBDIVISION: Regina Palms LD#: 3403-501.0219-000-2 . CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [01] TANK SIZE [1] 1090.00 [21 [ ] [271 'SURFACE WATER 75 FT [ ] [02) TANK MATERIAL Polyethylene [ ] 1281 DITCHES 75 FT [ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS, 100 FT [ ] [041 MULTI -CHAMBERED [LYE[L2EI N ] [ ] (301 PUBLIC YELLS FT [ ] [05] OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT [ ] [061 LEGEND 1, 70-143-11 DC4 2; [ ] [321 POTABLE WATER 42 FT [ ] 1071 WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 7 FT [ ] [081 LEVEL [ ] [34] PROPERTY LINES - 30 FT [ ] [09] DEPTH TO LID [ ] [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [101 AREA [11 509.4 [21 SQFT [ ] [36] DRAINFIELD COVER [ ] (111 DISTRIBUTION BOX _ HEADER x [ ] [371 SHOULDERS [ ] [121 NUMBER OF DRAINLINES 1, 5.00 2. [ ] [381 SLOPES [ ] [131 DRAINLINE SEPARATION [ ] [39] STABILIZATION 11A3/2019 [ ] [141 DRAINLINE SLOPE [ ] (15] DEPTH OF COVER ADDITIONAL INFORMATION [ ] 1161 ELEVATION [ MOVE / BELOW ]BM 27.00 [ ] [401 UNOBSTRUCTED AREA [ ] [17] SYSTEM LOCATION [ ] [411 STOR14WATER RUNOFF [ ] [181 DOSING PUMPS [ ] [421 ALARMS [ ] [191 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT [ ] [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA. [ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION. MATERIAL [ ] [461 FINAL SITE GRADING [ ] [221 FILL AMOUNT [ ] [471 CONTRACTOR MICHAEL W STUHR(ASHTO [ ] [233 FILL TEXTURE [ ] (481 OTHER INFILTRATOR Quick4 Plus EQ36 LP [' ] [241 EXCAVATION DEPTH ABANDONMENT [ ] [251 AREA REPLACED [ ] [491 TANK PUMPED [ ] 1261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED 6 FILLED Comments: Comments are on page 2. CONSTRUCTION I. APPROVED / Luce CHD DATE: 09/20/2019 DISAPPROVED )1 Env mental Specialist ll Brial gram(ENVIRONMENTALHEALTH) FINAL SYSTEM [ APpgOVED / DISAPPROVED ]: t.LUC]e CNO DATE: 11/13/2019 Environmental Specialist H By Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1409822 EID1942721 g STATE OF FLORIDA fS r b DEPARTMENT OF HEALTH ye. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM tea' CONSTRUCTION INSPECTION AND FINAL APPROVAL Comment Comments APPLICATION n:AP1409822 PERMIT_ a:56-SF-1942721 DOCUMENT u: F11353680 DATE ,PAID.04/19/2019 FEE PAID:51500 RECEIPT o:56-PID-3905985 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2per bedroom), for a total estimated Flow of 300 gpd; New ST, finer, and 5xg long BED DF installed. No violations, system ok.to cover. Contractor notified by phone. Needs final inspection¢or mound system and final site grading. Final system,approved. Contractor and building department emailed final approval. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorpoxated: 64E-6.003, FAC Page 2 of 3 EH Database v1.0.1 AP1409822 EID1942721