HomeMy WebLinkAboutD O HFERMI% #:66-SF-1910410
STATE OF FLORIDA FILE COPY APPLICATION #:AP1388733
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PEE PAID:
#: PR1202473
-L. I
CONSTRIICTION PERMIT FOR: OSTDS New MAY 0 6 2019 SCANNED
Lucia County, Permitting BY
APPLICANT: Babu Thomas � St Lucie Ci)III14
PROPERTY ADDRESS: 8003 Plantation Lake Dr Port Saint Lucie. FL 34986
LOT: 51 BLOCK: SUBDIVISION: Reserve Plantation
PROPERTY ID #: 3321-803-0055-000-0 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAR ID NUMBER]
SYSTEM MOST 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 [ 1,050 ] GALLONS / GPD _ Sentle new CAPACITY
A I ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY IMAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @I ]DOSES PER 24 HRS #Pumps (
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R I I SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: I ] STANDARD I ] FILLED DO MOUND I ]
I CONFIGURATION: [ ] TRENCH [X] BED ( ]
N
F LOCATION OF BENCHMARK: orange. circle CL of Rd S property line extended W
I ELEVATION OF PROPOSED SYSTEM SITE 17.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD To BE [ 14.0011 1NCHE3 FT IIAEOVE BELOW I BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
System Is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS
BY: Brian J Ingr_pja
TITLE: Environmental Specialist
II
APPROVED BY:
ITLE: Environmental Specialist II
St. Lucie CHD
Brim J Ingr
DATE IssDED:
02/12/2019
EXPIRATION DATE:
08/12/2020
DE 4016, 08/09
(Obsoletes all previous
editions which may not be used)
Incorporated:
64E-6.003, PAC
Page 1 of 3
v 2.1.4
A111388733 SE1152223
a
STATE OF FLORIDA
DEPARTMENT OF HEALTH
•g ONSITE SEWAGE TREATMENT AND DISPOSAL
a�K.�• SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[wr New System [ ] Existing System [ j Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
PERMIT
DATE PAID: ($
FEE PAID: 5(5
RECEIPT #:
[ ] Innovative
APPLICANT • "6V y 1 H W g S
AGENT: id t.c/' Co, s 1 it TELEPHONE : '7-7L 'Z O [ -] % y
MAILING ADDRESS: Jtd"n Sbmt- Phne %yq.'L f �f` 7�rrc� FLV4-
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
rr �
LOT: SL_ BLOCK: SUBDIVISION: StrVr- 1G -4c7 ,,) � PLATTED:
PROPERTY ID #: 3 3a1 n m(]S ZONING: Q I/M OR EQUIVALENT: [ Y
Styr
' PROPERTY SIZE:.IYO AGR&S WATER SUPPLY: [ ] PRIVATE PUBLIC V ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /(N ]
DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 200,)
V)&n-6-kjrA
Ltilers
3499Q
DIRECTIONS TO PROPERTY:
fr<crvZ
&-n-nT r,',,4
- :f-o
BUILDING INFORMATION
Unit Type of
No Establishment
1 5Y�
2
3
4
[//] Floor/Equipment
SIGNATURE:
[ ] RESIDENTIAL [ ] COMMERCIAL
No, of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
30,S AC -
Other (Specify)
DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1388733
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT # 56-SF-1910410
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1152223
APPLICANT: Babu Thomas
CONTRACTOR / AGENT: DiFrancesio Construction Inc.
LOT: 51 BLOCK:
SUBDIVISION: Reserve Plantation ID#: 3321-803-0055-000-0
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALISIED PERSON, ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS,
PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES I INC, NET USABLE AREA AVAILABLE: 0.55 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1375.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1490.00 SOFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARX/REPERENCE POINT LOCATION: orange circle CL of
ELEVATION OF PROPOSED SYSTEM SITE 7.00 I INCHE.
/ FT ] DOVE I/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: PT DITCHES/$WALES: FT NORMALLY WET: I ]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: 75 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFTLR TN NTRMTnN arm. I
I ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
_FT [ MSL / NGVD ] SITE ELEVATION: PT I MSL / NGVD
USDA SOIL SERIES:Nettles Sand
Munsell #/Color Texture
Depth
1 OYR 5/1
Sand
0 To 28
10YR 6/1
Sand
22 To 41
1OYR 2/2
Spodlc Material
41 To 49
7.5YR 413
Sand
49 To 56
HOLE CAVING
Refusal
56 To 72
AnTT. D.nmTT.. Ttty n.vwmTM�
USDA SOIL SERIES:Oldemar eared
Munsell #/Color Texture
Depth
1 OYR 4/1
Sand
0 TO 6
1 OYR 5/1
Sand
6 To 27
1CYR611
Sand
17To44
1CYR 3/2
Spodic Material
44 To 49
7.5YR 413
Sand
49 To 55
HOLE CAVING
Refusal
55 To 72
OBSERVED WATER TABLE: 23.00 INCHES [ ABOVE
/
BELOW
] EXISTING GRADE
TYPE:
[ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE RLEMICN:
17 INCHES I ABOVE
/
piLOW
]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: IX]YES [
]NO MOTTLING: [X]YES
[ ]NO
DEPTH: 17.00 INCHES -
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
- REMARKS/ADDITIONAL CRITERIA
VT determined using USDA WSS and soil borings.
1611 stripping in 10YR6/1 matrix>10% with diffuse boundaries starting at 17" In SB2.
9" above BM. S82 T' above BM. 1,1�
SITE EVALUATED BY:
Ingram, Brien
Da 4015, 08/09 (Obaoletes Previous oditione w
MrmenUH Spa0IaI1St II) (ENVIRONMENTAL HEALTH)
not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 02/07/2019
Page 3 of 4
AP1388733 EID1910410 y 1.0.2
Sxe
STATE OF FLORIDA PERMIT
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: 64 Q L/ I (n.t M 416 AGENT: Pl ffr" t es o
LOT: Si BLOCK: SUBDIVISION:(�-
PROPERTY ID #:_!�i71 S]U 3 Oc�waf [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: [ ] YES [ ] NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY 11500 GPD/ACRE OR 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SOFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS [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: I FT NORMALLY WET? [ ] YES [ ] NO
WELLS: PUBLIC: FT LIMITED USE: . FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: FT PROPERTY LINES: FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
1
MUNSELL if/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES: TO
ev" &1 Vr'l" 1Nr'ORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES I ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA. -
SITE EVALUATED BY:
DH 4015, 08/09 (Obsoletes previous editions which may not be used) In001porated: 64E-6.001,FAC Page 3 of 4
APPLICANT'S
LEGAL
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 100 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 theplans 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 OREN6INEER.
dtxsfi+muatipticsSq iclpppPaw=07
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.:
DATE: �?--7 z;—r— a? JOB No.: �� t
T