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Home My WebLink AboutD O H PAPERWORKSSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: APPLICANT: (St. Lucie Coi PROPERTY ADDI;;ss- 58d LOT: 34 PROPERTY ID OSTDS New ty / Grande Consti Cassia Dr Fort FL 34982 PERMIT 56-SF-1352358 APPLICATION AP1 037258 DATE PAID: FEE PAID: RECEIPT #: Im FrMYCUMENT #: PR847044 FILE C 0? SCAMS) - BY St. UOP rnitnh, BLOCK: 78 SUBDIVISION: Indian River Estates 3402-610-0259-000-6 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM 14UST 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 1 GALLONS GPD Seofic CAPACITY A I GALLONS GPD N/A CAPACITY N I GALLONS GREASE INTERCEPTOR CAPACITY CNAXII'ium CAPACITY SINGLE TANK:1250 GALLONS] K I GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps * [ 500 1 SQUARE FEET — SYSTEM * [ I SQUARE FEET N/A SYSTEM * TYPE SYSTEM: STANDARD E ] FILLED M MOUND I I CONFIGURATION: TRENCH [X] BED I I F LOCATION OF BENCHMARK: CENTER.OF ROAD INTERSECTION OF CASS] AND BAMBOO I ELEVATION OF PROPOSED SYSTEM SITE r 10.00 It FT ] [� BELOW] BENcHmARK/REFERENcE POINT E BOTTOM OF DRAINFIELD TO BE 10.00 It FT I BELOW] BENCHMARK/REFERENCE POINT L D FILL REQUIRED; 18.001 INCHES EXCAVATION REQUIRED: I INCHES 0 T H E R licensed contractor installing the system is responsible for installing the minimum category of tank in accordance s. 64E-6.013(3)(f), FAC. SPECIFICATIONS BY: James C Duncan TITLE: Environmental Specialist 11 APPROVED BY: TLE: Enviro=ental Specialist II - St. Lucie CHD DATE ISSUED: 06/09/2011 EXPIRATION DATE: 12/0912012 DH 4016, 08/09 (Obsoletes all previous editions which my not be used) Page 1 of 3 Incorporated; 64E-6.0 03, FAC . , 1.1.4 AP1037258 SE845926 STATE OF FLORIDA APPLICATION # AP1037258 DEPART14ENT OF HEALTH PERMIT # 56-SF-1352358 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE845926 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: St.Lucie County I Grande Construction CONTRACTOR / AGENT: Culpepper & Terpening, Inc LOT: 34 BLOCK: 78 SUBDIVISION: Indian River Estates IDII: 3402-610-0259-000-6 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUSI PROVIDE REGISTRATION NUMBER AND -SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN; [X ]YES I ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [I RESIDENCES-TABLE1 OTHER -TABLE 2 AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY 1 1500 GPD/ACRE OR UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHKARK/REFERENCE POINT LOCATION: CENTER OF ROAD INTERSECTION OF CASSI AND BAMBOO ELEVATION OF PROPOSED SYSTEM SITE 10.00 [�/ FT I BELOW I SENCHI�MRX/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N/A PT DITCHES/SWALES: 40 FT NORMALLY WET: [ ]YES [XINO WELLS: ' PUBLIC: NIA FT LIMITED USE: N/A FT PRIVATE: N/A FT NON -POTABLE: N/A FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 7 FT POTABLE 'WATER LINES: 60 FT SITE SUBJECT TO FREQUENT FLOODING? 3 YES [XINO 10 YEAR FLOODING? [ ]YES I XINC] 10 YEAR FLOOD ELEVATION FOR SITE: FT I MSL / NGVD I SITE ELEVATION: FT I MEL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 5/1 Fine Sand 0 To 12 10YR 611 Fine Sand 12 To 24 10YR 7/1 Fine Sand 24 To 36 10YR 211 Hardpan 36 To 48 1 OYR 4/3 Sandy Loam 48 To 72 USDA SOIL SERIES:Wa,al..d fine sand Munsell #/Color Texture Depth 10YR 6/1 Fine Sand 0 TO 10 1 OYR 7/1 Fine Sand 10 To 38 1 GYR 2/1 Hardpan 38 To 46 1 OYR 4/4 Sandy Loam 46 To 72 OBSERVED WATER TABLE: 36.00 INCHES I ABOVE / EEI EXISTING GRADE TYPE: [�/ APPARENT ESTIMATED NET SEASON WATER TABLE ELEVATION: 24 INCHES C ABOVE E�Ej EXISTING GRADE HIGH WATER TABLE VEGETATION: E ]YES [X]NO MOTTLING: C ]YES [X]NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: I I TRENCH [XI BED C I OTHER (SPECIFY) 7 REmARrS/ADDITIONAL CRITERIA DETERMINED BY STRIPPING @ 24" SITE EVALUATED BY: DATE: 05/3112011 Duncan, Janiql(Title: Environmental Specialist 11) St Lucie County Environmental Health) ON 4015, 08/09 (Ob.oletes previous editions which my not be used) Incorporated: 649-6.001, FAc Page 3 of 4 AP1037268 E101352358 v 1.0.2 I STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: ST. LUCIE COUNTY I LOT: 34 BLOCK: 78 SUBDIVISION: PIROPERTY ID #: 3402-610-0259-000-6 PERMIT V AGENT: CULPEPPER & TERPENING, INC INDIAN RIVER ESTATES UNIT 09 (Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS 14UST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: I X1 YES [ I NO NET USA33LE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLE I/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: 575 -GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE3 UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIREDt 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: center of road at south property line ELEVATION OF PROPOSED SYSTEM SITE IS 10 LINCHES/FTJ [ABOVE/BELOW] BENCM4ARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES: 15 FT NORMALLY WET? [ I YES [xl NO WELLS: PUBLIC: 200 FT LIMITED USE: 100 FT PRIVATE: 75 FT NON -POTABLE: 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING: [ I YES [XI NO 10 YEAR FLOODING? [ I YES 1XI NO 10 YEAR FLOOD ELEVATION FOR SITE: N/A FT MSL/NGVD SITE ELEVATION: 18-80 FT MSL/NGVD SOIL PRUY MUNISELL #/COLOR TEXTURE DEPTH 10YR 6/4 Fine Sand 0 TO 101, 10YR 3/3 Fine Sand 10 " TO 19 " IOYR 4/1 Fine Sand 19" TO 24t' JOYR 7/2 Fine Sand 2411TO4811 lOYR 2/1 Hard Pan 48�-TOGOII TO TO TO TO USDA SOIL SERIEj- -Waveland Fine Sand MUNSELL #/COLOR TEXTURE - USDA SOIL SERIES: DEPTH TO TO TO TC) TO TO TO TO OBSERVED WATER TABLEj3elow 60"INCHES [ABOVE EXISTING GRADE. TYPE:[PERCHED / APPARENT] ESTIMANED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: I I YES [xl NO MOTTLING: YES [x] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: .DRAINFIELD CONFIGURATION: [ ] TRENCH [xl REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: mm BED DEPTH OF EXCAVATION: INCHES OTHER (SPECIFY) DATE: DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: j x] New System Existing System Holding Tank Innovative [ ] Repair Abandonment Temporary APPLICANT: ST. LUCIE COUNTY AGENT: CULPEPPER & TERPENING, INC. MAILING ADDRESS: 2980 S. 25TH STREET, FT. PIERCE, FL 34981 TELEPHONE: 4G4-3537 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS 14UST 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: 34 BLOCK: 78 SUBDIVISION: INDIAN RIVER ESTATES UNIT 09 PLATTED: 1957 PROPERTY ID #: 3402-610-0259-000-6 ZONING: RS-4 I/M OR EQUIVALENT: L Y / 0 PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: PRIVATE PUBLIC [ X]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? C Y DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5805 CASSIA DRIVE, FORT PIERCE, FL 34982 DIRECTIONS TO PROPERTY: FROM US1 HEAD EAST ON EASY STRET AND THEN NORTH ON CASSIA, PROPERTY IS ON WEST SIDE OF ROAD ACROSS FROM INTERSECTION OF CASSIA AND BAMBOO DRIVE; IMMEDIATELY SOUTH OF RESIDENCE AT 5803 CASSIA DRIVE BUILDING INFORMATION X I RESIDENTIAL COMMERCIAL Unit Type of No. of Building Commercial:/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 SINGLE FAMILY 3 1593 2 3 4 Floor/Equip nt D Other (Specify) SIGNATURE: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FA.0 Page 1 of 4