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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA' DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL APPLICANT: Robert AGENT: Ron Raymon PROPERTY ADDRESS: Construction 2800 S Bro 190� - 031 $.ICATION #:AP1420380 b PERMIT #:56-SF-1969229 DOCUMENT #:FI1360968 DATE PAID:06/24/2019 FEE PAID:630.00 RECEIPT #:56-PID-3996850 LOT: SUBDIVISION: BLOCK: MCHurlen Farms xD#: 2320.501.0082-000.9 Lip StludeGbunty. CHECKED IX] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ 1 [011 TANK SIZE [1] 1090.00 [2] [ ] [271 SURFACE WATER 100 FT [ ] 1021 TANK MATERIAL Polypropylene [ ] [281 DITCHES FT [ 1 [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 100 FT [ 1 1041 MULTI -CHAMBERED [ Y N I [ ] I301 PUBLIC WELLS FT [ 1 [051 OUTLET FILTER Polylok PL-68 [ 1 1311 IRRIGATION WELLS FT [ 1 1061 LEGEND 1. 70-143-11DC4 2. [ 1 [321 POTABLE WATER 16 FT [ 1 1071 WATERTIGHT [ 1 1331 BUILDING FOUNDATIONS 9 FT I 1 1081 LEVEL - [ 1 1341 PROPERTY LINES 54 FT [ 1 1091 DEPTH TO LID [ ] [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ 1 [10] AREA [1] 509.4 [21 SQFT I 1 [361 DRAINFIELD COVER [ ] [111 DISTRIBUTION BOX HEADER x [ 1 [371 SHOULDERS I ] [121 NUMBER OF DRAINLINES 1. 5.00 2. [ 1 1381 SLOPES [ 1 [131 DRAINLINE SEPARATION [ 1 [391 STABILIZATION 12/20/2019 [ 1 [141 DRAINLINE SLOPE [ 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION [ 1 [161 ELEVATION [ -MOVE / BELOW ]BM 8.00 I 1 1401 UNOBSTRUCTED AREA [ 1 [171 SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF [ ] [181 DOSING PUMPS I 1 [421 ALARMS [ 1 1191 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT I 1 [20] AGGREGATE EXCESSIVE FINES [ 1 [441 BUILDING AREA [ 1 [211 AGGREGATE DEPTH [ 1 [45] LOCATION CONFORMS WITH SITE PLAN [ 1 1461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL , [ 1 1471 CONTRACTOR MICHAEL W STUHR(ASHTO [ 1 [221 FILL AMOUNT [ 1 (481 OTHER INFILTRATOR Quick4 Plus EQ36 LP [ 1 1231 FILL TEXTURE [ 1 1241 EXCAVATION DEPTH ABANDONMENT [ 1 1251 AREA REPLACED [ 1 [491 TANK PUMPED [ ] I263 REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED S FILLED Comments: Comments are on page 2. CONSTRUCTION [ APPROVED / DISAPPROVED ]: EnvlromD0ntal Speelalist 11 St. Lucie CHD DATE: 11/05/2019 NIMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED ]: / St. Lucie CHb E Ironmental Speclallst 1 Ian J 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 EH Database v 1.0.1 AP1420380 EID1969229 DATE, 12120/2019 Page 2 of 3 Violation Number Comments STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Comment PLICATION »:AP1420380 PERMIT a:56-SF-1969229 DOCDMBNT n:F11360968 DATE PAID:06/24/2019 FEE PAID:630.00 RECEIPT k The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300 ST, filter, and 5x9 long BED DF installed, No violations, system ok to cover. Contractor notified by phone. Needs final ction for well inspection/setback, mound system, and final site grading. Well inspected at final inspection. Water system led closer to OSTDS, water line setback adjusted. No other violations. Final system approved. Contractor, owner, and ng department emailed final approval. 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 AP1420380 EID1969229 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT: Robert Ledbel PROPERTY ADDRESS LOT: PERMIT #:56-SF-1969229 APPLICATION #:AP1420380 DATE PAID: FEE PAID: SCANNED =RECEWED�! EIPTBY DMENT #: PR1243265 St. Lucie County®��(OSTDS New 2800 S Brocksmith Rd Fort Pierce, FL 34982 BLOCK: SUBDIVISION: McHurlen Farms PROPERTY ID #: 2320-501-0062-000-9 [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 new CAPACITY A [ 1 GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS 0[ ]DOSES PER 24 SEE #Pumps [ D [ 375 1 SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND I CONFIGURATION: EXI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM Nail in fence post, SE property Comer I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E 0 T H E R [ 14.001[ INCHES FT ]L ABOVE 4 BELOW BENCHMARK/REFERENCE POINT [ 5.00 It INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: —Brian. J Ingram TITLE: Environmental Specialist II APPRQVED BY: TIE: Environmental Specialist II St. Lucie CHD Bcian J Ingr DATE ISSUED: 07/05/2019 EXPIRATION DATE: 01/05/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 V 1.1.4 AP1420380 SE1192617 Ti •�n:e sz� . STATE OF FLORIDA DEPARTMENT OF HEALTH 'tea ONSITE SEWAGE TREATMENT SYSTEM APPLICATION FOR CONSTRU APPLICATION FOR: \me l t 0 D . �5"" q. 2 Q3 (� PERMIT NO.%�I -SF - 1% t PO-r�- I DATE PAID: AND DISPOSAL FEE PAID: RECEIPT 0: t--- TION PERMIT g]p-�I•�3x.'1 '1t [�(] New System [ ] Existing System [ ] Holding Tank [ ] Innovative C ] Repair [ ] Abandonment I 7 Temporary [ ] APPLICANT: li (i kC_ 1/;tom. _"ijC: 1 l C: h AGENT: j`�;��.Y.il� \ {��;�^T`^yty .:il �•� C�.'}�C.':ic,.a� TELEPHONE: e.._S[u MAILING ADDRESS: %'�`:;j �•t�:�%F. j�;y;^„\:fir\G "1,: 1-..(v iC;L( {ct_C; (-{ 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: IC% BLOCK: °� SUBDIVISION: i"��i\. Li'Z.�•. ti\i I':�'�•lyt `= PLATTED: PROPERTY ID #:z�✓'��ZI't;O�,C'CQt- ZONING: IiG "� I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: _ -�N ACRES WATER SUPPLY: [>(] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Zeccj J DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 2 3 4 [x] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floorj9guipm nt•I31-ains [ ] Other (Specify) SIGNATURE: DH 4015, 08109 (ObsoAtes previous editions which may not be used) Incorporated 64E-6.001, PAC DATE: O i Page 1 of 4 ,r STATE OF FLORIDA APPLICATION # AP1420380 DEPARTMENT OF HEALTH PERMIT # 56-SF-1969229 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1192617 APPLICANT: Robert Ledbetter CONTRACTOR / AGENT: Ron Raymond Construction LOT: BLOCK: SUBDIVISION: McHurlen Farms ID#: 2320-501-0062-000-9 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: 5.02 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 7529.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site SM Nall In fence post, SE property Comer ELEVATION OF PROPOSED SYSTEM SITE 14.00 [ INCHES / FT ) [ ABOVE / FELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SHALES: 100 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: 100 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 60 FT POTABLE WATER LINES: 30 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO) 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 BOTT. PRnFTT.F. TNFORMATION STTE 2 USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 1 OYR 5/2 Sand 0 To 24 I OYR 612 Sand 15 To 26 1 OYR 4/2 Sand 26 To 34 1 OYR 4/2 Loamy Sand 34 To 41 IUY 611 Sandy Clay Loam 41 To 63 1OY 511 Sandy Clay Loam 63 To 72 USDA SOIL SERIES:Wabasso Munsell #/Color sand Texture Depth I OYR 5/2 Sand 0 To 24 10YR 6/1 Sand 16 To 31 1 OYR 4/2 Sand 31 To 38 1 OYR 4/2 Loamy Sand 38 To 44 10Y 6/1 Sandy Clay Loam 44 To 60 1 OY 511 Sand 60 To 72 OBSERVED WATER TABLE: 57.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCAED / APPARENT ) ESTIMATED WET SEASON WATER TABLE ELEVATION: 15 INCHES [ ABOVE / BELOW ) EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 15.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ j BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil boings. S6-stripped Matrix. 10YR612 stripping in 10YR512 matrix >10% with diffuse boundaries starting at 15" in SB1. SBI and SB214" below SM. SITE EVALUATED BY: �. DATE: 07/05/2019 Ingram, Brian (Title: Enviro ental Specialist III (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may no be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1420380 EID1969229 v 1.0.2 0, su -S� - mpaaq STATE OF FLORIDA PERMITAPPLICWATION TO CONSTRUCT, t IVED : REPAIR, MODIFY, OR; BANBE) %'. 7 59-29703 No JUL i 6 ')'9 ST. Lucie County, Permitting 3`4145 Q. !!)CV r-04;,( Chez., it 621-524` Yem _j -No sm Timothy J tiuqqjris . .. ....... 11247 —772-878-6698 absolutewaterserviceAgmail.com ... 258 SE Volkerts Terrace 7- Port St. Lucie F1 34983 7 Lanoscana 1mg2l,on 1.vsvaati.' L ectlied '.%'ater Supply I j Ravaa4:Jn Lrea lriaatt3n es: JUL Class i Jqecfl':z "VAC Supply Lj N/A,:; -elur-n (3L lid "lass V In gn 31:f"Cltlst"D�Soasa- Dama. j mon _j Ccmmer, -it Rect—rqe : — Rw'.'diavo"� Re-oveiv A.: spargt Other 7�= 1,06 Sr%A GAN BY St. Lu Cie 'K 1�- 31 nrl, A (e la!a! rlwrve; rf 1 'e'iz L;S! :t,ann- x 19.36 9 13.0, WELL r 54.42' m1 20 FRAME BLUILDING ON SKIDS n 20.3' A a19,81 \ x 19.44 GIT.M l 29. \ x20.44 /BENCHMARK: \ 60NAIL SET IN THE NORTHEAST FACE OF WOOD FENCE CORNER POST rn ELEVATION 21.00' (P %20.31 ENE 20.fi1 x 20.37 20aa PROPOSED WELL %19.51 x 19.52 x 19.30 1500 SO.FT. UNOBSTRUCTED AREA 19.fi9 24.46 ------ _ —x 24.29 ao 105.00, COVERED PORCH m m �I 6' a PROPOSED BUILDING s' joC z>o mxm s' o ono p r o o p< flo x24.40 0 DIRT PAD I ,0'8£ 106.00' ^ 84 _ _ _ _ _ _ 24.32 19.63 %20.33 I I� %20.67 —OHUL z0.a0 OHUL 20.57 —19.29——SWALE- 60' EASEMENT (ORB 1123, PG 1270)