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HomeMy WebLinkAboutD.O.H. PAPPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED BY St. Lucie County CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Charles Timmons PROPERTY ADDRESS: 10603 Pine Needle Dr Fort Pierce, FL 34945 PST #:56SF-1988105 APPLICATION #:AP1432154 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1253286 LOT: 26 BLOCK: SUBDIVISION: Pine Hollow PROPERTY ID #: 2321-802-0028-000-6 [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 TEE 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 Seotic New CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXJX M CAPACITY SINGLE TANK:1250 GALLONS] R [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 BRS #Pumps [ D [ 500 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfleld New SYSTEM N/A SYSTEM STANDARD [ ] FILLED [X] MOUND [ ] TRENCH [ ] BED [ ] Site BM NID CL of old FFA Road I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: r22 on7 rwrwve 0 T H E R [ 4.00 ] [INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT [ 0.00 1 [FINCHEST FT IABOVE BELOW] BENCHMARK/REFERENCE POINT system Is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow ofgp o,9 d. NoV ral G-00 ♦ 0 SPECIFICATIONS Hunter A Collier EME TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St Lucie CHD Hunter A Collier DATE ISSUED: 09/20/2019 EXPIRATION DATE: 03/20/2021 OR 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, SAC Page 1 of 3 v 1.1.4 AP1432154 SE1202299 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Charles Timmons CONTRACTOR / AGENT: DIFranceslo Construction Inc. APPLICATION # AP1432154 PERMIT # 56SF-1988105 DOCUMENT # SE1202299 LOT: 26 BLOCK: SUBDIVISION: Pine Hollow ID#: 2321-802-0028-000-6 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MOST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL BACK PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES I ]NO NET USABLE AREA AVAILABLE: ' 1.05 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1676.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NID CL of old FFA Road ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCKES / FT ] I ABOVE / BELOW ] BENCHMARK/REFERZNCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: I ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE. 90 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10 YEAR FLOODING? I ]YES [X]N01 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL /'NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE TNFORMATTOAI ATTR 1 SOTT. DRr1F'TT.F. TWMRMATTON STTR. 7 USDA SOIL SERIES: Munsell#/Color Texture Depth 1OYR 5/1 Sand 0 To 12 10YR 6/2 Sand 12 To 26 IOYR 7/2 Sand 17 To 30 1 OYR 4/1 Sand 30 To 33 1 OYR 3/2 Sand 33 To 37 1 OYR 2/1 LoamySand 37 To 46 1 OYR 5/3 Sandy Loam 46 To 57 1 OYR 5/2 Loamy Sand 57 To 68 10YR 4/2 Sand 68 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth I OYR 6/1 Sand 0 To 12 1 OYR 6/2 Sand 12 To 17 1 OYR 7/2 Sand 17 To 30 1 OYR 4/1 Sand 30 To 33 1 OYR 312 Sand 33 To 37 1 OYR 211 Sand 37 To 46 1 OYR 5/3 Loamy Sand 46 To 57 1 OYR 512 Loamy Sand 57 To 68 10YR 412 Sand 68 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFTET.n CONFIGURATION: [X ] TRENCH I ] BED [ ] OTHER (SPECIFY) r RF.MARxs/ADDITIONAL CRITERIA SWT determined using USDA WSS and soil borings. 10YR 712 stripping In 10YR 612 matrix> 10%with diffuse boundaries starting 20" in SB1. SB14" below SM. S1321" below BM. SITE EVALUATED BY: U A A J� �/ \1 �Yk �� DATE: 09/18/2019 Co Iler, Hunter (nue: Environmental Specialist 1) (Florida Department of Health In St. L De 4015, 08109 (obsoletes province editions which say not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1432154 EID1988105 v 1.0.2 i STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT W1eu- No.5cl-aa9a-( PERMIT NO. NQ-!51-1C(9 106 DATE PAID: q FEE PAID: - �'-101 RECEIPT #: APPLICATION FOR: ('v(I New System [ ] Existing System ( J Holding Tank [ ] Innovative [ ], Repair [ ] Abandonment [ ] Temporary ( J APPLICANT: (j, �,�j_t5 1 )-)"n Mons 4- �. iffY14(4. iM9th'n' AGENT: .lii'rFr&:,74rStU eLn,,,:s,+e cjnr) 3:,Ae- vvaa'G. w,l D7 Frav,c-z5,-o TELEPHONE: 7%2- Zbi `17y7 , MAILING ADDRESS, 39[(U �a:nzSArn� �:nt_ 'il'»'L ,F..\ p:r;z2 (_i- 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 APPLICANTeS RESPONSIBILITY TO PROVIDE DOCOMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED '(MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. P40PERTY'INFORMATION' LOT: BLOCK. SUBDIVISION: Pm4 )+ylje�3 ::n;i 2- PLATTED: PROPERTY ID #, '�j-'j%0,2- o^C) $ i�pjo ZONING: I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: J'O S ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC L� ]c=2000GPD [ 1>2000GPD IS. SEWER AVAILABLE AS PER 381..0065r FS? [ Y/ jl' ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: ��� "•Z �S»2 ne c Q.I P .� 'v8. FT' f?C' t FL 34', tf DIRECTIONS TO PROPERTY: Levi Q dt jU N ox," '}n Pico S 12-0 ) c TT oil o S -_2; „s is ki) RT- kL etc . .BUILDING INFORMkTION [ J RESIDENTIAL [ J COMMERCIAL Unit Type of No, of Building Commercial/Institutional System Design N4 'Establishment Bedrooms Area Saft Table 1, Cbapter 64E-6., PAC s, a. 9 2 3 4 [/ti] Floor/Equipment Drains SIGNATURE; J Other (Specify) DH 401.5, 05109 (Obsoletes previous* editions which may not be used) Incorporated 64E-6.001, PAC DATE: Yo Scg- 2,N q Page 1 of 4