Amended_Repair_Permit_8620_Fortune_Rd_SRCHD.pdf

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM (OSTDS)

CONSTRUCTION PERMIT

Permit No. 57-S1-5167784 Application No. AP4290485

Date Paid: 01/14/2026 Fee Paid: 55

Receipt No. 57-PID-9369903 Document No. PR4301749

Facility ID. 57-5167784 Type [ ] New System [ ] Existing System Modification [ X ] Repair [ ] Abandonment [ ] Temporary

Subtype [ ] Aerobic Treatment Unit [ ] Non-Innovative PBTS [ ] Innovative PBTS [ ] Innovative Non PBTS [ ] Holding Tank [ ] Other (describe)

Applicant: Jean Watson

Property Address: 8620 Fortune Rd City Milton State FL Zip 32583

Lot: Block: Subdivision:

Property ID No. 091N270000016020000 [Section, Township, Range, Parcel Number, or Tax ID No.]

The system must be constructed in accordance with specifications and standards of Section 381.0065, F.S., and Chapter 62-6, 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 amend the permit application. Such amendments may result in voiding this permit. 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

Tank

900 Gallons / GPD capacity [ X ] Septic Tank [ ] Aerobic Treatment Unit [ X ] Multi-chambered [ ] In series

0 Gallons / GPD capacity [ ] Multi-chambered [ ] In series

0 Gallons Grease Interceptor capacity

150 Gallons Dosing Tank capacity 33 gallons at 6 doses per 24 hours doses per 24 hours 1

Drainfield 250 Square feet primary drainfield system

0 Square feet system

System type [ X ] Standard [ ] Filled [ ] Mound [ ]

Configuration [ X ] Trench [ ] Bed [ ]

Location of benchmark/reference point Nail w/ Metal Cap and Orange Tape i n Oak Tree Near OSTDS

Elevation of proposed system site 24 [ X ] inches [ ] feet [ ] above [ X ] below benchmark/reference point

Bottom of drainfield to be 46 [ X ] inches [ ] feet [ ] above [ X ] below benchmark/reference point

Fill required 0 inches Excavation required inches

Other (02/13/2026 Permit amended for new location). Abandon the existing uncertified septic tank in accordance with current regulations. Install a new 900 gal septic tank system with 150 gallon dosing tank and 250 sq ft drainfield per private evalutor. Per private evaluator and hold system as high as possible.

Remove and properly dispose of existing drainfield and spoils encountered during repair. Maintain all setbacks in accordance with FAC 62-6. Above must be completed prior to Final Inspection & Approval. A re-inspection fee will be charged for additional inspections. (Comments Continued on Page 2.)

Specifications by Charles F Oker Private Site Evaluator Printed Name Title Signature

Approved by Dana Grissom Environmental Administrator FDEP-DWRM

Printed Name Title Office Signature

Date issued 01/15/2026 Expiration date 04/15/2026

DEP 4016 07/2025, Construction Permit and Inspection, Part 1 of 2 (Obsoletes all previous editions which may not be used) Incorporated: subsection 62-6.003(1), F.A.C. Page 1 of 3

Dana Grissom Amended

Department approval of the system does not guarantee satisfactory performance for any specific period of time. The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of 200 gpd. Performing Lift Dosing. Pumps must be certified as suitable for distributing sewage effluent. Required drainfield area based on Rule 62-6.015(6)(c)2., F.A.C. Install a new drainfield to achieve Drainfield size requirement. Note: Installation of 250 sq ft drainfield would meet current requirements for new construction.

DEP 4016 07/2025, Construction Permit and Inspection, Part 1 of 2 (Obsoletes all previous editions which may not be used) Incorporated: subsection 62-6.003(1), F.A.C. Page 2 of 3

Approved

DEPARTMENT OF ENVIRONMENTAL PROTECTION

ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM (OSTDS)

CONSTRUCTION PERMIT

Permit No. 57-S1-5167784 Application No. AP4290485

Date Paid: 01/14/2026 Fee Paid: 55

Receipt No. 57-PID-9369903 Document No. PR4301749

Facility ID. 57-5167784 Type [ ] New System [ ] Existing System Modification [ X ] Repair [ ] Abandonment [ ] Temporary

Subtype [ ] Aerobic Treatment Unit [ ] Non-Innovative PBTS [ ] Innovative PBTS [ ] Innovative Non PBTS [ ] Holding Tank [ ] Other (describe)

Applicant: Jean Watson

Property Address: 8620 Fortune Rd City Milton State FL Zip 32583

Lot: Block: Subdivision:

Property ID No. 091N270000016020000 [Section, Township, Range, Parcel Number, or Tax ID No.]

The system must be constructed in accordance with specifications and standards of Section 381.0065, F.S., and Chapter 62-6, 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 amend the permit application. Such amendments may result in voiding this permit. 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

Tank

900 Gallons / GPD capacity [ X ] Septic Tank [ ] Aerobic Treatment Unit [ ] Multi-chambered [ ] In series

0 Gallons / GPD capacity [ ] Multi-chambered [ ] In series

0 Gallons Grease Interceptor capacity

Gallons Dosing Tank capacity gallons at doses per 24 hours doses per 24 hours

Drainfield 250 Square feet primary drainfield system

0 Square feet system

System type [ X ] Standard [ ] Filled [ ] Mound [ ]

Configuration [ X ] Trench [ ] Bed [ ]

Location of benchmark/reference point Nail w/ metal cap and orange tape in oak tree near OSTDS

Elevation of proposed system site 24 [ X ] inches [ ] feet [ ] above [ X ] below benchmark/reference point

Bottom of drainfield to be 54 [ X ] inches [ ] feet [ ] above [ X ] below benchmark/reference point

Fill required 0 inches Excavation required inches

Other Abandon the existing uncertified septic tank in accordance with current regulations. Install a new 900 gal septic tank system with 250 sq ft drainfield. Per private evaluator, hold system as high as possible and install a min 150 gallon dosing tank if gravity flow cannot be achieved. Remove and properly dispose of existing drainfield and spoils encountered during repair. Maintain all setbacks in accordance with FAC 62-6. Above must be completed prior to Final Inspection & Approval. A re-inspection fee will be charged for additional inspections. (Comments Continued on Page 2.)

Specifications by Charles F Oker Private Site Evaluator Printed Name Title Signature

Approved by Brooke Proffitt Environmental Specialist II FDEP-DWRM

Printed Name Title Office Signature

Date issued 01/15/2026 Expiration date 04/15/2026

DEP 4016 07/2025, Construction Permit and Inspection, Part 1 of 2 (Obsoletes all previous editions which may not be used) Incorporated: subsection 62-6.003(1), F.A.C. Page 1 of 3

Void

Department approval of the system does not guarantee satisfactory performance for any specific period of time. The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of 200 gpd.

DEP 4016 07/2025, Construction Permit and Inspection, Part 1 of 2 (Obsoletes all previous editions which may not be used) Incorporated: subsection 62-6.003(1), F.A.C. Page 2 of 3

Brooke Proffitt Approved

DEPAR'l'MENT OF ENVIRONMENTAL PROTECTION

ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM

SITE EVALUATION AND SYSTEM SPECIFICATIONS

APPLICAB'l': Jean watson A.GERT: New Horizons Environmental Solutions, LLC

UYI!: NIA BLOClt: N/A SUBDr/l:SION: Metes & Bounds

PROPERTY ID I: 09-1 N-27-0000-01602-0000 [Section/Township/Parm] IP I or :rv m IJmberJ

TO BB CCllfPL&'J.'SD BY BIIGDIKBR, BBALTH DBPARDmllT BMPLOXD ,OR O!l'BBR QOALil'IBD PBRS<M. BRGINEDS MUST PROVD>E REGISTRATlOR NOYBER � SIGN ARD SEAL �C!I PAGB OF SUBIIIT'lll,. CXIIPUD A1.L IDHS.

PROPD.ft SIU COlUOIDIS '1'0 SID. PI.All: � ms [ J NO NBT tJSABLB Am .AVAILABLB• TO'l'AL ESTIMM'ED SEWAGE FLOW: 200 GALLOIJS PER Illl [Tf\Blol :r / OTHER]

5.01 ACRBS

AOTJIOllIZBD SEDGE FLOW: _ __,!1�2.,,::,5�2:.=5�-�GJ�Ai.JLL...-.OW-.-S PER D.ll (1500 GPO/ACRE OR 2500 ffilft£811 ONOB!t±auc:tiw MBA AVAIIeMIJt: >10000� SQl'T tltilOBS� .Am DQUDJ:D: 375 SQF"l'

BENCIIMJUUt/REHHRt!K .eoDIT LOCATI:OB: Nail w/ metal cap and orange 1ape in oak tree neaTOSTOS ELKVATXOR OF PROPOSED SYS'l'ZN SIT.B XS 24 tIMGR§frrJ [� en MR!llU'DDICZ POilft

'1'!1E MIHDICJM SE'l'BAClt WHICH CAN BE MADffAIHED FROM THE PROPOSED SORDCB &TBR: NIA l"l' DITCBBS/SWALKS: NIA ft ULLS: PUBLIC: NIA ft LDa:tiw USE: NIA ft PIUVAD:

SYSTEM 'l'O THE FOLLOWING FEATURES HOmaLLY DT? c J ns LJ1 NO NIA r.r ROH-POTABLE: NIA FT

POnBLK WA'l'BR I.DIES: 38 " BUILDING FOUNDATIONS: 2 FT PROPERTY tnmS: 72 FT

SITZ SUBJBCT TO 1'RBQUD'1' n.ooDING: [ J n:s � NO 10 DAR FLOCIDDIG? [ l BS [Iii NO 10 YEAR FLOOD ELEVATION FOR SITE: N/A ft HSL/NGVD SITE ELEVATION: NJA ft MSL/NGVD

SOIL PBOl'IL& DU'ORIIATIOR SITB 1 SOIL PltOl'IL& IRFOIWATIOIIJ SITE 2

51£- 574

TO

USDA SOIL SERIES: USDA SOIL SERIES:

77A

DBP'l'II

'1'0 13

L ro 30 a:� 4o ro,s

TO

OBSERVED WATER TABLE: INCHES [ABOVE / DIWJJ ElaS'fiNG GRADE. TYPE: [PER.CBlm / APPARDITJ BSTDIATED WET SU.SOR WAft:R TABLE KLSVATI'Olr: 38 l'NC!ll':S (ABOVE / ftV:00 .u:rSTDIG GRADE" 38 RJ:GH lfA'l'ER 'l'ABL& VZGl:TATI'OR: [ ] RS � NO WS1IT Indicator: [yf RS [ J NO DBPrB:_INC'DS

SOIL TXXTOR&/LOADING RATE FOR. SYSTEM SIZING: LS/0.8 DEPTH OF EXCAVATION: NIA INCHES DBADlnm.D COlll"IGURA'Hait: � TRDCB [ ] BBD [ ] O'l'IIBR (SPECIFY) ��ADDXTI<BAL au'l'BIUA: Abandon emng tank per code lnstan new 900--G-,-, B-(W--1B-n_k_w_t _an_·o-2_so_s_o_FT_o_ew septic draanfieki. Set new tank as high as existing plumbing wilt allow. lf gravity flow cannot be as;hieyed install mn 150 gal dosing tank Svstern drafted wf ◄ fines to roitigate slope

SI'l'B EVALUATED BY: __ u( __ � ___________________;DATE: 1/l@Q.;J(

DBI> t015, 06-21-2022 (Clbao1etea previous edition• which may not be used)

Incorporated: 62-6.004, FAC Page 3 of 4

S'l'ATE OF l'LORiDA PERMJ:TI _____ _ DEPaRWf OF BRVIROllNBl1TAL PROTBCTJ:OR <BSITE SBIIAGB 'fREA'flllBRT ARD DISPOSAL SYS'l'l!'.M EX:ISTDIG SYS'fZII ARD SYSTBN REPAIR EVALUATiotl

APPLICANT: Jean Watson car.nw:TOR / AGDJT: Nt!W Ho�ons Environmental Solutions.LLC

LOT: NIA BLOCK: NIA SUSD:rv: Metes & Bounds mt: 09:1N-27-0000- 01602-0000

TO U COMPUDD U l'LOIUDA UGIS'l'ERED ENGI:Nl:D., DJ:PAR'l'NDIT J:NPLOYD, SEPTIC TANlt CON'l'RACTOR OR OTHEII. CBRTl:FZBD PDSC8. Sl:GB .MID SZAL ALL SUBlaTDD DOCtJMBN'l'S. CCMPLBTK ALL APPLICABLE ITBYS.

calPLET.8 '1'ARlt CBRTI:nCATIOR BELOW OR ROTB DT RBNAR1CS 1IHY TIIB 'J!'ARltS CARROT BE CBRflnED.

I PUMPS: [ 1

I I BY ____________ , BAVB

mB VOLQIIBS SPEC:IY.CED AS DE�ill&-�BY DnmRSIORS / FJ:LLDIG / LBGKMD ] , ARB !'RU OF OBSBRVABLE

�g.--,rAA [ SOL:IDS DBFLBCTJ:OH DEV:ICE / OO'l'LBT nL'fBR DBVICE ] :IRSTALLl:D.

BXIS'nBG DRAINFIELD Illl'ORNATION [ ~156] SQUARE l'DT PRDmRY DRllRl'XELD SYSTBM NO. 01' TRDtCBES [ 2 ]

DAD

D:IMDtSIONS:

2 38 2 X 40

[ ] SQUARE FEET ________ SYSTEM NO. OF 'l'BBRCBES [ ] TYPE or SYSTDI: c✓1 STARDAIU> C J FJ:LLED C 1 HOUND C 1

DDIDIS:IOBS: ___ X __ _

CONFIGURATION: [ ✓l TRENCH [ ] BED [ ] DESIGN: c✓1 BBADBP C l D-BOX c✓1 GRAVITY SYS'l'BM C ] DOSED SYS'DM rnnOR or B0'1"1QI or DIUUNl'IKU> m RIU.AT:Iotl TO llA'l'ORAL GaADB 30 mens ( ABOYB / BKLOff]

SYSTDl FAl'.LUBB ANO REPAIR INFORMATION [ 1967 ] SYS'rDI DfSDI,I-AT'J'.ON DATE TYPE 01' llAST.B [ ✓J DOl&STI.C [ ] ccaamcIAL

( ] H&i:Bk&D 1m7D. ( ✓l DBLE I, 62-6, FAC [ 200 ] GPD BS'l'JJIM'BD SBIIAGB nDfl BASED ON

SI'1'B [ ] DIUURMa STRUCTOHS [ J POOL [ ] PATIO / DECK. [ ] PAR1URG CONDITJ:ORs: c✓1 sLOPDfG PROPBRTr c ✓1 Large oak trees surround house and OSTDS

NATDBE or [ l mDUDLIC OVERLOAD ( l SOILS c✓1 MA.lllTBIDHCE ( 1 SYS'l'BM DAlaGB

FAZ.LURK: [ )

l'AI:LORE c ✓1 S'!MP'l'CM: ( )

DRJ\DPGB / RtJR OFF smGB CB GIUXJRD

PLQNBYBG BAC1WP

c✓1 c✓1 ( 1

ROOTS [ ] 1IABR TABLB c ✓1 Age of system

DB c✓1 D BOX/BDDKR c ✓1 ORAi Ri'l&L&)

�/ADDIT:IONAL CRITERIA Existing drainfield ;s mineral aggre�tel_pipe Large oak trees - 14' from building foundation. New tank positioned downslope in order to gain elevation. IJft dosing and fiU may be required due to slope and limited space availabte for repair. Repair area is cunentty inJ)acted by existing dirt driveway. Vehicle traffic must not be aUowed on newty instatled drainfield

SUBM:IT'l'l!!D BY: _ _...d( C+-l

'---"'-&------=--=-------TITLE/LICENSE _ __,,C�.E ........ H..._P ......... 2 .... 5-: .... 2 .... 42�3...__DATE: tj'l/d DEP 4015, 06-21-2022 (Obao1etea previous edition• wbi.cb may not be used) Incoz:poxated 62-6.004, FAC Page 4 of 4