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Home My WebLink AboutSewagePERMIT #:56-SF-2026782 APPLICATION #:AP1459760 STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT p FEE PAID: SYSTEM RECEIPT #: FEB 1 1 207.0 DOCUMENT #: PR1301215 ST. Lucie County, Perm¢D19 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (St Lucie Habitat for Humanity) PROPERTY ADDRESS: TBD Hickory Dr Fort Pierce, FL 34982 LOT: 24 BLOCK: 63 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-609-0422-000-6 [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 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 ] GALLONS / GPD Seotic New CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 SHE #Pumps [ ] D [ 375 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: orange painted NID CL of road S end of prope I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R I 2.00 ][ INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT REQUIRED: [15.001 INCHES EXCAVATION REQUIRED: t 9r.uU j iavcnca system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHO Hunter A Collies DATE ISSUED: 01/31/2020 - EXPIRATION DATE: 07/31/2021 DH 4016, 08/09 (Obsoletes all previous editions which may net be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1459760 SEW STATE OF FLORIDA APPLICATION # AP1459760 DEPARTMENT OF HEALTH PERMIT # 56-SF-2026782 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT It SE1250672 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: St Lucie Habitat for Humanity CONTRACTOR / AGENT: St Lucie Habitat for Humanity (Ashton Septic) LOT: 24 BLOCK: 63 SUBDIVISION: Indian River Estates ID#:3402-609-0422-000-6 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: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPp/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: orange painted NID CL of road S end of property ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ 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: FT NORMALLY WET: [ ]YES IX]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 25 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 RnTT. PRnYTT.F. INFORMATION STTF. I SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 15 10YR 5/1 Sand 15 To 27 10YR 6/1 Sand 26 To 32 1 OYR 2/1 Spodic Material 32 To 47 7.5YR 3/3 Sand 47 To 53 1 OYR 414 Sand 53 To 72 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 411 Sand 0 To 12 1OYR 511 Sand 12To16 10YR 512 Sand 16 To 31 10YR 2/1 Spodic Material 31 To 46 10YR 4/3 Sand 46 To 72 OBSERVED WATER TABLE: 53.00 INCHES [ ABOVE / HOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 47 INCHES DRAINFIELD CONFIGURATION: [XI TRENCH [ ] BED [ ] OTHER (SPECIFY) 7 REMARKS/ADDITIONAL CRITERIA SWT determined using USDA WSS and soli borings. 10YR 611 stripping In 10YR 5/1 matrix> 10%with diffuse boundaries starting 27" In S131. SB7 2" above SM. SB2 2" above BM. SITE EVALUATED BY: Collier, Hunter (Title: Environmental Specialist 1) (plorlda Department of Health in St. L DR 4015, 08109 (Obaclates previous editions which may not be used) Incorporated: 64E-5.001, FAC DATE: 01/31/2020 Page 3 of 4 AP1459760 EID2026782 v 1.0.2 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. vn. (wz -I wtro.1"+o".I St. Lucie County Health Department 'ion Aida' 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2026782 6ILLooc#:56-BID-4513914 CONSTRUCTION APPLICATION #: AP1459760 RECEIVED FROM: St Lucie Habitat for Humanity (Ashton S AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 1598 PAYMENT DATE: 01/02/2020 MAIL TO: (St Lucie Habitat for Humanity) FACILITY NAME: PROPERTY LOCATION: TBD Hickory or _ Fort Pierce, FL 34982 24 63 Lot: Block: Property ID: 3402-609-0422-000-6 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 55-PID 4256985 9 STATE OF FLORIDA N 4...t DEPARTMENT OF HEALTH f ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. 'SF" O -18 j DATE PAID: `L FEE PAID: RECEIPT #: rk -*� 15g9b I,(] New System [ ] Existing System [ ] Holding Tank L ] Innovative [ ] Repair [ ] Abandonment L l Temporary [ ] APPLICANT: ,S'; Z4,L� /� f�//j}-y 77ii7 AGENT: A,:,M-DYE �Y�CI� ryr TELEPHONJI�a)at�D-�1c 7 MAILING ADDRESS: ''G,? 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: 24 BLOCK: 63 PROPERTY ID #: 340260904220006 SUBDIVISION: INDIAN RIVER ESTATES PLATTED: Y ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: .23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [,(]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] PROPERTY ADDRESS: NOT ASSIGNED DISTANCE TO SEWER: NA FT ')r 34C[Sa DIRECTIONS TO PROPERTY: FROM THE INTERSECTION OF MIDWAY AND BUCHANAN DRIVE, GO SOUTH ON BUCHANAN DR THEN EAST ON SAVANNAH STREET, THEN SOUTH ON HICKORY DRIVE, FOURTH LOT ON THE WEST SIDE OF THE STREET. BUILDING INFORMATION [,/] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design NO Establishment Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC I SINGLE FAMILY 3 1701.56 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE /`� V " - DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC age 1 of 4 Fil , C®P STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: S/ `%olV_ 11A) E Ad11",lA27Y AGENT: LOT:24 BLOCK:63 SUBDIVISION: INDIAN RIVER ESTATES PERMIT #. PROPERTY ID # : 11/36S/340260904220006 I 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: .23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLET ] AUTHORIZED SEWAGE FLOW: 575 GALLONS PER DAY [2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 902 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: CENTER OF ROAD IN FRONT OF SITE ELEVATION OF PROPOSED SYSTEM SITE IS 0.81 [INCHES ] [ABOVE '] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N/A FT DITCHES/SWALES:15 FT NORMALLY WET? [ I YES [✓] NO WELLS: PUBLIC: NA FT LIMITED USE: NA FT PRIVATE: NA FT NON -POTABLE: NA FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:5 FT POTABLE WATER LINES: 25 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: 16.90' FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE TO TO TO TO TO TO TO USDA SOIL SERIES: MUNSELL #/COLOR TEXTURE USDA SOIL SERIES: TO TO TO TO mn OBSERVED WATER TABLE: INCHES [ABOVE/BELOW r] EXISTING GRADE. TYPE: [PERCHED/ APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ J YES [ ] 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: DATE: nH 4015, 0e/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4