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-STATE OF FLORIDA
DEPARTMENT OF REALTE
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Jimmy Hardison
PROPERTY ADDRESS: TBD Lear Rd Port Saint Lucie, FL 34987
�j
PERMIT #:56-SF-2035849
��J dyy LICATION #:AP1465606
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1301775
LOT: BLOCK: SUBDIVISION: Treasure Coast Air Park
PROPERTY ID #: 4224-501-0086-000-4 [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 ]
GALLONS. / GPD Seotic New
CAPACITY
A [
]
GALLONS / GPD NIA
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 ERS #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM #1 north Of cul-de-sac @ CL of Rd
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D F
0
T
H
E
R
I
[ 6.00 ] [INCHES FT ] [ABOVE A BELOW BENCHMARK/REFERENCE POINT
[ 6.00 ][ INCRES FT ] AHOVE BELOW] BENCHMARK/REFERENCE POINT
4" m5GU11 ; Loy.UV1 1m.-b "UAVA'1'1Vn M WUld6U: L 1
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
SPECIFICATIONS BY: Brian Davis TITLE: Master Septic Tank Contractor
APPROVED BY: ��J�a�`� TITLE: Environmental Specialist I St. Lucie CED
sunter A Collier
DATE ISSUED: 02/05/2020 EXPIRATION DATE: 08/05/2021
DR 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 AP1465606 SE1251231
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.
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..... . . . . . .
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2035849 BILL DOC#:56-BID4547235 CONSTRUCTION APPLICATION #: AN465606
RECEIVED FROM: Brian Davis Septic AMOUNT PAID: $ 430.00
PAYMENT FORM: CREDIT CARD 094059 PAYMENT DATE: 02/04/2020
MAIL TO: Jimmy Hardison
FACILITY NAME:
PROPERTY LOCATION:
TBD Lear Rd '
Port Saint Lucie, FL 34987
Lot: Block:
Property ID: 4224-501-0086-0004
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
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. 56-PID-4286771
Note: Well 59-30250
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
,ARBLIQLk FOR:
] New System [ ] Existing System
[ ] Repair [ ] Abandonment
I
Well No.
PERMIT NO.5b-S -.Q03 84`1
DATE PAID:
FEE PAID: $45,b--Cr—
RECEIPT #•
[ ) Holding. Tank C 1 Innovative
[ ] Temporary [ ]
APPLICANT. Jimmy Hardison
AGENT: Brian Davis Septic 6 Backhoe Services TELEPHONE: 772.571.8200
MAILING ADDRESS: P.0 Box 99, Fellsmere, FL 32948
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 (MK/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 86 BLOCK: N/A SUBDIVISION: TREASURE COAST AIRPARK PLATTED: /PO`]f 7L
PROPERTY ID #: 4224-501-0086-000-4
ZONING: R I/M OR EQUIVALENT: [ Y
PROPERTY SIZE: 2.83 ACRES WATER SUPPLY: [ PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381,0065, FS7 [ Y / DISTANCE TO SEWER: Z c4' FT
PROPERTY ADDRESS: TBD LearppP1 Nei g,
DIRECTIONS TO PROPERTY: - f '��'�- Ls' QR-a 1 �/ S xy (t(1- W 64
BUILDING INFORMATION
[ n RESIDENTIAL
[ ] COMMERCIAL
Unit Type of
No. of
Building
Commercial/Institutional System Design
No Establishment
Bedrooms
Area Wt
Table1, Chapter 64E-6, FAC
House
2
3
4
[ ] Floor/Equipment Drains [ ], other (Specify)
SIGNATURE: DATE: wj
DH 4015, 00/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
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STATE OF FLORIDA PERMIT #. S(2 ^ 5F LO35w
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT. Jimmy Hardison AGENT, Brian Davis Septic &Backhoe
LOT: 86 BLOCK: N/A SUBDIVISION TREASURE COAST AIRPARK
PROPERTY ID #: 4224-501-0086-000-4
[Section/Township/Parcel No, or Tax ID Number]
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEEaOR OTHER QUALIFIED PERSON. ENGINNEERS
MOST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [ YES [ I NO NET USABLE Ate -AVAILABLE: Z"�G3 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 7CL) GALLONS PER DAY D -' THER-TABLE2]
AUTHORIZED SEWAGE FLAW: /�7—GALLONS PER DAY 00 GPD �R 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: wT SQFT UNOBSTRUCTED
AREAA REQUIRED: fday SQFT
BENCHMARK/REFERENCE POINT LOCATION: l 4— R/a'L 4 ( NWI -`U 1 cc, (-6-C'•S4LC (?� i ro
ELEVATION OF PROPOSED -SYSTEM SITE ISjjr9 /FTI [ABOVE/ULDM BENCHMARK/REFERENCE POINT
THE MINIMUM SE WHICH CAN BE MAINTAINED FROM THE. PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER. FT DITCHES/ S: y FT NORMALLY WET? [ I YES INO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: �ZU FT NON -POTABLE: �N
BUILDING FOUNDATIONS: /� FT PROPERTY LINES:FT POTABLE WATER LINES: /(O FT
SITE SUBJECT TO FREQUENT FLOODING: [ } S [I ] NO 10 YEAR FIAODING?/,rf�' I YES �] NO
10 YEAR FLOOD ELEVATION FOR SITE: -FT MSL/NGVD SITE ELEVATION: vLv FT MSL/NGVD
TEXTURE
7 9 aG E•.
LS
�C—
OBSERVED WATER TABLE: 7 INCHES
[ABOVE
/ STING GRADE.
(INCHE3
TYP PERCHED �]
ESTIMATED WET SEASON WATER TABLE ELEVATION:
[ABOVE
�/ HEIAj11 EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES
): NO
MOTTLING:
[A YES
[ O DEPTH: rL INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: en INCHES
DRAINFIELD. CONFIGURATION: [ I TREN;QH _ [.%I HEP [ I OT4R (SPECIFY)
%I
a
SITE EVALUATED BY: -__-(� r( (J qda a5 50�! K/ / DATE: / ?'e)/Zx-
Da 4015, 00/09 (Obsoletes pz :Lovs aditions which may not be used) Incorporated: 64E-6.001I.FAC Page 3 of 4