HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE-TREATNENT AND DISPOSAL
SYSTEM
APPLICATION #:AP1454854
DATE PAID:
FEE PAID:
RECEIPT #:
RECEIVED DOCUMENT #: PR1288441
JAN 2 4
CONSTRUCTION PERMIT FOR: OSTDS New
Lucie County, Parmltt:n9
APPLICANT: Chad Hinkle
PROPERTY ADDRESS: 7405 Silver Oak Dr Port Saint Lucie, FL 34952
LOT: 1
PROPERTY ID #:
BLOCK: 3 sUBDIv1s1oN: St. Lucie Gardens
3414-501-0701-000-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MOST 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 [ 1,050 ] GALLONS / GPD Septic 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 ERS #Pumps [
D [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DO MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED- [ ]
N
F LOCATION OF BENCHMARK: FND 5/8" IR in CID, no ID, center of intersection
I ELEVATION OF PROPOSED SYSTEM SITE [ 20.003[[ INCHES FT ][ABOVE BELOW b BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3.00 It INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D r
ILL REQUIRED: [.35.UU] INCHES EXCAVATION REQUIRED: [ J INOHGS
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Brian J Ingr TITLE: Environmental Specialist II
APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHD
Brian J In r
DATE ISSUED: 01/141202C EXPIRATION DATE: 07/14/2021
DB 4016, OB/09 (Obsoletas .all previous.editions which may not be used)
Incorporated: 64E-6.003, PAC O 1 of 3
v l.l.d M1454854 SE1237843 ��
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 IWay, 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.
' d d`.
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
MAIL TO: Chad Hinkle
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#:56-SF-2019027 BILLooc#:56-BID-4495586 CONSTRUCTION APPLICATION #: AP1454854
Chad Hinkle- AMOUNT PAID: $ 545.00
CHECK 508 PAYMENT DATE: 11/25/2019
FACILITY NAME:
PROPERTY LOCATION:
7405 Silver Oak or
Port Saint Lucie, FL 34952
Lot: 1 Block: 3
Property ID: 3414-501-0701-000-2
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection,
133 - OSTDS Construction Reinspection
QUANTITY FEE
1 $
5.00
1 $
45.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 $
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4238681
;� an STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO.% -SF` AOkc1"-1
DATE PAID: ` Q
FEE PAID: $
RECEIPT #:
APPLICATION FOR:
[,/I New System [ ] Existing system [ 1 Holding Tank ,[ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: �� N'•LG�dl-;-1.�(G�e. l� J��'t�U."ji'L.h�2o�
AGENT: c� (� TELEPHONE •J�7n U� -Z�Z%
MAILING ADDRESS: _ �7%O �4.wc�0 Q
______________c____eve=vevvveveeeceeveeeeeve==vvvvveevvvevveeeeeveevvvvvveeeeve__e_vvevvve
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 4B9.105 (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.
eevevvvvvvvvvevcveeveeeevvvvvvvev_-__vev____veveeeeeevvvvvvvvvveveeeee_____vv__-e_______ve
PROPERTY INFORMATION
LOT: .J- BLOCK: J SUBDIVISION: L ce(C. 6-1714e/ 5 PLATTED:
PROPERTY ID #: 3`I1q - 5bl `
6:6I -d DO Z ZONING:
�R#t-J I/M OR EQUIVALENT:
[ Y I
PROPERTY SIZE; L1:06 ACRES
WATER SUPPLY: [ I PRIVATE PUBLIC [ ]<e2000GPD [
3>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS7 [ Y]
DISTANCE TO SEWER:
FT
^7
PROPERTY ADDRESS: (905-
s(�J¢/ (�1.����/k 0,
C
?JL • FL` 399E-Z
v
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [ ] RESIDENTIAL [ I COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment
II 'Bedrooms Area Sq£t Table 1, Chapter 64E-61 PAC
1
2
3
4
( I Floor/Equipment Drains ( ] Other (Specify)
SIGNATURE: / ��-,L DATE:
DH 4015, 00/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1454864
DEPARTMENT OF HEALTH PERMIT # 56-SF-2019027
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1237843
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Chad Hinkle
CONTRACTOR / AGENT:
LOT: 1 BLOCK: 3
SUBDIVISION: St. Lucie Gardens ID#: 3414-501-0701-000-2
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 BITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 4.06 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET I/ OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 6090.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 3000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: FND 518" IR in c/o, no ID, center of interse
ELEVATION OF PROPOSED SYSTEM SITE 20.00 [ INCHES / FT ] [ ABOVE /
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 [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 40 FT POTABLE WATER LINES: 12 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
nL•rTs r1SrnnAfLmrnwT crmc 1
[ ]YES IX]NO 10 YEAR FLOODING? [ ]YES IXIND]
FT [ MSL / NGVD 1 SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:
Munsell #/Color
Texture
'
Depth
I OYR 4/1
Sand
0 To 16
10YR 5/1
Sand
7 To 16
10YR 6/3
Sand
16 To 28
HOLE CAVING
Refusal
28 To 72
CTT9 i
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 4/1
Sand
0 To 20
1 OYR 5/1
Sand
8 To 20
1 OYR 62
Sand
20 To 29
HOLE CAVING
Refusal
29 To 72
OBSERVED WATER TABLE: 5.00 INCHES [ ABOVE
ESTIMATED WET SEASON WATER TABLE ELEVATION:
/ BEE]
7 INCHES
EXISTING GRADE
[ ABOVE
TYPE:
/ BELOW ]
[ PERCHED / APPARENT 1
EXISTING GRADE
LE VEGETATION• [ ]YES [X]NO MOTTLING: [X]YES
[ ]NO
DEPTH: 7.00 INCHES
HIGH WATER TAB
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X 1. TRENCH [ ] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
WIT determined using USDA WSS and soil borings.
stripped matrix-10YR511 stripping In IOYR4/1. matrix >10%With diffuse boundaries starting at 7" in SB1.
1 20" below BM. S132 19" below_BM.
SITE EVALUATED BY:
Ingram, Brian
DR 40151 08/09 (Obsolates previous editions w
INCHES
DATE: 01113/2020
Environmental Specialist II) (ENVIRONMENTAL HEALTH)
may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1454864 EID2019027 v 1.0.2