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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPWAL ✓,4 % SYSTEM19 y P lGc�P O0 1010 . Co "IN CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Denise Rigdon (Guest House) -PROPERTY ADDRESS: 10151 S Indian River Dr Fort Pierce, FL 34982 LOT: 1 BLOCK: SUBDIVISION: PERMIT #:56-SF-912629 APPLICATION #:AP1454999 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1286687 PROPERTY ID #: 3529-231-0008-000-9 [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 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 HRS #Pumps [ ] D [ 375 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [X] I CONFIGURATION: [x] 'N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [ ] FILLED [ ] MOUND TRENCH [ ] BED [ ] Nail in fence I ELEVATION OF PROPOSED SYSTEM SITE F. BOTTOM OF DRAINFIELD TO BE L D ! O T H E R S of systei [ 5.00 111 INCHES FT ] [ ABOVE [ 35.00 ] [ INCHES FT ] [ ABOVE BENCHMARK/REFERENCE POINT BENCEMARK/REFERENCE POINT I" H WulKGU: J V.UV J INCB S NXUAVATiON R1!:4VIRGD: r J 1NOnliJ The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300 gpd. SPECIFICATIONS BY: Brian J Ingram-j TITLE: Environmental Specialist II APPROVED BY: ...�� TITLE: Environmental Specialist II St. Lucie CHU Brian J Ingr DATE ISSUED: 01/02/2020 EXPIRATION DATE: 07/02/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC IL^ COPY Page 1 of 3 v 1.1.4 AP1454999 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. O31 HEALTH St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie,- FL 34983 PAYING ON: n:56-SF-912629 BILL Doc #:56-BID-4496109 CONSTRUCTION APPLICATION M AP1454999 RECEIVED FROM: SEPTIC ENVIRONMENTAL SERVICES AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 119 PAYMENT DATE: 11/26/2019 MAIL TO: Denise Rigdon (Guest House) FACILITY NAME: PROPERTY LOCATION: 10151 S Indian River or Fort Pierce, FL 34982 1 Lot: Block: Property ID: 3529-231-0008-000-9 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. 56-PID-4239390 �mEs� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ..11��t New System ll3 Existing system L� Holding Tank Repair [3 Abandonment Temporary PERMIT NO. % F-Q (6a- 1 DATE PAID. FEE PAID: 646 Oe— I I Cl RECEIPT #: 10 Innovative [a APPLICANT: Denise Rigdon AGENT, Septic Environmental Services Inc. TELEPHONE:772-201-8079 MAILING ADDRESS, 4738 Selvitz Rd Fort Pierce, Florida 34981 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: 1 BLOCK: SUBDIVISION: PLATTED: n/a PROPERTY ID #: 3529-231-0008-000-9 ZONING: Res. I/M OR EQUIVALENT: [ YD NE] PROPERTY SIZE: 2.37 ACRES WATER SUPPLY: q�;a PRIVATE PUBLIC C3<=2000GPD [O]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ YQ N 0 DISTANCE TO SEWER, n/a FT PROPERTY ADDRESS: 10151 S. Indian River Dr Fort Pierce, Florida 34982 DIRECTIONS TO PROPERTY: see attached directions BUILDING INFORMATION [ ✓Q] RESIDENTIAL [[:]] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Guest House 300 GPD 2 3 4 [F-1] Floor/Equ- ment Drains [�] Other (Specify) SIGNATURE: �j/�f2J ��i�-- DATE: November 8 , 2019 DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1454999 DEPARTMENT OF HEALTH PERMIT # 56-SF-912629 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1235737 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Denise Rigdon (Guest House) CONTRACTOR / AGENT: SEPTIC ENVIRONMENTAL SERVICES LOT: 1 BLOCK: SUBDIVISION: ID#:3529-231-0008-000-9 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: IX]YES [ ]NO NET USABLE AREA AVAILABLE: 0,69 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1034.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Nall In fence post S Of System ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES]/ FT ] I ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT ,DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY DINES: 5 FT POTABLE WATER LINES: 38 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD Sr1TT. DDAVTT.R TN nTrWATTON STTE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:St. Munsell #/Color Lucie sand Texture Depth 10YR 6/1 Fine Sand 0 To 17 10YR 7/2 Fine Sand 17 To 34 1 OYR 8/1 Fine Sand 34 To 72 USDA SOIL SERIES:St. Munsell #/Color Lucie sand Texture Depth 1 OYR 6/1 Fine Sand 0 To 15 10YR 711 Fine Sand 15 To 30 10YR 8/1 Fine Sand 30 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / EELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: I ]YES [X]NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [XI TRENCH [ ] BED [ ] OTHER (SPECIFY) F REMARKS/ADDITIONAL CRITERIA WT determined using USDA WSS and soil borings. WSWT Indicators observed. WSWT determined to be below 72". 1 3" below BM. SB2 5" below BM. // SITE EVALUATED BY: INCHES DATE: 12/27/2019 Ingram, Brian (Title: En r nmental Specialist II) (ENVIRONMENTAL HEALTH) tions DH 4015, 0e/09 (Obsolates previous ediwhich ma not be used) Incorporated: 64E-6.001, FAC AP1454999 EID912629 Page 3 of 4 v 1.0.2