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Home My WebLink AboutSewageR STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-1881155 APPLICATION #:AP1366643 DATE PAID: FEE PAID: RECEIPT #I DOCUMENT #: PR1167441 CONSTRUCTION PERMIT FOR: QSTDS New FILE COPY APPLICANT: Charles & Sharon Walcott PROPERTY ADDRESS: TBD Juanita Ave Fort Pierce, FL 34946 - LOT: 1 & 2 BLOCK: 7 SUBDIVISION: Harmony Heights PROPERTY ID #: 1431-801-0043-000-9 [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 [ 1,050 ] 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 Bee #Pumps [ D [ 500 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [X] FILLED [ ] MOUND [ ] TRENCH [ ] BED [ ] of IR near PP NE comer of lot -I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D ] 0 T H E R [ 1.00 ] [1 INCHES FT ] [ [ 2.00 ] [ INCHES FT ] [ BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT "L HEWUIHNU: L I J.UUJ INCHES EXUAVA'lIUN M WuQ 1 U: L J+ 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. 'The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0, FAC. SPECIFICATIONS BY:—B=ian -J I m TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHU Brian J I am DATE ISSUED: 10/16/2018 EXPIRATION DATE: 04/16/2020 DH 4016, 06/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1366643 SE1117350 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. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT#:56-SF-1881155 BILL DOC #:56-BID-3979056 CONSTRUCTION APPLICATION #;APt366643 RECEIVED FROM: Sharon Walcott AMOUNT PAID: $ 515.00 PAYMENT FORM: CASH PAYMENT DATE: 09/28/2018 MAIL TO: Charles & Sharon Walcott FACILITY NAME : PROPERTY LOCATION: TBD Juanita Ave Fort Pierce, FL 34946 1&2 7 Lot: Block: Property ID: 1431-801-0043-000-9 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -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: VanceMH hq--a' � AUDIT CONTROL NO. 56-PID-3747149 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair , [ ] Abandonment [ ] Temporary APPLICANT: F MAILING ADDRESS: rd PERMIT NO. S 1 - ` "S I � 5 DATE PAID: FEE PAID: , RECEIPT #: C [ ] Innovative TELEPHONE�'1'bL 50 ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------ TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.305(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: f4'L. BLOCK: 7 SUBDIVISION: PLATTED: ' T/��G�LLTS PROPERTY ID #: 1�131-0✓J -b0(1,3 p00,9 ZONING: I/M OR EQUIVALENT: [ Y/p1 ] PROPERTY SIZE: ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [x ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION [Yj RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC aCo38 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1366643 DEPARTMENT OF HEALTH PERMIT # 56-SF-1861155 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1117350 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Charles & Sharon Walcott CONTRACTOR / AGENT: LOT: 1 & 2 Sharon Walcott BLOCK: 7 SUBDIVISION: Harmony Heights ID#:1431-801-0043-OOD-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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.36 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 900.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCMUMK/REFERENCE POINT LOCATION: Top of IR near PP NE comer of lot ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ 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: 5 FT POTABLE WATER LINES: 60 . 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 SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Nettlas Sand Munsell #/Color Texture Depth 1 OYR 3/2 Sand 0 To 9 1 OYR 512 Sand 9 To 34 10YR 5/8 CMN/PRM RF 25 To 34 1 OYR 5/4 Sand 34 To 46 1 OYR 7/3 Sandy Clay Loam 46 To 61 10YR 7/3 Loamy Sand 61 To 67 1 OYR 7/3 Fine Sand 67 To 72 USDA SOIL SERIES:Nettles Munsell #/Color sand Texture Depth 10YR 312 Sand 0 To 10 1 OYR 611 Sand 10 To 29 10YR 4/4 Sand 29 To 41 10YR 5/4 Sand 41 To 51 1OYR 7/3 Sandy Loam 51 To 65 1OYR 7/2 Loamy Sand 65 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 25 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: EX ]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 25.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r- REMARKS/ADDITIONAL CRITERIA IT determined using USDA WSS and soil borings. [518 CMN PROM RF mottling In 10YR512 matrix>2% starting at 25" in SB1. 1" below SM. SB21" above SM. SITE EVALUATED BY: Ingram, Brian (Title: PiNlronmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1366643 EID1881155 INCHES DATE: 10/08/2018 Page 3 of 4 v 1.0.2