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HomeMy WebLinkAboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM y:CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (St Lucie Habitat) PROPERTY ADDRESS: 7902 James Rd Fort Pierce, FL 34951 LOT: 8 BLOCK: 18 PROPERTY xD #: 1301-603-0038-000-3 PERMIT #:56-SF-2012495 APPLICATION #: AP1450754 DATE PAID: .100, ?,i�,o FEE PAID: wdaJ RECEIPT #: *Ol`2o6O`�a DOCUMENT #: PR1284564 SUBDIVISION: Lakewood [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 Septic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY 1N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] X %[ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS U ]DOSES PER 24 HRS #Pumps D,:[ 375 ] SQUARE FEET ] 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 [ ] BM#2 set maa NiD S side of Rd, center of I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 1 [1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D O T H E R system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: 'Brian T Ingpom TITLE: Environmenta3g^pecialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHU Brian i In = DATE ISSUED: 12/11/2019 EXPIRAT Z ATE: 06/11/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) A4T® Incorporated: 64E-6.003, FAC q Page 1 of 3 v 1.1.4 AP1450754 SE1233407 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: #.56-SF-2012495 BILL Doc a:56-BID-4469183 CONSTRUCTION APPLICATION k: AP1450754 '( ) RECEIVED FROM: ASHTON SEPTIC TANKS, INC. (Resist AMOUNT PAID: $ 660.00 t PAYMENT FORM: CHECK 13363 PAYMENT DATE: 10130/2019 MAIL TO: (St Lucie Habitat) FACILITY NAME: PROPERTY LOCATION: 7902 James Rd Fort Pierce, FL 34951 Lot: Block: Property ID: 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 -1 - Well Construction 1 $ 115.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID 4211611 VAM.L NO. 69-3oo"II 4 STATE OF FLORIDA PERMIT No. %7S&X11NCF5 DEPARTMENT OF HEALTH DATE PAID: G{ ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: Po� SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT y APPLICATION FOR: New System ( ] Existing System [ ] Holding Tank ,[ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: 'SJ �%ye,[ e- +14 ,6 )t+ AGENT: I�-IS)\�(�-►5'PtL `leir�'1K S.V1�'- TELEPH0NE:1%Z-21&-4827 MAILING ADDRESS: 37cp e lone �v i 1 Pure e, R 3 e-/9�/s 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: BLOCK: 1R SUBDIVISION: (...r'g (�J'�n�`� �c�!'IC `(-111� PLATTED: l 3 of - 603 -oo3$- coo-3 PROPERTY ID #: _47� ZONING: Q3 _ I/M OR EQUIVALENT: [ YIN ] PROPERTY SIZE: 'AA ACRES WATER SUPPLY: Ev, PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381-0065, FS7 [ Y o ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: _]qo2 T-Al►l-es I DIRECTIONS TO PROPERTY: `1 q0z 1671-es f?J BUILDING INFORMATION >< RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/In9titutibnal System Design ND Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) V ' SIGNATURE: DATE: DH 4015, 08119 (Obsoletes previous* editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 s STATE OF FLORIDA APPLICATION # AP1450754 DEPARTMENT OF HEALTH PERMIT # 56-SF-2012495 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1233407 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: St Lucie Habitat CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC. -LOT: 8 BLOCK: 18 SUBDIVISION: Lakewood Park ID#:1301-603-0038-000 3 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 I ]NO NET USABLE AREA AVAILABLE: 0.22 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY I RESIDENCES -TAB LEI / OTHER -TABLE 2 1 AUTHORIZED SEWAGE FLOW: 329.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: BM#2 set mag NO S side of, ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT I / BELOW 1 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: I ]YES [XINO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10 YEAR FLOODING? [ ]YES IXINO) 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD 1 SITE ELEVATION: FT [ MSL / NGVD .'OTT. PROFTT.R INFORMATION RTTF. 1 ROIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color 1 Texture Depth 1OYR 7/2 Fine Sand 0 To 5 1 OYR 714 Fine Sand 5 To 17 10YR 7/3 Fine Sand 17 To 24 10YR 7/2 Fine Sand 24 To 38 1 OYR 5/8 CMN/PRM RF 27 To 38 1 OYR 5/2 Loamy Sand 38 To 49 1 oY 6/1 Sand 49 To 72 USDA SOIL SERIES: Munsel[ #/Color Texture Depth 1 OYR 7/2 Fine Sand 0 To 5 10YR 7/4 Fine Sand 5 To 17 I OYR 7/3 Sand 17 To 26 1 OYR 7/2 Sand 26 To 44 7.5YR 518 CMN/PRM RF 29 To 38 10YR 5/1 Sandy Clay Loam 44 To 54 1 OY 611 Sand 54 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW 1 EXISTING GRADE TYPE: I PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 26 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 54 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ I OTHER (SPECIFY) f REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR518/ CMN PROM RF mottling In 10YR7/2 matrix>2% starting at 27' In Sal. SB1 3" above BM. SB2 2" above BM, /l SITE EVALUATED BY: DATE: 12/09/2019 Ingram, Brian ( e: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, OB/09 (Obsolates previous editions w ch may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1450754 EID2012495 v 1.0.2