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