The URL can be used to link to this page

Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT: PROPERTY ADDRESS OSTDS New PERMIT #:56-SF-2039668 APPLICATION #: AP1468167 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1323732 LOT: 7 BLOCK: 70 k)§9BiA. _f0 lndian River Estates PROPERTY ID #: 3402-609-0649-000-3 [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 NOLL 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 1 GALLONS / GPD Septic new CAPACITY A I ] GALLONS / GPD N/A CAPACITY N [ 7 GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 Has #Pumps [ ] D [ 500 1 SQUARE FEE', R [ 1 SQUARE FEE' A TYPE SYSTEM: [ 3 I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [ ] FILLED [x1 MOUND I 1 TRENCH [ ] BED [ 1 NO in Rd, S property line extended W I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 111 INCHES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 6.00 1[ INCHES FT ]I ABOVE BELOW I BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [23.001 INCHES EXCAVATION REQUIRED: [ 43.00] INCHES' 1��m is sized for 4 bedrooms with a maximum occupancy of 8-persons (2 per bedroom), for a totalestimated flow of � T E R SPECIFICATIONS BY: ian J In r� TITLE' - '_ NSF 4 _ . ...:- Environmental Specialist II APPROVED BY: 1±Z TITLE: Environmental Specialist II St. Lucie CED Brian J Ingram DATE ISSUED: 04/15/2020 EXPIRATION DATE: 10/15/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, SAC Page 1 of 3 v 1.1.4 AP246816/ SE1267633 ` NbTICE 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 HEA} H 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: m.56SF-2039668 BILLooco,56-BID-4555523 CONSTRUCTION APPLICATIONMAP1468167 RECEIVED FROM: Beniamin Drew"s Plumbing & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 204081 PAYMENT DATE: 02/17/2020 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 6002 Hickory Fort Pierce, FL 34981 Lot: 7 Block: 70 Property ID: 3402-609-0649-000-3 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-4294156 I STATE OF FLORIDA DEPARTMENT OF HEALTH nONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ x] New System [ ] Repair APPLICANT: -Ad AGENT: �b MAILING ADDRESS: [ ] Existing System [ ] Abandonment [ ] Holding Tank [ ] Temporary pp PERMIT NO - DATE PAID: FEE PAID: RECEIPT #: i [ ] Innovative [ l j� TELEPHONE:-1�2--�1-Z01 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: �� SUBDIVISION: (Ci.n. r_l V-er- �S"FGC']'P.S PLATTED: lg Sy PROPERTY ID 8:34�2 §-G 1 - D1 q') -0M -Z ZONING: _ I/M OR EQUIVALENT [ Y PROPERTY SIZE: Ll.Z3 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ V]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE h+I AS PER 381.0065, FS? [ Y 101 DISTANCE TO SEWER: FT PROPERTY ADDRESS: I O OQ2 "- (c e (yk,j Z)Vi y-e . DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 3 [ X] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 [ ] Floor/Equipment Drains [ ] Other (Specify) ^� SIGNATURE: �`� DATE: DH 4015, 08/09 (Obsoletes prev- t�ions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1468167 DEPARTMENT OF HEALTH PERMIT # 56-SF-2039668 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALIIATION AND SYSTEM SPECIFICATION DOCUMENT # SE1267633 APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumb]ng & Drain Services LOT: 7 BLOCK: 70 SUBDIVISION: Indian River Estates ID#: 3402-609-0649-000-3 TO HE 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: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 675.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 752.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARH/REFERENCE POINT LOCATION: KID in Rd, S property line extended W ELEVATION OF PROPOSED SYSTEM SITE 1,00 [ INCHES / ET ] [ ABOVE]/ BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 PT NORMALLY NET: [ ]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: 30 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 [ MEL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 511 Sand 0To7 1 OYR 5/2 Sand 7 To 26 10YR 6/1 Sand 19 To 26 1 OYR 2/1 Spodic Material 29 To 43 1 OYR 4/3 Fine Sand 43 To 61 10YR 6/4 Fine Sand 61 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 511 Sand 0 To 6 10YR 5/2 Sand 6 TO 30 10YR 6/2 Sand 22 To 30 1 OYR 2/1 Spodic Material 30 To 41 1 OYR 4/3 Fine Sand 41 To 62 1 OYR 5/3 Fine Sand 62 To 72 OBSERVED WATER TABLE: 67.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand10.80 DEPTH OF EXCAVATION: 43 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMAKES/ADDITIONAL CRITERIA WSMIT determined using USDA WSS and soil borings. 10YR6/1 stripping In 10YR512 matrix>10% with diffuse boundaries starting at 19" in SB1. SB1 and SB21" above rd. 62 SITE EVALUATE13 BY: \ DATE: 03/09/2020 Ingram, Brian us: Environmental Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 00/09 (Obsoletes Previous editions ob may not be used) Incorporated: 64E-6.001, SAC Page 3 of 4 AP1468167 EID2039668 v 1.0.2