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Home My WebLink AboutSewager ,1 PROPERTY ADDRESS: 6504 Santa Clara Blvd Fort Pierce, FL 34951 LOT: 12 BLOCK: 116 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-611-0339-000-8 [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 [ 1,050 ] 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 Has #Pumps [ D [ 500 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM 1, NiD in Rd, W prol I ELEVATION OF PROPOSED SYSTEM SITE [ 15.001 E BOTTOM OF DRAINFIELD TO. BE [ 11.00 ] L D O T H E R line extended S FT I ABOVE BELOW] BENCHMARK/REFERENCE POINT FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT H Uut M V: r-14.UUJ INCHES EXCAVATION REQUIRED: t 9S.UU J INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flaw of gpd. SPECIFICATIONS BY: Brian J Ingraay, TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHO Brian J Ingr DATE ISSUED: 06/25/2019 EXPIRATION DATE: 12/25/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 "1413843 SE1191201 u_ \ ouD I k 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 Idea 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-1948882 BILL DOC #:56-BID-4185831 CONSTRUCTION APPLICATION #: AP1413843 RECEIVED FROM: Wade Jurney Homes, LLC AMOUNT PAID: $ 515.00 PAYMENT FORM: 13499f -CA'RD C 1C 31-17 Z PAYMENT DATE: 05/13/2019 MAIL TO: (Wade Jurney Homes, LLC) FACILITY NAME: PROPERTY LOCATION: 6504 Santa Clara Blvd Fort Pierce, FL 34951 Lot: 12 116 Block: Property ID: 1301-611-0339-000-8 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 AUDIT CONTROL NO. 56-PID-3939821 wutss-a�syro V&30 CL - 17? STATE OF FLORIDA APPLICATION # AP1413843 DEPARTMENT OF HEALTH PERMIT # 56-SF-1948882 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1191201 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Wade Jurney Homes, LLC CONTRACTOR / AGENT: WadeJurney Homes LLC LOT: 12 BLOCK: 116 SUBDIVISION: Lakewood Park ID#: 1301-611-0339-000-8 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.27 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TA13LEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 404.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM 1 NID In Rd W property line extended S ELEVATION OF PROPOSED SYSTEM SITE .15.00 [ INCHE9 / FT ] [[AB�=/ 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 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: PT MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD ROTT. PROFTT.F. TNFORMATTON RTTE 1 ROTT, PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 7 1 OYR 5/1 Sand 7 To 35 1 OYR 611 Sand 28 To 35 10YR 211 Spodic Material 35 To 42 7.5YR 3/3 Spodic Material 42 To 49 10YR 4/3 Sand 49 To 65 10YR 6/3 Sand 65 To 72 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 8 10YR 511 Sand 8 To 36 1 OYR 611 Sand 28 To 36 10YR 3/2 Spodic Material 36 To 47 7.5YR 3/4 Sand 47 To 52 10YR 4/3 Sand 52 To 59 10YR 5/2 Sand 59 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 28 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 28.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 49 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR611 stripping in 10YR511 matrix >10% with diffuse boundaries starting at 28" In SB2. SB7 14" above SM. SB2 15" above SM. /7 SITE EVALUATED BY: Ingram, Brian (Title: Enviro ntal Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may n be used) Incorporated: 64E-6.001, PAC AP1413843 EID1948882 DATE: 05/20/2019 Page 3 of 4 v 1.0.2 ixE 5 ry / r�STATE OF FLORIDA DEPARTMENT OF HEALTH PERMIT NO 5FagVrrZ DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: v.3D SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGEN� - y-4 `)Ql(�I(1L,�\c �L ` JTELEPHO\/ NE:j-)ay.3-q -, MAILING ADDRESS : L ��'� �_�(`) , ac_tc � &N`( • ; - 5 ry� b � P".,. . % : -.L ... r1 . '� ' A . , ..�._n1 ...,C _ f'r,,n- 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: C-;QLATTED: i3C) PROPERTY ID #: {(- (n](- O,3� ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: � ACRES WATER SUPPLY: [V] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE A/SO S-PER 381.0065, FS? [ Y / N] DIISTANCE TO !SEWER: �_FfT (� PROPERTY ADDRESS:y' 4 65ayc' JC�i.��, .y1\ QCxA-,a1 //�• �T� \'2YC`��`' / DIRECTIONS TO PROPERTY: C C '-Q-Dc c' c BUILDING INFORMATION [ X] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) 1 � DH 4015, 08/09 (Obsoletes previous Incorporated 64E-6.001, FAC which may not be used) DATE: v Page 1 of 4 C�-Q P- o(c)