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Home My WebLink AboutSewageSTATE OE FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New iPPLICANT: (Adams Homes of Northwest Florida, Inc) PROPERTY ADDRESS: 5612 Raintree Td Fort Pierce, FL 34982 PERMIT #:56-SF-2048885 APPLICATION #:AP1474253 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1320524 LOT: 2 BLOCK: 76 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-610-0147-000-8 [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 ERS #Pumps [ D [ 500 ] SQUARE FEE! R [ ] SQUARE FEE! A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfield new SYSTEM N/A SYSTEM STANDARD [X] FILLED [ ] MOUND [ ] TRENCH [ ] BED [ ] Site CL of Rd. center of I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES FT I [I AEOVE BELOW]EENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [13.00] INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of Fi H E R I MAY I Permitting 6 2020 ?�anarlrr art SPECIFICATIONS BY: TIC' St. f.u�.e �nl]nt FL Brian J In m g Envi onmental_S cmalist II�� APPROVED BY: AZ=� TITLE: Environmental Specialist II St. Lucie CHU Brian J In am DATE ISSUED: 03/27/2020 EXPIRATION DATE: 09/27/2021 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 "1474253 SE1269932 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: a:56-SF-2048885 BILL DOC #,56-BID-4603147 CONSTRUCTION APPLICATION 9: AP1474253 'RECEIVED FROM: Beniamin Drew"s Plumbinq & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 206820 PAYMENT DATE: 03/18/2020 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5612 Raintree Trl Fort Pierce, FL 34982 2 Lot: Properly ID: 3402-610-0147-000-8 - EXPLANATION or DESCRIPTION: 76 Block: 128 - OSTDS Construction System Inspection Research Fee -1 -Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4343043 � & STATE OF FLORIDA PERMIT NO. k:5f- O r DEPARTMENT OF HEALTH DATE PAID: g ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: 5 SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT AP LICATION FOR: [] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ MUD • [ ] APPLICANT: la � � l �� IN LLD F106(10,rb �� /1l AGENT: 1„\ Y W • TELLEPHONE:��Z"mod%• I0--G )W2 MAILING ADDRESS: I ' /tj Q (` C GL �./ `a /�yi 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 ' n C� C LOT: 9- BLOCK: -U SUBDIVISION: OEM Uhi-i I PLATTED: �j� PROPERTY ID #:��i(J I-•�Y L�-��' I'�>D g ZONING: VS-4_ I/M ORR EQUIVALENT: [ Y 7* , J] PROPERTY SIZE: on ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [✓ ]<=2000GPD [ ]>20000GGPD IS SEWER AVAILABLE AS PER 381.0006/51, FS?1[ Y // N ] / DISTANCE TO SEWER: ��FT PROPERTY ADDRESS: y_ D 12 1�` A .��'C"i'e�'e� j DIRECTIONS TO PROPERTY: BUILDING INFORMATION [OC RESIDENTIAL [ ] COMMERCIAL Unit Type of No Establishment No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chanter 64E-6, FAC 2 bs. n�o y0dc�po� 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 31 101ugo DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1474253 DEPARTMENT OF HEALTH PERMIT # 56-SF-2048885 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1269932 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 2 BLOCK: 76 SUBDIVISION: Indian River Estates ID#: 3402-610-0147-000-8 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: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM, Orange paint Spot, CL of ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT ] [[ 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 [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 35 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 enTT. VDAWTT.P. TMMPMnmrnx STTR 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 19 10YR 5/2 Sand 19 To 40 1 OYR 611 Sand 29 To 42 10YR 4/3 Sand 42 To 51 10YR 2/1 Spodic Material 51 To 65 1 OYR 413 Sand 65 To 69 2.5Y 5/2 Sand 69 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Sand O To 9 10YR 512 Sand 9 To 37 10YR 6/2 Sand 29 To 43 1 OYR 4/2 Sand 43 To 49 1 OYR 2/1 Spodic Material 49 To 55 7.6YR 3/2 Spodic Material 55 To 66 2.5Y 512 Sand 66 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / BELOW]] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X]YES [ ]NO DEPTH: qg nn INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: I ] TRENCH [ ] BED [ ] OTHER (SPECIFY) [- REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/2 stripping in 10YR5/2 matrix >10 % with diffuse boundaries starting at 29" in SB2. S1311 2" above SM. S82 3" above BM. SITE EVALUATED BY: Ingram n(Title: Environmental Specialist 11)(ENVIRONMENTAL MEALIH) DE 4015, 08/09 (Obsoletes previous edit s which may not be used) Incorporated: 64E-6.001, FAC AP1474253 E102048885 INCHES DATE: 03/26/2020 Page 3 of 4 v 1.0.2