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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-2054790 APPLICATION #:AP1478340 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1325353 MAY 12 2RO CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: James Jurek PROPERTY ADDRESS: TBD Tree Top Trl Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 1407-342-0040-000-5 Permitting [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 N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps D [ 375 ] 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: yellow Capped IR, SE property corner I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L u 0 T H E R [ 33.00111 INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT [ 24.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT REQu1 : 1 S.UVJ INCRB:S EXCAVATION REQUIRED: L OO.UUJ 1NORES 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 J Ingr}� _TITLE: Environmental Specialist II APPROVED BY: / ✓`^"� TITLE: Environmental Specialist II St. Lucie CHD Brian J Ing/q%P DATE ISSUED: 04/24/2020 v EXPIRATION DATE: 10/24/2021 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 A 1478340 SE1274562 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 flot'itt 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #.56-SF-2054790 BILL Doc#:56-BID-4623083 CONSTRUCTION APPLICATION#: AP1478340 RECEIVED FROM: Dave Golden Homes AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 27234 PAYMENT DATE: 04/10/2020 MAIL TO: James Jurek FACILITY NAME: PROPERTY LOCATION: TBD Tree Top Trl Fort Pierce, FL 34951 Lot: Property ID 1407-342-0040-000-5 EXPLANATION or DESCRIPTION: 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 -1 - Well Construction 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 1 $ 115.00 RECEIVED BY: MayDS AUDIT CONTROL NO. 56-PID-4355048 � re -mac STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO; 5k' -01054jCjC) DATE PAID: �{' l0nroao FEE PAID: RECEIPT #: New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGENT: Dave Golden Homes MAILING ADDRESS: 4900 Indrio Rd. Ft. Pierce Fl. 34951 TELE PHONE : 772-466-0829 _------------------------------------------------------------------- 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. LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 1407-342-0040-000-5 PLATTED: ZONING: AG1 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 1.02 ACRES WATER SUPPLY: [V] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Tree Top Trail, Ft. Pierce DIRECTIONS TO PROPERTY: US 1 north to Indrio rd. west about 1 mile to Tree Top Trail north about 3/4 mi to property on W BUILDING INFORMATION Unit Type of No Establishment I single faro residence 2 [ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 2084 3 9 _ [ ] Floor/Equipment'D"rains [ SIGNATURE: Other (Specify) DATE: 4/D 110 DH 4015, 08/09 (0bsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 `STATE OF'FLORIDA APPLICATION # AP1478340 DEPARTMENT OF HEALTH PERMIT # 56-SF-2054790 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM, DOCUMENT # SE1274562 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: James Jurek CONTRACTOR / AGENT: Dave Golden Homes LOT: BLOCK: i SUBDIVISION: ID#:1407-342-0040-000-5 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 [']NO NET USABLE AREA AVAILABLE: 1.15 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1725.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SOFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE SE 33.00 [I INCHES I/ FT ] [IABOVE I/ 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: 98 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 69 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 AOTT. lPPnVTT.E TNFr1RMATTnV ATTR 1 RnTT. RRnRTT.E TNAr1RMATTON RTTF. 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 i Sand 0 To 12 1OYR 5/8 CMN/PRM RF 8 To 15 10YR 2/2 Spodic Material 15 To 16 7.5YR 313 Spodic Material 16 To 19 7.5YR 4/3 Fine Sand 19 To 25 1 OYR 4/4 Sand 25 To 43 1OYR 5/3 Sand 43 To 57 10YR 6/2 Sand 57 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 15 10YR 5/1 Sand 15 To 45 1 OYR 611 Sand 33 TO 51 1OYR 2/1 Sand 51 To 62 1OYR 3/2 Spodic Material 62 To 66 1 OYR 4/4 Sand 66 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 33 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 33.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: 66 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soll boring. 10YR6/1 stripping In 10YR5/1 matrix >10% with diffuse boundaries starting at 33" In S132 S81 8" above BM. S132 33" aboveBM. /J SITE EVALUATED BY: DATE: 04/22/2020 Ingram, Brian (T a: Environmental Specialist II) (ENVIRONMENTAL HEALTH) tions DH 4015, 08/09 (Obsoletes previous ediw ch may not be used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1478340 EID2064790 V 1.0.2