HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Wade Jumey Homes, LLC
PERMIT #:56-SF-1948840
APPLICATION. #: AP1413818
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1239354
PROPERTY ADDRESS: 7002 Penny Ln Fort Pierce, FL 34951
LOT: 10 BLOCK: 109 SUBDIVISION: Lakewood Park
PROPERTY ID #: 1301-811-0188-00D-4 [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, E.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' SPECIFICATIONS
T [
1,050 ]
GALLONS / GPD Septic new
CAPACITY
A L
]
GALLONS / GPD N/A
CAPACITY
N [
]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS DOSING TANK CAPACITY [
]GALLONS 0[ ]DOSES PER 24 HRS #Pumps [
D [ 500 ] SQUARE FEET
R L ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [x]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
n; N/A rev SYSTEM .. "
STANDARD -'Jt [x]2tILL.ED [ ] MOUND [ ]
TRENCH [ ] BED [ ]
Site BM#2. NiD in Rd. w PrODerty line extended S
;r
I ELEVATION OF PROPOSED SYSTEM SITE [ 25.00 1 [1 INCHES ET I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE L 19.00][ INCHES FT I EFAB;Va BELOW] BENCHMARK/REFERENCE POINT
L
la
0
T
H
E
R
%jul : R IL.UUJ iNUtl S EXCAVATIUN J UUIMD: L JV.VV J 1L\:aG.l
system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Brian J Ingr 'TITLE: Environmental Specialist II
APPROVED BY: LE: Environmental Specialist II St. Lucie CHID
Brian J Iagr
DATE ISSUED: 06106/2019 EXPIRATION DATE: 12106/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6. 003, PAC v 1.1.4 A 1413818 S016E COPYPage 1 0£ 3
CwPboS
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
O 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: u:56-SF-1948840 BILL DOC #,56-BID-4185714 CONSTRUCTION APPLICATION 4:AP1413818
RECEIVED FROM: Wade Jumey Homes, LLC AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 31771 PAYMENT DATE: 05/13/2019
MAIL TO: (Wade Jurney Homes, LLC)
FACILITY NAME:
PROPERTY LOCATION:
7002 Penny Ln
Fort Pierce, FL 34951
Lot: 10 Block: 109
Property ID: 1301-811-0188-000-4
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
A
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3939630
Note: Well 59-29545 $630
�< STATE OF FLORIDA
lDEPARTMENT OF HEALTH
n? ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[ ] New System [ ] Existing System
[ ] Repair [ ] Abandonment
APPLICANT:
MAILING ADDRESS: ��� �}L(
WW 6q'pq
PERMIT NO. $f ..Jg(t SSW
DATE PAID: —J—
.FEE PAID: RECEIPT #:
#:
031-771
[ ] Holding Tank [ ] Innovative
[ ] Temporary [ ]
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST' 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 (J
LOT: —a-�-- BLOCK: (� SUBDIVISION:, r �CSi �P .L �iO K4AS T, ED:
PROPERTY ID #: �'JU [ -� I I i1 SS �'S-C'DO-' `^! ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: I L-i' ACRES WATER SUPPLY: [ PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ]
PROPERTY ADDRESS:
DIRECTIONS TO PROP
BUILDING INFORMATION
Unit Type of
No Establishment
DISTANCE TO SEWER: -FT
RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
2 1403gs Pam' �wr µ
3
n
[ ] Floor/EquJpment Drains`[ ] Other (Specify)
DH 4015, 08/09 (Obsoletes previous edisi ns which may not be used)
Incorporated 64E-6.001, FAC
DATE: a
Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Wade Jumey Homes, LLC
CONTRACTOR / AGENT: Wade Jumey Homes, LLC
LOT: 10 BLOCK: 109
SUBDIVISION: Lakewood Park IDO: 1301-811-0188-000-4
APPLICATION # AP1413818
PERMIT H 56SF-1948840
DOCUMENT 0 AF117R7nR
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 EST324ATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 404.99 GALLCNS 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 9M#2, NiD in Rd, w Property line extended S
ELEVATION OF PROPOSED SYSTEM SITE 25.00 [FINCHES] / FT ] [ 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 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: PT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 60 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IX]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL_SERIES:Pepper sand
-- Munsel4V/Cblor Texture
^ ' Depth
I OYR 4/1''
Fine Sand
0 To 14
10YR 611
Sand
14 To 37
1 OYR 6/1
Sand
30 To 37
10YR 2/1
Spodic Material
37 To 42
7.5YR 3/3
Spodic Material
42 To 49
10YR 411
Fine Sand
49 To 62
1 OYR 5/2
Fine Sand
62 To 72
USDA SOIL SERIES:Pepper sand
Munsell #/Coldr Texture
Depth
10YR 4/2
Fine"Sand
0 To 16
10YR 5/1
Fine Sand
16 To 36
10YR 611
Sand
32 To 39
10YR 2/1
Spodic Material
39 To 45
7.5YR 3/2
Spodic Material
45 To 50
10YR 3/4
Sand
50 To 58
10YR 513
Sand
58 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BEZ; ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 30 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES IX]NO MOTTLING: [X]YES [ ]NO DEPTH: 30.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: 50 INCHES
DRAINFIELD CONFIGURATION: I ] 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 30" in SBI.
SB1 25" above SM. SB2 26" above SM. n
SITE EVALUATED BY:
Ingram, Brian (f Environmental Speciallstll) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obsoletas previoun editions a may not be used) Incorporated: 64E-6.001, FAC
DATE: 05/20/2019
Page 3 of 4
AP1413818 EID1948840 v 1.0.2