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 r o aad\-CAM$ FEB 2 i 2020 CONSTRUCTION PERMIT FOR: OSTDS New I ST. Lucie County, APPLICANT: Derrick Gale PROPERTY ADDRESS: 7259 S Indian River Dr Fort Pierce, FL 34982 LOT: PROPERTY ID #: BLOCK: SUBDIVISION: PERMIT #:56SF-06719 APPLICATION #:AP1463391 DATE PAID: FEE PAID: RECEIPT #! DOCUMENT #: PR1304705 osTDs #:03-1601-R [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 SPECIFICATIONS T [1,050 ] GALLONS / GPD Sentic 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 or ]DOSES PER 24 HRS #Pumps [ D [ 500 ] SQUARE FEET Drainfield New SYSTEM R [ .] SQUARE FEET N/A SYSTEM * TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND I CONFIGURATION: [X) TRENCH [ ]BED [ ] N F LOCATION OF BENCHMARK: NE corner of marble enclosed patio pad I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 0.001 INCHES 0 T H E R [ 32.00 ][ INCHES FT ][ABOVE LBELOW BENCHMARK/REFERENCE POINT [ 62.00 M INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J DATE ISSUED: 02/24/202I am 08/24/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be sed) Page 1 of 3 Incorporated: 64E-6.003, FAC FEB ? 7 '';;";91 v 1.1.4 AP1463391 SE1254209 ST. Lucie County, Permitting 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. I 1 St. Lucie County Health Department FrdtfdA HEALTH 5150 NW Milner Dr Port Saint Lucie, 'FL 34983 PAYING ON: #:56-SF-06719 elLLooc#.56-BID-4529746 CONSTRUCTION APPLICATION#: AP1463391 RECEIVED FROM: Derrick Gale AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 2998 PAYMENT DATE: 01/23/2020 MAIL TO: Derrick Gale 7259 S Indian River Dr Fort Pierce, FL 34982 FACILITY NAME: PROPERTY LOCATION: 7259 S Indian River or Fort Pierce, FL 34982 Lot: Property ID: 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 . RECEIVED BY: MontanezNM QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 1.00.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 AUDIT CONTROL -NO. 56-PID-4269835 g STATE OF FLORIDA 4�. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [,/] New System [ ] Existing System [ ] Holding Tank [ ] Repair '[✓] Abandonment I ] Temporary APPLICANTr AGENT: MAILINC PERMIT NO. 19 DATE PAID: FEE PAID: G�,g RECEIPT ([: ( ] Innovative I l 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 Imm/DD/YY) IF REQUESTING cowsmERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY "INFORMATION Sec. 0_1 13CPI 4 LOT; BLOCK: SUBDIVISION: PLATTED: PROPERTY ID #:�ONING: LDS{ I/M OR EQUIVALENT: E.Y/N ] PROPERTY SIZE: 3r� ACRES WATER SUPPLY. [�/I PRIVATE PUBLIC [ ]e=20DOGPD [ 1>2000GPD I9 SEWER AVAILABLEE AS PER C'381..0065, FSP [ YO ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Ica-� S l-ilc�%!'n Zye'— -elr' �V-4 11 ee, F'4 3Y �P,� DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ ] RSSDOENTIAL _ [ ] COMMERCIAL Unit Type of No.'of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, .Chapter 64E-6, PAC 2 39 ccb^ 3 4 [ ] Floor/E?: pent Dra.(s C ] Other (Specify) SIGNATURE: 1 J DATE; Jh DH 401,5, 08109 (Obsoletesprevious- editions which may not be used) i Incorporated 64E-6.001, FAC Page 1 of 4 - ' I r STATE OF FLORIDA DEPARTMENT OF HEALTH 'ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Derrick Gale CONTRACTOR / AGENT: LOT: SUBDIVISION: ID#: BLOCK: APPLICATION # AP1463391 PERMIT # 56-SF-06719 DOCUMENT '# SE1254209 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: IX ]YES [ ]NO NET USABLE AREA AVAILABLE: 3,48 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 8700.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: NE Corner of marble enclosed patio pa( ELEVATION OF PROPOSED SYSTEM SITE 32.00 [ INCHES / FT ] [ ABOVE BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 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: 70 FT SITE SUBJECT TO,FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: enTT. DVAWTT.F. TNFDRMATIDN SITE 1 [ ]YES [X]NO _ 10 YEAR'FLOODING? I ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 - Sand 0 To 13 10YR 4/1 Sand 13 To 20 1 OYR 5/1 _ Sand 20 To 27 1 OYR 6/3 Sand 27 To 38 10YR 516 Sand 38 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 412 Sand 0 To 21 1OYR 511 Sand 21 To 31 1OYR 6/2 Sand 31 To 39 1 OYR 6/,4 Sand 39 To 51 1 OYR 5/6 Sand 51 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO [ PERCHED / APPARENT] EXISTING GRADE DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA - VT determined. using USDA.WSS. WSWT determined to be below 72". NO WSWT indicators. 28" below SM. S62 32" below SM. SITE EVALUATED BY: Ingram, BP (Title: Environmental Specialist II) (ENVIRUNMhNIAL MALT R) DR 4015, 08/09 (Obsolates previous editions Which may not be,used) incorporated: 64E-6.001, FAC INCHES DATE: 02/21/2020 Page 3 of 4 AP1463391 EID348609 v 1.0.2