HomeMy WebLinkAboutseptic permitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Zane & Christy Lowery
PROPERTY ADDRESS: 4901 Grovers Rd Fort Pierce, FL 34951
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 131-132-0003-000-1
PERMIT #:56-SF-02903
APPLICATION #: AP1505963
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1376293
osms #:01-0027-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, 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 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 @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Orange painted 20d nail in south side of tree N of system
I ELEVATION OF PROPOSED SYSTEM SITE [ 28.00][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 28.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D E
O
T
H
E
R
ELL REQUIRED: [1b.UU] INCHES EXCAVATION REQUIRED: [ 4b.UU] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Brian J IngP�9 TITLE: Environmental Specialist II
APPROVED BY: IC/ /w1 TITLE: Environmental Specialist II St. Lucie CHD
Brian J In am
DATE ISSUED: 07/06/2020 EXPIRATION DATE: 01/06/2022
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 AP1505963 SE1313001
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
Fof 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #.56-SF-02903 BILL DOC #:56-BID-4703516 CONSTRUCTION APPLICATION #: AP1505963
RECEIVED FROM: Zane & Christy Lowery AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 390043 PAYMENT DATE: 05/22/2020
MAIL TO: Zane & Christy Lowery
4901 Grovers Rd
Fort Pierce, FL 34951
FACILITY NAME: Priest
PROPERTY LOCATION:
4901 Grovers Rd
Fort Pierce, FL 34951
Lot: Block:
Property ID: 131-132-0003-000-1
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-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: MontanezNM AUDIT CONTROL NO. 56-PID-4415180
STATE OF FLORIDA PERMIT NO. -SF -� agiJ3
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: IWSQS~ Cc,
SYSTEM RECEIPT#:
WS APPLICATION FOR CONSTRUCTION PERMIT _ AU Aq $k q00 3
APPLICATION FOR:
[>C] New System [ ] Existing System ( ] Holding Tank [ ] Innovative
[ ] Repair [x ]nn ppAbandonment [ ] Temporary [ ]
APPLICANT:
AGENT: TELEPHONE:77d-5ICt -5�002
MAILING ADDRESS: '4oid �Qi-rLo- StAc,s I
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:
PLATTED: I q $1
PROPERTY ID #: �'3 i 3 - 132-. -o(�b�-05GGi7"I ZONING: QS- 4 I/M OR EQUIVALENT: [ Y /0]
PROPERTY SIZE: 3. oto ACRES WATER SUPPLY: [x] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /0 DISTANCE TO SEWER: FT
PROPERTY ADDRESS: C- G O 0 ('rT�o V e r �S �� • ��r �- ;,� e,� c D '�-t� 51
DIRECTIONS TO PROPERTY:` 75�✓,jhy��1 J� ��PS f" -I-o ,�rr,�f�w (nJar l
}n 4!q6 I ��
BUILDING INFORMATION [/ < RESIDENTIAL [ ] COMMERCIAL
Unit Type of
No Establishment
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 / �
Si,&Z 14-
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: o DATE: l b
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Zane & Christy Lowery
CONTRACTOR / AGENT:
LOT
BLOCK:
SUBDIVISION: ID#:131-132-0003-000-1
APPLICATION # AP1505963
PERMIT # 56-SF-02903
DOCUMENT # SF1313(l01
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: [ ]YES [X]NO NET USABLE AREA AVAILABLE: 3.06 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLE) / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 4590.01 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: Orange painted 20d nail In south Side Of tree N Of
ELEVATION OF PROPOSED SYSTEM SITE 28.00 [ INCHES / FT ] [ ABOVE / BELOW
m
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: 100 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 [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 4/1
Sand
0 To 7
10YR 5/2
Sand
7 To 32
1 OYR 6/1
Sand
24 To 32
1 OYR 2/1
Spodic Material
32 To 37
7.5YR 3/3
Spodic Material
37 To 45
10YR 4/3
Sand
45 To 50
1 OYR 6/3
Sand
50 To 61
1 OYR 6/2
Sand
61 To 72
SOIL PROFILE INFORMATION SITE 2
T-A -Tr. C4 T4Q.
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 9
1 OYR 5/1
Sand
9 To 32
1 OYR 6/1
Sand
25 To 35
1 OYR 2/1
Spodic Material
35 To 40
7.5YR 3/2
Spodic Material
40 To 46
1 OYR 4/2
Sand
46 To 50
10YR 6/2
Loamy Sand
50 To 60
10YR 6/2
Sandy Clay Loam
60 To 72
OBSERVED WATER TABLE: 50.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 25.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 46 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/2 matrix >10% with diffuse boundaries starting at 24" in SB1.
S61 28" below BM. S62 27" beIW BM.
SITE EVALUATED BY: DATE: 06/05/2020
Ingram, Brian tle: Environmental Specialist III (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions ich may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1505963 EID344705 v 1.0.2