HomeMy WebLinkAboutSewagePERMIT #:56-SF-1980999
STATE OF FLORIDA ,. APPLICATION #:AP1427635
DEPARTMENT OF HEALTH RECEIVED ` DATE. PAID:
ONSITE SEWAGE TREATMENT AND DI POSAL I FEE PAID:
SYSTEM I JAN 2 9 2020 I RECEIPT #:
ST. Lucie County, Permitting I DOCUMENT #: PR1251340
CONSTRUCTION PERMIT FOR: OSTDS New 11
APPLICANT: (Paradise Homes Group)
PROPERTY ADDRESS: 123 Queen Frederika St Fort Pierce, FL 34949
LOT: H BLOCK: 4 SUBDIVISION: Queens Cove
PROPERTY ID #: 1414-701-0035-000-0 [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 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 [ 500 ] SQUARE FEET Dralnfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [R] TRENCH [ ]ABED [ ]
N
F LOCATION OF BENCHMARK: N I D CL Of Rd Center Of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
ltw
O
T
H
E
R
ILL
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow Of
gpd.
SPECIFICATIONS BY' Brian J Ingram TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHU
11 Hunter A Collier
DATE ISSUED: 10/09/2019 EXPIRATION DATE: 04/09/2021
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 4
v 1.1.4 AP1427635 SE1200466 �� _
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
HE 5150 NW Milner Dr Port Saint Lucie, FL.34983
PAYING ON: #:56-SF-1980999 13ILL DOC #:56-BID-4308626 CONSTRUCTION APPLICATION #: AP1427635
RECEIVED FROM: Paradise Homes Group AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 160008 PAYMENT DATE: 08/07/2019
MAIL TO: (Paradise Homes Group)
FACILITY NAME:
1:10 WYS9141_7411i
123 Queen Frederika St
Fort Pierce, FL 34949
Lot: H Block: 4
Property ID: 1414-701-0035-000-0
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-4033677 ��
TM0 cs STATE OPERMIT NO. F GIQ
DEPARTMENT
OEF HE HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: ( G[ a)g
SYSTEM NC P&M- to
APPLICATION FOR CONSTRUCTION PERMIT kS /J
APPLI ATION FOR: '
[ New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repairj� [ ] �Ab`andonmentt[ ] Temporary [ ]
APPLICANT: ]'GCQvA 1 , SQ m-e-S 6ilag0
AGENT: (>p �'C. �t{'yM 6a�d_4 n/� -� TELEffPHONE.7 % L - & Z( '"rq (p (, 3
MAILING ADDRESS : S_] S Mid li�di'i'nn � �.� (U-tlP 4 (09 Law (�t
---------------- --- -------------------------- 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: A
BLOCK:
SUBDIVISION: 1),11
4 1
(d.L(eenS
` 00a, PLATTED:
PROPERTY ID
#: ILI/ Y
- 70 I --005S-OUP - 0
ZONING:
3L
I/M OR EQUIVALENT: [ Y / N
PROPERTY SIZE: I, 2J ACRES WATER SUPPLY: [ /]�1�PRIVATE PUBLIC [!�<=2000GPD I ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y A N 7 �'I' DISTANCE TO SEWER: 1000 FT
PROPERTY ADDRESS: 12 3 nQ we e-1'1 'I'Y"2GQ.2e.(L, ka �7T1 e-"��� - /"�
DIRECTIONS TO PROPERTY: AI A " D �Q.l ?iQ &Ole-%, ] 17 T, I ,Q�� dOJ &ULer's PCce
�ft� So�er�na,� f�iCeti '-f'Urzn �e�'�- oy, �u.een �rec(ez,lcaG�,
BUILDING INFORMATION
Unit Type of
No Establishment
1
2
3
4
[ ] Floor/Equipment Drains
SIGNATURE:
J1A RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 2 3e)4
[ ) Other (Specify)
DATE: 7
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1427635
DEPARTMENT OF HEALTH PERMIT # 56-SF-1980999
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1200466
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Paradise Homes Group
CONTRACTOR / AGENT: Paradise Homes Group
LOT: H BLOCK: 4 `
SUBDIVISION: Queens Cove ID#:1414-701-0035-000-0
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: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLES / 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: NID CL of Rd center of property '
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
i
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 75 FT DITCHES/SWALES: FT NORMALLY WET: I ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 88 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOLL PROFILE INFORMATION SITE 1
[ ]YES [X INO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 3/2
Gravel
0 To 4
1 OYR 3/3
Sand
4 To 13
1OYR 4/2
Sand
13 To 16
1 OYR 5/2
Sand
16 To 31
I OYR 5/8
CMNIPRM RF
20 To 31
10YR 3/3
Loamy Sand
31 To 36
10YR 4/1
Sand
36 To 43
10YR 4/1
Sandy Loam
43 To 72
oor TTF TWWADMa TTr1M CTTR 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/2
Gravel
0 To 4
1OYR 3/3
Sand
4 To 13
10YR 4/2
Sand
13 To 16
10YR 5/2
Sand
16 To 31
10YR 5/8
CMN/PRM RF
20 To 31
1 OYR 3/3
Loamy Sand
31 To 36
10YR 4/1
Sand
36 To 43
1 OYR 4/1
Sandy Loam
43 To 72
OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: IX]YES [ ]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 20.00 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
Sandy Redox. WSWT determined using USDA WSS and soil borings. 1 OYR 518 CMN Prom RF mottling in 1 OYR 512 matrix > 2%
rtina at 20" in SB1. SB1 1" below BM. S62 1" below BM.
SITE EVALUATED BY: //Jl,.-. , / 1
GGG Ingram, Brian(Title
DR 4015, 08/09 (Obsoletes previous editions which
ronmental Specialist 11) (ENVIRONMENTAL HEALTH)
not be used) Incorporated: 64E-6. 001, FAC
INCHES
DATE: 08/28/2019
Page 3 of 4
AP1427636 EID1980999 v 1.0.2