HomeMy WebLinkAboutSewage4?60y- &21Z
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAt04U paoJ 'a
SYSTEM �treda06 �> 7
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CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Ocles Philippe
PROPERTY ADDRESS: 5901 Palm Dr Fort Pierce. FL 34982
LOT: 39 BLOCK: 61 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-609-0357-000-9
PERMIT #:56-SF-2061105
APPLICATION #: AP1482899
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1349949
[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 [ 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 Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND
I CONFIGURATION: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: yellow capped Iron rod, NE property corner
I ELEVATION OF PROPOSED SYSTEM SITE [ 11.001[ INCHE9 FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 13.001[ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
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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: w Brian J InAp. TITTLE' Environmental Specialist II
APPROVED BY: 4Z
J' TITLE: Environmental Specialist II St. Lucie CHD
Brien J In em
DATE ISSUED: 05/26/2020 EXPIRATION DATE: 11/26/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
'azi s ✓l�,G +:�Efty
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
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2061105 HILL ooc#:56-BID-4662568 CONSTRUCTION APPLICATION#: AP1482899
RECEIVED FROM: Ocles Philippe AMOUNT PAID: $ 660.00
PAYMENT FORM: CHECK 1762 PAYMENT DATE: 05/06/2020
MAIL TO: Ocles Philippe
FACILITY NAME:
=141=4 Wd116I6J."Ill 04704
5901 Palm or
Fort Pierce, FL 34982
Lot: 39 Block: 61
Property ID: 3402-609-0357-000-9 .
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
-1 - Well Construction
1
$
115.00
RECEIVED BY: WhiahamJL AUDIT CONTROL NO. 56-PID-4373465
-rWU vCcOZiW6-[v yl4ld0.��
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9 STATE OF FLORIDA PERMIT NO,.%-Sl �o�v(DI(OS
DEPARTMENT OF' iiEALTH DATE PAID:
%n ONSSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: OCR l-IIDa
SYSTEM RECEIPT $.t
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[✓3 New System [ j Existing System .[ ] Holding Tank ( ] Innovative
[ ]. Repair [ ]' Abandonment,( ] Temporary [ ]
APPLICANT. -
AGENT:
MAILING ADDRESS:
'S
TELEPHONE: ` ? 2Z 4 0 3�
TO BE COMPLETED By APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.1.05(3.](m) OR 4'89.552, FLORIDA STATOTES. IT IS THE
APPLICANTS RESPONSIBILITY TO .PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS. CREATED OR
PLATTED '(MM/DD/YY)..IF REQUESTING, CONSIDERATION OF STATUTORY GRANDFATREA PROVISIONS.
-
PROPERTY `INFORMATION
LOT:. "BLOCK: le
$USDIVISTON' IN-bi" Paler � T to V 5 Q PLATTED:
PROPERTY ID #:.340z 609-03s7--060-1 ZONING: g5-4e0 /M OR EQUIVALENT: [ YO ]
PROPERTY SIZE,: 8 G3 ACRES WATER SUPPLY: [ ) PRIVATE
IS SEWER AVAILABLE AS,; PER 381.0065,• FS? [ Y 01
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY: FH-) (i"( I
'; eC l 7-OWN % R P-vI20
PUBLIC >�fic=200DGPD [ ]i2000GPD
DISTANCE TO SEWER': FT
BUILDING INFORMATION - � RESIDENTIAL [ ) COMERCIAL
Unit. Type of 'No. of Building CO11Mpecial/Institutional System Design
No Establishment 'Bedrooms Area Sq£t Table 1, Chapter 64E-6., :FAC
1 kPSicnfca.( 235
z
M vt�
3
r
4
[ ] F.loOr/Equipment Drains [ ] Other (Specify)
SIGNATURE:
DATE;
SH 4015, 08/09 (Obsoleted previous editions which may not be geed)
'ncorporated 64E-6..00l, FAC Page 1 of 4
[
STATE OF FLORIDA APPLICATION If AP1482899
DEPARTMENT OF HEALTH PERMIT g 56-SF-2061105
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT H SE1299103
APPLICANT: Ocles Philippe
CONTRACTOR / AGENT:
LOT: 39
SUBDIVISION: Indian River Estates
BLOCK: 61
ID0: 3402-609-0357-000-9
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-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 575.01
GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
yellow Capped Iron rod, NE property Corner
ELEVATION OF PROPOSED SYSTEM SITE
11.00 [[INCHES / FT ] [ ABOVE / BELOW ] BENCHMARR/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: 109 FT NON -POTABLE: 92 FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 5 FT POTABLE WATER LINES: 30 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
SOTT. PROFTT.R TNFORMATTON 9TTF. 1
QOTT. DRnVTT.F. TN VMATTON STT .. 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
I OYR 5/2
Sand
0 To 32 '
10YR 611
Sand
24 To 34
10YR 211
Spodic Material
34 To 48
1 OYR 5/4
Sand
48 To 55
10YR 5/4
Loamy Sand
55 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
I OYR 4/2
Loamy Sand
0 To 7
10YR 512
Sand
7 To 37
10YR 611
Sand
22 To 37
1 OYR 2/2
Spodic Material
37 To 46
1 OYR 5/3
Fine Sand
46 To 55
10YR 5/4
Loamy Sand
55 To 72
OBSERVED WATER TABLE: 61.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 INCHES [ ABOVE / FBELOW13 EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 22.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/O.SO DEPTH OF EXCAVATION: 46 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
IT determined using USDA WSS and soli borings.
L611 stripping In 10YR512 matrix, >10% with diffuse boundaries starting at 22" In SB2.
12" below SM. SB2 It" below BM. Top of catch Msln Is 11" below BM
SITE EVALUATED BY:
Ingram, Brian (title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obaoletes previous editions soh may not be used) Inmrporated: 64E-6.001, FAC
DATE: 05/18/2020
Page 3 of 4
AP1482899 EID2061105 v 1.0.2