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HomeMy WebLinkAboutSewage4?60y- &21Z STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAt04U paoJ 'a SYSTEM �treda06 �> 7 to N/Jr m ay 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 D O T H E R 1tGjjVlltGU: J LU.UVJ lyuN B EXUAVA'J:lUN R WulR u: t 40.UU J 1NUBNJ 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.�� r:e 1weLL- SU - 51 Ind 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