HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT: Danick
PERMIT #:56-SF-2022014
APPLICATION #:AP1456670
MA. A 6 2020
'. I_Ugie County, Permitting
PROPERTY ADDRESS: 8347 Calumet Ct Port Saint Lucie, FL 34986
LOT: 160 BLOCK: SUBDIVISION: Sabal Creek Phase IV
DATE PAID:
FEE PAID:
#: PR1288253
PROPERTY ID #: 3328-701-0013-000-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAR ID NUMBER]
SYSTEM MOST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, E.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 [ 1,900 ] GALLONS / GPD Septic new CAPACITY'
A [ ] GALLONS / GPD. N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ 750 ] GALLONS DOSING TANK CAPACITY [136.67]GALLONS 8[ 6 ]DOSES PER 24 ERS #Pumps [ 1 ]
D [ 513 ] SQUARE FEET
R [ 513 1 SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [X]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
Drainfield new SYSTEM
STANDARD [ ] FILLED DO MOUND [ ]
TRENCH [ ] BED [ ]
site BM Nail in CL of Rd near center of
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D I
0
T
H
E
R
[ 18.001E INCHES FT I ABOVE A BELOW BENCHMARK/REFERENCE POINT
[ 1.00 ][INCHES FT ][ABOVE BELON BENCHMARK/REFERENCE POINT
ILL REQUIRED: [35.UU] INCHES EXCAVATION REQUIRED: [ 55.UU1 INCHES
The system Is sized for 6 bedrooms with a maximum occupancy of 12 persons (2 per bedroom), for a total estimated flow of
820 gpd.
Dose ENTIRE drainfield each cycle.
Pumps must be certified as suitable for distributing sewage effluent.
FILE COPY
SPECIFICATIONS BY: Brian J Ingr
TITLE: Environmental Specialist II
APPROVED BY:
`'-gITLE: Environmental Specialist II
St. Lucie CED
Brian S In
DATE ISSUED:
01/13/2020
EXPIRATION DATE:
07/13/2021
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
"1456670 SE1237646
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.
}Y i
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#,56-SF-2022014 BILL ooCR56-BID-4502404 CONSTRUCTION APPLICATION X:AP1456670
Derrick Bailey AMOUNT PAID: $ 660.00
CREDIT CARD 984Z PAYMENT DATE: 12/09/2019
MAIL TO: Darrick Bailey
FACILITY NAME:
PROPERTY LOCATION:
8347 Calumet Ct
Port Saint Lucie, FL 34986
160
Lot: Block:
Property ID: 3328-701-0013-000-2
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: EvansJS AUDIT CONTROL NO. 56-PID-4245650
� e
51 STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
51 -ot=7a
PERMIT NO. SF'p�n�
DATE PAID:
FEE PAID:
RECEIPT #:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT. Darrick Bailey
AGENT: - TELEPHONE: 772-209-2845
MAILING ADDRESS: 637 SW Cynthia St PSL FL 34983 Nsw
wTO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGE
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, ��'1 2`�� SZ v
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE 1
PLATTED (P4S/DD/YY) IF REQUESTING CONSIDERATION OF STATUTOR
PROPERTY INFORMATION
LOT: 160 BLOCK:
SABAL CREEK
PROPERTY ID #: 3328-701-0013-000-2 ZONING:
PROPERTY SIZE: 1.67 ACRES WATER SUPPLY: [ ] PRIVATE E
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ]
PROPERTY ADDRESS: 8347 CALUMET CT
DIRECTIONS TO PROPERTY: see attached
VJAJ 6Y7 r"/PtA s
BUILDING INFORMATION [,(] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC
I cbs 2 story family home 6 10, 0
2
3
4
[ ] Floor/Equipment Dra�]
SIGNATURE:
by Danick Bailey
) 07:30:06-05'00'
DH 4015, 08/ 9 (Obsoletes peevious editions which may not be used)
Incorporated 64E-6.001, FJCC
DATE: 12/9/2019
Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1456670
DEPARTMENT OF HEALTH PERMIT # 56-SF-2022014
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1237646
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Darrick Bailey
CONTRACTOR / AGENT:
LOT: 160 BLOCK:
SUBDIVISION: Sabai Creek Phase IV ID#: 3328-701-0013-000-2
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: EX ]YES I ]NO NET USABLE AREA AVAILABLE: 1.67 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 820 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 4174.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1538.00 SQFT
BENCHMAR[/REFERENCE POINT LOCATION: site BM Nail in CL of Rd near center of property
ELEVATION OF PROPOSED SYSTEM SITE .18.00 L INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: I ]YES [XINO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 75 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 75 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IXIND]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT L MSL / NGVD
QMTT. DRnSTT.R TT nMM MTnN RTn 1 ROTT. PRORTT.R. INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 6/3
Loamy Sand
0 To 4
1 OYR 72
Sand
4 To 14
10YR 5/8
CMN/PRM RF
7 To 14
10YR 22
Loam
14 To 18
1OYR 4/3
Sandy Clay Loam
18 To 20
10YR 32
Loamy Sand
20 To 42
10YR 42
Sandy Clay Loam
42 To 55
1OYR 511
Sand
55 To 60
1 OYR 511
Loamy Sand
60 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 6/3
Loamy Sand
0 To 5
10YR 72
Sand
5 To 16
1 OYR 5/8
CMN/PRM RF
9 To 16
1 OYR 22
Loam
16 To 20
1 OYR 42
Sandy Clay Loam
20 To 26
1 OYR 42
Loamy Sand
26 To 43
10YR 52
Sandy Clay Loam
43 To 54
1 OYR 5/1
Sand
54 To 62
1 OYR 52
Loamy Sand
62 To 72
OBSERVED WATER TABLE: 46.00 INCHES [ ABOVE / BEE] EXISTING GRADE TYPE: [ PERCH® / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 7 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES IX]NO MOTTLING: [X]YES [ ]NO DEPTH: 7.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 55 INCHES
DRAINFIELD CONFIGURATION: [X I TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
S5 sandy rodox-10YR518 CMN PROM RF mottling in 10YR7/2 matrix>2% starting at 7" in SB1.
SB1 18" below SM. S13217' below SM.
SITE EVALUATED BY: �_ DATE: 01/08/2020
Ingram, Brian (Titl . nvironmental Specialist Ili (ENVIRONMENTAL HEALTH)
DE 4015, 08/09 (Obsoletes previous editions wtu stay not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1456670 EID2022014 v 1.0.2