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Home My WebLink AboutSewage; OSTDS NewSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Gregory Johnson PROPERTY ADDRESS: 3705 Avenue I ' Fort Pierce, FL 34947 PERMIT #:56-SF-2039924 APPLICATION #:AP1468331 DATE PAID: FEE PAID: RECEIPT #: . DOCUMENT #: PR1306079 LOT: 1,2,3 BLOCK: A SUBDIVISION: Sumner Heights [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 2405-704-0001-000-7 [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 Seotic 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 U ]DOSES PER 29 HRS #Pumps I ] D [ 500 ] SQUAREFEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [x] FILLED [ ] MOUND [ 1 I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange paint spot On NE Comer of Catch basin NE prof I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ] [ INCHES FT ] [ AB04 E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ] ABON L D FILL See 0 T The H 400 E y comer BELOW]BENCBMARK/REFERENCE POINT BELOW]BENCHMARK/REFERENCE POINT system is sized for rooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9pd• 'FICATIONS BY: TITLE: Bunter A Collier Environmental Specialist I 9Y: I - TITLE: Environmental Specialist I St. Lucie CHID n er A Collier 03/19/2020 EXPIRATION DATE: 09/03/2021 'Obsoletes all previous editions which may not be used)��s F 3 '-6.003, FAC v 1.1.4 AP1468331 C NOTICE OF RIGHTS A.party whose substantial interest is affected by this order may petition -for an administrative hearing pursuant to sections 120.669 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 t 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2039924 BILL DOG#:56-BID-4556050 CONSTRUCTION APPLICATION#: AP1468331 RECEIVED FROM: Georqe & Assoc, LLC AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 182245 PAYMENT DATE: 02/18/2020 MAIL TO: Gregory Johnson FACILITY NAME: PROPERTY LOCATION: 3705 Avenuel Fort Pierce, FL 34947 Lot: 1,2,3 Property ID: 2405-704-0001-000-7 EXPLANATION or DESCRIPTION: A Block: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS,Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection QUANTITY FEE 1 $ 5.00 1 $ 45.00 1- $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4295195 :e s� STATE OF FLORIDA h 0 7 DEPARTMENT OF HEALTH Y%a ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ 7 Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: AGENT: PERMIT NO. 'DATEPAID: WzDd-71 FEE PAID: RECEIPT #: 7 innovative TELEPHONE: %%L-ZZt!'7113 MAILING ADDRESS: 7`— /W ?i / f�$ I Pi ( t^Py� f- '� LI0 tF TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMSMOST RECONSTRUCTED HY 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 GRANUFATHER'PROVISIONS-. PROPERTY INFORMATION , (� LOT: BI;OCK:.,� SUBDIVISION- J0r,,!YIFi'// t'J �'�S PLATTED: PROPERTY ID #: � D.j —7C ��)1''-11,40 ZONING: CS I/M OR EQUIVALENT: [ Y(g ] PROPERTY SIZE,; K7— ACRES WATER SUPPLY: ( ] PRIVATE PUBLIC. (O']t=2.000GPD [ 1:>20000PD IS SEWER AVAILABLE AS 'PER 381..0065, F.S7 [ Y® ] ['f DISTANCE TO SEWER: PJltk FT PROPERTY ADDRESS: Ave 1... JE(•�I`P ry e. DIRECTIONS TO PROPERTY: BUILDING INFORMATION [1/'RESIDENTIAL [ ] COMMERCIAL Unit Type of No, of Building Commercial/Ins ti tu'tional System Design No Establishment Bedrooms ZAid�a�_SrgftTable 1 Chatter 64E-6:, PAC 7:- 1 'b'1' �uon, 'i qet& 2 3 4 [ ] Floor/Equipment Drains SIGNATURE: [ ] Other (Specify) DATE: ` L 47 20 DH 4015, 08109 (Obsoletes previous -editions which may not be used) Incorporated 64E--5.001, PAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1468331 DEPARTMENT OF HEALTH PERMIT # 56SF-2039924 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1254848 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Gregory Johnson CONTRACTOR / AGENT:George & Assoc, LLC . LOT: %213 BLOCK: A , SUBDMSION: _ Sumner Heights ID#: 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.63 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY. [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1325.01 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: catch basin ELEVATION OF PROPOSED SYSTEM SITE 6.00 [FINCHES / 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: 100+ FT NORMALLY WET: I ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 63 FT BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 14 FT' POTABLE WATER LINES: 67 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: nnnO W Tl.1LY1DMAMTnW QTTC 1 ]YES IX]NO 10 YEAR FLOODING? [ ]YES IX]NO1 FT[ MSL / NGVD ] SITE ELEVATION: FT C MSL / NGVD USDA SOIL SERIES:Tantile sand Munsell#(Color Texture Depth 10YR4/2 Sand 0To16 10YR 5/2 Sand 16 To 22 1 OYR 5/1 Sand _ 22 To 30 1 OYR 611 Sand 26 To 34 10YR 2/1 Spodic Material 34 To 41 7.5YR 3/3 Sand 41 To 45 1 OYR 4/3 Sand 45 To 57 1 OYR 313 Sand 57 To 72 QTm 9 USDA SOIL SERIES:Tantile sand Munsell #!Color Texture Depth 10YR 6/1 Sand 0 To 17 I OYR 411 Sand 17 To 49 1 OYR 4/1 Gravel 32 To 38 1 OYR 511 Sand 49 To 58 1 OYR 6/1 Sand 58 To 67 10YR 3/1 Sand 67 To 72 OBSERVED WATER TABLE: INCHES I ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED. WET SEASON WATER TABLE ELEVATION: 26 INCHES [ ABOVE / FEE] HIGH WATER TABLE VEGETATION: [ ]YES [X INO MOTTLING: [XIYES [ ]NO [ PERCHED / APPARENT ] EXISTING GRADE DEPTH: 26.00, INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED I[ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWr determined using USDA WSS and soil borings. 10YR 6/1 stripping in 10YR 511 matrix> 10% With diffuse boundaries starting at 26" In SB1. SB7 6" above BM. SB2 6" above.BM. SITE EVALUATED BY: 41 INCHES DATE: 02/25/2020 Collier, Hunter (Title: Environmental Specialist 1) (Florida Department or Health In at. L DR 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1468331 EID2039924 v 1.0.2