HomeMy WebLinkAboutseptic permitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Synergy Homes, LLC)
PROPERTY ADDRESS: 3000 Seminole Rd Fort Pierce, FL 34951
LOT: 5 BLOCK:
SUBDIVISION: Papaya Grove
PERMIT #:56-SF-2056495
APPLICATION #:AP1479599
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1325615
PROPERTY ID #: 1326-800-0006-000-2 [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 [ 900 ] 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 [ 375 ] SQUARE FEET
R [ ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [X]
N
Drainfield New SYSTEM
N/A SYSTEM
STANDARD [X] FILLED [ ] MOUND [ ]
TRENCH [ ] BED [ ]
F LOCATION OF BENCHMARK: Site BM nail in U.P
I ELEVATION OF PROPOSED SYSTEM SITE [ 54.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 58.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
REQUIRED: [14.UU] INCHES EXCAVATION REQUIRED: t 4Z.UUt 1NGNE5
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: Hunter A Collier TITLE: Environmental Specialist I
APPROVED BY: t ft A /`ti -�A n TITLE: Environmental Specialist I St. Lucie CHD
Hunter A Collier
DATE ISSUED: 06/19/2020 EXPIRATION DATE: 10/27/2021
DR 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 AP1479599 SE1313068
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.