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Home My WebLink AboutSewageIE APPLICATION #:AP1457017 _ STATE OF FLORIDA PERMIT #:56-SF-1770149 ' DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI1451926 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:12/10/2019 FEE FAID:545.00 RECEIPT #:56-PID-4246996 APPLICANT: Stacey Dyer AGENT: Synergy Homes, LLC PROPERTY ADDRESS: 15360 Sky King Dr Port Saint Lucie, FL 34987 LOT: 65 BLOCK: SUBDIVISION: Treasure Coast Air Park ID#: 4224-501-0065-000-1 CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ ] [011 TANK SIZE [1] 1250.00 [21 525.00 [ 1 [271 SURFACE WATER FT ( 1 1021 TANK MATERIAL Polyethylene [ ] [281 DITCHES 40 FT [ 1 [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 100 FT [ ] [041 MULTI -CHAMBERED [LYj N 1 [ ] [301 PUBLIC WELLS FT [ ] [051 OUTLET FILTER POlylok PL-68 [ ] [311 IRRIGATION WELLS 100 FT [ ] (061 LEGEND 1. 70-156-12DC3 2. 70-156-05SC3 [ ] [321 POTABLE WATER 69 FT [ 1 1071 WATERTIGHT [ 1 [331 BUILDING FOUNDATIONS 11 FT [ 1 [081 LEVEL [ ] [341 PROPERTY LINES 45 FT ( ] [09] DEPTH TO LID [ 1 [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ 1 (101 AREA [1] 600 [21 SQFT [ ] [361 DRAINFIELD COVER [ ] [111 DISTRIBUTION BOX HEADER X [ 1 [371 SHOULDERS [ ] [121 NUMBER OF DRAINLINES 1. 5.00 2. [ 1 [381 SLOPES [ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 07/16/2020 [ ] [141 DRAINLINE SLOPE [ 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION [ ] [16] ELEVATION [ ABOVE / BELOW ]BM 7,00 [ ] [401 UNOBSTRUCTED AREA [ ] (17) SYSTEM LOCATION [ 1 [411 STORMWATER RUNOFF [ ] [181 DOSING PUMPS 1.00 [ 1 [421 ALARMS ( ] (191 AGGREGATE SIZE ( ] [431 MAINTENANCE AGREEMENT ( 1 [201 AGGREGATE EXCESSIVE FINES [ 1 [441 BUILDING AREA ( ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ 1 [461 FINAL SITE GRADING ( ] 1221 FILL AMOUNT [ ] [47) CONTRACTOR Raymond Kane (ALL AMERIC [ 1 [231 FILL TEXTURE [ 1 [481 OTHER ADS MPS-9 (9 pipes - 2 tier) [ ] [241 EXCAVATION DEPTH ABANDONMENT I 1 [251 AREA REPLACED [ 1 1491 TANK PUMPED [ ] [261 REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED 6 FILLED Comments: Comments are on page 2. / St. Lucie CHD DATE: 06/25/2020 CONSTRUCTION I APPROVED DISAPPROVED ]' w.f�w% �.w�'"� En{�ir/oJ`9,yrentaI Specialists unter A Collier (Florida Department of Heal FINAL SYSTEM [ APPROVED / DISAPPROVED ]: J (�ppp St. Lucie CHID DATE: 07/16/2020 Environmental Specialist I ran I Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 2 of 3 EH Database v 1.0.1 AP1457017 EID1770149 STATE OF FLORIDA ti r b DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL, APPROVAL Violation Number Comment Comments APPLICATION #:AP1457017 PERMIT #:56-SF-1770149 DOCUMENT #:FI1451926 DATE PAID:12/10/2019 FEE PAID;545.00 RECEIPT #:56-PID-4246996 The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of 460 gpd. New septic tank installed. New filter. Libery 1/3 HP dosing pump, 525 gal dosing tank installed. 5x40' long DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final inspection for mound system, alarm, and final site grading. Final system approved. Contractor and building department emailed final approval. DH 4016, 08/09 (obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1457017 EID1770149 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT: PROPERTY ADDRESS: 15360 PERMIT #:56-SF-1770149 APPLICATION #:AP1457017 DATE PAID: FEE PAID: RECEIPT #: ;i-•= DOCUMENT #: PR1288755 COPY V :1 OSTDS New � +s Dr Port Saint Lucie. FL 34987 LOT: 65 BLOCK: SUBDIVISION: Treasure Coast Air Park PROPERTY ID #: 4224-501-0065-000-1 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAR ID NUMBER] SYSTEM MOST 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 [ 11200 ] GALLONS / GPD Seotic new CAPACITY A [ I 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 SHE #Pumps [ C1 .. D [ 575 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange spot NE corner of transformer pad NW of I ELEVATION OF PROPOSED SYSTEM SITE [ 12.00 1 [1 INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D I 0 T H E R ILL ,.":Qu1R U: I GO.UUJ INCHES EXCAVATION REQUIRED: [ /.UU J INCHES The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of 460 gpd. Bottom of drainfield raised 6" to accommodate 42" of suitable soil below bottom of drainfield requirement in lieu of 60" BY: Tian J Ingr TITLE: Environmental Specialist II APPROVED BY: TLE: Environmental Specialist II Brian J I DATE ISSUED: 01/16/2020ngr EXPIRATION DATE: DH 40160 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHO 07/16/2021 Page 1 of 3 v 1.1.4 A 1457017 SE1238180 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. ti:a orey�� St. Lucie County Health Department d® 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-1770149 13ILLDOC#:56-BID-4503609 CONSTRUCTION APPLICATION #: AP1457017 RECEIVED FROM: Synergy Homes LLC AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 11100 PAYMENT DATE: 12/10/2019 MAIL TO: Stacey Dyer FACILITY NAME: PROPERTY LOCATION: 15360 Sky King or Part Saint Lucie, FL 34987 65 Lot: Block: Property ID: 4224-501-0065-000-1 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 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4246996 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL ..r SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [,/] New System [ ] Existing System [ ] Holding Tank [ ] Repair L ] Abandonment [ ] Temporary APPLICANT: PERMIT NO.%allnim 1 DATE PAID: FEE PAID; -5,Gj CA --- RECEIPT #: ,[ ] Innovative L 7 AGENT: J U �(��C( �I TILI i I 1 ) ( LC I TELEPHONE Et�I p MAILING ADDRESS: S� �L IV t/• �f"c `J [�F''� 7:�iIA\C�� % %a �G! f�!)St� i�L TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY 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 GRANDFATHER PROVISIONS. PROPER/T-Y INFORMATION /1 v/� LOT: l(/� BLOCK: SUBDIVISION: PLATTED: �(i`�/J� /7/�� AT�: �9✓ PROPERTY ID #: 1 ACT, (jC7�Cj G ZONING: � I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: 5.6 J ACRES WATER SUPPLY: VI PRIVATE PUBLIC [ ]<=2000GPD [ 1>20000GPD IS SEWER AVAILABLE AS PER 381..006I5, FS? [ Y/�] DISTANCE TO SEWER: 1^ 7/4 FT PROPERTY ADDRESS: i53G`D SK\II�Inrl ��• i�r;- �;. LVCIr% �L34 )I--7 DIRECTIONS TO PROP BUILDING INFORMATION Unit Type of No Establishment 2 r 4 [ ] Flo r/Equijpcni SIGNATURE [y] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design 'Bedrooms Area Sq£t Table 1, Chapter 64E-6, PAC 5 3��as [ ] Other (Specify) DATE: 1 g� 19' I r v DH 4015, 08/09 (Obsol tes revious-editionswhich may not be used) Incorporated 64E-6.00-, C Page 1 of 4 i/� STATE OF FLORIDA APPLICATION # AP1457017 DEPARTMENT OF HEALTH PEST.# 56-SF-1770149 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1238180 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Stacey Dyer CONTRACTOR / AGENT: Synergy Homes, LLC LOT: 65 BLOCK: SUBDIVISION: Treasure Coast Air Park ID#:4224-501-0065-000-1 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: TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK/REFERENCE POINT LOCATION: [X]YES I ]N 4R0 GALLONS PER DA 8520.01 GALLONS PER DA 2000.00 SQFT NE O NET USABLE AREA AVAILABLE: 5.68 ACRES Y [ RESIDENCES -TABLET / OTHER -TABLE 2 ] y [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT ELEVATION OF PROPOSED SYSTEM SITE 12.00 [I INCHES I/ FT ] [ ABOVE /I BELOW[] BENCHMARK/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: 200 FT NON -POTABLE: 200 FT BUILDING FOUNDATIONS: 60 FT PROPERTY LINES: 15 FT POTABLE WATER LINES: 100 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? I ]YES IX]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD ROTT. PROVTT.E TNFORMfATTON ATTP. 1 USDA SOIL SERIES: Munseli #/Color Texture Depth 1 OYR 4/1 Sand 0 To 7 1 OYR 512 Sand 7 To 26 10YR 611 Sand 14 To 26 1 OYR 6/1 MARL 26 To 60 10YR 6/1 Loamy Sand 60 To 72 ROTT. PROFTLE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/2 Sand O TO 6 10YR 5/2 Sand 6 To 30 1 OYR 6/1 Sand 16 To 30 1 OYR 6/1 MARL 30 To 58 10YR 611 Loamy Sand 58 To 72 OBSERVED WATER TABLE: 23.00 INCHES [ ABOVE / SELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABBEL LE ELEVATION: 14 INCHES I ABOVE / OW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: I ]YES [X]NO MOTTLING: IX]YES [ ]NO DEPTH: 14.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 7 INCHES DRAINFIELD CONFIGURATION: [XI TRENCH I ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6M stripping in 10YR5/2 matrix, >10% with diffuse boundaries starting at 14" in SB7. SB7 and SB212" below BM. SITE EVALUATED BY: DATE: 01/10/2020 Ingram, Brian (Till Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions xhi may not be used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1457017 EID1770149 v 1.0.2