The URL can be used to link to this page

Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTIAE14T OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Steven Wardwell PROPERTY ADDRESS: 6104 Yucca Dr Fort Pierce, FL 34982 PERMIT #:56-SF-2022643 APPLICATION #: AP1457024 DATE PAID: FEE PAID: RECEIPT #; DOCUMENT #: PR1290460 CO pay LOT: 16 BLOCK: 91 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-610-0621-000-5 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX 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 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 HAS #Pumps [ ] D [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM, set P.K., elev 16.59 I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R [ 3.00 1 [1 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT [ 2.00 ][ INCHES FT IAEOVE BELOW] BENCHMARK/REFERENCE POINT system is sized for 3 bedrooms with a maximum Occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9Pd• BILE COPY SPECIFICATIONS BY: Brian T IngsAku TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CED Arian J I n DATE ISSUED: 01/28/2020 EXPIRATION DATE: 07/28/2021 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 AP1457024 SE1239906 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. 0�1 is HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 # 56-SF-2022543 BILL DOC #'56-BID-4503624 CONSTRUCTION APPLICATION #: AP1457024 Synergy Homes LLC AMOUNT PAID: $ 545.00 CHECK 11104 PAYMENT DATE: 12/10/2019 MAIL TO: Steven Wardwell FACILITY NAME: PROPERTY LOCATION: 6104 Yucca or Fort Pierce, FL 34982 Lot: Block: Property ID: EXPLANATION or DESCRIPTION: 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: MontanezNM AUDIT CONTROL NO. 56-PID-4247009 y ,n TVF STATE OF FLORIDA y, DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL •,�, ,' SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ 7 Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: AGENT: 4 LCq./L PERMIT NO.=rK11104 4'b DATE PAID: FEE PAID: RECEIPT 6: --- te_.TELEPHONE : Innovative MAILING ADDRESS: 'L'JU r-C._ L'"NC'.. ��v►q 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. PROPERTY INFORMATIONITILlIc]/l i' BLOCK: SUBDIVISION: IC LOT: 1�w [ ai� N�fLL- PLATTED: to PROPERTY ID It: 3LIa:'G, [ L�" ��'� UiJ =ZON ING: I/M OR EQUIVALENT: [ Y PROPERTY SIZE: + � 3 ACRES IS SEWER AVAILABLE AS PER 381.0065, FS? PROPERTY ADDRESS: WATER SUPPLY: [ ] PRIVATE PUBLIC [X]<=2000GPD [ 1>2000GPD [ IN ] DISTANCE TO SEWER: -414_FT / DIRECTIONS TO PROPERTY: `�''CJ {-�4C% ...]�,1 — BUILDING INFORMATION [�] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of No Establishment Bedrooms (Z231((�.L� J 2 3 4 [ 1 SIGNATURE Building Commercial/Institutional System Design Area Sqft Table 1 Chapter 64r-61 FAC Drains [ ] Other (Specify) 1 DATE: P a" I I/ I c DH 4015, 08/09 (Obsoj6eaL previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1457024 DEPARTMENT OF HEALTH PERMIT # 56-SF-2022543 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1239906 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Steven Wardwell CONTRACTOR / AGENT:, Synergy Homes LLC LOT: 16 BLOCK: 91 SUBDIVISION: Indian River Estates ID#:3402-610-0621-000-5 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 [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR F2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHbU RE/REFERENCE POINT LOCATION: Site BM, fief P.K., elev 16.59 ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ 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: 15 FT NORMALLY WET: [ ]YES IX]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X INO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD enTT. DnnWTT.W. Tur)PWAMTAW CTm7 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 52 Sand 0 To 27 10YR 62 Sand 20 To 48 HOLE CAVING Refusal 48 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 5 1 OYR 5/2 Sand 5 To 26 1 OYR 6/2 Sand 19 To 46 HOLE CAVING Refusal 46 To 72 OBSERVED WATER TABLE: 31.00 INCHES [ ABOVE / EH[] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / EiOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES IX ]No MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [XI TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA _ WSWT determined using USDA WSS and soil borings. 10YR612 stripping In 10YR5/2 matrix >10% with diffuse boundaris starting at 19" in SB2. SB1 and SB2 3" below SM. SITE EVALUATED BY: DATE: 01/222020 Ingram, Brian (Title nvironmental Specialist II) (ENVIRONMENTAL HEALTH) tions DH 4,015, 08/09 (Obsolete. previou. ediwhic may not he used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1457024 E102022643 v 1.0.2