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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Mitchell Eiseman PROPERTY ADDRESS: 1215 W Joy Ln Fort Pierce FL 34945 LOT: 2 PROPERTY ID #: BLOCK: B SUBDIVISION: Avon Manor PERMIT #:56-SF-2009289 APPLICATION #:AP1451993 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1286027 2303-610-0030-000-6 [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 _.QTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND 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 [ 500 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Orange Spot, center line of W joy In, S PL extended E I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D O T H E R [ 10.00 1 [1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 7.00 ][ INCHES FT ][ AEOVE BELOW] BENCHMARK/REFERENCE POINT REQUIRED: LIO.UU] INCHES EXCAVATION REQUIRED: L J 1NG1tL's 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:,.5,Brian J Ing;am TITLE: Environmental Specialist II APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHD Brian J In DATE ISSUED: 12/23/2019 V EXPIRATION DATE: 06/23/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 v 1.1.4 A 1451993 SE1234934 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. t St. Lucie County Health Department �p�&RA" 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: u:56-SF-2009289 13ILL DOC t56-BID-4485278 CONSTRUCTION APPLICATION W: AP1451993 RECEIVED FROM: Ashton Septic AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 170187 PAYMENT DATE: 11/07/2019 MAIL TO: Mitchell Eiseman FACILITY NAME: PROPERTY LOCATION: 1215 W Joy Ln Fort Pierce, FL 34945 Lot: 2 1 Block: B Property ID: . 2303-610-0030-000-8 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: EvansJS AUDIT CONTROL NO. 56-PID-4226764 STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: 1II bf a ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: sys ov SYSTEM RECEIPT #: - /gyp JT7 APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: DQ New System - [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair 1[ ] Abandonment [ ] Temporary � [ ] APPLICANT: I[[��J_eG ,e t t 5�!5eaiA)j AGENT: ASt4c,il J,Qi'( (, 1 nylk,s XVY-- TELEPHONE:-)%Z Zf P,=9$27 MAILING ADDRESS: �!)-W. D1- Few-1 P. FI 34,,,t5 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 INFORMATION ,[� �y( f� LOT: 2- BLOCK: SUBDIVISION: ft a MA n OY PLATTED: PROPERTY ID #: Z�03 -(o1 O— 0030 -(7M -9 ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: lZa ACRES WATER SUPPLY: [V11 PRIVATE PUBLIC [ 3<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE A(I S PER 381.0065, FS? [ Y /] DISTANCE TO SEWER: FT ` PROPERTY ADDRESS: 12f�; W65T ,o�[ �. IVC _ DIRECTIONS TO PROPERTY: I G } S W e; T J bL J-l'I I1P+ BUILDING INFORMATION Unit Type of No Establishment [V RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sgft Table 1, Chanter 64E-6, FAC 1 din (e Yrn;l 3 150 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 11 ' DH 4015, 0809 (Obsoletes previous editions which may not be used) Incorporat d 64E-6.00l,'FAC Page 1 of 4 STATE OF FLORIDA _ APPLICATION # AP1451993 DEPARTMENT OF HEALTH PERMIT # 56-SF-2009289 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1234934 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Mitchell Eiseman CONTRACTOR / AGENT: Ashton Septic LOT: 2 BLOCK: B SUBDIVISION: Avon Manor ID#: 2303-610-0030-000-8 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: 0.25 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 375.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange spot, Center line Of Wjoy In, S ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ) [ ABO' 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: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10'YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD ROTT. PROFTT.E TNFORMATTON STTE 1 ROTT. PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/2 Fine Sand 0 To 17 10YR 5/8 Fine Sand 17 To 22 10YR 7/4 Sandy Clay Loam 22 To 25 1 OYR 7/2 Sand 25 To 38 1 OYR 5/8 CMN/PRM RF 28 To 38 10YR 7/6 Sand 38 To 43 10YR 4/4 Sand 43 To 49 1 OYR 5/2 Sandy Clay Loam 49 To 61 10YR 5/3 Loamy Sand 61 To 64 10YR 5/3 Sand 64 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth I OYR 4/2 Fine Sand 0 To 15 1 OYR 5/8 Fine Sand 15 To 26 10YR 7/2 Sand 26 To 40 1OYR 5/8 CMN/PRM RF 27 To 37 10YR 7/4 Sand 40 To 44 1 OYR 5/4 Sand 44 To 51 1 OYR 5/2 Sandy Clay Loam 51 To 64 1 OYR 5/3 Loamy Sand 64 To 72 OBSERVED WATER TABLE: 72.00 INCHES L ABOVE / BELOW ] EXISTING GRADE TYPE: I PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES L ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [X]YES [ ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) I- REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. t5/8 CMN PROM RF mottling in 10YR7/2 matrix>2% starting at 27" in S132. and S8210" above BM. "I SITE EVALUATED BY: Ingram, Brian (Title • vironmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which y not be used) Incorporated: 64E-6.001, FAC AP1451993 EID2009289 INCHES DATE: 12/20/2019 Page 3 of 4 v 1.0.2