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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM } z CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Adams Homes of Northwest Fla. Inc.) PROPERTY ADDRESS: Not LOT: 34 BLOCK: 54 SUBDIVISION: Indian River Estates PERMIT ][:56-SF-2088697 APPLICATION n:AP1508209 DATE PAID: FEE PAID: RECEIPT H: DocumNT a: PR1377210 PROPERTY ID #: 3402-609-0092-000-3 [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 T [ 1.050 ] 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 8[ ]DOSES PER 24 HRS HPomps [ D [ 500 ] SQUARE FEET Drainfield new SYSTEM - R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [x] TRENCH N F LOCATION OF BENCHMARK: site BM, O I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REOUIRED: r20.001 INCHES D T H E R ] BED . X.. CL of Rd, center of I 4.00 1 [1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT 6.00 ][ INCHE9 FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow of 9pd. SPECIFICATIONS BY: nBrian J IngTam _ TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St Lucie CHD Brian J I -am DATE ISSUED: 07/10/2020n EXPIRATION DATE: 01/10/2022 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 A 1508209 SE1336039 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. Fti�a HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #.56-SF-2088697 91LLooc#.56-BID-4722048 CONSTRUCTION APPLICATION#.AP1508209 Beniamin Drew"s Plumbinq & Drain Ser AMOUNT PAID: $ 545.00 CHECK 206819 PAYMENT DATE: 06/04/2020 MAIL TO: (Adams Homes of Northwest Fla, Inc.) FACILITY NAME: PROPERTY LOCATION: 5513 Myrtle Dr Fort Pierce, FL 34982 Lot: 34 Block: 54 Property ID: 3402-609-0092-000-3 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: WhighamJL AUDIT CONTROL NO. 56-PID-4440843 �Z11E yL 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ' PERNIT NO. DATE PAID: FEE PAID: OO Z(101g RECEIPT #: [x] New system [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment 1 [ ] Tempo\rary APPLICANT: Har"S \kO-vi\'L5 �1C1jC �., tI_ AGENT: _t;(\1lY,� 5 Y L� M�1i{ _ TELEPHONE: I /�11I�E' MAILING ADDRESS: 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 I LOT:_ BLOCK: Ji- _ SUBDIVISION: ��y �1C'•`i\ 1Z'tvert PLATTED: PROPERTY ID #: 3 a"c )-Q�q; '�� ZONING: �"�i- 2/M OR EQUIVALENT: [ Y PROPERTY SIZE: 012a_ ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [� ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 38�1j.,00615, FS? [ Y / �] DISTANCE TO SEWER: 49—FT PROPERTY ADDRESS: �j DIRECTIONS TO PROPERTY: _ 5 i3 MCI A e, Dri\.e. Vka:e, BUILDING INFORMATION [X] RESIDENTIAL ( ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No EstablishmentBedrooms AreaS�q\ft Tablee�(1, Chapter 64E-6, FAC 1 cy,- f iiJ� A I VIJ 0j) 2 3 4 [ ] Floor/Equipment Dr [ ] Other (Specify) SIGNATURE: DATE: (p O� DH 4015, 08/09 (Otis es previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Fla, Inc. CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 34 BLOCK: 54 SUBDIVISION: Indian River Estates ID#: 3402-609-0092-000-3 APPLICATION # AP1508209 PERMIT # 56SF-2088697 DOCUMENT N RF1ggRn3Q TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. ENGINEERS MUST PROVIDE PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM, orange paint X', CL ELEVATION OF PROPOSED SYSTEM SITE 4.00 I INCHES / FT ] center of property )VE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: ET DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 19 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IX]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD ROIL PROFTT.F TNFORMATTON 9TT .. T RhTT. DPn7TT.R TNF P1 MTnV RTTC 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 411 Sand 0 To 16 1 OYR 511 Sand 16 To 30 1 OYR 611 Sand 22 To 33 1OYR 2/1 Spodic Material 33 To 49 1 OYR 3/4 Fine Sand 49 To 53 10YR 512 Sand 53 To 61 HOLE CAVING Refusal 61 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 411 Sand 0 To 20 1 OYR 511 Sand 20 To 33 1 OYR 6/1 Sand 22 To 36 10YR 2/2 Spodic Material 36 To 50 7.5YR 314 Fine Sand 50 To 55 1 OYR 4/3 Fine Sand 55 To 63 HOLE CAVING Refusal 63 To 72 OBSERVED WATER TABLE: 39.00 INCHES [ ABOVE / BELOw ] EXISTING GRADE TYPE: I PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 , INCHES [ ABOVE / EELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: I ]YES Ex ]NO MOTTLING:[X]YES [ ]NO DEPTH: 22.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 50 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. i611 stripping In 10YRS/I matrix>10%with diffuse boundaries starting at 22" In SBi. 4" above BM. S132 3" above BM. SITE EVALUATED BY: Ingram, Bdan (T) : Environmental Specialist III (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous editions v oh may not be used) Incorporated: 64E-6. 001, £AC DATE: 06/19/2020 Page 3 of 4 AP1508209 EID2088697 v 1.0.2