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PROPERTY ADDRESS: 19105 Okeechobee Rd Fort Pierce, FL 34945
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 3210-121-0011-OOM [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 LOCALPERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic 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 HRS kPumps [
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND
I CONFIGURATION: ] TRENCH [x] BED [ I
N
F LOCATION OF BENCHMARK: Site BM Nail with ribbon in 30" oak SE of systt
I ELEVATION OF PROPOSED SYSTEM SITE [ 32.001
E BOTTOM OF DRAINFIELD TO BE [ 27.001
L
D
0
T
H
E
R
FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
FT I[ABOVE BELOW BENCHMARK/REFERENCE POINT
146QU1RED: LG3.UUJ INCHES EXCAVATION REQUIRED: L J INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated Flow of
9pd.
SPECIFICATIONS BY: Brian J Ingr TITLE' Environmental Specialist II
APPROVED BY: LE: Environmental Specialist II St. Lucie CHID
aslm J Ingr
DATE ISSUED: 01/23/2019 EXPIRATION DATE: '07123/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FACE Page 1 of 3
v 1.1.4 A 1390429 SE1149064 ,
\ FILE COPY
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.
4 i 4i
St. Lucie County Health Department
HEALTH o 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: PERMIT# 56-SF-1912902 BILL DOC#56-BID-4058578 CONSTRUCTION APPLICATION#: AP1390427
RECEIVED FROM: Grediati Builders Inc AMOUNT PAID: $ 515.00
PAYMENT FORM:' CHECK 2645 PAYMENT DATE: 01/02/2019
MAIL TO: George and Mary Tippins
FACILITY NAME
PROPERTY LOCATION:
19105 Okeechobee Rd
Fort Pierce, FL 34945
Lot: Block:
Property ID: 3210-121-0011-000-6
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 $
15.00
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-3836976
m�
STATE OF FLORIDA
PERMIT NO. 5jV-SF-ja1ag0a
h ,
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DEPARTMENT OF HEALTH
DATE PAID:
ONSITE SEWAGE TREATMENT AND
DISPOSAL
FEE PAID: GKtkC
�: OUn ay's`lf
SYSTEM
RECEIPT S: 'aOSS�F�I
we
""-✓
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
C1 New System
[ ]
Existing System
[ ] Holding Tank[. ] Innovative
C ] Repair
[ ]
Abandonment
[ j Temporary
[ ]
APPLICANT: A
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TELEPHONE: 774 g �c-e/I1j
MAILING ADDRESS:
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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 ��''�� /
LOT: BLOCK: J SUBDIVISION., V.;/ 36 —38 PLATTED:
PROPERTY ID it: ��, 3,ZJ _ F. D'� Z l '-' ���J �•(lLl(14;ONING:, I/M OR EQUIVALENT: [ Y / N ]
PROPERTY. 'SIZE: /t!Y' ACRES WATER SUPPLY: [x] PRSVATE PUBLIC [ 1G=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y // a DISTANCE TO SEWER: _r7 e__rT
PROPERTY ADDRESS: _Ll(% �' �L'CGL�d'IJN,� Iy��!/ IST {'/'�1 �L `3 �a^fJ
DIRECTIONS TO PROPERTY: ��'(��L �U SLYLY {%C/J �� �^I IIC G/�4L�i✓%'.}
fnn 5t /J Tl/,Lv x/J , ✓ /��2� sri
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BUILDING INFORMATION A] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building= Commercial/Instittitional System Design
No Establishment Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC
—a
2
4
[ ]
Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE:
Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1390427
DEPARTMENT OF HEALTH PERMIT # 56-SF-1912902
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1149064
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: George and Mary Tippins
CONTRACTOR / AGENT: GreMati Builders, Inc
LOT: £CNA-TI BLOCK:
SUBDIVISION: ID#: 3210-121-0011-000-6
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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 9.17 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 13754,99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM Nall with ribbon in 30" oak SE of system
ELEVATION OF PROPOSED SYSTEM SITE 32.00 [ INCHES / FT ] [ ABOVE / BELOR ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 200 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 45 FT POTABLE WATER LINES: 50 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
ms 1
]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ) SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
10YR 4/2
Fine Sand
0 To 9
10YR 5/2
Fine Sand
9 To 28
10YR 6/1
Fine Sand
19 To 38
10YR 5/3
Sand
31 To 38
10YR 5/1
Loamy Sand
38 To 51
5GY 6/1
Sandy Loam
51'To 64
5GY 6/1
Sandy Clay Loam
64 To 72
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
1 OYR 411
Fine Sand
0 To 10
tOYR 5/2
Fine Sand
10 To 24
10YR 5/1
Fine Sand
20 To 27
1 OYR 5/3
Fine Sand
27 To 39
1 OYR 5/2
Loamy Sand
39 To 50
50Y 6/1
Sandy Loam
50 To 65
5GY 6/1
Sandy Clay Loam
65 To 72
OBSERVED WATER TABLE: 62.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
[ PERCHED / APPARENT )
ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BEE]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO
DEPTH: 19.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and sail borings.
10YR611 stripping in 10YR512 matrix >10% with diffuse boundaries starting. at 19" in SB1.
SB1 32"below BM. SB2 33" belo BM.
�..._
DATE: 01/09/2019
SITE EVALUATED BY:
Ingram, Brian (Title: Env onmental Specialist 11) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (obsoletes pzavious editions which not be used) Incozpoeated: 64E-6.001, FAC
Page 3 of 4
AP1390427 EID1912902
v 1.0.2
4, STATE OF FLORIDA
I`y(} DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
f SITE EVALUATION AND SYSTEM SPECIFICATIONS
SPPLICANT: 11 CL" T / I/y/.NS AGENT:
LOT: BLOCK:
SUBDIVISION: SP b , /U "-50 —
PERMIT
all
?ROPERTY ID #:%L �21�-Izj�ovj/.r 000% [Section/Township/ParcelNo. or Tax IDNumber
PO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
BUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
?ROPERTY SIZE CONFORMS TO SITE P A YES [ ] NO NET USABLE AREA AVAILABLE:�ACRES
DOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES-TABLEI/OTHE-TABLE2 ]
%UTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
JNOBSTRUCTED AREA AVAILABLE: o 0 SQFT UNOBSTRUCTED AREA REQUIRED:_ 0 SQFT
3ENCHMARK/REFERENCE POINT LOCATION: m u ! � '-^J a ✓ 'C-
iLEVAT20N OF PROPOSED SYSTEM SITE IS • [INCHES/FI' ] [ABOVE/BELOW] BENCHMAARK/ FERENCE POINT
CHE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
3URFACE WATER: _FT DITCHES/SWALES: /] f1 FT NOS LLY WET? [ ] YES NO
TELLS: PUBLIC: OFT J IMITED USE: 4J9 Q FT PRIVA �FT NON -POTABLE: -."j FT
3UILDING FOUNDATIONS: / FT PROPERTY LINES: rSv FT POTABLE WATER LINES: FT
3ITE SUBJECT TO FREQUENT FLOODING: [ ] YES A NO 10 YEAR FLOODING?. ( ] YES [>(] NO
LO YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
TEXTURE
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
)BSERVED WATER TABLE: INCHES [ABOVE/BELOW
'] EXISTING
GRADE. TYPE: [PERCHED/ APPARENT ]
1STIMATED WET SEASON WATER TABLE
ELEVATION:
INCHES
[.ABOVE/BELOW ] EXISTING GRADE
(IGH WATER TABLE VEGETATION: [ ]
YES [X NO
MOTTLING: [
] YES .0 NO DEPTH: INCHES
!OIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
)FAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED I ] OTHER (SPECIFY)
:EMARKS/ADDITIONAL CRITERIA:
:ITE EVALUATED
H 4015, 12/11 (obsoletes previous editions which may net be used) Incorporated: 64E-6.001, FAC
` s //
3 of 4