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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Existing New APPLICANT: (JBM Properties) PROPERTY ADDRESS: 6906 Coquina Ave Fort Pierce, FL 34951 PERMIT #:56-SF-2054501 APPLICATION #:AP1478115 DATE PAID: aF- r_AWIXOIP RECEIPT #; DOCUMENT #: PR1349617 LOT: 13 BLOCK: 106 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-611-0119-000-0 [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 SPECIFICATIONS T [ 1,050 ] GALLONS / GPD Seotic 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 I D [ 500 ] SQUARE FEET Drainfield New SYSTEM R I- ] SQUARE FEET N/A. SYSTEM A TYPE SYSTEM: [ ] STANDARD [x] FILLED [ ] MOUND I CONFIGURATION: [R] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange dot On, CL Of road SE end Of property I ELEVATION OF PROPOSED SYSTEM SITE [ 11.00][ INCHES FT ] E BOTTOM OF DRAINFIELD TO BE [ 9.00 ][ INCHES FT ] L D 0 T H E R BELOW] BENCHMARK/REFERENCE POINT BELOW]BENCHMARK/REFERENCE POINT Existing tank abandoned due to well setback The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out. (b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: ,� TITLE: Environmental Specialist I St. Lucie ORD . euntai A Colliai DATE ISSUED: 05/22/2020 EXPIRATION DATE: 11/21/2021 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 AP1478115 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. STATE OF FLORIDA PERMIT No. F- 05460-1 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: — C SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT min(Qgo 9 3 APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative C 7 Repair [ ] Abandonment [ ] Temporary [ ✓ ] MODIFICATION APPLICANT: IBM PROPERTIES AGENT: ALL COUNTY SEPTIC AND PLUMBING TELEPHONE: 340-4040 MAILING ADDRESS : 4875 BALD CYPRESS TRL FORT PIERCE FL 34951 TO BE COMPLETED BY APPLICANT OR APPLICANTS 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: 13 BLOCK: 106 SUBDIVISION: LAKEWOOD PARK PLATTED: 1950 PROPERTY ID #: 1301-611-0119-000-0 ZONING: RES I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: .24 'ACRES WATER SUPPLY: [�/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: NA FT PROPERTY ADDRESS: 6906 COQUINA AVE FORT PIERCE FL 34951 DIRECTIONS TO PROPERTY: SEE MAPQUEST BUILDING INFORMATION Unit Type of No Establishment 1 S/F 2 ADDITION 3 TOTAL 4 [ ] Floor/Equipment Dr SIGNATURE: [ ✓ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 1388 300 GPD FLOW 2 388 200 GPD FLOW 4 1776 400 GPD FLOW [ ] Other (Specify) DATE: 4/6/20 DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA PERMIT # CLLi-ql DEPARTMENT OF HEALTH J. ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION I'v-M APPLICANT: JBM PROPERTIES AGENT : ALL COUNTY SEPTIC AND PLUMBING LOT: 13 BLOCK: 106 sLmDly: LAKEWOOD PARK ID#: 1301-611-0119-0( TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. EXISTING TANK INFORMATION [ 900 ] GALLONS SEPTIC TANK LEGEND: NA MATERIAL: CON BAFFLED: [ N ] [ ] GALLONS SEPTIC TANK LEGEND: MATERIAL: BAFFLED: [YIN ] [ ] GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: [ ] GALLONS DOSING TANK LEGEND: MATERIAL:. # PUMPS:[ ] I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON 3 / 2 / 20 BY ALL COUNTY SEPTIC r HAVE THE VOLUMES SPECIFIED AS DETERMINED BY [ DIMENSIONS/FILLING/LEGEND , 1, ARE FREE OF OBSERVABLE DE C S O LEAKS, AND HAVE A [ SOLIDS DEFLECTION DEVICE/ OUTLET FILTER DEVICE ] INSTALLED. ALL COUNTY SEPTIC AND PLUMBING 4/6/20 `SIGNATURE OF 'LICENSED CONTRACTOR BUSINESS NAME DATE EXISTING DRAINFIELD INFORMATION 12.0() ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES I-�_] DIMENSIONS: 'L X - [ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: 'X TYPE OF SYSTEM: [ STANDARD [ ] FILLED [ CONFIGURATION: [ TRENCH [ ] BED DESIGN: [ ] HEADER [..i]'D-BOX GRAVITY SYSTEM [ ] DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE '7i( INCHES CBELOW '] SYSTEM FAILURE AND REPAIR INFORMATION - [1959 1 SYSTEM INSTALLATION DATE TYPE OF WASTE [✓I DOMESTIC [ ] COMMERCIAL [400 ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER C✓7 TABLE 1, 64E-6, FAC SITE [ ] DRAINAGE STRUCTURES [ ] POOL ( ] PATIO / DECK [ ] PARKING CONDITIONS: [ ] SLOPING PROPERTY [✓ ] CLEAR NATURE OF [ 7 HYDRAULIC OVERLOAD C 7 SOILS [ 7 MAINTENANCE C ] SYSTEM DAMAGE FAILURE: [ ] DRAINAGE / RUN OFF [ ] ROOTS [ '] WATER TABLE [✓] MODIFICATION FAILURE [ ] SEWAGE ON GROUND [ ]'TANK ( ] D SOX/HEADER [ ] DRAINFIELD SYMPTOM: [ ] PLUMBING BACKUP [✓] NA REMARKS/ADDITIONAL CRITERIAMODIFICATION FOR INCREASE TO MAIN HOUSE SUBMITTED 8AT9.:% DA 4015, 08k09'(O soletes p Incorporated 64E-6.001, FAC TITLE/LICENSE PRES 61509 DATE : 4/6/20 editions which may not be used) Page 4 of 4 Mlselon: Ron DeSantis Governor To protect, prAmote 9, Improve the health of all people in Florida through Integrated state, county & community efforts. as HEALTH Vlalon : To be the Healthiest State in the Nation May 21, 2020 (All County Septic and Plumbing) 4875 Bald Cypress Trail Fort Pierce, FL 34951 RE: Contingency Letter Application Document No: AP1478115 Centrax Permit Number: 56-SF-2054501 OSTDS Number: 6906' Coquina Ave Fort Pierce, FL 34951 Lot:13 Block:106 Subdivision: Lakewood Park Scott A. Rivkees, MO State Surgeon General Dear Applicant: This will acknowledge receipt of an application dated 04/09/2020 for a permit to use an existing onsite sewage treatment and disposal system located on the above referenced property. From a review of your completed application, it has been determined your septic tank is adequate but the drainfield does not have the required separation from the wet season water table. To have your system approved.for the proposed use, a modification permit is required to bring your drainfield into full compliance with new system drainfield standards. If you have any questions on this matter, please call our office at (772) 873-4899. Sincerely, Hunter Collier, Environmental Specialist I Enclosures cc: Florida Department of Health www.FloridaHealth.gov in ST. LUCIE COUNTY TWITTER:HeafthyFLA 5150 NW Milner Or, Part Saint Lucie, FL 34983 FACESOOK:FLDepartmentofHealth o,�nuc. rr�m o'a vnv. "r'N nvq'e600 I Y011Tt IRE• fldnh St. Lucie County Health Department HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING.ON: #:56-SF-2054501 BILL Doc#56-BID4626014 CONSTRUCTION APPLICATION#: AP1478115 RECEIVED FROM: All Countv Septic and Plumbino ' AMOUNT PAID: $115.00 PAYMENT FORM`. CREDIT CARD 829514 PAYMENT DATE: 04/1612020 MAIL TO: (JBM Properties) FACILITY NAME: _ PROPERTY LOCATION: 6906 Coquina Ave Fort Pierce, FL 34951 Lot: 13 Property ID: 1301-611-o119,000-0 EXPLANATION or DESCRIPTION: 123 - OSTDS Construction Site Evaluation RECEIVED BY: MontanezNM Block: 106 QUANTITY FEE 1 $ 115.00 AUDIT CONTROL NO. 56-PID-4358542 St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: a:56-SF-2054501 BILL oocu:56-BID-4622488 CONSTRUCTION APPLICATION#:AP1478115 RECEIVED FROM: All County Septic and Plumbinq AMOUNT PAID: $ 265.00 PAYMENT FORM: CREDIT CARD 680493 PAYMENT DATE: 04/09/2020 MAIL TO: (JBM Properties) FACILITY NAME: PROPERTY LOCATION: 6906 Coquina Ave Fort Pierce, FL 34951 Lot: Property ID: EXPLANATION or DESCRIPTION: Block: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) 126 -.OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 131 - OSTDS Construction Application & Existing System E 139 - OSTDS Application Approval Existing, No Insp QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 1 $ 35.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4354461