HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Wade Journey Home)
PROPERTY ADDRESS: 7507 Miramar Ave Fort Pierce, FL 34951
LOT: 26 BLOCK: 5 SUBDIVISION: Lakewood Park
PROPERTY ID #: 1301-601-0072-000-7
PERMIT #:56-SF-1948867
APPLICATION #: AP1413837
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1241698
[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 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 [ ] FILLED [X] MOUND
I CONFIGURATION: [X] TRENCH [ ] BED []
Ii
F LOCATION OF BENCHMARK: Site BM#2, SN&D, S side of Miramar, W property line extended N
I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 6.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
' R
REQUIRED: L ".UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Brian J Ingram
' APPROVED BY:
Brian J Ingr
DATE ISSUED: 06/24/2019
TITLE: Environmental Specialist II
Environmental Specialist II St. Luc' r CHD
�
EXPIRATION DATE: Nb/24/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.9 AP1413837 SE1191032
l,c:_DPool
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.
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-1948867 BILL DOC #:56-BID-4185809 CONSTRUCTION APPLICATION #: AP1413837
Wade Jurney Homes, LLC AMOUNT PAID: $ 515.00
CHECK 31769 PAYMENT DATE: 05/13/2019
MAIL TO: (Wade Journey Home)
FACILITY NAME:
PROPERTY LOCATION:
7507 Miramar Ave
Fort Pierce, FL 34951
Lot: 26 Block: 5
Property ID: 1301-601-0072-000-7
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1 _
$
15.00
-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: VanceMH AUDIT CONTROL NO. 56-PID-3939738
Note: We1159-29543 $630
STATE OF FLORIDA
DEPARTMENT OF HEALTH
P- ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
54 -ag5Wj /.
PERMIT NO. Aor % Cl���(07
DATE PAID:
FEE PAID: (o) o
RECEIPT #: CX 3 I7 L-,-j
[ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT:
AGEN y " \_ ( TELEPHONE :'J,
MAILING ADDRESS:
.--._ciii . •r �. _] .r-f _ ..�. _ ..� ! �f'\ ,_ ,.. c� /i �_ _
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: SUBDIVISION: � �.LSL�C��V�LATTED:
PROPERTY ID # : _ �v �)' •( CI%�- (�(�" ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: ACRES WATER SUPPLY: [!1] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381 .0065, FS? [ Y / N ] .[� �DDIISTANCE TO [.S_EWER: C FT
PROPERTY ADDRESS: ��O �L`�C \<e t �l C `��'` \1 �`��C `C� 1 C ` C) 4 I S 1
DIRECTIONS TO PROPERTY: c —C-
BUILDING INFORMATION
Unit Type of
No Establishment
["jQ RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 CJ _ a
2
3
4
[ ] Floor/Equipment Drain [ ] Other (Specify)
E
DH 4015, 08/09 (Obsoletes previous ediki3ns which may not be used)
Incorporated 64E-6.001, FAC
DATE:
Page 1 of 4
tmR67
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Wade Journey Home
CONTRACTOR / AGENT: Wade Jufney Homes, LLC
LOT: 26 BLOCK: 5
SUBDIVISION: Lakewood Park ID#: 1301-601-0072-000-7
APPLICATION # AP1413837
PERMIT # 56-SF-1948867
DOCUMENT # RF11A1DH2
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: 0.27 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 404.99 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM#2,
ELEVATION OF PROPOSED SYSTEM SITE 10.00 [
S side of Miramar. W vroperty line extended N
/ FT ] [ ABOVE /I BELOW I] 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 [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: 60 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 ROTT. PROFTT.R TNFnRMATTAN ATTR 9
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
10YR 5/2
Sand
0 To 15
10YR 6/1
Sand
15 To 33
10YR 7/1
Sand
20 To 33
10YR 6/2
Sand
33 To 37
10YR 6/3
Loamy Sand
37 To 51
10Y 6/1
Sandy Loam
51 To 60
10Y 6/1
Loamy Sand
60 To 72
USDA SOIL SERIES:Pineda sand
Munsell #/Color Texture
Depth
10YR 5/2
Sand
0 To 18
10YR 6/2
Sand
18 To 32
10YR 7/2
Sand
21 To 34
10YR 6/3
Loamy Sand
34 To 39
10Y 6/1
Sandy Clay Loam
39 To 57
10Y 6/1
Loamy Sand
57 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / HELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES
- SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [X ] TRENCH [
-F REMARKS/ADDITIONAL CRITERIA
Sand/0.80 DEPTH OF EXCAVATION:
] BED [ ] OTHER (SPECIFY)
IT determined using USDA WSS and soil borings.
tripped matrix-10YR7I1 stripping in 10YR6/1 matrix >10% with diffuse boundaries starting 20" in S61.
10" below BM. SB2 12" below BM ---7
SITE EVALUATED BY: &/ DATE
Ingram, Brian (Title: Env o mental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions which ma not be used) Incorporated: 64E-6.001, FAC
AP1413837 E1151948867
INCHES
06/17/2019
Page 3 of 4
v 1.0.2