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Home My WebLink AboutSewagePERMIT #: 56-SF-1 948844 APPLICATION #: AP1413820 $n STATE OF FLORIDA DEPARTMENT OF HEALTH DATE PAID: $ ONSITE SEWAGE ClUER FEE PAID: SYSTEM iy RECEIPT #: 0 C T _. 7 19 DOCUMENT #: PR1241677 ST, i. uCi9 ggwn4y, rorrlllWn.9 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Wade Jurney Homes, LLC) PROPERTY ADDRESS: TBD Miramar Ave Fort Pierce, FL 34951 J_k LOT: 27 BLOCK: 5 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-601-0073-000-4 [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 [ ] N `;F LOCATION OF BENCHMARK: Site BM-2,SN&D, S side of Miramar, E property line extended N /\I ELEVATION OF PROPOSED SYSTEM SITE [ 11.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT nE BOTTOM OF DRAINFIELD TO BE [ 7.00 ]( INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R ILL REQUIRED: [ ZZ.uu] INCHES EXCAVATION REQUIRMIJ: r J LAL'aZb 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. SPECIFICATIONS BY: Brian J In9paJ9 TITLE: Environmental Specialist II APPROVED BY: TLE: Environmental Specialist II St. Lucie CHD Brian J Ingr DATE ISSUED: 06/24/2019 EXPIRATION DATE: 12/24/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1413820 SE1191011 FILE COP 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. u a HE4TH PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-1948844 BILL DOC #:56-BID-4185720 CONSTRUCTION APPLICATION #: AP1413820 Wade Jurney Homes, LLC AMOUNT PAID: $ 515.00 CHECK 31770 PAYMENT DATE: 05/13/2019 MAIL TO: (Wade Jurney Homes, LLC) FACILITY NAME: PROPERTY LOCATION: TBD Miramar Ave Fort Pierce, FL 34951 27 5 Lot: Block: Property ID: 1301-601-0073-000-4 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-3939637 Note: Well59-29544 $630 M� STATE OF FLORIDA DEPARTMENT OF HEALTH PERMIT NO. DATE PAID: S 1 j S cfg1?V y ONS I TE SEWAGE TREATMENT AND DISPOSAL FEE PAID: (� SYSTEM RECEIPT APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] . APPLICANT: AGENT' CSL�Q �,.` �� QV\� �Z 1. ( TELEPHONE: �- �� "- �. LcJ r MAILING ADDRESS: � �� (`�� `" -��L� � _5 7 to 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:�_�.��` LATTED: PROPERTY ID # : ��`, ! - (n�I �(�c�73 �� :�` ZONING: I /M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: ACRES WATER SUPPLY: [ �'] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO SEWER: ' FT PROPERTY ADDRESS: ��y� �� "�a�t��r<� K�_ C -P 3 Y �1 DIRECTIONS TO PROPERTY: . BUILDING INFORMATION Unit Type of No Establishment 1 2 3 4 [ ] Floor S 5 V:� t Drains [ j Other (Specify) DATE: [)<] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC t DH 4015, 08/09 (Obsoletes previous edl'i3 ns which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 s STATE OF FLORIDA APPLICATION # AP1413820 DEPARTMENT OF HEALTH PERMIT # 56-SF-1948844 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1191011 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Wade Jurney Homes, LLC CONTRACTOR / AGENT: Wade Jurney Homes, LLC LOT: 27 BLOCK: 5 SUBDIVISION: Lakewood Park ID#: 1301-601-0073-000-4 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 OR 2500 GPD/AC.RE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM-2,SN&D, S side of Miramar, E property line extended N ELEVATION OF PROPOSED SYSTEM SITE 11.00 [ INCHES / FT ] [ ABOVE / BELOW ] 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: 85 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 35 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 QnTT. DDAPTT.P TWrn1 MnTTnW CTTP. 9 SOTT. PROFTLE INFORMATION SITE 2 USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth 1 OYR 5/2 Sand 0 To 14 10YR 7/2 Sand 14 To 30 10YR 7/1 Sand 23 To 30 10YR 6/3 Sand 30 To 35 1 OYR 613 Loamy Sand 35 To 55 10Y 6/1 Sandy Loam 55 To 61 10Y 6/1 Loamy Sand 61 To 72 USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 17 10YR 612 Sand 17 To 32 1 OYR 7/1 Sand 20 To 32 1 OYR 6/3 Sand 32 To 36 1 OYR 6/3 Loamy Sand 36 To 56 10Y 6/1 Sandy Clay Loam 56 To 63 10Y 6%1 Loamy Sand 63 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r- REMARKS/ADI51TIONAL CRITERIA IT determined using USDA WSS and soil borings. tripped Matrix-10YR7/1 stripping In 10YR612 matrix >10% with diffuse boundaries starting at 20" in SB2. 10" below BM. SB211" below BM ---7 SITE EVALUATED BY: Ingram, Brian (Title: Envi mental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which ma(/not be used) Incorporated: 64E-6.001, FAC AP1413820 EID1948844 INCHES DATE: 06/17/2019 Page 3 of 4 v 1.0.2