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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM r
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Wade Jurney Homes LLC)
PROPERTY ADDRESS: ' 7103 Brookline Ave Fort Pierce, FL 34951
LOT: 25 BLOCK: 106
PROPERTY ID #: 1301-611-0130-000-3
. PERMIT #:56-SF-1934789
APPLICATION #: AP1404747
DATE PAID:
FEE PAID:
RECEIVED RECE
DOCUM
MAY 31 2019
ST. Lucie County, Permitting
SUBDIVISION: Lakewood Park
# : PR1214646
[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 INI 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 [ 900 ] 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 [ 375 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [XI FILLED [ ] MOUND [ ]
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM#1, NiD, S side of rd, NW property corner.
I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 ] [INCHES FT ] [ABOVE BELOW I BENCHM1UWREFERENCE POINT
L
D
O
T
H
E
R
?ILL REQUIRED: -[15.001 INCHES EXCAVATION'REQUIRED: [ 41.UUJ INUME5
F�'0T0he system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Brian J Ingr TITLE: Environmental Specialist II
APPROVED BY:
DATE ISSUED:
TITLE: Environmental Specialist II
Brian J Ing m
05/01/2019 EXPIRATION DATE: -
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1404747 SE1164175
St..Lucie CHD
11/01/2020
Page 1 of 3
wopco \
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 adm in istrative. 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.
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEAi.TH
PAYING ON: #: 56-SF-1934789 BILL Doc #:56-BID-4111246 CONSTRUCTION APPLICATION #: AP1404747
RECEIVED FROM: Wade Jurney Homes, LLC AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 29047 PAYMENT DATE: 03/22/2019
MAIL TO: (Wade Jurney Homes, LLC)
FACILITY NAME:
PROPERTY LOCATION:
7103 Brookline Ave
Fort Pierce, FL 34951
25 106
Lot: Block:
Property ID: 1301-611-0130-000-3
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
A - 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: MontanezNM AUDIT CONTROL NO. 56-PID-3888719
• arts ��r y►�i� iV� `J-1' �"�'J5�
STATE OF 'FLORIDA PERMIT
DEPARTMENT OF HEALTH DATE PAID: No
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: rj OLAI
SYSTEM RECEIPT #k: - �yq
APPLICATION FOR CONSTRUCTION PERMIT
AP.PL'ICATION FOR:
[r/] New System [ ] Existing System C ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary _ [ ]
APPLICANT:
AGENT: _��'�; •t`; ' �~1r\ ��_� TELEPHONE:
MAILING ADDRESS-: t .� l 4 �v if {3.. �-. ..� La , ' 322
--�-(-'_=Y=
TO BE COMPLETED BY APPLICANT- _
OR APPLICANT'S AUTHVRIZED AGE - SYSTEM$ MUST BD CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489,105(3)(m) OR 489.552, FLORIDA STATUTES, IT IS THE'
APPLICANT'S R.E'SPONSIBILITY 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: 0 (0 SUBDIVISION: � L �k�� \ z��.,� .;�� "C �='.\ 1'� 3' PLATTED;
PROPERTY ID #: � i '�c -()(�(� �� ZONING: I/M OR EQUIVALENT: [ YIN ]
PROPERTY SIZE: �!Li ACRES WATER SUPPLY: [>J PRIVATE PUBLIC [ 1.<=2000QPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.006$, FS? [ Ylv"N ',] =STANCE TO SEWER: FT
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY: r
BUILDINQ INFOP24ATION [ ] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/institutional. System Design
No Establishment Bedrooms Area Sgft Table 1,. Chapter 64E-6, FAC
1 �i' � _i jL00
2
3
4
]. Floor/Equipment Drains [ ] Other (Specify)
I
SIGNATURE:
DH 4015, 08/09 (Obsole.tes previous editions which may not be used).
Incorporated 64E-6,001, VAC
DATE:: 3
Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Wade Jurney Homes, LLC
CONTRACTOR / AGENT: Wade Jurney Homes, LLC
LOT: 25 BLOCK: 106
SUBDIVISION: Lakewood Park ID# : 1301-611-0130-000-3
APPLICATION # AP1404747
PERMIT # 56-SF-1934789
DOCUMENT # SE1164175
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: 0.24 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 359.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: site BM#1. NiD, S side of rd, NW property corner.
ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ 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: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 FT
SITE SUBJECT TO FREQUENT.FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
4nTT. DT2nFTT.F. TNVn12WM PTnM CTTF. 1
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: _ FT [ MSL / NGVD
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 4/1
Sand
0 To 12
10YR 5/1
Sand
12 To 33
10YR 611
Sand
27 To 36
10YR 2/1
Spodic Material
36 To 39
10YR 5/1
Sand
39 To 44
10YR 3/3
Fine Sand
44 To 61
1 OYR 7/2
Fine Sand
61 To 72
TL./�DIRT TTAI.T QTTL. 7
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 4/1
Sand
0 To 14
10YR 5/1
Sand
14 To 35
10YR 6/1
Sand
28 To 35
10YR 2/2
Spodic Material
35 To 41
10YR 3/3
Fine Sand
41 To 47
10YR 4/4
Fine Sand
47 To 72
OBSERVED WATER TABLE: 67.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 27.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: - [X ] TRENCH [
FREMARKS/ADDITIONAL CRITERIA
Sand/0.80 DEPTH OF EXCAVATION: 41 INCHES
] BED .[ ] OTHER (SPECIFY) i
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR511 matrix >10% with diffuse boundaries starting at 27" in SB1.
SB1 5" above BM. SB2 6" above BM.
SITE EVALUATED BY:
Ingram, Brian (Tit nvironmentai Specialist 11) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 04/08/2019
Page 3 of 4
AP1404747 EID1934789 v 1.0.2