The URL can be used to link to this page

Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-1947072 APPLICATION # : AP 1412648 DATE PAID: FEE PAID: RECE1_VffQ=IPT DOCUMENT 4: PR1228391 AUG 0 q ?099 CONSTRUCTION PERMIT FOR: OSTDS New— I ST. Lucie County, Permitting APPLICANT: John Testa PROPERTY ADDRESS: 2469 Johnston Rd Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 1334-501-0002-000-1 [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 h 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 U ]DOSES PER 24 HRS #Pumps I ] 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: orange painted nail in oak SE of system I ELEVATION OF PROPOSED'SYSTEM SITE [ 18.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 15.00][ INCHES FT ][ABOVE BELOW BENCBMARK/REFERENCE POINT L D E O T H E R ILL REQUIRED: [21.003 INCHES EXCAVATION REQUIRED: [ bl.UUI INCHES The system is sized for 2 bedrooms. with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 400 gpd. SPECIFICATIONS BY: Brian T In am TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J In am DATE ISSUED: 05/29/2019 EXPIRATION DATE: 11/29/2020 °tiIDH 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 AP1412648 SE1177765 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. I St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-1947072 BILL DOC #:56-BID-4179166 CONSTRUCTION APPLICATION #: AP1412648 RECEIVED FROM: John Testa AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 4533 PAYMENT DATE: 05/07/2019 MAIL TO: John Testa FACILITY NAME: _ PROPERTY LOCATION: 2469 Johnston Rd Fort Pierce, FL 34951 Lot: Property ID: 1334-501-0002-000-1 EXPLANATION or DESCRIPTION: Block: 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-3933176 UJE�L Nb . 59-'.9515 _ STATE OF FLORIDA PERMIT NO. Sw -SF-- t gg1b�� DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID.: SYSTEM RECEIPT #: ��wr rAPPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair. [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGENT: MAILING ADDRESS:py�y� TELEPHONE : r /�-'�-6 - ail 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: 13 fN W I PLATTED: PROPERTY ID #: ��OQdr%' ' \ ZONING: ' "� I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE:_ ACRES WATER SUPPLY: [�] PRIVATE PUBLIC [ ]<=2000GPD [ 3>2000GPD IS SEWER AVAILABLE AS PER 381.006.5, FS? [ Y1i ] DISTANCE TO SEWER: FT t PROPERTY ADDRESS: �1 tj D1gy-v$-�Yl � -R. ve rG� 8— 1 DIRECTIONS TO PROPERTY: BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional: System Design No Establishment Bedrooms Area^Sgft Table 1, Chapter 64E-6, FAC 1 \ 2 Zy544L FV( 3 4 [ ] Floor/Equipment Drains SIGNATURE.: [ ] Other (Specify) DATE: (` d DH 4015, 08/09 soletes previous editions which may not be used) page 1 of 4 Incorporated 64E-6.001, FAC APPLICANT: STATE OF FLORIDA APPLICATION # AP1412648 DEPARTMENT OF HEALTH PERMIT # 56-SF-1947072 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1177765 SITE EVALUATION AND SYSTEM SPECIFICATION Inhn Testa CONTRACTOR / AGENT: LOT: BLOCK: SUBDIVISION: Ib# : 1334-501-0002-000-1 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: 1.12 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1679.99 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: orange pain ELEVATION OF PROPOSED SYSTEM SITE - 18.00 [ nail in oak SE of / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 55 FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 55 FT POTABLE WATER LINES: 70 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 TLTL.AD1.d1�TT/17d OTIPW I USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 30 10YR 6/1 Sand 21 To 34 10YR 411 Sand 34 To 38 10YR 2/1 Spodic Material 38 To 42 10YR 4/2 Fine Sandy Loam 42 To 51 10YR 5/3 Loamy Sand 51 To 60 10YR 5/4 Sand 60 To 72 SOIL PROFILE INFORMATION SITz z USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 29 10YR 6/1 Sand 24 To 36 10YR 2/1 Spodic Material 36 To 43 10YR 3/3 Loamy Sand 43 To 47 10YR 5/4 Loamy Sand 47 To 52 10YR 5/4 Fine Sand 52 To 72 OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPNT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [X ] TRENCH [ 7 REMARKS/ADDITIONAL CRITERIA ] BED Sand/0.80 DEPTH OF EXCAVATION: 51 INCHES [ ] OTHER (SPECIFY) iNT determined using USDA WSS and soil borings. stripped Matrix-10YR6/1 stripping in 10YR512 matrix >10% with diffuse boundaries starting at 21" in S131. 1 18" helow BM. S13216" below BM. SITE EVALUATED BY: Ingram, Brian (Title nvironmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (obsoletes previous editions whi may not be used) Incorporated: 64E-6.001, FAC AP1412648 EID1947072 DATE: 05/14/2019 Page 3 of 4 v 1.0.2 5-6-5,c. )q Lf7()71_ APPLICANT'S NAM E: � LEGAL DESCRIPTION: gniri5GdY'1�� Pj1/{C� �Gt'GS I certify that there are no.potable private wells within 75 feet of the. available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of apesticide-treated building foundation, that there are no public wells that serve less than 25 people or less than l5 homes or businesses within 100 feet of the.proposed septic system, that there are no public es usineses witin-20 feet of wells that serve more than 25 people or more than 15 ho_ ° ter orswell tohhe st0ruc ure is the proposed septic system, that the water line from thewater at least 10 feet from the available area for the proposed.septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all, private wells,. septic systems and surface water on adjacent or.contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools,. recorded easements, paved areas or driveways, sidewalks, the general. slope of the property, tilled areas, drainage features, and. surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. The natural grade elevation in the area of the proposed septic system and the benchmark must e benchmark within 200 feet of the proposed septic be shown on the site plan. Please locate th system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. duc.N fortes:suPucs:SCP1icApPPPa�sc3Q? CERTIFIED -BY: r GS VVIP � FLORID PROF 510: ` L NO.: DATE: