HomeMy WebLinkAboutSewage; Septic Tank ElevationsPERMIT #:56-SF-I842183
APPLICATION #:AP1341182
STATE OF FLORIDA DATE PAID:
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM � l= / �,�/� S RECEIPT #:
DOCUMENT #: PR1119801
RECEIVED
CONSTRUCTION PERMIT FOR:
APPLICANT: John
PROPERTY ADDRESS:
OSTDS New
AUG ®2 2018
TSD Admiral St Fort Pierce, FL 34981 l ST Lucie County, Permittin
LOT: 22 BLOCK•. 6 SUBDIVISION: Maraviila Gardens
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 2421-802-0074-000-0 [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 [ 900 j GALLONS / GPD Senfic new CAPACITY
A [ j GALLONS / GPD N/A CAPACITY
N [ J 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 [x] FILLED [ ] MOUND. [ ]
I CONFIGURATION: [ j TRENCH [•X] BED [ ]
N
F LOCATION OF BENCHMARK: Orange painted Nail in W side of Admiral St center of property J `
I
E
L
D
0
T
H
E
R
L REQUIRED 13.001 INCHES EXCAVATION REQUIRED: [ 13.UU] INCtwtj
ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total: estimated flow of .
0 gpd.
ie licensed contractor installing the system is responsible for installing the minimum category of tank in.accordance with
64E-6.013(3)(f), FAC. FILE
COPY
SPECIFICATIONS BY: A Brian J Ingrpiq TITLE' Environmental Specialist II
APPROVED BY: or. I : Environmental Specialist II St. Lucie CBD
Brian J Ingr
DATE ISSUED: 06l0412018 EXPIRATION DATE: 12/04/2019
DR 4016, 08109 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC c Page 1 of 3
1.1.4 AP1341182 SE1080005
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: John George
PROPERTY ADDRESS: TBD Admiral St Fort Pierce, FL 34981
LOT: 22 BLOCK: 6 SUBDIVISION
PROPERTY ID #: 2421-802-0074-000-0
Maravilla Gardens
PERMIT #: 56-SF-1 842183
APPLICATION #: AP1341182
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1119801
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
ro SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381 '00.65, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
.kATISFACTORY 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.
:a 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 SeDtic new CAPACITY
A [ j 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 FEE!
R [ ] SQUARE FEE!
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [x] FILLED [ ] MOUND
TRENCH [x] BED [ ]
Orange painted Nail in W side of Admiral St center of
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: 113.001 INCHES EXCAVATION REQUIRED: [ 13.00] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total. estimated flow of
0 300 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in:accordance with
H s. 64E-6.013(3)(f), FAC.
E
R
SPECIFICATIONS BY: Brian J Ing T1TLr:: Environmental Specialist II
APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHD
Brian a Ingr
DATE ISSUED: 06/04/2018 EXPIRATION DATE: 12/04/2019
DR 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 AP1341182 SE1080005
y
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 Courtof 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.
PAYING ON: PERMIT #: 56-SF-1842183 BILL Doc #:56-BID-3722981 CONSTRUCTION APPLICATION #: AP1341182
RECEIVED FROM: Georqe and Associates AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 5778 PAYMENT DATE: 04/25/2018
MAIL TO: John George
93 q- 'f Oo 9
�- LIS-o— T(o3"7
FACILITY NAME:
PROPERTY LOCATION:
TBD Admiral St
Fort Pierce, FL 34981
Lot: 22 Block: 6
Property ID: 2421-802-0074-000-0
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-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
-1 - Surcharge (All)
1
$
15.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3523353
Y
4 STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
�OpWE APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO.
DATE PAID:
FEE PAID: �s
RECEIPT #:
l
[v/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: John George
AGENT: George and Associates - Contractor TELEPHONE: 772-834-7001
of
MAILING ADDRESS: 786 Bent Creek Drive, Fort Pierce FL 34947 01. , 4} (6,37
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: 22 BLOCK: 6 SUBDIVISION: MARAVILLA PLAZA PLATTED:
PROPERTY ID #: 2421-802-0074-000-0
ZONING: I/M OR EQUIVALENT: [ Yes ]
•
PROPERTY SIZE: ACRES WATER SUPPLY: [ l PRIVATE PUBLIC [✓ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Yes ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: TBD Admiral Street.
DIRECTIONS TO PROPERTY: Next to 2980 Admiral Street on south side
BUILDING INFORMATION [✓] RESIDENTIAL
[ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 Single 3 2,1.641-
P-� 23 I-- IA Z
2
3
4
[ ] Floor/Equipment Drains
SIGNATURE:
DH 4015, 08/09 (Obsolet
Incorporated 64E-6.001,
[ ] Other (Specify)
editions which may not be used)
DATE: 4/24/18
Page 1 of 4
r 'Y
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: John George
CONTRACTOR / AGENT: George and Associates
LOT: 22 BLOCK: 6
SUBDIVISION: Maravilla Gardens ID#: 2421-802-0074-000-0
APPLICATION # API341182
PERMIT # 56-SF-1842183
• DOCUMENT # SE1080005
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: [XIYES [ ]NO NET USABLE AREA AVAILABLE: 0.29 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ I RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 724.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1099.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Orange painted Nail in W side of Admiral St center of
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [I INCHES I/ FT ] [IABOVEI/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: FT
NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE:
FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 5 FT
POTABLE WATER LINES:
55 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES [X]NO
10 YEAR FLOODING? [ ]YES
IXINO]
10 YEAR FLOOD ELEVATION FOR SITE:
FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
QnTT. DLnT'. TT.r- TWVn12MAmTnA QTT12 1
ROTT. PROFTLR
INFORMATION SITE 2
USDA SOIL SERIES:Pepper sand
Munsell #/Color Texture
Depth
10YR 4/3
Fill - Loamy Sand
0 To 11
10YR 4/1
Sand
11 To 23
10YR 5/1
Sand
23 To 35
10YR 6/1
Sand
29 To 44
1 OYR 4/4
Fine Sand
44 To 52
10YR 5/4
Fine Sand
52 To 72
USDA SOIL SERIES:Pepper sand
Munsell #/Color Texture
Depth
1OYR 4/3
Fill - Loamy Sand
0 To 13
10YR 4/1
Sand
13 To 24 .
1 OYR 5/1
Sand
24 To 36
10YR 6/1
Sand
36 To 47
1 OYR 4/4
Sand
47 To 51
10YR 5/4
Sand
51 To 63
HOLE CAVING'
Refusal
63 To 72
OBSERVED WATER TABLE: 35.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO. MOTTLING: [X]YES [ ]NO DEPTH: 29.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 13 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/1 matrix >10% w/ diffuse boundaries starting at 29" in SB1.
SB1 1" above BM. SB2 2" above- .
SITE EVALUATED BY: DATE: 05/18/2018
Ingram, Brian (Title:'Environ ntal Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obsoletes previous editions which may n bs used) Incorporated: 64E-6.001, FAC Page 3 Of 4
AP1341182 EID1842183 v 1.0.2