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Home My WebLink AboutSewagePERMIT #:66-SF-2069760 APPLICATION, #: AP1481963 STATE OF FLORIDA DEPARTMENT OF HEALTH- DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL, RECEIVED FEE PAID: -SYSTEM., -JUN 15 7.020 RECEIPT #: permltting DepartmariOCUMENT #: PR1349966 St. LUCIe County CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: . (Adams Homes of Northwest Florida, Inc) PROPERTY ADDRESS: 5003 Sunset Blvd Fort Pierce, FL 34982 LOT: 25 BLOCK: 46 SUBDIVISION: Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3402-608-0220-000-7 [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 [ I' 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.MRS #Pumps [ D [ 500 ] SQUARE ' FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM:' [ ] STANDARD [ ] FILLED EXI MOUND [ ] I CONFIGURATION: {x] TRENCH [ ]' BED [ ] N F LOCATION OF BENCHMARK: Site BM., orange paint'X% CL of rd, N property line extended E I ELEVATION OF PROPOSEb•SYSTEM SITE [ TO ][ INCHES FT ][ABOVE if BELOW h BENCHMARK/REFERENCE POINT • E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D O T H E R REQUIRED: [25.A0] INCHES EXCAVATION REQUIRED: [ 5U.UU ] 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 Iqgogm TITLE: ronmental I1,s��,� EnviI Y .� d 91 APPROVED BY.: "` 'TITLE: Environmental Specialist II St. Luple CHD Brian J 'I am DATE ISSUED: 05/26/2029K EXPIRATION DATE: 11/26/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page l of 3 v 1.1.4 AP1481963 SE1299128 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuantto'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 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 HEALTH PAYING ON: #: 56-SF-2059790 BILL DOC #:56-BID-4650657 CONSTRUCTION APPLICATION #: AP1481963 RECEIVED FROM: Beniamin Drew"s Plumbinq & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 206818 PAYMENT DATE: 04/30/2020 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5003 Sunset Blvd Fort Pierce, FL 34982 Lot: 25 Block: 46 Property ID:. 3402-608-0220-000-7 EXPLANATION or DESCRIPTION: QUANTITY. FEE 128 - OSTDS'Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -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 e 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-4369150 I G: • it �' t STATE OF FLORIDA PERMIT NO.% SF10 DEPARTMENT OF HEALTH DATE PAID: o j ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: p(pSM' SYSTEM RECEIPT # : j APPLICATION FOR CONSTRUCTION PERMIT j APPLICATION FOR: I [�] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] .APPLICANT: ��car'�� 4mt" c 1�och,,,jot-A IFG . CYX . 6 AGENT: r 1 e, lil S 1 vm4�1►1G TELEPHONE: ..MAILING ADDRESS: 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: o�S BLOCK: (ry SUBDIVISION: Ir��tPLATTED: 1✓ 4+ 5: PROPERTY ID # : �S ^ LI I /M OR EQUIVALENT: Y [ �') Dci.-'(2O�j ^0o�a.C7 ' OOO " � ZONING: PROPERTY SIZE: ooa3 ACRES. WATER SUPPLY: [ ] PRIVATE PUBLIC [X]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /�] DISTANCE TO SEWER: FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: Stye, MKp �uQ,S� BUILDING INFORMATION [ X] RESIDENTIAL [ ] COMMERCIAL. Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 HOD r )a _ 2 3 4 [ ] Floor/Equipment DrainsA [ ] SIGNATURE: Other (Specify) f� DATE: DR 4Q15, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1481963 DEPAIRTMENT OF HEALTH PERMIT # 56-SF-2059790 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1299128 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing 8i Drain Services LOT: 25 BLOCK: 46 SUBDIVISION: Indian River Estates ID#: 3402-608-0220-000-7 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: 0.28 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500.GPD/ACRE OR F2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED.: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM., orange paint "X", CL of rd, N property line extended E ELEVATION OF PROPOSED .SYSTEM SITE 7.00 [ 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 [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT. NON -POTABLE: 75 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 27 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 SOTL PROFTLE TNFORMATTON SITE 1- SOIL PROFILE INFORMATION SITE USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 5 10YR 5/1 Sand 5 To 25 1 OYR 6/1 Sand 17.To 25 1 OYR 2/1 Spodic Material 25 To 50 1 OYR 5/4 Sand 50 To'67 •10YR.5/4 Loamy Fine Sand 67 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 7 10YR 5/1 Sand 7 To 27 10YR 6/1 Sand 18 To 27 1 OYR 2/1 Spodic Material 27 To 50 1'OYR 4/4 Sand. 50 To 66 1 OYR 5/4 Loamy Sand 66 To 72 OBSERVED WATER TABLE: 59,00 ,INCHES [ABOVE / BELOW ] EXISTING GRADE TYPE: ( PERCHED / APPARENT ] ESTIMATED WET,SEASON WATER TABLE ELEVATION: 17 INCHES 1 ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ .]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD'CONFIGURATION: [X ] TRENCH [ r- REMARKS/ADDITIONAL CRITERIA Sand/0.80 DEPTH OF EXCAVATION: 50 INCHES ] BED [ ] OTHER. (SPECIFY) WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping In 10YR511 matrix >10% with diffuse boundaries starting at 17" in SB1. SB1 and SB2 7" below BM.. SITE EVALUATED BY: Ingram, DH 4015, 08/09 (Obsoletes previous editi, Environmental Specialist li) (ENVIRONMENTAL HEALTH) may not'be used) Incorporated: 64E-6.001,'FAC AP1481963 EID2059790 DATE: 05/13/2020 Page 3 of 4 v 1.0.2