HomeMy WebLinkAbouttbd Hatcher StSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Richard Jemisnn
PROPERTY ADDRESS: Hatcher St Fort Pierce, FL 34981
LOT: 13,14,15
PROPERTY ID #
BLOCK: 1
2429-601-0013-000-2
SUBDIVISION: Florence M. Hatcher
PERMIT #: 56-SF-1 854219
APPLICATION #: AP1349274
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1124720
[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 [ 900 ] GALLONS / GPD
SeoticNew
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: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM NiD W side of Hatcher near N property line
I ELEVATION OF PROPOSED SYSTEM SITE [ 21.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 14.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D F
O
T
H
E
R
'ILL Kr:g Ullir:U: 1 LD.UUJ INUMES EXCP.VATIUN REQUIREll: t 44.UU J INGriP;S
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
300 gpd.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s. 64E-6.013(3)(f), FAC.
SPECIFICATIONS BY: Brian J In ram TITLE:
APPROVED BY:
DATE ISSUED
g / Environmental Specialist II
TITLE: Environmental Supervisor I
Dianna S May
08/26/2020 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHD
02/26/2022
Page 1 of 3
11 1. 11. AP1349279
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.
5 W(Gee-aqn - Vv 0 - va
St. Lucie County Health Department
f'1 a 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-1854219 BILL DOG #:56-BID-4781778 CONSTRUCTION APPLICATION #: AP1349274
RECEIVED FROM: Richard Jemison AMOUNT PAID: $ 420.00
PAYMENT FORM: CREDIT CARD 760146 PAYMENT DATE: 07/22/2020
MAIL TO: Richard Jemison
C(nwrGi
FACILITY NAME:
PROPERTY LOCATION:
Hatcher St
Fort Pierce, FL 34981
Lot: 13,14.15
Property ID: 2429-601-0013-000-2
1
Block:
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
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
RECEIVED BY: VanceMH
AUDIT CONTROL NO. 56-PID-4508461 " v f
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Rirharrf .IPrrnlSr)n
CONTRACTOR / AGENT: Richard Jemison
LOT: 13,14,15 BLOCK: 1
SUBDIVISION: Florence M. Hatcher ID#: 2429-601-0013-000-2
APPLICATION # AP134927=!
PERMIT # 56-SF-1854219
DOCUMENT # SE1353573
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: 0.60 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 900.00 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:
ELEVATION OF PROPOSED SYSTEM SITE
Site BM NiD W side of Hatcher near N pro
21.00 [ INCHES / FT ] [ ABOVE /
line
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: 75 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
SOIL PROFILE INFORMATION SITE l
RATT.
PPn7TT.F. TWVnPMATTnW QTTF. 9
USDA SOIL SERIES:Susanna sand
Munsell #/Color Texture
Depth
1 OYR 4/1
Sand
0 To 7
10YR 5/1
Sand
7 To 26
1 OYR 6/1
Sand
17 To 26
10YR 6/2
Sand
26 To 33
10YR 5/1
Sandy Clay Loam
33 To 40
1 OYR 4/2
Sandy Clay Loam
40 To 44
10YR 5/2
Loamy Sand
44 To 50
1 OYR 5/2
Loamy Fine Sand
50 To 54
REFUSAL
Refusal
54 To 72
USDA SOIL SERIES:Susanna sand
Munsell #/Color Texture
Depth
10YR 4/1
Fine Sand
0 To 6
10YR 5/1
Sand
6 To 30
10YR 6/1
Sand
20 To 30
1OYR 5/1
Sandy Clay Loam
30 To 39
1 OYR 4/2
Sandy Clay Loam
39 To 42
10YR 5/2
Loamy Sand
42 To 52
1 OYR 5/1
Loamy Fine Sand
52 To 55
REFUSAL
Refusal
55 To 72
OBSERVED WATER TABLE: 29.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE / HELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping in a 10YR5/1 matrix >10% with diffuse boundaries starting
at 17" in SB1.
SB1 21" below BM, SB2 19" below BM.
SITE EVALUATED BY:
Ingram, Brian (Titlnvironmental Specialist II) (ENVIRONMENTAL HEALTH)
itions DH 4015, 08/09 (Obsoletes previous edwhit may not be used) Incorporated: 64E-6.001, FAC
44 INCHES
DATE: 08/25/2020
Page 3 of 4
AP'1349274 EID18542'19 V i.0.2