HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM EC.-E VE D
AUG A-o
CONSTRUCTION PERMIT FOR: OSTDS New ST. Lucie County, Permitting
APPLICANT: Cherrie LaFond
PROPERTY ADDRESS: 11690 Palomino Dr Port Saint Lucie, FL 34987
PERMIT #:56-SF-2093092
APPLICATION #: AP1511203
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1377788
LOT: 34 BLOCK: A SUBDIVISION: Pony Pines
PROPERTY ID #: 3309-605-0037-000-2 [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 [ 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 @[ ]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: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM #2 NiD in Rd, S side of property, elev 21.2
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 9.00 ][INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D E
0
T
H
E
R
ILL REQUIRED: LZb.UU] INCHES EXCAVATION REQUIRED: [ 1t3.UU] INCHES
The system is sized for 4 bedrooms'with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: n Brian J Ing;,gm TIC: Environmental Specialist II
APPROVED BY: f' TITLE: Environmental Specialist II St. Lucie CHD
Brian J I� am
DATE ISSUED: 07/14/202 EXPIRATION DATE: 01/14/2022
DH 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 AP1511203 SE1336632
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.
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2093092 BILL DOG #:56-BID-4737775 CONSTRUCTION APPLICATION #: AP1511203
RECEIVED FROM: John Murtaqh AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 104 PAYMENT DATE: 06/22/2020
MAIL TO: Cherrie LaFond
FACILITY NAME:
PROPERTY LOCATION:
11690 Palomino Dr
Port Saint Lucie, FL 34987
34
Lot:
A
Block:
Property ID: 3309-605-0037-000-2
EXPLANATION or DESCRIPTION:
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
$
45.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4461100
dF
4 STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO.
DATE PAID: ca as
FEE PAID: S
RECEIPT I:
[✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: John Murtagh Chenie Lafond
AGENT: Same as above TELEPHONE- 772-333-6907
MAILING ADDRESS: 5268 Nw West Lovett Cir, Port Saint Lucie Fl. 34986
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: 34
BLOCK: A SUBDIVISION:
Pony Pines
PLATTED:
Unit One
PROPERTY
ID # : 3309-605-0037-000/2
ZONING:
I /M OR EQUIVALENT: [
Y / N ]
PROPERTY SIZE: 1.65 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [✓ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS- 11690 Palomino Dr. P.S.L. Fl. 34987
DIRECTIONS TO PROPERTY: 195 To Midway Rd. head West to McCarty rd.make left go about 1 mile make left onto Palomino
BUILDING INFORMATION [✓] RESIDENTIAL [ ] COMMERCIAL
Unit Type of
No Establishment
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 One story home 4 3,279
2
3
4
[ ] Floor/Eq I meat Drains [ ] Other (Specify)
SIGNATURE:
DATE: a0w
DR 4015, 08/09 I(Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1511203
DEPARTMENT OF HEALTH PERMIT # 56-SF-2093092
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1336632
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Cherrie LaFond
CONTRACTOR / AGENT: John Murtagh
LOT: 34 BLOCK: A
SUBDIVISION:. Pony Pines ID#: 3309-605-0037-000-2
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: 1.65 ' ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [. RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 2475.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: site BM #2 NiD in Rd, S side of property, elev 21.2
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES I/ FT ] [I ABOVE BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 100 FT DITCHES/SWALES: 75 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 96 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 50 FT POTABLE WATER LINES: 73 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
ROTT. ARnVTT.F. TNFnRMATTAN RTTF. 1 ACTT. VRnTWTT.F TNFnRMATTON RTTF. 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 312
Loamy Sand
0 To 14
1 OYR 4/1
Sand
14 To 39
1 OYR 5/1
Sand
16 To 45
1 OYR 4/3
Sand
45 To 56
HOLE CAVING
Refusal
56 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 4/2
Loamy Sand
0 To 16
1 OYR 4/1
Sand
16 To 40
1 OYR 5/1
Sand
18 To 45
1 OYR 314
Sand
45 To 53
1 OYR 413
Sand
53 To 57
HOLE CAVING
Refusal
57 To 72
OBSERVED WATER TABLE: 20.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XJYES [ ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 18 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
f- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/1 stripping in 10YR411 matrix > 10% with diffuse boundaries starting at 16" in SB1.
SBi 1" above SM. SB2 2" above BM.
SITE EVALUATED BY: DATE: 06/29/2020
Ingram, Brian (Tit . Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DE 4015, 08/09 (Obsoletes previous editions whi may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4
i
AP1511203 EID2093092 v 1.0.2