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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