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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: John 1 artma PROPERTY ADDRESS LOT: AM-0390 PERMIT #:56-SF-2135654 APPLICATION #: AP1550128 DATE PAID. FEE PAID: RECEIPT #: DocUMENT #: PR1410050 Ca,, *, v 7273 S Indian River Dr Fort Pierce, FL 34982 BLOCK: SUBDIVISION: PROPERTY ID #: 3507-332-0003-000-6 [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 Seotic 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 E ]DOSES PER 24 HRS #Pumps [ ] D [ 334 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: orange spot, SW corner of back DW I ELEVATION OF PROPOSED SYSTEM SITE [ 26.00it INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 56.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [ 0.00] INCHES EXCAVATION REQUIRED: [ ] INCHES O T H E R system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of gpd• SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: 4:�2 TITLE: Environmental Specialist II St. Lucie CHD Brian J Ingr, DATE ISSUED: 09/25/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used). Incorporated: 64E-6.003, FAC EXPIRATION DATE: 03/26/2022 Page 1 of 3 v 1.1.4 AP1550128 SE1368531 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. a HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: MAIL TO: John Lanza St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2135654 BILL Doc #:56-BID-4857477 CONSTRUCTION APPLICATION #: AP1550128 Gale Construction Inc. AMOUNT PAID: $ 545.00 CHECK 2083 PAYMENT DATE: 08/06/2020 * 11. ,?19oov>" FACILITY NAME: PROPERTY LOCATION: 7273 S Indian River Dr Fort Pierce, FL 34982 Lot: Block: Property ID: 3507-33M003-000-6 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 n11ANITITY FFF 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-4551327 �•(HE " STATE OF FLORIDA PERMIT NO. .SF' b'L{ DEPARTMENT OF HEALTH DATE PAID: OR ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �3 SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPIXCATION FOR: [ New System [ ] Existing System [ ) Holdin Tank ( ] Repair [ ] Abandonment Temporary [ ) Innovative [ ] [ ] APPLICANT: Ci `j1L' Ly��/-�� -t fU/� 1 YLi �ri C-I�', hJGr W-r-j AGENT: i' Z ilr J �f�1C�(Gnl • /L TELEPHONE: (� -1 ! (� MAILING ADDRESS: 7.2 75 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: BLOCK: SUBDIVISION: PLATTED: PROPERTY ID #: 3`7-332 -Ub U7,�00- ZOONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: ACRES WATER SUPPLY: [1>1 PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: -F•! /ni �l CL J 14 1 r> DIRECTIONS TO PROPERTY: I i `� �tii� 1 (5 } o Irr L"��g�v �� J t BUILDING INFORMATION [ "J/RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1 Chapter 64E-6 FAC 1d" {OLw Q\)k I �fj I- 10D !To �)\�c�i°^r hGcdS� 2 3 4 [ ] Floor SIGNATURE: [ ] Other (Specify) DATE: C GU DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 D STATE OF FLORIDA APPLICATION # AP1550128 DEPARTMENT OF HEALTH PERMIT # 56-SF-2135654 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1368531 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Inhn I anima CONTRACTOR / AGENT LOT: Gale Construction Inc. BLOCK: SUBDIVISION: ID# : 3507-332-0003-000-6 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: 3.20 ACRES TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 4800.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: orange Spol ELEVATION OF PROPOSED SYSTEM SITE 26.00 [ SW corner of back DW / FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 75 FT POTABLE WATER LINES: 33 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 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/2 Sand 0 To 13 1 OYR 6/2 Sand 13 To 30 1 OYR 514 Sand 30 To 43 7.5YR 5/6 Sand 43 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 5/1 Sand 0 To 24 1 OYR 6/2 Sand 24 To 37 7.5YR 5/6 Sand 37 To 50 7.5YR 5/8 Sand 50 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BEE] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: 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. No WSWT indicators observed. WSWT determined to be below 72" SB1 26" above BM. SB2 25" above BM. SE performed by Hunter Collier. Entered by Ingram. SITE EVALUATED BY: Ingram, BriaK(Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DE 4015, 08/09 (Obsoletes previous edition$/J/which may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 08/28/2020 Page 3 of 4 AP1550128 EID2135654 v 1.0.2