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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (434 21st Street LLC) PROPERTY ADDRESS: 5504 Deleon Ave Fort.Pierce, FL 34951 LOT: 13 BLOCK; 160 SUBDIVISION: Lakewood Park PERMIT #.56-SF-2109584 APPLICATION #; AP1525822 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1380072 PROPERTY ID'#: 130161401030004 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] .SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDSOF SECTION 361.0065, F.S.i AND CHARTER 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 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 [ 375 j SQUARE FEET Drainfield new SYSTEM R [ j SQUARE FEET. N/A SYSTEM A TYPE. SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: site BM, K I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R ie of Deleon near center of property [ 3.00 ][ INCHES FT ].[ABOvF, BELOW BENCHMARK/REFERENCE POINT [ 0.00. j [ Ti, FT ] [ ABOVE 13FLOW I BENCHMARK/REFERENCE POINT 'ILL REQUIRED: [ G'L.UU] INCHES EXCAVATION REQUIRED: [ IIJ.UU J 10CHE5 F40e system is sized for 3 bedrooms with a maximum occupancy of 6persons (2 per bedroom), .for a total estimated flow of 0 gpd. SPECIFICATIONS BY: Brian -T Inaram APPROVED BY. - DATE ISSUED: TITLE: Environmental Specialist 1I TITLE: Environmental Specialist II St. Lucie CHD Brian J ngram 07I2H/20 0 EXPIRATION DATE: 01 /28/2022 DE 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6...0031 FAC Page 1 of 3 v 1.1.4 AP1525.822 SE1338887 NOTICE OF RIGHTS A party whose substantial interest is. affected by this order may petition for an administrative hearing pursuant to sections 1,20.569 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 12068, Florida Statutes; Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by fling 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 PAYING ON: #: 56-SF-2109584. BILL. DOC#:56-BID-4774806 CONSTRUCTION APPLICATION #: AP1525822 RECEIVED FROM: Pedro Quiada. AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 1030 and 1031 PAYMENT DATE: 07/15/2020 MAIL TO: (434 21st Street LLC) FACILITY NAME: PROPERTY LOCATION: 5504 Deleon Ave Fort Pierce, FL 34951 1.3 160 Lot: Block: Property ID: 13016140.1:0.30004 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 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 7&00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Well Construction 1 $ 115.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56=PID4502539 STATE' OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL ti. SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: U)LLL 52� -�4506? Z ' PERMIT NO.rjF 2I'0`r58 7 DATE PAID: 7/15, FEE PAID: (p(Qa RECEIPT # : 1031 [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [. ] Temporary. [ ] APPLICANT: 434 21st Street LLC AGENT: Pedro Quijada TELEPHONE: 954-736-7418 MAILING ADDRESS: 9111 E Bay Harbor Dr-6f, Miami. FL 33154 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSEDPURSUANT TO 489..105(3.)(m) OR 48.9...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: .13 BLOCK: 160 SUBDIVISION: -LAKEWOOD PARK UNIT 12 PLATTED: PROPERTY ID # : 1301-614-0103-000-4 ZONING:, RS-4 I/M OR EQUIVALENT: [ Yes ] PROPERTY SIZE: 0:27 ACRES WATER SUPPLY: [✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381:.0065, FS? [ Yes ] DISTANCE TO SEWER: FT PROPERTY ADDRESS 5504 Deleon Ave, Fort PierceTL 34951 DIRECTIONS TO PROPERTY : See attached lot location. BUILDING INFORMATION [✓] RESIDENTIAL [ ] COMMERCIAL Unit Type of. No. of No Establishment Bedrooms 1 Single -Family 3 2 3 4 Building Commercial/Institutional System Design AreaaSSgft Table 1, Chapter 64E-6, FAC �2Y64 N/A 01 /'-P [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE.: / DATE: ho DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: 434 21.st Street LLC CONTRACTOR / AGENT: Pedro Quliada LOT: 13 BLOCK: 160 SUBDIVISION: Lakewood Park ID#; 130161:401030004 APPLICATION # AP1525822 PERMIT # 56-SF-2109584 DOCUMENT # SE1338887 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: 0.27 ACRES TOTAL ESTIMATED SEWAGE ,FLOW: 300 GALLONS PER DAY [ 'RESIDENCES -TABLET / OTHER=TABLE 2 ] AUTHORIZED SEWAGE FLOW.: 404.00 GALLONS PER DAY [ 1500 GPD/A.CE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE site BM, Nit), W side of Deleon near center of 3.00 I INCHES / FT. ] [ ABOVE / C BENCHMARK/REFERENCE POINT THE 'MINIMUM SET13ACK 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: 60 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 SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color. Texture Depth 10YR 3/1 Loamy Sand 0 To 17 10YR412 Sand 17 To:34 10YR. 516 MANY/PRM RF 20 To 34 1 OYR 514 Sand 34 To-58 10YR 2/2 Spodic• Material 58. To 65 HOLE CAVING Refusal 65 To 72 USDA SOIL SERIES: Munsell #/Co.lor Texture Depth 1OYR 3/2 Loamy Sand 0 TO 1.8 1 OYR 4/1 Sand 18 To 27 1 OYR 5/1 Sand 23 To 36 10YR 5/3. Sand' 36 To 54 10YR,2/2 Spodic Material 54 To 6.4 HOLE CAVING Refusal 64 To. 72 OBSERVED WATER TABLE: 31.00 INCHES' [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ]' EX19T•ING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 18 INCHES DRAINFIELD CONFIGURATION: I ] TRENCH [ ] BED [ ] OTHER (_SPECIFY) r- REMARKS/ADDITIONAL CRITERIA determined using USDA WSS and soil -borings. B MNY PROM'RFmottling in '10YR4/2 matrix. >2% starting. at 21" in 8131. below BM. S62 V below BM. -112 SITE EVALUATED BY: DATE: 07/22/2020 Ingram, Briar2mch fie: Environental Speelallst li) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1625822 EID2109684 v 1.0.2