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HomeMy WebLinkAboutSewage1 1Ey�,� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL .,_ SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NSW NSF-�043, 4g DATE PAID: FEE PAID: RECEIPT #: [,/] New System ( ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair J [ ] Abandonment [ ] Temporary [ ] APPLICANT: Montoya AGENT: Dansar Homes LLC MAILING ADDRESS: 269 SW Impala Ct., Port St. Lucie, FL 34953 TELEPHONE: 772-370-0512 - -- - - - -------------------------------------------- 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: 10 BLOCK: SUBDIVISION: Grove Subdivision PLATTED: 1-2-1973 PROPERTY ID #: 2420-810-0010-000-6 ZONING: I/M OR EQUIVALENT: [ YIN ] PROPERTY SIZE: 1.01 ACRES WATER SUPPLY: [X] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPL IS SEWER AVAILABLE AS PER 381.0065, F.S? [ Y/© ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 2802 Grove Dr., Fort Pierce, FL 34981 DIRECTIONS TO PROPERTY: Vlrglna Ave to 25th St. go south to Cortez Blvd, go west to 29th St. go to the end of 29th St. and turn, right, address is the corner lot of Grove Dr a BUILDING INFORMATION [X] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment 'Bedrooms Area Sqft Table 1, Chapter 64E-6„ FAC 1 Single Family 3 1 4�jy �, 2 3 4 (� ] Floor/Equipme Drains [ ] Other (Specify) S$ GNATURE : DATE : 2 ZO Zio ZJ DH 4015, 08/09 (Obsoletes previous- editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 I STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New � o se - APPLICANT: -ARthoay Montoya PROPERTY ADDRESS: 2802 Grove Dr Fort Pierce, FL 34981 PERMIT #:56-SF-2043248 APPLICATION # : AP 1470368 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1316952 LOT: 10 BLOCK: SUBDIVISION: Grove PROPERTY ID #: 2420-810-0010-000-6 [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 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 ] SQUARE FEE' R [ ] SQUARE FEE' A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Site BM set mag NID CL Rd I ELEVATION OF PROPOSED SYSTEM SITE [ 14.001 INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT ][ ABOVE BE LOW] BENCHMARK/REFERENCE POINT L D 0 T H E R Drainfield New SYSTEM N/A SYSTEM STANDARD [X] FILLED [] MOUND TRENCH [ ] BED [ ] ILL REQUIRED: [ 16.001 INCHES EXCAVATION REQUIRED: L J L14L;n b Fhe system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 00 gpd. 1 SPECCIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD Hunter A Collier DATE ISSUED: 03/09/2020 EXPIRATION DATE: 09/09/2021 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 AP1470368 1 SE1266422