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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: (Adams Homes of Northwest Florida, Inc) PROPERTY ADDRESS: 5213 Birch Dr Fort Pierce, FL 34982 LOT: 37 BLOCK: 50 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-608-0385-000-1 PERMIT #:56-SF-2048882 APPLICATION #: AP1474250 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1320757 [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 SeDtic 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 FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Orange paint "X", CL of Rd, Center of property I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 114.001 INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximdm=cgl:Mcy-Of'6-persDiw iserbedroom), for a total estimated flow of 0 300gpd. J� 'Aluno,-) @15M is T quv@i.L;jjPrJ@(�c�l,,liEi�d H E 0Z0v 9 4 N _ A� R SPECIFICATIONS BY: Tian J Ing TITLE: E•_�. APPROVED BY: DATE ISSUED: nvironmen TITLE: Environmental Specialist II Brian J Ing 03/30/2020 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC II St. Lucie CHD 09/30/2021 Page 1 of 3 v 1.1.9 AP1474250 SE1270151 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. i St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2048882 BILL Doc #:56-BID-4603137 CONSTRUCTION APPLICATION #: AP1474260 RECEIVED FROM: Beniamin Drew"s Plumbinq & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 206821 PAYMENT DATE: 03/18/2020 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5213 Birch Dr Fort Pierce, FL 34982 37 Lot: Property ID: 3402-608-0385-000-1 50 Block: 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 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 3((I$l20so Cal( QPIweA� De wy'. (P RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4343033 STATE OF \ FLORIDA PERMIT NO . J' cSF - a® g DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SSLAS GkaOtOVA ��. SYSTEM RECEIPT # APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [f(] New System �[ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: fAd-,(I5 l— �,cri da AGENT :tfwomi �I�� , 1 1 TELEPHONE: MAILING ADDRESS: " law 1 i-44 A f v .4 u n L x A. TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT T0,489.105(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: "EM_ SUBDIVISION:PLATTED: PROPERTY ID # :' ' ZONING: 1 " 'P I /M OR EQUIVALENT: [ Y / PROPERTY SIZE: ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [r ]<=2000GPD [ 1>2000GPD DISTANCE TO SEWER: FT IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y 10 PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment [�] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 *-3 9-Oi O gm GtGd 2 3 N 0 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: J10)wn 0 DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1474250 DEPARTMENT OF HEALTH PERMIT # 56-SF-2048882 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1270151 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 37 BLOCK: 50 SUBDIVISION: Indian River Estates ID#: 3402-608-0385-000-1 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: .0,23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange paint "X", CL of Rd, Center of ELEVATION OF PROPOSED SYSTEM SITE 6,00 .[ INCHES / FT. ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 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: 31 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 10YR 4/2 Sand 0 TO 9 10YR 5/1 Sand 9 To 36 10YR 6/1 Sand 28 To 38 10YR 2/1 Spodic Material 38 To 43 1 OYR 3/4 Sand 43 To 55 10YR 4/3 Sand 55 To 62 1 OYR 5/2 Sand 62 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1m 4/2 Sand 0 To 10 10YR 5/1 Sand 10 To 36 10YR 6/1 Sand 29 To 40 10YR 2/1 Spodic Material 40 To 46 7.5YR 4/3 Sand 46 To 52 10YR 4/4 Sand 52 To 72 OBSERVED WATER TABLE: 67.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT'] ESTIMATED WET SEASON WATER TABLE ELEVATION: 28 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 28.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION DRAINFIELD CONFIGURATION: [X I. TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 28" in SB1. SB1 6" above BM. S62 5" above BM. /,7 SITE EVALUATED BY: Ingram, Bri DH 4015, 08/09 (Obsoletes previous editions Environmental Specialist II) (ENVIRONMENTAL HEALTH) may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 03/24/2020 Page 3 of 4 AP1474250 EID2048882 v 1.0.2