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Home My WebLink AboutO'Quinn septic permit part 1STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Linda O'Quinn PROPERTY ADDRESS: TBD Southwind Trl Fort Pierce, FL 34951 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 1418-123-0025-000-5 PERMIT #: 66 -SF -2164666 APPLICATION #: AP1576800 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PRI 409110 [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 Senticnew 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: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Site BM Yellow capped IR, NW property corner, NE side of PP I ELEVATION OF PROPOSED SYSTEM SITE [ 13.00][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 14.00][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [19.00] INCHES EXCAVATION REQUIRED: [ 57.00 ] INCHES 0 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: TITLE: Environmental Specialist II St. Lucie CHD Brian J In am DATE ISSUED: 09/21/2020Y EXPIRATION DATE: 03/21/2022 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 AP1576800 SE1367602 �., E STATE OF FLORIDA t _ DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL _ +f SYSTEM ti 0 APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [f ] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Linda O'Quinn PERMIT NO. 5 - W l DATE PAID: FEE PAID: (.ar."c,60 RECEIPT #: [ ] Innovative AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983 772-340-7770 ------------------------------------------- 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 #: 1418-123-0025-000-5 ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 1.157 ACRES WATER SUPPLY: [v/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Southwind Trail, Fort Pierce, FL 34951 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION Unit Type of No Establishment 1 2 3 4 RESIDENCE [✓] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 1,941 [ ] Floor/Equipment Drains [ ,/ ] Other (Specify) GARBAGE GRINDERS / DISPOSALS Digiwny.yjpW by Am�nndM.r P— Alexander J Piazza DN:c=US�o=UnafFii]i,ld.o,,=AO1410D0000017256C22F4301)01(,71:A,cn=NexanderI SIGNATURE: r""` DATE : 9-02-20 Dnic: _0?0.p9.0? 11:3:5? -04'W' DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 HMO PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #:56 -SF -2164656 BILL DOC #:56 -BID -4980348 CONSTRUCTION APPLICATION #: AP1576800 Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 660.00 CHECK 2166 PAYMENT DATE: 09/08/2020 MAIL TO: Linda O'Quinn i'2- -- 14 Lo 0 _ 0!;-. FACILITY NAME: PROPERTY LOCATION: TBD Southwind Tri Fort Pierce, FL 34951 Lot: Block: Property ID: 1418-123-0025-000-5 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 -1 - Well Construction 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 1 $ 115.00 RECEIVED BY: WhiahamJL AUDIT CONTROL NO. 56 -PID -4653877 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. STATE OF FLORIDA �- DEPARTMENT OF HEALTH } ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS 1.1- PERMIT #. APPLICANT: Linda O'Quinn AGENT: Alexander J. Piazza PSM, Inc. LOT: - BLOCK: - SUBDIVISION: _ PROPERTY ID #:— 1418-123-0025-000-5 [ Tax ID Number ] 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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: 1.157 ACRES TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE I /OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION:_ ELEVATION OF PROPOSED SYSTEM SITE IS34 [ INCHES / FT ] [ 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:15 FT NORMALLY WET? [ [ YES [,./] NO WELLS: PUBLIC: 200 FT LIMITED USE:100 FT PRIVATE: 75 FT NON -POTABLE: 100 FT BUILDING FOUNDATIONS:S FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [,/] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR USDA SOIL SERIES: TEXTURE DEPTH Tu TO TO TO TO TO TO SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR USDA SOIL SERIES: TEXTURE DEPTH TV TO TO TO TO TO TO TO mn OBSERVED WATER TABLE:40+ INCHES [BELOW ] EXISTING GRADE. TYPE: [PERCHED/ APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES ( ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [�/] TRENCH [ J BED REMARKS/ADDITIONAL CRITERIA: DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) INCHES Alexander J Piazza US o=� „a« Ao,a1;000CW17Z58Q2F430U0167FA, cn=Alexander J Piazza SITE EVALUATED BY: Date: z020,09.0211:23:44-04'00' DATE- 9-02-20 DH 4015, 12/11 (obsoletes previous editions which may not be used) Incorporated. 64E-6.001, FAC Page 3 Of 4 APPLICANT'S NAI IE: LEGAL DESCRIPTION: Linda O'Quinn Parcel ID: 1418-123-0025-000-5 r PROPOSED sEFHC SY��SIIFIN T": ,0, I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, filled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. 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