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Home My WebLink AboutSewagek STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Adair Garcia PROPERTY ADDRESS: LOT: TBD Johnston Rd Fort Pierce, FL 34951 BLOCK: PROPERTY ID #: 1309-411-0001-000-0 SUBDIVISION: PERMIT #:56-SF-2165577 APPLICATION #: AP1577433 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1454790 [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 ASS 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 [ 1,050 ] 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 [ 667 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED EXI MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: 20d nail in tree, S side of oak, S side of house I ELEVATION OF PROPOSED SYSTEM SITE [ 14.00][ INCHES FT ][ABOVE E BOTTOM OF DRAINFIELD TO BE L D I O T H E R [ 2.00 if INCHES FT ] [ ABOVE BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT EXQUIMD: L JU.UU] INCHES EXCAVATION REQUIRED: [ 4/.UU I INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J In TITLE: � ¢� Environmental Specialist II APPROVED BY: %' �vTITLE: Environmental Specialist II St. Lucie CHD Brian J TWam DATE ISSUED: 10/21/20 EXPIRATION DATE: 04/21/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 v 1.1.4 AP1577433 SE1413093 I 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. HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: MAIL TO: Adair Garcia �I 1/IA''/.0 (�il,�••,� r r�n:1 —7 ; St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2165577 BILL HOC #:56-BID-4982989 CONSTRUCTION APPLICATION #: AP1577433 Adair Garcia AMOUNT PAID: $ 660.00 CHECK 190 PAYMENT DATE: 09/10/2020 FACILITY NAME: PROPERTY LOCATION: TBD Johnston Rd Fort Pierce, FL 34951 Lot: Block: Property ID: 1309-411-0001-000-0 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 -1 - Well Construction 1 $ 115.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4660137 E STATE OF FLORIDA PERMIT NO. 05F-Vk:a77 DEPARTMENT OF HEALTH DATE PAID: �p ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: 19c� . :ti SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] HoldingTank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGENT: KDA(` - LACUk TELEPHONE(v72) 1 �-I 0 MAILING ADDRESS: X t u 1 - 4- K - ' �.,cp eo be C; V TO BE COMPLETED BY APPLICANT OR APPLICANTrS 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 # : t 7 �t 14 L [ d 0 UU 4 ZONING : � I /M OR EQUIVALENT: [ Y /@1 PROPERTY SIZE: i=v ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y I N DISTANCE TO SEWER: 01A FT PROPERTY ADDRESS: 1 17ex )A,ty'Eke 1 V cA Fk DIRE�C�TI�ON},S_ TO PROPERTY: 3w� Llr f 13 -- 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 9 is -5Lt'_T 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: 6- / O �C� a. Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adair Garcia CONTRACTOR / AGENT: LOT: BLOCK: SUBDIVISION: ID# : 1309-411-0001-000-0 APPLICATION # AP1577433 PERMIT # 56-SF-2165577 DOCUMENT # SE1413093 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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 3.60 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 5400.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00• SQFT BENCHMARK/REFERENCE POINT LOCATION: 20d nail in tree, S side of oak, S side of house ELEVATION OF PROPOSED SYSTEM SITE 14.00 [ INCHES / FT ] [ ABOVE / C BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES:' 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 80 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IX]N0] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SnTT. PRO7TT.F. TNFARMATTAN STTF. 1 SATT. ARAFTT.F. TNFORMATTnN STTR 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 6/2 Loamy Sand 0 To 16 1 OYR 5/8 CMN/PRM RF 12 To 16 1 OYR 5/3 Sand 16 To 19 1OYR 7/2 Sand 19 To 23 1 OYR 6/2 Sandy Loam 23 To 47 1 OYR 5/1 Loamy Sand 47 To 55 1 OYR 6/1 MARL 55 To 65 HOLE CAVING Refusal 65 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 6/2 Loamy Sand 0 To 15 1OYR 5/8 CMN/PRM RF 14 To 23 1OYR 5/2 Sand 15 To 21 1 OYR 6/2 Sand 21 To 24 10YR 6/2 Sandy Loam 24 To 47 10YR 5/1 Loamy Sand 47 To 55 1OYR 6/1 Sandy Clay Loam 55 To 63 HOLE CAVING Refusal 63 To 72 OBSERVED WATER TABLE: 22.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO DEPTH: 12.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Loamy Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED j ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 1.0YR518 CMN PROM RF mottling in 10YR6/2 matrix >2% starting at 12" in S131. SBi and S13214" below BM. SITE EVALUATED BY: Ingram, an (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous edi.ti ns which may not be used) Incorporated: 64E-6.001, FAC 47 INCHES DATE: 10/16/2020 Page 3 of 4 AP1677433 EID2165577 v 1.0.2