HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR
PERMIT
OSTDS Repair
APPLICANT: Sara Walpole
PROPERTY ADDRESS: 8409 S Indian River Dr Fort Pierce, FL 34982
LOT:
BLOCK:
SUBDIVISION:
PERMIT #:5C-SF-04021
APPLICATION # : AP 1136963
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR931028
osTDs #: 02-0063-E
PROPERTY ID #: 3518-433-0001-000-6 [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 THISPERMIT'
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
CAPACITY
A [
0 ]
GALLONS / GPD
CAPACITY
N [
0 ]
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
]
GALLONS 'DOSING TANK CAPACITY [
]GALLONS @.[ ]DOSES PER 24 HRS #Pumps [ ]
D [
400 ]
SQUARE FEET Drainfield
SYSTEM
R [
0 ]
SQUARE FEET
SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ]'FILLED
[ ] MOUND [ ]
I CONFIGURATION:
[ ] TRENCH [x] BED
[ ]
N
F LOCATION OF BENCHMARK: Front porch finished floor
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: [ 0.00 ] INCHES
O
T
H
E
R
[ 12.00][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 41.00 1 1 INCHES FT ] (ABOVE BELOW BENCHMARK/REFERENCE POINT
EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons. (2 per bedroom), for total estimated flow
of 400 gpd. =
Required drainfeld area based on rule 64E-6.015(6)(c)2.
Install a new drainfeld to achieve Drainfield size requirement.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
with s. 64E-6.093(3)(f), FAC.
SPECIFICATIONS BY: Andrew R Gatewood TITLE:' Environmental Specialist II
APPROVED BY: TITLE,: Environmental Specialist II St. Lucie CHD
Andrew R Gatewoo
DATE ISSUED: 02/25/2014 EXPIRATION DATE: 05/26/2014
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 AP1136963 SE920871
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 # A02, Tallahassee, Florida 32399` 1703. The
Agency Clerk's facsimile number is.850-410-1448.
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 6 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
MUM 5150 NW Milner Dr Port Saint Lucie, FL 34883
HWTH
PAYING ON: PERMIT #: 56-SF-04021 BILL DOC #:56-BID-2430488 CONSTRUCTION APPLICATION #: AP1136963
RECEIVED FROM: Reliable Septic Services AMOUNT PAID: $ 315.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 02/25/2014
MAIL TO: Henry Walpole
FACILITY NAME : Henry Walpole
PROPERTY LOCATION:
8409 S Indian River Or
Fort Pierce, FL 34982
Lot: Block:
Property ID: 3518-433-0001-000-6
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
124 - OSTDS Construction Repair or Mod Site Evaluation
1
$
1.15.00
128 - OSTDS Construction System Inspection Research Fee
1
$
. 5.00
-1 - Surcharge (All)
1
$
15.00.
131 - OSTDS Construction Application & Existing System E
1
$
50.00
127 - OSTDS Construction System Inspection
1
$
75.00
129 - OSTDS Construction Permit (Repair)
1
$
55.00
RECEIVED BY: HunterTM
AUDIT CONTROL N0. 56-PID-2354021.