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PROPERTY ADDRESS: 15371 Sky King Dr Port Saint Lucie, FL 34987
LOT: 70 BLOCK:
SUBDIVISION: Treasure Coast Air Park
PROPERTY ID #: 4224-501-0070-000-9 [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, E.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 [ 1,350 ] 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 [ 650 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM 1, NiD in cutout, CL of Rd
I ELEVATION OF PROPOSED SYSTEM SITE [ 20.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE. [ 6.00 ][ INCHES FT ][ABOVE $ELOW BENCHMARK/REFERENCE POINT /
L
D F
O
T
H
E
R
REQUIRED: . [ ;JL.UU] INCHES EXCAVATION REQUIRED: [ ] 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: rian J Ingr TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J I am
DATE ISSUED: 05/05/2020 EXPIRATION DATE: 11/05/2021-
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 AP1477704 SE1276072
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.
St. Lucie County Health Department
C 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
• PAYING ON: #: 56-SF-1770012 BILL DOC #:56-BID-4621014 CONSTRUCTION APPLICATION #: AP1477704
RECEIVED FROM: Spencer Gould AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 007437 PAYMENT DATE: 04/07/2020
MAIL TO: Spencer Gould
FACILITY NAME:
PROPERTY LOCATION:
15371 Sky King Dr
Port Saint Lucie, FL 34987
70
Lot: Block:
I.
Property ID: 4J24-501-�J0070-000-9
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
00lt>0'-->0 % ."t uQ.X 41'V't. op
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4353556
STATE OF FLORIDA PERMIT NO. % "t'loo�a
Y DEPARTMENT OF HEALTH DATE PAID: L41 -1
Q ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: t4
SYSTEM RECEIPT
ALL*
`#' i'JO
"'9 APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair1 [ ] Abandonment [ ]r Temporary [ ]
APPLI CANT : SPL7Va- R 6 0LJO T
AGENT: p ,{ TELEPHONE: 772 -yo0 _s / o 1
MAILING ADDRESS: P o, DOX 5001.91 PORT -! • L)qY, rL 3�9R6
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: /O
BLOCK: —'
SUBDIVISION: Tk�-- URG''
CO&T A,1/1' < PLATTED:
S
PROPERTY ID
# : 4 91 q
— S 61 - 00 70 r O d0-/ ZONING :
I /M OR EQUIVALENT: [
Y / N ]
PROPERTY SIZE: �qAU ACRES WATER SUPPLY: [VI PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.00651 FS? :[ Y / ®] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 37PP, PC) 27 Sr L (xl,6F- FL 3¢�0,?7
DIRECTIONS TO PROPERTY: 2,7' 14fZOI! N R0 o4
4/!{o,r W
BUILDING INFORMATION
Unit Type of
No Establishment
1 /fry LC F.4M11-y
2
3
4
[,)o RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
t 41 gGG
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Spencer Gould
CONTRACTOR / AGENT: Spencer Gould
LOT: 70 BLOCK:
APPLICATION # AP1477704
PERMIT # 56-SF-1770012
DOCUMENT # SE1276072
SUBDIVISION: Treasure Coast Air Park ID#: 4224-501-0070-000-0
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:
TOTAL ESTIMATED SEWAGE FLOW:
AUTHORIZED SEWAGE FLOW:
UNOBSTRUCTED AREA AVAILABLE:
[X]YES [ ]NO NET USABLE AREA AVAILABLE: 5.46 ACRES
520 GALLONS PER DAY [ RESIDENCES —TABLET / OTHER —TABLE 2 ]
8190.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
4370.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1300.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM 1, NiD in cutout, CL of Rd
ELEVATION OF PROPOSED SYSTEM SITE 20.00 [ 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: 100 FT NON —POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]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 Rr]TT. PRnFTT.F. TWWWMATTAN ATTF. 9
USDA SOIL SERIES:'
Munsell #/Color
Texture
Depth
10YR 5/2
Sand
0 To 34
10YR 6/1
Sand
12 To 34
10YR 4/2
Sandy Clay Loam
34 To 51
10YR 5/2
Sandy Clay Loam
51 To 65
10YR 6/2
Sandy Clay Loam
65 To 69
5GY 7/1
Sandy Clay Loam
69 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/2
Sand
0 To 35
10YR 6/1
Sand
10 To 35
10YR 4/2
Sandy Clay Loam
35 To 50
10YR 512
Sandy Clay Loam
50 To 59
10YR 6/2
Sandy Clay Loam
59 To 72
OBSERVED WATER TABLE: 32.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 10 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 10.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
IWSVVT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/2 matrix, >10% with diffuse boundaries starting at 10" in SB2.
SB7 19" below BM. SB2 20" below BM. 1-5-1
SITE EVALUATED BY:
DATE: 05/01 /2020
L.- Ingram, Brian (T : Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions w 'ch may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1477704 EID1770012 v 1.0.2