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Home My WebLink AboutSewagei STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Felipe & Julie Jose PROPERTY ADDRESS: TBD Header Canal Fort Pierce, FL 34945 PERMIT #:56-SF-2138562 APPLICATION #. AP1552208 DATE PAID: ?: FEE PAID: RECEIPT #: DOCUMENT #: PR1454460 LOT: 5 BLOCK: SUBDIVISION: PROPERTY ID #: •3202-500-0005-000-9 [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, 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 [ 1,050 ] - GALLONS / GPD Septic new CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 509 ] SQUARE FEET Drainfleld new SYSTEM ` R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Nail in E side of I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: 124.001 INCHES 0 T H E R S of [ 19.00 1 [1 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT [ 13.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES SPECIFICATIONS BY: w Brian J Ingr,Am TITLE: Environmental S APPROVED BY: TITLE: Environmental Specialist II St Lucie CHD Brian J I am DATE ISSUED: 10/20/202 EXPIRATION DATE: 04/20/2022 DR 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 AP1552208 SE1412753 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. M R"U HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2138562 BILL Doc #:56-BID-4900464 CONSTRUCTION APPLICATION #: AP1552208 Accurate Septic Services Inc AMOUNT PAID: $ 545.00 CHECK 9001 PAYMENT DATE: 08/17/2020 MAIL TO: Felipe & Julie Jose FACILITY NAME: PROPERTY LOCATION: TBD Header Canal Fort Pierce, FL 34945 Lot: Property ID: EXPLANATION or DESCRIPTION: Block: 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 RECEIVED BY: MontanezNM rairr'll"fWA 1 1 1 1 1 1 1 1 FEE $ 5.00 $ 45.00 $ 100.00 . $ 100.00 $ 115.00 $ 55.00 $ 75.00 $ 50.00 AUDIT CONTROL NO. 56-PID-4667103 j tttE A� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO.5U -SF-Dj!b8j(0Q DATE PAID: I-1 FEE PAID: SL(S RECEIPT #: New System [ ] Existing System [ ] ] Holding Tank Innovative Repair Abandonment Temporary [ ] APPLICANT: AGENT: A r_aJ -Je— S�rwce-,N TELEPHONE: 71-)W 6 MAILING ADDRESS: I2o teo �Uqt,C (?)ece� - -S�i�'� 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. PROPERTTY'Y INFORMATION LOT: LOT:% BLOCK: SUBDIVISION: ��/ PLATTED PROPERTY ID #: Uy �0 ba �ft—%NING: ��' " M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: � ACRES WATER SUPPLY: X] PR AT PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] DISTANCE TO SEWER: FT W PROPERTY ADDRESS: AAM r � ��• I�,r%(j f DIRECTIONS TO PROPERTY: E�AA70 Z� , Ada CRM AhW 8 f�1 BUILDING INFORMATION [ ] RESIDENTIAL [ '] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC 1 2 Z OFF1CC- 2 3 4 1 [ ] Floor'/Equ`i melt Drains SIGNATURE: [ ] Other (Specify) -S yc U (Z) q co DATE: DH 4015, 0 /K (15S-oletes 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 : • Felipe & Julie Jose APPLICATION # AP1552208 PERMIT # 56-SF-2138562 DOCUMENT # SE1412753 CONTRACTOR. / AGENT: Accurate Septic Services Inc LOT: 5 BLOCK: SUBDIVISION: ID# : 3202-500-0005-000-9 '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: 6.69 ACRES TOTAL ESTIMATED SEWAGE FLOW: 305 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 10034.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 5000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 763.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Nail in E side of gate post S of system ELEVATION OF PROPOSED SYSTEM SITE 19.00 [ INCHES / ET ] [.ABOVE / BENCHMARK/REFERENCE POINT i THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 100 FT - NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 90 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 76 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 SOTT. PRAFTT.F. TNFORMATTAN STIR: 1 GATT. DRAFTT.F. TNFARMATTAN CTTF. 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/3 Organic Soil 0 To 6 10YR 5/3 Sand 6 To 13 1 OYR 5/2 Sand 13 To 35 10YR 6/3 Loamy Sand 35 To 38 1 OYR 5/8 Sandy Clay Loam 38 To 45 10YR 7/2 Sandy Clay Loam 45 To 59 HOLE CAVING Refusal 59 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/2 Organic Soil 0 To 10 10YR 512 Sand 10 To 36 10YR 6/2 Loamy Sand 36 To 39 1 OYR 5/8 Sandy Clay Loam 39 To 50 10YR 7/2 Sandy Clay Loam 50 To 72 OBSERVED WATER TABLE: 48.00 INCHES [ ABOVE / HELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 18 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 18.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Loamy Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 CMN PROM RF mottling In 10YR512 matrix >2% starting at 18" in SB1. SB1 19" below BM. SB1 18" belo�BM. SITE EVALUATED BY: Ingram, Briitle: Environmental Specialist II) (ENVIRONMENTAL HEALTH) tion whi DE 4015, 08/09 (Obsoletes previous edich may not be used) Incorporated: 64E-6.001, FAC AP1552208 EID2138562 DATE: 09/14/2020 Page 3 of 4 v 1.0.2