HomeMy WebLinkAboutSewageED PERMIT #:56-SF-2139316
STATE OF,FLORIDA SCANN-- APPLICATION # : AP 1552772
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
DOCUMENT #: PR1407011
i
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Feliciano Esquivel Jurado
PROPERTY ADDRESS: TBD N FFA Rd Fort Pierce, FL 34945
LOT: 3 BLOCK: SUBDIVISION: Jones Estates
PROPERTY ID #: 2310-601-0003-000-4 [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 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 [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [XI BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, NA elev 21.62'
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT. ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D i
O
T
H
E
R
'ILL i(NQut1(EL): L IV.UU] INCHES EXCAVATION REQUIRED: [ by.UU ] INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
Entire system must meet 75' private well setback.
SPECIFICATIONS BY: : TITLE
Brian J gram Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian Ingrazn
DATE ISSUED: 09/08/ 20 EXPIRATION DATE: 03/08/2022
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 AP1552772 SE1365562
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 126.57, 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
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: #:56-SF-2139316 BILLDOc#:56-BID-4911769 CONSTRUCTION APPLICATION #: AP1552772
RECEIVED FROM: N & A Construction Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 3115 PAYMENT DATE: 08/19/2020
MAIL TO: Feliciano Esquivel Jurado
FACILITY NAME: 6ulr) A-L N+Ya 4 b(- 1,
PROPERTY LOCATION: !o`J
TBD N FFA
Fort Pierce, FL 34945
Lot: 3 Block:
Property ID: 2310-601-0003-000-4
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
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-4571170
Note: Well app coming from American Drilling
n
ixAi . w
STATE OF FLORIDA PERMIT NO. a 31(, 0
x r` DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
!, s SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT C W. @ 9.
APPLICATION FOR:
[ New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment ['i" ] Temporary [ ]
APPLICANT:fLLLca G2rlj� Jy�V� i
AGENT: /iJ i Q 7- TELEPHONE:
J
MAILING ADDRESS: �5�� 5�(• /�%�';r %� �'�� /i��� (� l/�-J'�L�
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: j02-c� PLATTED:
PROPERTY ID #:4:j ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE:1*CRES WATER SUPPLY: [%}('] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ]. DISTANCE Mn SEWER: 1 FT
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1
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:
Page 1 of 4
e
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL'SYSTEM
SITE EVALUATION AND,SYSTEM SPECIFICATION
APPLICANT: Feliciano Esquivel Jurado
CONTRACTOR / AGENT: N & A Construction Inc
LOT: 3 BLOCK:
SUBDIVISION: Jones Estates ID#: 2310-601-0003-000-4
APPLICATION # AP1552772
PERMIT # 56-SF-2139316
DOCUMENT # SE1365562
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: 1.74 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED"SEWAGE FLOW: 2609.99 GALLONS PER -DAY [ 1500 GPD/ACRE OR •2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM, NiD, elev 21.62'
ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ 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: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: 50 FT
BUILDING FOUNDATIONS: 75 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT
SITE SUBJECT TO FREQUENT -FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
Cl1TT. DVr1WTT.F TWMrM2Mn TTr%W CTrrTW- 1 COTT. PROFTT.F. TNPORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/1
Sand
0 To 16
10YR 5/2
Sand
16 To 34
1 OYR 5/8
CMN/PRM RF
26 To 30
1 OYR 2/1
Spodic Material
34 To 39
10YR 4/2
Sand
39 To 44
1 OYR 4/2
Sandy Clay Loam
44 To 50
1OYR 5/3
Sandy Clay Loam
50 To 57
1 OYR 5/4
Sand
57 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/2
Sand
0 To 35
1OYR 5/8
CMN/PRM RF
23 To 30
10YR 2/2
Spodic Material
35 To 41
10YR 4/2
Sand
41 To 50
10YR 4/2
Sandy Clay Loam
50 To 59
10YR 4/3
Sand
59 To 72
OBSERVED WATER TABLE: 47.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED,WET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 59 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER"'(SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR5/2 CMN PROM RF mottling In 10YR512 matrix > 2% starting at 23" in S132.
SB1 2" below BM. SB2 3" below BM. I "
SITE EVALUATED BY: DATE: 09/04/2020
Ingram, Bria Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous edition which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1552772 EID2139316 v 1.0.2