HomeMy WebLinkAboutRevisions - Septic OFFICE USE ONLY:
DATE FILED: Lfv7 PERMIT#
REVISION FEE: RECEIPT#
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PL &DEVELOPMENT"DER E
C E REGULATION.DIVIS
r' AVENUE.
o F 3 5652UP
(77 46 3 2 2 78
APPLICATION FOR BUILD IT'REVISIONS "
PROJECT-INFORMATI
1. LOCATION/SITE
ON/SITE
ARE
f -35 V NA V/o 4Z e,2 i yAE Z-5 L , FZ-
2. DETAILED DESCRIPTION OF PROJECT
REVISIONS:
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7� o r— st�iZ-L inAE��TS ^IA/o �� '' �V 6Z0 _
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3. CONTRACTOR INFORMATION:
STATE of FL REG./CERT.#: C igC i D ST.LUCIE COUNTY CERT.#:
BUSINESS NAME: C F-46 A/ D--- 149AQA ,-Q JT gzliaZ
QUALIFIERS NAME:
ADDRESS: a l
CITY: STATE: L ZIP: 3 a
PHONE(DAYTI E):� �7/ =`�- e( FAX: 772 -Sf
4. OWNERBUILDER INFORMATION:
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: FAX:
5. ARCHITECT/ENGINEER INFORMATION:
NAME: G'
ADDRESS: 2 S. '
CITY: QUA STATE: ZIP:
PHONE(DAYTIME): - — D FAX:
Revised 07/22/2014
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PERMIT #:56-SF-1733732
STATE OF FLORIDA APPLICATION #:AP1271797
DEPARTMENT OF HEALTH DATE PAID:
QJ '1rr ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
DOCUMENT #: PR1049523
Y CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Larry Aitkens
PROPERTY ADDRESS: Lot 98 Navion Rd Port Saint Lucie, FL 34987
LOT: 98 BLOCK: SUBDIVISION: Treasure Coast Air Park
PROPERTY ID #: 4224-501-0098-000-1 [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 [ 900 ] GALLONS / GPD SeDtic 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 [ 334 ] SQUARE FEET Drainfield new SYSTEM
R ( ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: ( ] TRENCH [XI BED [ ]
N
F LOCATION OF BENCHMARK: Orange spot NE corner of existing Transformer pad elev 29.6?3?
I ELEVATION OF PROPOSED SYSTEM SITE [ 11.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 17.00] INCHES EXCAVATION REQUIRED: [ 41.001 INCHES
The system is sized for 1 bedrooms with a maximum occupancy of 2 persons(2 per bedroom),for a total estimated flow of
O 200 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H s.64E-6.013(3)(0, FAC.
E
R
SPECIFICATIONS BY: Brian J Ingram TIC: Environmental Specialist II
ti
APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHD
Brian a Ingr
DATE ISSUED: 02/14/2017 EXPIRATION DATE: 08/14/2018
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 AP1271797 SE1039075
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.
I
I
'I
I
I
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT#:56-SF-1733732 BILL HOC#:66-BID-3334348 CONSTRUCTION APPLICATION#:AP1271797
RECEIVED FROM: Celentano Development Group AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 5178 PAYMENT DATE: 01/19/2017
i
MAIL TO: Larry Aitkens
FACILITY NAME :
PROPERTY LOCATION:
Lot 98 Navion Rd
Port Saint Lucie, FL 34987
Lot: 98 Block:
Property ID: 4224-501-0098-00Q1
EXPLANATION or DESCRIPTION: QUANTITY FEE
-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
128- OSTDS Construction System Inspection Research Fee 1 $ 5.00
133-OSTDS Construction Reinspection ( S $ 50.00
-1 -Surcharge(All) G $ 15.00
-1 -OSTDS New Permit Surcharge S �� I� $ 100.00
0
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3 Ian G- N
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3172915
PERMIT NO.
I�3.313 Z
�.� STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
P ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: r�
SYSTEM RECEIPT
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR.
[ ] New System [ ] Existing System [ ] Holding Tank L l Innovative
[ ) Repair t ] Abandonment [ ] Temporary [ ]
APPLICANT: __� �
AGENT: ��® TELEPHONE:
MAILING ADDRESS: i/ 6o"I� 0,kA 06, 40 � ( - FL 511 go
--- ------ ---------------- ----
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: R8 BLOCK; SUBDIVISION: "r" , co 'ma rr ,(mod/- PLATTED: y
PROPERTY ID #: 1227-j - `50 L m ool �"d?�,d[ � [ ZONING: I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: !�r q ', ACRES WATER SUPPLY: [A PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N DISTANCE TO SEWER: ALL—FT
PROPERTY ADDRESS: 'TO.,, O (0W R-OAV
DIRECTIONS TO PROPERTY: ( ram oge 1.wr —p /J�t7r 4
MAR-entJ 4- (s, a 4/Il�S7 om VJ�I d�U6� Ss�L$ L��r��9�d1�
F-0 0 1,0'f q g ppz s d#ram
BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Saft Table .l, Chapter 64E-6, FAC
1
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify) N/A
SIGNATURE: / DATE:
DH 401 8 previous s which may not be used 5, 0 /09 ( bsoletes pre ous edition i y )
Incorporated 64E-6.001, FAC Page 1 of 4
t STATE OF FLORIDA APPLICATION # AP1271797
DEPARTMENT OF HEALTH PERMIT # 56-SF-1733732
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
. � SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1039075
APPLICANT: Larry Aitkens
CONTRACTOR / AGENT: Celentan0 Development Group
"LOT: 98 BLOCK:
SUBDIVISION: Treasure Coast Air Park ID#: 4224-501-0098-000-1
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: 4.96 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCE S-TABLEI / OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 7440.01 GALLONS PER DAY [ 1500 GPD/ACRE7 OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1125.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Orange spot NE corner of existing Transformer pad elev 29.6?3?
ELEVATION OF PROPOSED SYSTEM SITE 11.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 75 FT DITCHES/SW ALE S: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 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 [X]NOI
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES: USDA SOIL SERIES:
Munsell#/Color Texture Depth Munsell#/Color Texture Depth
10YR 4/2 Sandy Loam 0 To 7 10YR 4/2 Loamy Sand 0 To 6
10YR 5/1 Sandy Clay Loam 7 To 16 10YR 511 Sandy Clay Loam 6 To 15
10YR 4/2 Loamy Sand 16 To 37 10YR 4/2 Loamy Sand 15 To 37
10YR 6/6 CMN/PRM RF 25 To 37 10YR 616 CMN/PRM RF 27 To 37
10YR 5/2 Coarse Sand 27 To 39 10YR 5/2 Coarse Sand 29 To 39
10YR 5/1 Sandy Clay Loam 39 To 41 10YR 4/1 Sand 39 To 55
10YR 4/1 Sand 41 To 44 10YR 5/1 Sand 55 To 59
10YR 4/2 Sand 44 To 53 10YR 513 Sand 59 To 72
10YR 5/2 Sand 53 To 72
OBSERVED WATER TABLE: 32.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 25 INCHES [ ABOVE / HELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 25.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 41 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/6 CMN PROM RFs starting In 10YR4/2 matrix>2%starting at 25"In SB1.
SB1 and SB211"below BM
SITE EVALUATED BY: DATE: 06/27/2017
Ingram,Bria Title:Environmental Speclallst II)(ENVIRONMENTAL HEALTH)
DH 4015, 08109 (Obsoletes previous editions�4hich may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4
AP1271797 EID1733732 v 1.0.2
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