HomeMy WebLinkAboutHealth dept permitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Phil and Karen Episcopo
PROPERTY ADDRESS: TBD Bald Cypress Trl Fort Pierce, FL 34951
LOT: BLOCK:
PROPERTY ID #: 1418-132-0005-000-7
SUBDIVISION:
PERMIT # : 55-SF-2204952
APPLICATION # : AP 1601195
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : P R 149 7569
[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 New Seotic Tank CAPACITY
A [ ] GALLONS / GPD NIA CAPACITY
N I ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 375 ] SQUARE FEET New Drain Field SYSTEM
R [ ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [XI TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, nail and disk in qround at the SE Dro
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
corner.
( 6.00 ] [ INCHES FT ] [ ABOVE BELOW ]BENCHMARKIREFERENCE POINT
[ 18.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
D FILL REQUIRED: [30.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
O
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
T Bed configuration is 500 sgft.
H If gravity flow cannot be achieved a pump tank can be added under requirements per table 2.
E
R
SPECIFICATIONS By: Jamie M Moran TITLE:
Environmental Specialist Z
APPROVED BY: /lj�,Y/ TITLE: Environmental Specialist 1
lJamie M Moran
DATE ISSUED: J01/0812021 EXPIRATION DATE:
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
St. Lucie CHD
07/08/2022
Page 1 of 3
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.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Phil and Karen Episcopo
CONTRACTOR / AGENT: Pace 2000,Inc
LOT:
BLOCK:
APPLICATION # AF'1801195
PERMIT # 56-SF-2204952
DOCUMENT # SE1455373
SUBDIVISION: ID# : 1418-132-0005-000-7
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVID:
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS,
PROPERTY SIZE CONFORMS TO SITE PLAN: IX]YES [ ]NO NET USABLE AREA AVAILABLE:
0.95 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2
]
AUTHORIZED SEWAGE FLOW: 1425.00 GALLONS PER DAY IF 1500 GPD/ACRE OR 2500 GPD/ACRE
]
UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT
UNOBSTRUCTED AREA REQurREn: 563.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM, nail and disk in Around at the SE property corner.
ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCHES / FT ] [ Ago
/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 75 FT DITCHES/SWALES: 15 FT
NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: 50 FT
BUILDING FOUNDATIONS: 5 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
[ :v
iSL j N-GVD
SOIL PROFILE INFORMATION c-rmr 7
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
10YR 411
Sand
10YR 811
Sand
1DYR 711
Sand
10YR 211
Sp Aic Material
10YR 3/3
Fine Sand
1 OYR 5/6
Fine Sand
10YR 313
Fine Sand
1OYR 311
Fine Sand
HOLE CAVING
Refusal
Depth
OTo12
12 To 18
12 To 28
28 To 30
30 To 40
40 To 46
46 To 50
50 To 56
56 To 72
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Lawnwood sane!
Munsell #IColor Texture
Depth
IOYR 4/1
Sand
0 To 12
10YR 8/1
Sand
12 To 18
10YR 711
Sand
12 To 28
10YR 211
Spodic Material
28 To 30
10YR 313
Fine Sand
30 To 40
10YR 5/6
Fine Sand
40 To 46
10YR 3/3
Fine Sand
46 To 50
10YR 3/1
Fine Sand
50 To 56
HOLE CAVING
Refusal
56 To 72
OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / HELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHE,S t ABOVE ,� HELOW
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [X ] TRENCH [
- REMARKS/ADDITIONAL CRITERIA
] BED
[I PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 12.00 INCHES
Sand/0.80 DEPTH OF EXCAVATION: INCHES
[ ] OTHER (SPECIFY)
VVSWT determined using USDA WSS and soil borings. 10YR811 stripping in 10YR711 matrix >10% with diffused boundaries starting
at 12 inches in S131. S81 and S132 6 inches above BM. Soil completed 1/8121.
SITE EVALUATED BY:
n, Jamie {Title: Environmental Specialist II {Flori(la Department of Health in Okee
editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: O 1 /08/2021
DH 4015, 08/09 (obsoletes
ADIa6l'Og ._.)..,. c., i
Page 3 of 4