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HomeMy WebLinkAboutAPPROVED Health permit docsSTATE 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 TrI Fort Pierce, FL 34951 LOT: BLOCK: PROPERTY ID #: 1418-132-0005-000-7 SUBDIVISION: PERMIT #:56-SF-2204952 APPLICATION #:AP1601195 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1497569 [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 l GALLONS / GPD New SeDtic Tank 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 € 375 ] SQUARE FEET New Drain field SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [xI MOUND I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM, nail and disk in ground at the SE prof I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L corner. [ 6.00 ][ INCHES FT € ABOVE BELOW]BENCHMARK/REFERENCE POINT [ 18.001I INCHES FT I[ ABOVE BELOW]BENCHMARK/REFERENCE POINT D FILL REQUIRED: €30.00I INCHES EXCAVATION REQUIRED: [ I INCHES 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: t Jamie M Moran TITLE: � Environmental Specialist 1 APPROVED BY. / TITLE. Environmental Specialist 1 Jamie M Moran DATE ISSUED: �� 01/08I2e)21 EXPIRATION DATE: DH 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 # Ap1601195 PERMIT # 56-SF-2204952 DOCUMENT # SF14rrg71 SUBDIVISION- ID# : 1418-132-0005-000-7 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDi 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: 0.95 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 AUTHQRIZED SEWAGE FLOW: 1425.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563,00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site SM, nail and disk in grou ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCHES / F: ] at the SE property corner. / 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? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATTON cTmr 1 USDA SOIL SERIBS:Lawnwood sand MDnsell #/Color Texture 10YR 4/1 Sand 10YR 8/1 10YR 7/1 Sand Sand 10YR 211 Spodic Material 10YR 313 Fine Sand 10YR 5/6 Fine Sand 10YR 3/3 Fine Sand 10YR 311 Fine Sand HOLE CAVING Refusal [ ]YES [X]NO 10 YEAR FLOODING? [ FT [ MSL• / NGVD ] SITE ELEVATION: FT SOTT. VPnx-TTV 7rrl. Depth 0 To 12 12 To 18 12To28 28 To 30 30 To 40 40 To 46 46 To 50 50 To 56 56 To 72 I YES [ X ] NO] [ MSL / NGVD USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 12 1OYR 811 Sand 12 To 18 10YR 711 Sand 12 To 28 10YR 2/1 Spodic Materiaf 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 / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE �E �' BELOW HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: LX]YES [ ]NO SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [X ] TRENCH [ 7 REMARKS/ADDITIONAL CRITERIA ] BED [ PERCHED / APPARENT i ] EXISTING GRADE DEPTH: 12.00 INCHES Sand/0.80 DEPTH OF EXCAVATION: TH [ ] OER (SPECIFY) WSWT determined using USDA WSS and soil borings. 10YR811 stripping in 10YR711 matrix >10% with diffused boundaries starting at 12 inches in SS1. SB1 and SB2 6 inches above BM. Soil completed 1/8121. SITE EVALUATED BY: n, Jamie (Title: Environmental Specialist 1) (Florida Department of Health In Okee editions which may not be used) Incorporated: 69E-6.(101, FAC INCHES DATE: 01 /08/2021 DU 4015, 08/09 (obsolete. Page 3 of 4