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Home My WebLink AboutSewage & Water Well Construction PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DI SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT: John Williams Jr. PROPERTY ADDRESS: TBD San OSTDS New LOT: 12 BLOCK: 7 jo Ave Fort Pierce, FL PROPERTY ID #: 1431-801-0054-000-9 PERMIT #:56-SF-1843129 RECEIVED APPLICATION #:AP1341806 Nov 0.,6 1010 DATE P ■r- mitting Department FEE Ptf1 St. Lucie County RECEIPT #: DOCUMENT #: PR1116323 Harmony Heights [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYAEM 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 i APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] 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 [ 500 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED MOUNDI CONFIGURATION:. [ ] TRENCH [x] BED N F LOCATION OF BENCHMARK:.'' Set Nail & Disk LB #7903 on corns of San Diego and 43rd St I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [22.00] INCHES EXCAVATIONIREQUIRED: [ ] INCHES The system is sizeddoret�l ecr orr-6_!jwith a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 0 300 gpd. T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with H Is. 64E-6.013(3)(f), FAC. CAI R SPECIFICATIONS BY: Dianna S SPPROVED BY: �--�-e'gm TITLE: Envirc Dianna S May )ATE ISSUED: 05/09/2018 )H 4016, 08/09 (Obsoletes all previous editions which ma :ncorporated: 64E-6.003, FAC v 1.1.4 AP1341806 TITLE: Environmental Specialist I tal Specialist I not be used) St. Lucie CHD EXPIRATION DATE: 11/09/2019 SE1076643 Page 1 of 3 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 Ac administrative hearing must be in writing and must be Department, within twenty-one (21) days from the rec Agency Clerk is 4052 Bald Cypress Way, BIN A-02, l Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative rei Your failure to submit a petition for hearing wii constitute a waiver of your right to an administrative h order'. Should this order become a final order, a part to judicial review pursuant. to Section 120.68, Florida governed by the Florida Rules of Appellate Procedure by filing one copy of a Notice of Appeal with the Agen second copy, accompanied by the filing fees required appropriate District Court. The notice must be filed wi ministrative Code. A petition for received by the Agency Clerk for the :ipt of this order. The address of the allahassee, Florida 32399. The Agency in 21 days from receipt of this order will arina, and this order shall become a 'final who is adversely affected by it is entitled tatutes: Review proceedings are Such proceedings may be commenced y Clerk of the Department of Health and a ►y law, with the Court of Appeal in the iin 30 days of rendition of the final order. HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: MAIL TO: John Williams Jr. FACILITY NAME: PROPERTY LOCATION: TBD San Diego Ave Fort Pierce, FL 34946 12 Lot: Property ID: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 Williams Jr. 1431-801-0054-000-9 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research F -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan RevieW,Nev 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendme 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection RECEIVED BY: VanceMH 7 51 CONSTRUCTION APPLICATION #: AP1341806 AMOUNT PAID: $ 515.00 PAYMENT DATE: 04/27/2018 (.11IAAITITY FFF 1 $ 5.00 1 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 AUDIT CONTROL NO. 56-PID-3525920 PIA 11iE STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT # : APPLICATION FOR CONSTRUCTION PERMIT C[� APPLICATION FOR: [f ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair— [ ] Abandonment [ ] Temporary [ ] APPLICANT: JC?I,4 14 / s .it - AGENT -. MAILING ADDRESS: 6 /%/. 7 1p TO BE COMPLETED BY APPLICANT OR APPLICANT'S A BY A PERSON LICENSED PURSUANT TO 489.105(3)(a APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMEN PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATIO PROPERTY INFORMATION r7 LOT: / 2- BLOCK: / SUBDIVISION: Ila TELEPHONE Mzl FV 99 'HORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED OR 489.552, FLORIDA STATUTES. IT IS THE .TION OF THE DATE THE LOT WAS CREATED OR OF STATUTORY GRANDFATHER PROVISIONS. . L,As PLATTED: PROPERTY ID # : ��% �O�- OD�� SOD - 9 ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: OdL ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [----] <=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/ ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: ! , /�n DIRECTIONS TO PROPERTY: BUILDING INFORMATION ["] RESIDENTIAL Unit Type of No. of Buil No Establishment Bedrooms Area 1 s�- ( ` �7 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: [ ] COMMERCIAL Commercial/Institutional System Design Table 1, Chapter 64E-6, FAC 6-/ - DH 401�,/0 /09 (Obsoletes previous editions which may not be used) Incorp ated 64E-6.001, PAC DATE: Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: John Williams Jr. CONTRACTOR / . AGENT: John Williams Jr. LOT: 12 BLOCKI 7 APPLICATION # AP1341806 PERMIT # 56-SF-1843129 DOCUMENT # SE1076643 SUBDIVISION: Harmony Heights ID#: 1431-8101-0054-000-9 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 TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS AUTHORIZED SEWAGE FLOW: 450.01 GALLONS 1 it UNOBSTRUCTED AREA AVAILABLE: 578.00 SQFT BENgHMARK/REFERENCE POINT LOCATION: Set Nail& Disk ELEVATION OF PROPOSED SYSTEM SITE 4.00 [IN ]NO NET USABLE AREA AVAILABLE: 0.18 ACRES DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT #7903 on corner of San Diego and 43rd St / 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: FT NON -POTABLE: 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: 4n TT. ARnWTT.F. TNFARMATTnW CTTR 1 [ ]YES [XI]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSI / NGVD ] SITE ELEVATION: - FT [ MSL / NGVD GATT. DDnT. TT.W.. TNFnRMATTnN RTTF. 2 USDA SOIL SERIES:Nettles sand Munsell #/Color Texture Depth 1 OYR 3/2 Fill - Sand 0 To 9 10YR 4/1 Sand 9 To 18 10YR 5/2 Sand' 18 To 24 10YR 6/1 Sand 20 To 24 10YR 6/2 Sand 24 To 32 10YR 2/1 Sand 32 To 50 10YR 5/1 Sand 50 To 63 10YR 5/2 Sand 63 To 72 USDA SOIL SERIES:Nettles sand Munsell #/Color Texture Depth 10YR 3/2 Fill - Sand 0 To 7 10YR 4/2 Sand 7 To 17 10YR 4/1 Sand 17 To 23 10YR 5/3 Sand 23 To 26 10YR 5/1 Sand 26 To 45 10YR 2/1 Sandy Clay Loam 45 To 59 10YR 4/1 Loamy Sand 59 To 72 )BSERVED WATER -TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] lSTIMATED WET SEASON WATER TABLE ELEVATION: 20 I CHES [ ABOVE / BELOW ] EXISTING GRADE [IGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES !OIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sind/0.60 DEPTH OF EXCAVATION: INCHES ,RAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED I[ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA VSWT determined using USDA WSS and soil borings. 10YR611 stripping in a 10YR5/2 matrix >10% with diffused boundaries starting t 20" in SB1. SB1 4" below BM, S132 2" above BM. CTE EVALUATED BY: Tea.- DATE May, Dianna (TitleAdrivironmertal Specialist 1) (Florida Department of Health in St Luc l 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1341806 EID1843129 04/08/2018 Page 3 of 4 v 1.0.2