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HomeMy WebLinkAboutOSTDS NEWSTATE or-FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (St. Lucie County BOCC) PROPERTY ADDRESS: 5445 Palmetto Ave Port Saint Lucie, FL 34952 PE IT #:66-SF-2327927 APPLICATION #: AP1694873 DATE PAID: FEE PAID• RECEIPT #: DOCUMENT #: PR1896169 LOT: BLOCK: SUBDIVISION: White City PROPERTY ID #: 3403-502-0215-000-7 [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 [ 1,000 ] GALLONS / GPD FuliCleanCE10ATU CAPACITY A,I ) GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 600 ] GALLONS DOSING TANK CAPACITY [92.00 ]GALLONS e( 6 ]DOSES PER 24 HRS #Pumps [ 2 1 D ( 516 ) SQUARE FEET Drainfield new SYSTEM R t ] SQUARE FEET SYSTEM A TYPE SYSTEM: [X] STANDARD [ 3 FILLED [) MOUND [ ) I CONFIGURATION: (X) TRENCH [ 1 BED [ J N F LOCATION OF BENCHMARK: N corner or cement Driveway where it meets the trail I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T x E R [ 10.001[ INCHES FT )[ABOVE BELOWIBENCHMARK/REFERENCE POINT [ 6.00 1[ INCHES FT )[ABOVE BELOW BENCHMARK/REFERENCE POINT 'ILL REQUIRED: 1 2.00] INCHES EXCAVATION REQUIRED: [ ! INceEa Performing Lift Dosing. Pumps must be certified as suitable for distributing sewage effluent. Operating permit required prior to final approval. Maintenance Agreement required prior to final approval. Notice of ATU required prior to final approval. Proof of manufacturer training, ATU manual, and contractor signed statement of sufficient staff and materials required for final approval. SPECIFICATIONS BY: Ian P Moore TITLE: CEHP 1.9-2072 APPROVED BY: _ TITLE': Environmental Specialist III St. Lucie CHD Brian J Ingr DATE ISSUED: 07/08/2021 EXPIRATION DATE: 01/08/2023 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 AP1694073 S£1551912 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. St. Lucie County Health Department UEA 'TV 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: #• 56-SF-2327927 BILL DOC #:56-BID-5394401 CONSTRUCTION APPLICATION #: AP1884873 RECEIVED FROM: Reliable Septic & Service AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 767780 PAYMENT DATE: 07/02/2021 MAIL TO: (St. Lucie County BOCC) FACILITY NAME: PROPERTY LOCATION: 5445 Palmetto Ave Port Saint Lucie, FL 34952 Lot: Property ID: 3403-502-0215-000-7 Block: EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (Ali) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection 7 40.UV 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-5079602 (,/) IL-h r(AL C(—', 9a STATE OF FLORIDA PERMIT NO.Sr';& � DEPARTMENT OF HEALTH DATE PAID: 0 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #' APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [V] New System [ ] Existing System [ ] holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ APPLICANT: St Lucie County Board of County Commissioners AGENT: Reliable Treasure Coast Services Indian River Septic TELEPHONE: (772) 662-4242 MAILING ADDRESS: PO Box 1116, Vero Beach FL 32961 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: WRITE CITY S/D PROPERTY ID #: 3403.602-0215-000-7 ZONING: AR-1 PROPERTY SIZE: 30.39 ACRES WATER SUPPLY: [ V] PRIVATE IS SEWER AVAILABLE AS PER 381.0065, FS? [I ® ] PROPERTY ADDRESS: 5445 PALMETTO AVE, White City FL 34952 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit 'Type of No Establishment 1 SLC Park 2 3 4 [ ] Floor SIGNATURE: PLATTED: Pre-72 I/M OR EQUIVALENT: PUBLIC [ ]<=2000GPD [ 1>2000GPD DISTANCE TO SEWER: N/A FT [d] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 4 gpd(Parks per person)x(100 visitors per day) + (1 bedroom RV)x(2 RVs) +75 gal per separate dwelling" unit=750GPD ] Other (Specify) DR 4015, 08/09 (bbsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: 7/1 /21 Page 1 of 4 STATE OF FLORIDA : DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS WAS PERMIT # . 56 -.9, 2 32 7927 APPLICANT: St Lucie County Board of County Commissioners AGENT : Reliable Treasure Coast Services Indian River r- LOT: BLOCK: SUBDIVISION: WHITE CITY S/D PROPERTY ID #: 3403-502-0215-000-7 (Tax ID Number El] TO SE 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 ITS PROPERTY SIZE CONFORMS TO SITS PLAN: IVI YES I ) NO NET USABLE AREA AVAILABLE: 30.39 ACRES TOTAL ESTIMATED SEWAGE FLOW: 760 GALLONS PER DAY (RESIDENCES-TABLEI [El] AUTHORIZED SEWAGE FLOW: 4558 GALLONS PER DAY [1500 GPD/ACRE �I UNOBSTRUCTED AREA AVAILABLE: 1406.25 =SQFT UNOBSTRUCTED AREA REQUIRED: 1406.25 SQFT SENCHMARK/REFERENCE POINT LOCATION: N Corner of Cement Driveway where It meets the trail ELEVATION OF PROPOSED SYSTEM SITE IS10 (INCHES EI (ABOVE ,:} BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER:183 MHWIFT DITCHES/SWALLS:N/A FT NORMALLY WET? [ I YES ( ] NO WELLS: PUBLIC. -N/A FT LIMITED USE: N/A FT PRIVATE:>100 FT NON —POTABLE: N/A �FT BUILDING FOUNDATIONS: * 5 FT PROPERTY LINES:179 FT POTABLE WATER LINES:>2 �FT SITE SUBJECT TO FREQUENT FLOODING: [ ) YES [yI NO 10 YEAR FLOODING? I ] YES IV] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL MUNSELL #COLOR I OYR 5/4 I OYR 6/8 1 OYR 4/1 I OYR 5/1 SITE I TEXTURE Ill S Fill S S S ZE OR TO TO TO To TO USDA SOIL SERIES : FluVaguents-Like —~ x4 A TEXTURE Pill S Fill S S S USDA SOIL SERIES: DEPTH o TO 30 30 TO 36 36 To 72 400 TO 72 TO TO TO TO TO OBSERVED WATER TABLE:N/A INCHES [ABOVE/BELOW B] EXISTING GRADE. TYPE: PERCHED/APPARENT [D] ESTIMATED DIET SEASON WATER TABLE ELEVATION:40 INCHES [.BELOW Lj EXISTING GRADE HIGH WATER TABLE VEGETATION: ( I YES [vl NO MOTTLING: 1VI YES [ I NO DEPTH:40 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATION:N/A INCHES DRAINFIELD CONFIGURATION: (VI TRENCH [ ] BED ( ] OTHER (SPECIFY) REMARKS/ADDITIONAL CEUTERIA: SHS determined by >10% 10YR 5/1 stripping Ina 10YR 4/1 matrix at 40 Inches In &.tom. n SITS EVALUATED BY: Ian Moore C.E.H.P. 19-2072 cr��� ���r�� ~! DATE:7/1/21 DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 04E-6,001, FAC Page 3 of 4