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