HomeMy WebLinkAboutOSTDS REPAIRSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS Repair
APPLICANT: (TD Enterprises FL LLQ
PROPERTY ADDRESS: 2504 Kerr St Fort Pierce_ FI_ 34947
LOT: 9 BLOCK: 1 SUBDIVISION: Seminole Park
PROPERTY ID #: 2419-601-0010-000-0
PERMIT #:66-SF-2363498
APPLICATION #: AP1715938
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1646863
[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 1 GALLONS GPD
/ Seotic new c=,^«:i r� C;APACIT'Y
A [ O ] GALLONS / GPD �* .,_ { : CAPAC(=TY lk
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM�CAP diy— ,SINGLEmiANK:1'2.50 GALLONS]
k. a� �W
K [ 225 ] GALLONS DOSING TANK CAPACITY E60.00 19ALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 500 ] SQUARE FEET
R [ 0 ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
STANDARD Ex1 FILLED
TRENCH EX] BED
SYSTEM
[ ] MOUND [ ]
spot NW corner of back
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
E 11.501E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E 20.501E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
FILL REQUIRED: [ 9.001 INCHES EXCAVATION REQUIRED: [ ] 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. Performing Lift Dosing. Pumps must be certified as suitable for distributing sewage effluent.
Contractor's drainfield proposal exceeds minimum requirements. Drainfield area based on contractor's proposal.
SPECIFICATIONS BY: w MICHAEL W WJHR TITLE: Registered Septic Tank Contractor
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian J am
DATE ISSUED: 09/08/20 EXPIRATION DATE: 12/07/2021
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1715938 SE1593520
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 28-166, Florida Administrative Code. A petition for
administrative hearing must be in writing pnd 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
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2353498 BILL DOC #:56-BID-5548120 CONSTRUCTION APPLICATION #: AP1715938
RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 230.00
PAYMENT FORM: CREDIT CARD 074733 PAYMENT DATE: 08/23/2021
MAIL TO: (TD Enterprises FL LLC)
FACILITY NAME:
PROPERTY LOCATION:
2504 Kerr St
Fort Pierce, FL 34947
9
Lot:
1
Block:
Property ID: 2419-601-0010-000-0
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
130 - OSTDS Construction System Inspection Training Cent
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
127 - OSTDS Construction System Inspection
1
$
75.00
129 - OSTDS Construction Permit (Repair)
1
$
55.00
131 - OSTDS Construction Application & Existing System E
1
$
50.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-51.75424
5� STATE OF FLORIDA
DEPARTMENT OF HEALTH
P ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO. T- 1-10
DATE PAID:
FEE PAID:
RECEIPT #:
[ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[✓] Repair .[ ] Abandonment [ ] Temporary [ ]
APPLICANT: TD Enterprises FL LLC
AGENT: Ashton Septic Tanks TELEPHONE : 772-216-9827
MAILING ADDRESS: 376 Cyclone Dr Ft Pierce, FL 34950
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: 9 BLOCK: 1 SUBDIVISION: Seminole Park PLATTED: 1940
PROPERTY ID # : 2419-601-0010-000-0
ZONING: 0100 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: .25 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: 2504 Kerr St
DIRECTIONS TO PROPERTY: 2504 Kerr St
BUILDING INFORMATION [✓] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 Single Family 3 1393 300
2
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
4
SIGNATURE:
DATE: ,J
DH 4015, 08/,09 (Obsoletes previous editions which may not be used)
Incorporate 64E-6.001, FAC Page 1 of 4
777;.�
1311L�
"FU OH-ift7t Iwo"
Environmental ' �41
r ,Ste 'plan,Aop'rov6d for, Cbnstrudti6n,"
Supersedes All, Previous Site Plans for
0S, TD S #16 %'s W611 # Date: r-) /q'/ Ivy
•
h&PR
I 2M�.77
4L�
� 8
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION.AND.SYSTEM SPECIFICATIONS
PERMIT #.
APPLICANT: TD Enterprises FL LLC AGENT: Ashton Septic Tanks
LOT: 9 BLOCK: 1 SUBDIVISION: Seminole Park
PROPERTY ID # : 2419-601-0010-000-0 [ Tax ID Number ]
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:
I✓] YES [ ]
NO NET USABLE AREA AVAILABLE: .25 ACRES
TOTAL ESTIMATED SEWAGE FLOW:
300
GALLONS
PER DAY (RESIDENCES-TABLEI ]
AUTHORIZED SEWAGE FLOW:
375
GALLONS
PER DAY [ 1500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE:
1200
SQFT
UNOBSTRUCTED AREA REQUIRED: 450 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Orance spot NW corner of back porch
ELEVATION OF PROPOSED SYSTEM SITE IS 11.5 [ INCHES ] [ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT DITCHES/SWALES: N/A FT NORMALLY WET? [ I YES I✓] NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE:78 FT NON—POTABLE;81 FT
BUILDING FOUNDATIONS: 10 FT PROPERTY LINES:20 FT POTABLE WATER LINES: 60 FT
SITE SUBJECT TO FREQUENT FLOODING: I ] YES [✓] NO 10 YEAR FLOODING? I ] YES I✓] NO
10 YEAR FLOOD ELEVATION FOR SITE:N/A FT MSL/NGVD SITE ELEVATION: N/A FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE
10 YR 4/1 SAND
10 YR 511 SAND
10 YR 6/1 SAND
10 YR 3/2 Clay
USDA SOIL SERIES: Lawnwood
DEPTH
0 TO 15
15 TO 24
24 TO'32
32 TO 72
TO
TO
TO
TO
TO
SV11A 2RVr'1liz liVr'VliMAT1VIV S
MUNSELL #/COLOR
10 YR 4/1
TEXTURE DEPTH
SAND
10 YR 511 SAND
10 YR 611 SAND
10 YR 3/2 Clay
USDA SOIL SERIES: Lawnwood
0 TO 16
16 TO 25
25 TO 33
33 TO 72
TO
TO
TO
TO
TO
OBSERVED WATER TABLE:24 INCHES [BELOW r] EXISTING GRADE. TYPE: [PERCHED ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:15 INCHES [.BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: I ] YES IV] NO MOTTLING: [✓] YES [ ] NO DEPTH:15 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: SAND DEPTH OF EXCAVATION: N/A INCHES
DRAINFIELD CONFIGURATION: I ] TRENCH I✓] BED ] ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA: SB1= 11.5" BELOW BM SB2= 11.5" BELOW BM
STRIPPING FROM 10 YR 4/1 TO 10 YR 5/ 1 FOUND AT 15" IN THE SOIL MATRIX
.SITE EVALUATED BY: DATE: 3
DR 4015, 08/09 (obsolete previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
e STATE OF FLORIDA
y Q DEPARTMENT OF HEALTH
F ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION
APPLICANT: TD Enterprises FL LLC
CONTRACTOR : ASHTON SEPTIC TANKS
PERMIT #
LOT: 9 BLOCK: 1 SUBDIV: Seminole Park ID#: 29196010001000
TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR
OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS.
COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED.
EXISTING TANK INFORMATION
L 900
] GALLONS SEPTIC TANK
LEGEND: N/A
MATERIAL: CONC
BAFFLED: [ N ]
[
] GALLONS SEPTIC TANK
LEGEND-
MATERIAL:
BAFFLED: [N ]
[
] GALLONS GREASE INTERCEPTOR
LEGEND:
MATERIAL:
[
] GALLONS DOSING TANK
LEGEND:
MATERIAL:
# PUMPS:[ ]
I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON Y /Z / BY d3 k o" '�fjV h G , HAVE
THE VOLUMES SPECIFIED AS DETERMINED BY [ DIMENSIONS ], ARE FREE OF OBSERVABLE
DEFECTV OR LEAKS, AND HAVE A L OUTLETFJkTER LVICE ] INSTALLED.
8 3 21--
SI TURE LICENSED CONTRACTOR BUSINESS NAME D E
STING DRAINFIELD INFORMATION
[300 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: 30 X10
[ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: X
TYPE OF SYSTEM: [ ] STANDARD [ ] FILLED [ ✓] MOUND [ ]
CONFIGURATION: [ ] TRENCH [ ✓] BED [ ]
DESIGN: [ ✓] HEADER [ ] D-BOX [ ✓] GRAVITY SYSTEM [ ]
ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE 24
SYSTEM FAILURE AND REPAIR INFORMATION
DOSED SYSTEM
INCHES [ BELOW ]
[1/l/1954 ] SYSTEM INSTALLATION DATE TYPE OF WASTE [ ✓] DOMESTIC [ ] COMMERCIAL
[300 ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER [ ✓] TABLE 1, 64E-6, FAC
SITE [ ] DRAINAGE STRUCTURES [ ] POOL [ ] PATIO / DECK [ ] PARKING
CONDITIONS: [ ] SLOPING PROPERTY [ ]
NATURE OF [ ] HYDRAULIC OVERLOAD
FAILURE: [ ] DRAINAGE / RUN OFF
FAILURE [ ] SEWAGE ON GROUND
SYMPTOM: [ ] PLUMBING BACKUP
[ ] SOILS [ ✓] MAINTENANCE
[ ] ROOTS [ ] WATER TABLE
[ ] TANK
[ l
[ ] SYSTEM DAMAGE
L ]
[ ] D BOX/HEADER [ ✓] DRAINFIELD
REMARKS/ADDITIONAL CRITERIA 1)Kctr- 73me 6 / Fz— J � IV
SUBMITTBY-� , ED W TITLE/LICENSE rzo �q6 Z%ys' DATE:
DR 4011 08/09 0 soletestprevious editions which may not be used)
Incorporated 6 E-6.001, FAC Page 4 of 4