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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