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STATE OF FLORIDA
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DEPARTMENT OF' H*ALTH� P
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ONSITE SEWAGETREATMENT AND DISPOSAL;
SYSTEM -�
RECEIVED'
OCT 0:4 2021
CONSTRUCTION PERMIT FOR: OSTDS Repair St. Lucie County
APPLICANT: Odetta Marseille ermitting
PROPERTY ADDRESS: 1702 Juanita Ave Fort Pierce, FL 34950
LOT: 19 BLOCK: 30 SUBDIVISION: Paradise Park
PERMIT #:56-SF-2370563
APPLICATION # : AP 1730737
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1648879
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PROPERTY ID #: 1433-701-0517-000-2 [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 ] GALLONS / GPD SeDtiC CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 150 ) GALLONS DOSING TANK CAPACITY [33.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 225 ] SQUARE FEET SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [X] FILLED [I MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Center of sidewalk at west property line.
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
[ 10.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 26.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
D FILL REQUIRED: [ 2.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
0 200 gpd.
T Have the tank abandoned in accordance with the following procedures: (a) The tank shall be pumped out. (b) The bottom of
H the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water. (c) The
tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected
E by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
R (Comments Continued on Page 2.)
SPECIFICATIONS PY: Ian P Moore
APPROVED BY
DATE ISSUED: 09/17/2021 I
DH 4016, 08/09 (Obsoletes all previous edi
Incorporated: 64E-6.003, FAC
TITLE: CEHP 19-2072
Environmental Specialist II St. Lucie CHD
which may not be used)
EXPIRATION DATE:. 12/16/2021
v 1.1.4 AP1730737 SE1595325
Page 1 of 3
DOCUMENT #
PR1648879
System must be abandoned in conjunction with new system installed to avoid reinspection fees.
Performing Lift Dosing. Pumps must be certified as suitable for distributing sewage effluent.
Contractor proposal for drainfield exceeds area requirements. Drainfield area based on contractor proposal. Performing Lift
Dosing.
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.
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
RECEIVED
PERMIT # : 56-SF-2370563
APPLICATION #: AP1730737
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1648879
OCT 0.4 2021
CONSTRUCTION PERMIT FOR: OSTD§tF!#o!�rCounty
87Phi ing Jv G 06 —of L
V
APPLICANT: Odette Marseille
PROPERTY ADDRESS: 1702 Juanita Ave Fort Pierce, FL 34950
QT118r} SUBDIVISION:
1 1 A 14=Z BLOCK: 30
ARV- fd s
PROPERTY ID ' 3301 051f7-0,0,0=u
Paradise Park
[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
] GALLONS / GPD
Septic CAPACITY
A [ 0
] GALLONS / GPD
'CAPACITY
N [ 0
] GALLONS GREASE
INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 150
] GALLONS DOSING
TANK CAPACITY [33.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 225 ] SQUARE FEET SYSTEM
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Center of Sidewalk at west property line.
I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00][ INCHES FTI [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 26.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 2.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
O 200 gpd.
T Have the tank abandoned in accordance with the following procedures: (a) The tank shall be pumped out. (b) The bottom of
H the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water. (c) The
tank shall be filled with clean sand or other suitable material, and completely covered with soil. Have the system inspected
E by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
R (Comments Continued on Page 2.)
SPECIFICATIONS Y: Ian P Moore TITLE:
r- CEHP 19-2072
APPROVED BY
DATE ISSUED:
1
DH 4016, 08/09 (Obsoletes all previous edi
Incorporated: 64E-6.003, PAC
v 1.1.4
Environmental Specialist II St. Lucie CHD
EXPIRATION DATE: 12/16/2021
which may not be used)
Page 1 of 3
AP1730737 SE1595325
DOCUMENT #: PR1648879
System must be abandoned in conjunction with new system installed to avoid reinspection fees.
Performing Lift Dosing. Pumps must be certified as suitable for distributing sewage effluent.
Contractor proposal for drainfield exceeds area requirements. Drainfield area based on contractor proposal. Performing Lift
Dosing.
M
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.