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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Dave Pallas PROPERTY ADDRESS: 2210 S 40th St Fort Pierce, FL 34947 LOT: 16 ft of 13 & 14 BLOCK: 2 SUBDIVISION: PERMIT #:56-SF-2034768 APPLICATION # : AP 1504713 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1354057 PROPERTY ID #: 2417-704-0025-000-8 [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 New CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 250 ] SQUARE FEET Drainfleld New SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND I CONFIGURATION: [XI TRENCH N \ F LOCATION OF BENCHMARK: OrangE I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [ 21.001 INCHES 0 T H E R [ ] BED inted nail in U.P. at SW property corner [ 24.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT [ 21.00 ] [ INCHES FT ] [•ABOVE BELOW BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ 55.001 INCHES FILE COPly r SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD Hunter A Collier DATE ISSUED: 06/23/2020 EXPIRATION DATE: 12/19/2n21 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 AP1504713 SE1313032 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: nave Pallas CONTRACTOR / AGENT: TD Enterprises FP/Tracey Pallas LOT: 16 ft of 13 & 14 BLOCK: 2 APPLICATION # AP1504713 PERMIT # 56-SF-2034768 DOCUMENT # SE1313032 SUBDIVISION: ID# : 2417-704-0025-000-8 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: [X]YES [ ]NO NET USABLE AREA AVAILABL) TOTAL ESTIMATED SEWAGE FLOW AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE 120 GALLONS PER DAY [ RESIDENCES-TABLEI / 315.01 GALLONS PER DAY [ 1500 GPD/AC F.7 OR 300.00 SQFT UNOBSTRUCTED AREA REQUIRED: BENCHMARK/REFERENCE POINT LOCATION: nail in U.P. at SW DroDertV Corner 0.21 ACRES OTHER -TABLE 2 ] 2500 GPD/ACRE ] 300.00 SQFT ELEVATION OF PROPOSED SYSTEM SITE 24.00 [I INCHES I/ FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: 100 FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 12 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 55 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR. FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD 1 SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Ankona sand Munself #/Color Texture Depth 10YR 4/1 Sand 0 To 16 10YR 5/1 Sand 16 To 23 • 10YR 6/1 Sand 21 To 31 10YR 7/1 Sand 31 To 36 10YR 2/1 Spodic Material 36 To 50 7.5YR 3/3 Sand 50 To 55 10YR 4/4 Sand 55 To 65 REFUSAL Refusal 65 To 72 USDA SOIL SERIES:Ankona sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 17 10YR 5/1 Sand 17 To 29 10YR 6/1 Sand 26 To 32 10YR 7/1 Sand 32 To 46 10YR 2/1 Spodic Material 46 To 55 7.5YR 3/3 Sand 55 To 58 10YR 4/4 Sand 58 To 65 REFUSAL Refusal 65 To 72 OBSERVED WATER TABLE: 26.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / HELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 55 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r- REMARKS/ADDITIONAL CRITERIA 3WT determined using USDA WSS and soil borings. 10YR 6/1 stripping in 10YR 5/1 matrix > 10% with diffuse boundaries starting 21" in SB1. SB1 24" below BM. SB2 24" below BM. SITE EVALUATED BY: Collier, Hunter (Title: Environmental Specialist 1) (Florida Department of Health in St. L DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1504713 EID2034768 DATE: 06/11 /2020 Page 3 of 4 v 1.0.2 4 STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, �.ra... REPAIR, MODIFY, OR ABANDON A WELL Permit No. 59-30797 13Southwest Florida Unique ID - '� PLEASE FILL OUTALL APPLI BLE FIELDS Northwest ('Denotes Requlred Fie1dS Where Applicable) Permit stipulations Required (See Attached) � =Sf, Johns. River .} South Florida The waterwallconrrartortrrarporufbletorcomplering thktormandfcnvardingthepenWtoppfiwdantothe 62-524 Clued No. DeMeatfortNo. �"notyY� :✓Suwannee River appropriate deegaredauthariry where applrcahia. :1 DEP CUPNVUP Application No. Delegated' Authority (If Applicable) - 17 D Enterprises FP LLC 23.61 Coolidge Road Ft_ PiercA FI 34Q45 "Owner, Legal Name If Corporation Address 'City "State `ZIP Telephone Number 2.2210 S 40th Street Ft_ Pierce, FI 'Well Location -Address; Road Name or Number, City 3.2417-704-0025-000-8 13 'Parcel ID No, (PIN) or Alternate Key (Circle One) Lot Blodc Unit a. 17 35S 40E St LUpie Totten's Check if 62-5240 Yes g No 'Section or land Grant 'Township 'Range 'County Subdivision 5, James Paul Tyson 11352 964-818-4269 downthehole@att.net 'Water Well Contractor 'License Number 'Telephone Number E-mail Address 6. PO BOX 881496 Port St. Lucie FI 34988 •Water Well Contra is Address City 7. --Type of Work; -Constructio ❑ Repair ❑ Modificati rr�;] Abandonment Q m ME 8. -Number of Proposed Wells — -""� 'Reason for Repot'. NeWcUfl anon, arAbandortmartt 9. 'Specify Intended Use(s) of Well(s); p ate stamp Jt l - 3 b1 �1 Domestic Lendsca a Irrigation pAgricultural Bottled Water supply Recreation Area Irrigation Irrigation ®Livestock ® Site Investigations � 'UN 2 � 2Q2O Monitoring Public Water Supply (Limited. Use/DOH) ❑ Nursery Irrigation Test Public Water Supply (Community or Non-CommunitytDEP) Class l Injection . CommercieUlndustrial Course Earth -Coupled Geothermal FD H In St Lucie County Golf irrigation HVAC Supply HVAC Return ENVI ONMENTAL HEALT Gass V Injection: ❑ Recharge ❑ CommerciaVlndustrial Disposal ❑ Aquifer Storage and Recovery. ❑ Drainage temediation: ❑ Recovery ❑ Air Sparge ❑ Other (ooscrtbe) Otficisl Use Only Other (Doambe) 10."Distance from Septic S tem N 5 200 ft 1,'?FJ 11. Facility Description -•- - • - 12. Estimated Start Date ASAP 13.'Estimated Wall Depth 11L -Estimated Casing Depth IQ ft. Primary Casing Diameter in. Open Hole: From =To ft, 14. Estimated Screen Interval: From -r ;) To 106 it. 15.`Primary Casing Material: Black Steel Galvanized 1C— Stainless Steel Not Cased Other: 16. Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. 17. Secondary Casing Material: - Black Steel Galvanized PVC Stainless Steel Other 18. •Method.of.Construction, Repair, or Abandonment: Auger Cable Too) Jetted AQW Sonic Combination (Two or More Methods) Hand Driven (Weil Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling, Plugged by Approved Method Outer (ooevNto) 19. Proposed Grouting Interval.for the Primary, Secondary, and Ad tion8t asing: From aTo Seal Material ( Bentonite mail- Other t From To Seal Material ( Bentonite eat Cement Other 1 From,_,__ To Seal Material.( Bentonite Neat Cement Other 1 From To Seal Material ( Bentonite Neat Cement Other ) 20. Indicate total number of existing wells on site V-)_ List number of existing unused wells on site 21'Isthis we] or any existin well or t0 withdrawal on the owner's contiguous properrltyy covered under a ConsumptivelWater Use Permit (CUPNVUP) or CUPOUP AppticatioA Yes ; No If yea, complete the following: CUPNVUP No.��- District Well ID No. 22. Latitude Longitude 1�-V� L i(,a-Vk / 23, Data Obtained From: GPS, Map Survey Datum: MAD 27 NAD 83 WGS 84 ltW(e(rJ CQntjrlbad ttttl eoalpT/tA'dri nta anUmWe rubs drT& 40, Fbnda Admk!ll *& Cole, led that a mmter raadlH Nttlam eha Janet otlN eromel,r_1ldtha rnrmnulina e.ewfeA ta.eYnrel. ulu,ella,,.,.,....r...•, 11352 'License No. wmt,uttba.hop". or Agent R Approval Granted By 4 �1" .e� %t_ Issue Date 20 Expiration Data �. '4� Hydrologist Approval Fee Resolved S Receipt No. Check No. [Allah THIS PERMIT IS•NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE 4NYD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION. OR ABANDONMENT ACTIVITIES, n STATE OF FLORIDA PERMIT APPLICATIONX000NSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL sce�,C. No . !�v-sF-X?LA-1tPg ❑SOuthwaSt PLEASE PILL OUTALLAPFLICASLEFIELDS ONorthwest ('DenoteNequirad Fields whets Applicable) OS Johne.Rivar rhewaterwdla h"crorG►npandblefarcompleting ." Guth F ;dda culannee:River thkrormandfoiwardlApfiepnmitopp!lut/ontotho 0 approprratedelegatedaiidiairt9ufiereoppUcafda ❑ DER o Delegated Authority (If Applicable) PermitNo., OU-,wDyD - — Unique, ID Stipuiattontr Required (See Attached) �s2-524 Quad No. Delineation No. 1 CUPMIUP Application No. 11 i'T0 Enterpris FP LLC 2361 Coolidge Road'Ft Pierre, FI �4945 -Owner, Legal Name if Qorporetion "Address 'City 'State 'ZIP Telephone Number `Well Location - Address, Road Name or Number, City 3.2417-704-0025-000-8 1'3 'Parcel ID No. (PIN) or Aitemata Key (Circle One) Lot Block Unit 4. -17 358, 40E _ St Lucie _ TOtten'S Check 962-524� Yea R] No "$salon or Lend Grant 'Township 'Range •County Subdivision 6. James, Paul TYson 11352 954=618-4269 downthehole0att net 'Waterwaircontractor 'License Number •Telephone Number E-mail Address 6. PO BOX 881496 Pbrt St. Lucie F� 34988 "Water Wall -Contra es Address City state ZIP "type of Work: XConstructla�) ❑ Repair Modificstion0 Abandonment %an nnnnM 'Number of Proposed Wells _ Keeton rotRoprir. ion •Specify Intended Use(s) of Well(a): ate temp i, Dome go, L:daoape irrigation Agricultural Irrigation Site investigations AN �20Bottled Water Supply Recreation Area.lrripation . Liveslook Monitoring [Clas-91 PubAo Wit* Supply (LlmftedUserDOH) Nursery4rrigation Test PublicWaterSupply (Community or Non-Community/DEP) CommeroleUlndustrial Earth -Coupled Geothermal InJectlom B Golf Course irrigation HVAC Supply FD H in St Lucie. CO' HVAC Return V ONMENTAL HE ass V InJeetlon: ❑ Recharge [], CommerclaVlndusUfal Disposal. ❑, Aquifer Storege and Recovery ❑ Drain Imediationt ❑' Reeovory ❑ Airaparga Other (Drreerba) Official Use only Lj Other Pa jWs) I0.rDfatano6*omSeptloS temffS200% t1.FacilftyDescdption--------- 12. EsUrnated Start Date _ 13."Estimated Weq Dspth'WfL 'Estimated Casing Depth'Aai Primary Casing Diameter in. Open Hole; From' r'To _Jt. 14. Estimated Screen Interval: From `iO To -y "— it. 16.1Primary.Casing Material: Blade Steel Gaivanized Stainless Steel Not Cased Other IS-., Secondary Casing: Talescopa.Casing Liner Surface Casing Dlamatar In. 17: $econdary Casing Material: Biack Steel Galvanize& PVC Stainless Steel they l8:"Method of Construction, Repair. or Abandonment: Auger Cable Tool Jetted sonic Combination (Two or More Methods) Hand Driven (Well Point, Send Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged byApproved Method Other toeawwv) IS. Proposed Grouftln ,rval ortheiPrimary, Secondary, and Ad 490MMSiasing�� Frcm_ 70 , Seal;Meter181( Bentonite. �rrttnt Other 1 From To Seal Material ( Bentonfle. eat Cement Other Froth,___ _ To RealMatedal ( Bentonite Neat Cement Other ) From - To Seal Material ( Bentonite, Neat Cement Other 1 20, Indicate total number of existing wells on site s_ List number of existing unused wells on site 21.•Ie this well or anyeAstin .web orlwlthdraw it on the,owner'a contiguous propert�y�covered under a Consumptive/Water Use Qermit (CUPNVUP) or GUPMNPAppiicetlon Yes No If yes, complete the;followffng: CUPNWP No. 4District Wall lD No. 22: Latitlads Longitude' 2-3. Data,Obtalned;From: GP.S Map Survey Datum: SAD 27 ____NAD 83 WGS 84 at== 11352 "Llo9nati No. •slonitf teat wnerorApent -Di IiaaueDatet- Expiration Date l 11�Lt HydrologistApproval _ RecarptNo. Check No. IS.NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE V MD OR DELEGATED AUTHORITY. THE .L BE AVAILABLE AT THE WELL WE DURING.ALL CONSTRUCTION, REPAIR, MODIFICATION, OR A5ANDONMENTACTNITIF.6. 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.