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Home My WebLink AboutSewage` o�• STATE OF 'FLO1kTDA PERMIT NO. 5V7 zZutpq DOW-R DATE PAID: 2 ZQ Q � QNSiTE SEWAGE TREATMENT AND. DISPOSAL k F-BE PAID: -- $ �RECEIPT wr CONSTRUCTION PERMIT 1 ` AP.P4 TYON F-,OR a Existing System [ . ] Holding. Tank ] Innovative [ ] Rep ] ':. ,Abandonment' [ ] Temporary I ] r a�1 W ". APPLICANT:1�v�z�l �,li l/� ems._ i �-�-L' - 0 J�/l'/`✓�� L-�/�'�-�/�✓<�' AGENT: / S . �(1 rT ��LL)� 7 ��"� TELEPHONE:, 44 -14� 1 TO BE'C01MPLETED.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 -�j � 1- Ageo-f�'�B,}'.00EC:J� ,��IUSUBDIVISION: [�$pyt/��j�{'l• �•ff7G7 /' PLATTED: PROPERTY ID # : ` gU.� D U Q ~�jCln �� ZONING: I /M OR EQUIVALENT: [ Y PROPERTY SIZE: J.nL`� ACRES "WATER SUPPLY: [ ] PRIVATE PUBLIC [L/,<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0%065, FS? [ IY ,/v] DISTANCE TO SEWER: FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 2 3 4 [RESIDENTIAL [ ] C.OMME'RCIAL No. of Building Commercial/Institutional System Design Bedrooms Area,Sgft Table 1, Chapter 64E-6, FAC [ }, door/Equf�. rat 'Dsanjs �SIGNATURF,--.�(/ C DATE D$ 4015, 08/09 (0bgp�leteo,;,prev10,usYe( 0.a41 ns wh "ih; may not bd-'49:ed)' IncQrporaec 6FrTG 'QOI; 'FAC yY j. r Page 1 of .4 g STATE OF FLORIDA APPLICATION # AP16061'95 ` DEPARTMENT OF HEALTH PERMIT # 56-SF-2211897 E.,, �+ •� �„� � ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM '.: SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1481022 I APPLICANT: Internal Wellness FB LLC CONTRACTOR / AGENT: Homes by Aburton LLC LOT: 6 BLOCK: SUBDIVISION: Reserve Plantation ID#: 3321-803-00121000-7 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, ORIOTHER 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 \I NET USABLE AREA AVAILABLE: 1.29 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 3224.98 GALLONS PER DAY I [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1575.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT I BENCHMARK/REFERENCE POINT LOCATION: Site BM. NID In Cut -Out, center of cul-de-sac ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT I THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 93! FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 135 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOTT. PRORTTM TNFORMATTON STW.. 1 SOTL' PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/2 Loamy Sand 0 To 10 10YR 5/3 Sandy Loam 10 To 14 10YR 5/2 Loamy Sand 14 To 22 7.5YR 5/6 CMN/PRM RF 14 To 22 10YR 3/2 Sand 22 To 27 10YR 5/2 Sand 27 To 36 10YR 612 Sand 36 To 43 10YR 4/2 Sand 43 To 52 10YR 4/2 Sandy Clay Loam 52 To 58 REFUSAL Refusal 58 To 58 USDA SOIL SERIES: Mu. nsell #/Color Texture Depth 10YR 3/2 Loamy Sand 0 To 10 10YR 5/3 Sandy Loam 10 To 14 10YR 5/2 Loamy Sand 14 To 22 7.5YR 5/6 CMN/PRM RF 14 To 22 10YRi 3/2 Sandy Clay Loam 22 To 27 10YRj5/2 Sand 27 To 36 10YRj6/2 Sand 36 To 43 10YR i4/2 Sand 43 To 52 10YR 4/2 Sandy Clay Loam 52 To 58 REFUSAL Refusal 58 To 58 OBSERVED WATER TABLE: 43.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 14 INCHES j [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [X]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 14.00 INCHES I SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA ' WSWT determined using USDA WSS and soil borings. 7.SYR516 CMN PROM RF mottling in a 10 YR5/2 matrix >2% starting at 14" in S131 S131 and S62 2" below BM. 27 INCHES Continued On The Following Page... AP1606195 j EID2211897 v 1.0.2 .�* WET. SITE EVALUATED BY: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION /I — Ingram, Brian (Tinvironmental Specialist ill) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions whir -ay not be used) Incorporated: 64E-6.001, FAC APPLICATION # AP1606195 PERMIT # 56-SF-2211897 DOCUMENT # SE1481022 DATE: 02/04/2021 Page 3 of 4 AP1606195 EID2211897 v 1.0.2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT RECEIVED CONSTRUCTION PERMIT FOR: OSTDS New FEB 12 2021 Permitting Department St. Lucie County APPLICANT: Jason Moore (Internal Wellness FB LLC) PROPERTY ADDRESS: 7960 Plantation Lakes. Dr Port Saint Lucie, FL 34986 PERMIT tt: 56-SF-2211897 APPLICATION # : AP 1606195 DATE PAID: FEE PAID: RECEIPT 0.: DOCUMENT # : PR1613387 LOT: 6 BLOCK: SUBDIVISION: Reserve Plantation [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3321-$03-0012-000-7 [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 [ 1,200 ] GALLONS / GPD Septic new CAPACITY A [ ) GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ) GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES' PER 24 HRS #Pumps D [ 767 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Site BM, NiD in cut-out, center of cul-de-sac I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 8.00 ] [ INCHES FT ] [ABOVE BELOW ]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [28.001 INCHES EXCAVATION REQUIRED: [ 27.00 ] INCHES O T H E R The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 460 gpd. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist III 12 A" ROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian a Z am DATE ISSUED: 02/08/2021 EXPIRATION DATE: DH 4016,, 08/09 (Absoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC 08/08/2022 Page 1 of 3 1.1.1 AP1606105 SE1481022 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, IN 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 admi istrative hearing, and this order shall become a'final order'. Should this order become a final c to judicial review pursuant to Section 120. governed by the Florida Rules of Appellat by filing one copy of a Notice of Appeal wi second copy, accompanied by the filing fe appropriate District Court. The notice mu: 1: ier, a party who is adversely affected by it is entitled 3, Florida Statutes. Review proceedings are Procedure. Such proceedings may be commenced i the Agency Clerk of the Department of Health and a s required by law, with the Court of Appeal in the be filed within 30 days of rendition of the final order. ,f St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2211897 BILL DOC #:56-BID-5123438 CONSTRUCTION APPLICATION #: AP1606195 RECEIVED FROM: Homes by Aburton LLC AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 1003 PAYMENT DATE: 12/09/2020 MAIL TO: (Internal Wellness FB LLC) FACILITY NAME: PROPERTY LOCATION: 7960 Plantation Lakes Dr Port Saint Lucie, FL 34986 6 Lot: Block: Property ID: 3321-803-0012-000-7 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -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 QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4825920 Note: 7960 Plantation Dr.