HomeMy WebLinkAboutOSTDS NEWSTATE' "OF'
4)EPARTME1
ONS I iTE 6i
SYSTEM
CONSTRUCTION 'PERMIT FOR.
APPLICANT: David Wbstcoft!
PROPERTY ADDRESS: 5458'
31
PERMIT '*. :'.66-sF.-.2373503'
APPLICATION ON #:-AP4732831
T 27, HEALTH: DATE PAID:
WAGE'- TREATMENT 'IAND DISPOSAL FEE PAID
ri RECEIPT #'
DOCUMENT 4: PR1671110
j,, QSTDS NeW.
)l1ver0ak,Dr, Fort 466, FL 34982
LOT: 8, and'38!" of 9, BLOqK:. �IIUWIVISIONi Indian River Estates
[SECTION,11
TOWNSHIP, RANGE, PARCEL NUMBER]
.PROPERTY i.D 3402,-607.0277,-,'000-8 [OR TAX ±0 NUMBER]
BE C '
SYSTEM MUST CONSTRUCTED;,
IN ACCORDANCE WITH- SPECIFICATIONS AND STANDARDS OF SECTION
383:i'0065'i F.,S., AND CHAPTER 64E;-6-, F. DEPARTMENT, APPROVAL'' OF 'SYSTEM , DOE'S ' NOT GUARANTEE,
SATISFACTORY"PERFORMANCE' FOR ire!
ANY SPECIFIC PERIOD' OF TIME. ANY CHANGE. IN, MATERIAL. FACTS',
WHICH 'SERVED.` AS- A BUISO'J''FOR ISSUANCE, OF 'XSXSr PERMIT, REQUIRE; THE APPLICANT' TO MODIFY THE,
PtRkIT, APPLICATION,. SUCH '.1MODIFICATIONS MAY RESULT IN THIS PERMIT, BEING MADE NULL AND VOID.
ISSUANCE OF, THIS PERMIT' DOES NOT EXE T THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE:, QR'LOCAL.;PERNITTING RE, D FOR DEVELOPMENT OF THIS'PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T E 900 3. GALLONS' / G.Pj) Senthaw, CAPACITY
A E I GALLONS' / GPD Wk CJL1*CIT1
CAP 'iTY �-1250 GALLONS] * E 1� GALLbNS" GREAS3W [MAXIMUM SINGLE TANK.
* I I GALLONS 6OSING'_-kANX CAPACITY' ].GALLONS @ E ]DOSES PER 24 HRS #Pumps-
* E 590 1 SQUARE''FEET Drair1field'hew SYSTEM.
FEET' SYSTEM R N/A
A TYPE SYSTEM: STANDARD I FILED. (XI MOUND 1 3
I CONFIGURATION: E I H Ekl Bil) IME19C
tl. E I
N r.
r, WCATION''OF BENCHMARK: ci BMi orange angle;j CL,of rd,,-center of'otoperty,
I ELEVATION OF PROPOSED SY . S SITE' I FT I C ABOVE BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE L .00 FT [ If BE MlARK/REFERENCE POINT ABOVE BELOW]NC
D FILL, REQUIRED:' ' E-13.00ill C S AVATinN REQUIRED:, E INCHES'
The system is sized for 3 bedr'60169'with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
0 300,gpd.
T RECEIVEDH
E 2 3 2021
R
SPECIFICATIONS BY.,
APPROVED BY:
Brian ji
DATE 'ISSUED: 1. /03/202'
DH 4016;
Incoi:Pbkzited:: 04i-66.00,' 'PAC
, 'i
TITLE.- Environmental. Specialist* 111'
li
TlLE: Environmental - Siecisliart .111 St. Lucie CHD
EXPIRATION DATE., 05/03/2023
revious editio s which may not be used)
Pagia I of 3
1.1.4 1 i AP173MI
SE1614055
A patty-Whose',sUl
procdedin'g;s'pre"-gov'ern6;
'
administrative' fi'q'ann'g,.`mt
Department Within twent,
AgendyClerk-is',405Z Bbl
Clerk's- facsimile' number -
Mediation is not
Your faildee'6 8ul
constitute 'd.walv6r'of you
order'.
Should'thisp*r
to judicial review p'ursuah
govern6d� by the''Flor'd'aI
by filing dn'd copy, O'f.,'a N6
se6ond'copyaccbmoahi,i
appropriate District Court
itia I interest i
rifto sections
Aule 28=106,
d in -writing at
ai�(21)days*
I press Way, -,,*E
M-413,-8743.,
ible as ah'ali(
petition for
fit to an' admit
some a firta[ ord-c
ill Section. 12.0.6
&t, of Appellate F
of Aopea I with
by the filihg; fees
he not I ide, must
[as
affected, by. this
his order: may petition for an,
20;569 and 120.57, Fl6rida'Statutet. Such
1'oridd Admihisitr6tive'Code. A petition for
Must be received by'the!Ag.en'cy Clerk for the
h the recelipt.6f this order. The, 9d&e8s, of the',
4 X02' Tallahassee;
afi6gsee', Florida 82399.' The Agency
kive'rp'mody,,
meig. within 21 days from receipt, ofthis order will
iia tivie hoaring, and this, order shall become orhe 6'final
a party who is advi§r8elyaffecdted by it is entitled
Florida Statutes. ReIVIlOw prod6edings'are
'ododUre- Such, proceedings maybe commenced;
ie Ag6ncy Clerk of the Departhlent,pf Healthh and 'a
law, squired by With the Court of Appeal in the
afiled Within 30,ftyt of rendition 'of the'final'ord'er.
&n {°
St. LucaCounty
Health Department
5150` N Milner rr Port Saint Lucie; FL 34983`
PAYING" ONt, ,.565
-23T3503" siu
c:#:56-BID-5605256:.. CONSTRUCTION'APRLICATION .,01'73? 31; ,
RECEIVED FROM: GemBuilders
Inc'. AMOUNT PAID
$ 545 00:
PAYMENT FORM; , CHECK 14725 PAYMENT DATE:
09%2412021
MAIL TO David °Westcott
FACILITY NAME?
S
PROPERTY LOCATION:
'rBD Silver Q k, Dr
Fort Pierce, FL 34982
Lot.: y
Block: ...
Property ID.
E%XPL.A�ATIC�I� or DESCRIPTION: QUANTITY` .. _ FEE
I
128, - OSTOS Construction Sy's em fnspectl, n R' searoh Fee 1
$
5;00: .
-1 -.Surcharge°(Aitj`
I 1
$'
45.00
-1 - OSTDS New Permit Surclffa'rge
1
$`
100.00 .
-1 - OSTDS Constructiork Appi'ieation and Plan RIew,New
1
$
100.00
123'- O$TDS. Construction Site Evaluation
1
$` `
115'.00
126: OSTDS Construction 0411 pit,(New or Mod,
) -Amendment 1.
$
b6.00
127 - OS TOS(Constructian Sy m .Inspection
1
$
75.00
133`-.OSTDS Construction Rei " ectlon
1
$,
50.00 ,
RECEIVED i3Y. Moritane2NM
AUDIT C'ONTROL'NO.• 56 0ID=5261'123"
.