Loading...
HomeMy WebLinkAboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Agio Construction Services, LLC) PROPERTY ADDRESS: 6607 Deland Ave Fort Pierce, FL 34951 LOT: 20 BLOCK: 132 SUBDIVISION: Lakewood Park PERMIT #:66-SF-2240461 APPLICATION #: AP1629926 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1646384 PROPERTY ID #: 1301-612-0336-000-0 [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 Seotic 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 [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD (X] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM- Nail In edge Of Rd I ELEVATION OF PROPOSED SYSTEM SITE [ 12.001( INCHES FT ][ ABOVE BELOW ]HENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D I O- T H E R 'ILL REQUIRED: [13.UU] INCHES EXCAVATION REQUIRED: [ 45.UU] INCHES 1The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. SPECIFICATIONS BY: Brian J In TITLE: � 9'� Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J i am DATE ISSUED: 04/08/2021 EXPIRATION DATE: 10/08/2022 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 AP1629926 SE1503795 FILE COPY 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. St. Lucie County Health Department a 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2240461 BILL DOC #:56-BID-5181164 CONSTRUCTION APPLICATION #: AP1629926 RECEIVED FROM: Javier Lopez AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 1187 PAYMENT DATE: 02/11/2021 MAIL TO: (Agio Construction Services, LLC) FACILITY NAME: PROPERTY LOCATION: 6607 Deland Ave Fort Pierce, FL 34951 Lot: 20 Property ID: 1301-612-0336-000-0 132 Block: EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Well Construction 1 $ 115.00 RECEIVED BY: WhiclhamJL AUDIT CONTROL NO. 56-PID-4884667 �T STATE OF F T,ORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL s § SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] PERMIT NO. �- Oc ce DATE PAID: FEE PAID: `$660.00 Cdi9�- RECEIPT #f: 1/ New System [ J Existing System [ ] Holding Tank [ ] Innovative Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGIO CONSTRUCTION SERVICES, LLC AGENT: JAVIER LOPEZ MP,ILING ADDRESS: 244 DAVIS RD. PALM SPRINGS, FL 33461 TELEPHONE: 305-962-2736 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 Q01/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS, PROPERTY INFORMATION 20 132 LAKEWOOD PARK - UNIT 10 BOOK 11, 29A-29D LOT: BLOCK: SUBDIVISION: PLATTED: PROPERTY ID 9: 1301-612-0336-000-0 RS 4 ZONING: I/M OR EQUIVALENT: [ Y0 ] PROPERTY SIZE: 0.27 ACRES WATER SUPPLY: [X ] PRIVATE PUBLIC [ ]<=2000GPD [ 3>20009PD IS SEWER AVAILABLE AS PER 381.0065, FS7 [ Y 0 ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 6607 DELAND AVE, FORT PIERCE. FL 33951 DIRECTIONS TO PROPERTY: TRAVELING NORTH OR SOUTH ON 1-95 TAKE EXIT 138 TO FL-614 - INDRIO RD _ EAST. TURN LEFT ONTO TURNPIKE FEEDER RD 713 NORTH. TURN LEFT ONTO WINTER GARDEN PKWY, TURN RIGHT ONTO DELEON AVE. TURN RIGHT ONTO _ DELAND AVE. PROPERTY IS APPROXIMATELY 760FT ON RIGHT HAND SIDE. BUILDING INFORMATION [X J 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 DETACHED 3 2,258SF N/A 2 3 4 [ ] Floor/ Drains [ ] Other (Specify) N/A SIGNATURE: y fj5 vrt/ i 7 DATE. DH -1015, 0.8/09.'(Obsoleos previous- editions which may not be used) Incorporatpd-- 4E-6.001, PAC' Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Agio Construction Services, LLC CONTRACTOR / AGENT: Javier LODeZ LOT: 20 BLOCK: 132 SUBDIVISION: Lakewood Park ID#: 1301-612-0336-000-0 APPLICATION # AP1629926 PERMIT # 56-SF-2240461 DOCUMENT # RF1.r,(L'A7QR 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 AVAILABLE: 0.27 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES —TABLET / OTHER —TABLE 2 ] AUTHORIZED SEWAGE FLOW: 404.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM- Nail in edge Of Rd ELEVATION OF PROPOSED SYSTEM SITE 12.00 [ INCHES / FT ] / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON —POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 63 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE I SOTT. PROPTT.P. TNWORMATTOTT CTgW. 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 34 1OYR 6/1 Sand 29 To 34 1 OYR 2/1 Spodic Material 34 To 38 1 OYR 312 Spodic Material 38 To 40 1 OYR 4/4 Sand 40 To 48 1 OYR 5/4 Sand 48 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 28 1 OYR 6/2 Sand 22 To 30 1 OYR 3/2 Spodic Material 30 To 34 1OYR 2/1 Spodic Material 34 To 38 1OYR 4/4 Sand 38 To 57 1 OYR 6/3 Sand 57 To 72 OBSERVED WATER TABLE: 69.00 INCHES [ ABOVE / FBELOWJ ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 2.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 45 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping In 10YR5/2 matrix >10% with diffuse boundaries starting at 29" in SB1. S131 12" above BM. SB2 5" above M. SITE EVALUATED BY: DATE: 04/02/2021 Ingram, Brian (Title: ironmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which X not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 A P1629926 EID2240461 v 1.0.2