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