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Home My WebLink AboutSewageFile Copy PERMIT #:56-SF-1767653 STATE OF FLORIDA APPLICATION #:AP1293478 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSPR1E� IV E: FEE PAID: CVSTF,M1 f� RECEIPT #: JUG 19 2017 DocmmNT #: PR1065491 PEPilJIIT 1NG St Lucie County FL CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Devin & Mary Moberg PROPERTY ADDRESS: 245 Bimini Dr Fort Pierce, FL 34949 LOT: 8 BLOCK: 2 , SUBDIVISION: Coral Cove Beach PROPERTY ID #: 1425-701-0029-000-9 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAR 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 T [ 900 ] GALLONS / GPD SeDtic 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 [, 500 ] SQUARE FEET Drainfleld 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: NID CL Of Bimini Rd E property line I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 5.00 ][ INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT L D I 0 'IT H .E R 'ILL REQUIRED: [ 19.UU] INCHES EXCAVATION REQUIRED: [ 01.UU ] INCITES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(f), FAC. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J In DATE ISSUED: 06/14/2017 EXPIRATION DATE: 12/14/2018 DR 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 A21293478 SE!)376J3 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. r St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT M 56-SF-1767653 BILL ooc #:56-BID-3443192 CONSTRUCTION APPLICATION #: AP1293478 RECEIVED FROM: Brian Helseth AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 1594 PAYMENT DATE: 06/05/2017 MAIL TO: Devin & Mary Moberg FACILITY NAME: PROPERTY LOCATION: 245 Bimini Dr Fort Pierce, FL 34949 8 Lot: 2 Block: Property ID: 1425-701-0029-000-9 EXPLANATION or DESCRIPTION: QUANTITY FEE -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 i $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3258591 0 A STATE OF FLORIDA PERMIT NO.i 6 5F-i7%%(Og3 DEPARTMENT OF HEALTH DATE PAID: -, � ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: '. ~�OpWz SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [X] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary I l APPLICANT: �tf I�«//7� 4� 1/d�e/b AGENT: ood J//vry o'H / e G TLL TELEPHONE: J%L a2..f 6 MAILING ADDRESS: �/O /)�iy,i�s/' /l//'I'!� / r• / /Pj^e-e 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 (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: !3 BLOCK: 2 SUBDIVISION: Gp�d� 1 C-OLP leae A PLATTED: PROPERTY ID # : IVY- AV- ODd 9 - 0ay -9 ZONING: .,fS - y I /M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: •A'a- ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]c=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [s�Y �] � DISTANCE TO SEWER: FT PROPERTY ADDRESS: 2ys /6j%y�/H / 401111ke i• Area- /� rea- AL 3 210 DIRECTIONS TO PROPERTY: &- l O%1 5A.-reu-ne m✓ 4eew /yrn A � f ' G h BUILDING INFORMATION Unit Type of No Establishment 1 'h �e. w 2 3 4 [>j RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equipment Drains [ ] A SIGNATURE: (Specify) 4�,q / .. DATE: !j % DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 c STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Devin & Mary Moberg CONTRACTOR / AGENT: Brian Helseth LOT: 8 BLOCK: 2 SUBDIVISION: Coral Cove Beach ID#: 1425-701-0029-000-9 APPLICATION # 'AP1293478 PERMIT # 56-SF-1767653 DOCUMENT # SF1037603 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: 0.22 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 549.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 840.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHt4ARK/REFERENCE POINT LOCATION: NiD CL of Bimini Rd E property line ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCHES / FT ] [[ / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES:10 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 AOTT. PROFTLE INFORMATTON ATTF 1 USDA SOIL SERIES:Arents, 0 - 5 percent slopes Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 4 10YR 6/2 Sand 4 To 28 10YR 6/2 Fine Sand 28 To 37 10YR 516 CMN/PRM RF 28 To 37 10Y 3/1 Fine Sandy Loam 35 To 57 10YR 4/2 Loamy Sand 57 To 72 enrT_ nnf%WTT_V TWVnnbITmTMd CTTF i USDA SOIL SERIES:Arents, 0 - 5 percent slopes Munsell #/Color Texture Depth 10YR 411 Sand 0 To 5 10YR 6/2 Sand 5 To 26 10YR 5/6 CMN/PRM RF 23 To 37 10YR 6/2 Fine Sand 26 To 37 10Y 311 Fine Sandy Loam 37 To 55 10YR 5/1 Fine Sandy Loam 37 To 55 10YR 4/2 Loamy Sand 55 To 72 OBSERVED WATER TABLE: 31.00 INCHES [ ABOVE / FBELGW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 23.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 57 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings 10YR5/6 CMN PROM RF starting in 10YR6/2 matrix at 23" in SB2. S61 5" above BM. SE12 4" above BM. SITE EVALUATED BY: Ingram, BP (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC A P I :n:34 + 3 E 101 67653 DATE: 06/09/2017 Page 3 of 4 v 1.0.2 ,SG -SF _ t 74, 7 6 53 :APPLICANT'S NAME: LEGAL DESCRIPTIO PROPOSED SEPTIC SYSTEM SITE INFOR144TI0.N 1 certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less,than 25 people or less than 15 homes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the Nvater line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, tilled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. The natural grade elevation in the area of the proposed septic system and the benchmark must be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic system. NOTE: \i sT BE CERTIFIED BY A FLORIDA REGISrERE-D SURVEYUR OR ENGINEER doc, Gunn; CERTIFIED BN': FLORIDA PROFESSIONAL NO:: __RX-6 JOII NO.: gaps �-=Ez FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS #56-5G-/7G7GS3&Well# pate.: kZ, 2q/'� Reviewer:f vo ...............■ FLOc)lr- Architectonic IrIc MOBERG RESIDENCE n-LUCMCOU nDRMA