HomeMy WebLinkAboutSewage Treatment & Disposal SystemSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Darren & Anna Casey
PROPERTY ADDRESS: 2304 Atlantic Beach Blvd Fort
LOT: 13 BLOCK: 30
PROPERTY ID #: 1436-603-0024-000-7
PERMIT #:56-SF-1370381
APPLICATION #: AP1583200
DATE PAID:
FEE PAID:
RECEIVED RECEIPT #
APR 08. 2021 DOCUMENT #: PR1496665
Perrnitting DePartMe St. Lucie County nt 006 0
FL 34949
SUBDIVISION:
[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 [ 1,050 ] 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 Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, NiD, E side of Rd, near NW property comer
I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 13.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D E
O
T
H
E
R
REQUIRED: ['10.UU] INCHES EXCAVATION REQUIRED: [ J INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: rian J In TITLE: Environmental Specialist III
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian J am
DATE ISSUED: 01/05/202i ` EXPIRATION DATE: 07/05/2022
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 AP1583200 SE1503455
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-1370381 BILL DOC #:56-BID-5195328 CONSTRUCTION APPLICATION #: AP1583200
RECEIVED FROM: William Arthur - Architect AMOUNT PAID: $ 195.00
PAYMENT FORM: CREDIT CARD 728240 PAYMENT DATE: 03/08/2021
MAIL TO: Darren & Anna Casey
FACILITY NAME:
PROPERTY LOCATION:
2304 Atlantic Beach Blvd
Fort Pierce, FL 34949
Lot: 13 Block: 30
Property ID: 1436-603-0024-000-7
EXPLANATION or DESCRIPTION: QUANTITY FEE
123 - OSTDS Construction Site Evaluation 1 $ 115.00
126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00
-1 - OSTDS Revision 1 $ 25.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4899541
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-1370381 BILL DOC #:56-BID-5047806 CONSTRUCTION APPLICATION #: AP1583200
William Arthur - Architect AMOUNT PAID: $ 545.00
CHECK 4795 PAYMENT DATE: 10/07/2020
MAIL TO: Darren & Anna Casey
FACILITY NAME:
PROPERTY LOCATION:
2304 Atlantic Beach Blvd
Fort Pierce, FL 34949
Lot: 13 Block: 30
Property ID: 1436-603-0024-000-7
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
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4746859