HomeMy WebLinkAboutOSTDS NewSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Logan. Winn
PERMIT #: 66-SF-2374344
APPLICATION #: AP1733387
DATE PAID:
FEE PAID:
RECEIPT #:
.DOCUMENT ,# : PR1692608
PROPERTY ADDRESS_: TBD Palmetto Or Fort Pierce, FL 34982
LOT: 14 & 15 BLOCK: 22 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-607-0239-000-0 [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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ]. SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD. [ ] FILLED [x] MOUND [ I
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM, orange paint "X", CL of Rd, center of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ][ INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: E.30,061 'INCHES EXCAVATION REQUIRED: [ ] INCHES
0
T
H
E
R
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: BrianJIngram TITLE: Environmental Specialist III
APPROVED BY: 41-�;� 41 TITLE: Environmental Specialist III St. Lucie CHD
Brian J Ingr
DATE ISSUED: 12/01/2021 EXPIRATION DATE': 06/01/2023
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page i of 3
v 1.1.0 AP1733387 SE1618897