HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA
DEPARTMEIT OF HEALTH
ONSITE SEWAGE TREA329MIT AMID DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT: Steve LicaUSI
PROPERTY ADDRESS:
f LOT:
PROPERTY ID 41:
OSTDS New
4905 River Place Port Saint Lucie, FL 34983
3404-601-0005-000-9
SUBDIVISION:
PERMIT #t:66-SF-I633398
APPLICATION ##:AP1206430
DATE PAID:
FEE PAID:
RECEIPT 8:
DocUMENT ##: PR989493
River Place
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED nT 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,
RM
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PEIT, 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 FXlRWT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,500 l GALLONS / GPD MicroFAST 0.5 Aerobic Unit CAPACITY
A [ 460 ] GALLONS / GPD Pretreatment tank CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY Doumiam CAPACITY SINGLE TANK:1250 GALLONS]
K [ 1,050 l GALLONS DOSING TANK CAPACITY 162.50 ]GALLONS @[ 8 ]DOSES PER 24 HRS fiPumps [ 1 7
D [ 384 ] SQUARE FEET Netafim drib line SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: EX) STANDARD I ] FILLED I ] MOUND
I CONFIGURATION: I I TRENCH [X] BED
N
F LOCATION OF BENCHMARK: Yellow Cap Center of cul-de-sac, BM on site
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
0
T
H
E
R
[ 10.00 ] INCHBs ET I [I
[ 13.00 I INCHES ET ] [
[ I
'ILL REQUn;MD: E 0.00 ] INCHES EXCAVATION REgUIEW. t [L.UU 1 -UNL MZ5
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. Performing Lift Dosing.
Pumps must be certified as suitable for distributing sewage effluent
NEED BIANNUAL OPERATING PERMIT/ME CONTRACT FOR 2 YEARS
PE DESIGN REQUIRED SIGN OFF AT CONSTRUCTION FINAL (designed•by Frank A Cleaton, Jr. P.E)
BY: Brian J
APPROVED BY:
TITLE: Bnvi=nmental Specialist II
> 11 St Lucie CHU
DATE ISSUED: 03/08/2017 EXPIRATION DATE: 04/01/2018
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
n 1.1.4 AR1206430 SE972945
File C®py.
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
d 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.
i STATE OF FLORIDA
' DEPn'RM OF HEALTH
ONSITE SEWPiGS TREATWIQT AND DISPOSAL.
SYSTEM I
APPLICATION FOR CONSTRUCTION PEMIET
PLICATION FOR:
[ 3 New System
[ Repair
3 Exi-sting system
Abandonment
PERMIT N0. 5E— ib336
DATE PAID:
FEE PAID:
RECEIPT #:
[ 7 Holding Tank [ 3 Innovative
[ 3 Temporary C 3 -
- APPLICANTEI-V E—;- L4
AGENT:c !
TELEPHONE :701772-75.� 64C
MAILING ADDRESS:
I
I
��, f a4l 65
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, FLMU3)A STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUM ATATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY nwcm mw !i
LOT: BLOCK:
SUBDIVISION: prammran:
PROPERTY ID '3 �7" &OJ
I
-0005-00- 1 ZONING: I/M OR EQU11DkLENT: [ Y / N 7
PROPERTY SIZE; ACRES
WATER SUPPLY: [)1\1 PRIVATE PUBLIC [ ]<=2000GPD [ 3>2n000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / No DISTANCE TO SEWER: �-/T. FT
PROPERTY ADDRESS:
DIRECTIONS TO PERTY:'
Z Ae Dill 0 /
•4-h i P
.0 L3
I
BUILDING 3aum ATION I
[X3 RESIDENTIAL [ ] COMMERCIAL'
Unit Type of
No. Of Building Commercial/Institutional System Design
No' Establishment
Bedrooms Area Sgft Table 1, Chapter 64E-6, PAC
I
1
3
I
v
4
I
I
[ ] Floor/E meat D
[ ] Other (SPe�-fy)
SIGNATURE`' I 144F
DATE: 9AL
DR 4015, 08/09' (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001,iFAC Page 1 of 4
II
I