HomeMy WebLinkAboutOSTDS NEWs
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
SCANNED PERMIT #:56-SF-1794510
'BY APPLICATION #:AP1310186
t Lude County DATE PAID:
AND DISPC 32M RECEIVED E PAID:
CEIPT #:.
JAN 2 4 2018 Do UMENT #: PR1079216
ST, woe courity, Pormitting
APPLICANT: (Jaar Enterprizes, LLC)
PROPERTY ADDRESS: 5807 Spruce Dr Fort Pierce, FL 34982
LOT: 35 BLOCK: 77 SUBDIVISION: Indian River Estates
PROPERTY ID # : 3402-610-0220-000-4
[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 SeDtic New CAPACITY
A [ ] . GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANR:1250 GALLONS]
R [ ] 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 [ ] FILLED [x] MOUND
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OP BENCHMARK: Set mag nail & disk in crown of road
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D E
0
T
H
E
R
3.00 ] [ INCHES_ FT ] [ABOVE BELOW ]BENCHMARK/REFERENCE POINT
[ 11.00][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
ILL REQUIRED: [26.001 INCHES EXCAVATION REQUIRED: [ 35.UU ] INCHES
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)(0, FAC.
SPECIFICATIONS BY: Dianna S May TIRO Environmental Specialist I
APPROVED BY: 2.e�� ;,,y TITLE: Environmental Specialist I St. Lucie CHD
Dianna 444ay
DATE ISSUED: 10/19/2017 EXPIRATION DATE: 04/19/2019
,
DEi,'•4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1310186_ SE1050633
z+ile Copy
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
edministrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedingsare 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.
Wit'. k''F St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT #• 56-SF-1794510 BILL Doc #•56-BID-3606682 CONSTRUCTION APPLICATION M. AP1310186
RECEIVED FROM: Culpepper & Terpeninq, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 1007 PAYMENT DATE: 10/09/2017
MAIL TO: (Jaar Enterprizes, LLC)
FACILITY NAME:
PROPERTY LOCATION:
5807 Spruce Dr
Fort Pierce, FL 34982
35
Lot:
77
Block:
Property ID: 3402-610-0220-000-4
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1-OSTDS Construction Application and Plan Review,New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
. 133 - OSTDS Construction Reinspection
QUANTITY
FEE
1
$
5.00
1
$
15.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3408519
14
liq�ls�d
STATE OF FLORIDA
PERMIT NO.
DEPARTMENT OF HEALTH
DATE PAID:
0�f,
ONSITE SEWAGE TREATMENT AND
DISPOSAL
FEE PAID:
'., SYSTEM
RECEIPT #:
C(-
`O-.00 APPLICATION FOR CONSTRUCTION PERMIT.
APPLICATION FOR:
[ X] New System [ ] Existing System
[ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment
[ ] Temporary
[ ]
APPLICANT: Jaar Enterprizes, LLC
AGENT: Culpepper & Terpening, Inc
TELEPHONE: 772-464-3537
MAILING ADDRESS: 2980 South 25th Street,
Ft. Pierce, FL
34981
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 (Mb!/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 35 BLOCK: 77 SUBDIVISION: Indian River Estates,Unit 9PLATTED: Jan. 1957
PROPERTY ID #: 340261002200004
ZONING: Res I/M OR EQUIVALENT: [ Y /ON ]
PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [X] PRIVATE PUBLIC [X]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS?
PROPERTY ADDRESS: 5807 Spruce Drive,
DIRECTIONS TO PROPERTY: East On Easy
[ Y /& ]
Ft. Pierce,
Street, North
DISTANCE TO SEWER: FT
FL 34982
on Spruce to 5807
BUILDING INFORMATION
[X] 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 res
3
1781
2
3
4
[0 ] Floor/Equipment Drains
[ ] Other (Specify)
SIGNATURE: �eL
G�
DATE: IeP % 1
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1310186
DEPARTMENT OF HEALTH PERMIT # 56-SF-1794510
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1050633
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Jeer Enterprizes, LLC
CONTRACTOR / AGENT: Culpepper & Terpening, Inc
LOT: 35 BLOCK: 77
SUBDIVISION: Indian River Estates ID#: 3402-610-0220-000-4
`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: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Set mag nail & disk in crown of road
ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT ] [ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT, DITCHES/SWALES: 16 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 8 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
OnrT nn^W-rr.W r11TWr% r„tnmrr%" ermw 9 ROTT. PROPTLE INFORMATION SITE 2
USDA 90IL SERIES:Waveland fine sand
Munseli #/Color Texture
Depth
10YR 3/1
Loamy Sand
0 To 7
1 OYR 4/1
Sand
7 To 18
10YR 5/2
Sand
16 To 20
10YR 6/2
Sand
20 To 35
REFUSAL
Refusal
35 To 72
USDA SOIL SERIES:Waveland fine sand
Munsell #/Color Texture
Depth
10YR 3/1
Sand
0 To 10
10YR 4/1
Sand
10 TO 15
10YR 511
Sand
15 To 21
10YR 6/1
Sand
19 To 30
10YR 211
Spodic Material
30 To 35
10YR 2/2
Sand
35 To 41
REFUSAL
Refusal
41 To 72
OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / HELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
i- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR512 stripping >10% with diffused boundaries starting at 16" in a 10YR4/1 matrix in SB1.
SB1 and SB2 3" above BM.
35 INCHES
SITE EVALUATED BY: ��jV...�.r-� DATE: 10/18/2017
May, Dianna (Title:'Environmental Specialist 1) (Florida Department of Health in St Luc
DR 4015, 08/09 (Obsoletes 6-evious editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
i
i A131310186 EID1794510 v 1.0.2