HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA SCANNED
DEPARTMENT OF HEALTH ��aa�� gg BY
ONSITE SEWAGE TREATMENT AND DI- d COUntV
_SYSTEM
RECEIVED
MAR 0 8 2022
CONSTRUCTION PERMIT FOR:
APPLICANT: (Port St. Lucie
PROPERTY ADDRESS:
LOT:
OSTDS New St. Lucie County
Permitting
5450 Southwind TH Fort Pierce, FL 34951
BLOCK:
PROPERTY ID # : 1407-423-0020-000-7
SUBDIVISION:
PERMIT #:56-SF-2217719
APPLICATION # : AP1610438
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1521478
GPAove4-
Lcca-b F go
[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 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: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: Yellow capped IR, NW property corner under PP(no wires)
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D F
0
T
H
E
R
[ 3.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 8.00 ] [ INCHES FT ] [ABOVE BELOW ] BENCHMARK/REFERENCE POINT
REQUIRED: [Ly.UU] INCHES EXCAVATION REQUIRED: [ 4b.UU] 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: Brian J Ing�r}am TITLE: Environmental Specialist III
APPROVED BY: / TITLE: Environmental Specialist III St. Lucie CHD
Brian J Incri-Am
DATE ISSUED: 03/17/2021 EXPIRATION DATE: 09/17/2022
DH 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 AP1610438 SE1657379
NG7"I ICE OF RIGHTS
I
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 3900 Commonwealth Boulevard,'Mail Station 35, Tallahassee, Florida 32399-
3000. The Agency Clerk's email is agency_clerk@FloridaDEP.gov.
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
Environmental Protection 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
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH I
PAYING ON: #: 56-SF-2217719 BILL HOC #:56-BID-5786232 CONSTRUCTION APPLICATION #: AP1610438
RECEIVED FROM: Laventure & Associates Inc AMOUNT PAID: $ 125.00
PAYMENT FORM: CREDIT CARD 6122464 PAYMENT DATE: 02/17/2022
MAIL TO: (Port St. Lucie Properties)
,I
;
FACILITY NAME:
PROPERTY LOCATION:
5450 Southwind Trl
Fort Pierce, FL 34951
Lot:
Block:
Property ID: 1407-423-0020-000-7
EXPLANATION or DESCRIPTION:
QUANTITY FEE
-1 - OSTDS Revision
1
$
25.00
-1 - Surcharge (All)
1
$
45.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5457570