HomeMy WebLinkAbout1508-0155 OSTDS NEWSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR:
APPLICANT: Jose De La Hoz
10MV10 a-fgnI is
AQ
OSTDS New
La Hoz Builders, Inc) '
PERMIT #:66-SF-1620893
APPLICATION #: AP1198966
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR983994
PROPERTY ADDRESS: 4904 Seagrape Dr Fort Pierce, FL 34982
LOT: 10 BLOCK: 42 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-608-0126-000-8 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
I
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
i
381.0065, F.S., AND CHAPTER 64E-6, E.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 IOF 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 Septic 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 SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED I [ ]
N
F LOCATION OF BENCHMARK: Nall/washer On road with orange circle
I ELEVATION OF PROPOSED SYSTEM SITE [ 4�00 ][INCHES FT I[ABOVE .BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3I.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L I
D FILL REQUIRED: [25.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow
O of 300 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H s. 64E-6.013(3)(f), FAC.
E
R
SPECIFICATIONS BY: Jacob K Kirchner TITLE: E 4-1 S ' 1' 4-2
APPROVED BY:
DATE ISSUED
nvironmen a pecsa is
TITLE: Environmental Specialist I St. Lucie CHD
Jacob K Kirchner
nR/1n/,)n1.r, I N DATF 2 7
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1198966
ILE OPI
,t
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 # A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
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.
�C1t
KELLER, SCHLEICHER & MacWILLIAM ENGINEERING AND TESTING, INC.
MARTIN (772) 337-7755 P.O. BOX 78-1377, SEBASTIAN, FL 32978-1377 SEBASTIAN (772) 589-0712
PALM BEACH (561) 845-7445 www.ksmengineering.net MELBOURNE (321) 768-8488
FAX (561) 845-8876 E-Mail: KSM@KSMENGINEERING.NET ST. LUCIE (772) 229-9093
C.A.: 5693 FAX (772) 589-6469
DATE TESTED
PERMIT #
CONTRACTOR
JOB LOCATION
SOIL COMPACTION REPORT
ASTM D 1657 and ASTM D 2922
August 25, 2015
1508-0155
De La Hoz Builders
4904 Seagrape Drive
Ft. Pierce, Florida
KSM JOB # : 151803-1 d/ES/ct
ITEM TESTED Compacted Foundation Fill
TEST LOCATION DEPTH * PEN DRY MAX. DRY PERCENT
OF SAMPLE READ DENSITY PROCTOR VALUE COMPACTION
1.
N.E.
0" - 12" 40
109.1 113.0
96.5
2.
N.W.
if38
111.4
98.6
3.
Center
36
109.3
96.7
4.
S.W.
40
107.5
95.1
5.
S. E.
42
108.8
96.3
Soil Description:
Brown Sand with
114.0
Some Clay W I I I I I
In Place Moisture E I I I I I
8.7 Percent I I I I I I
L-..._..L..
H_ 1.._..�.
1130 �--••—• •—••—
Optimum Moisture: T I I I I I
11.0 Percent I I I I I
P I I I I I I
Max. Dry Density: ,112.0 —..—.. .. �..—..*.._..rt.. ..—..-
113.0 P.C.F. C I I I I I
• I I I I I
@ Test Locations The F
Density & Penetrometer 19 9.0 T_ — • I I I I I
Readings Indicate the I I I I I I
Degree of Compaction Meets D I
R
Minimum
for U :�'' F,pL1 8 9 10 11 12 13 14
* Pell`. _�' 4jatural Grade.
Re pe�C ml Moisture - % of Dry Weight
• No.68� '
Ju`}i OK FOF `
Pry I �• FILE
Em t �a't{itriers.com
Faxarid���� r.County BuildingIDepartment
p1818fi ilard G. Keller, P.E.: 37293 /,SI Lie. No.: 860 / Julie E. Keller, P.E.: 68366