HomeMy WebLinkAboutOSTDS NEWSGAWNW
STATE OF FLORIDA BY
DEPARTMENT OF HEALTH StLude CWTV`iT
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New.
APPLICANT: (Brookville Homes of PBC INC)
PROPERTY ADDRESS: 2314 Atlantic Beach Blvd Fort Pierce, FL 34949
LOT: 18 BLOCK: 30 SUBDIVISION:
PROPERTY ID #: 1436-603-0029-000-2
PERMIT #:56-SF-18438
APPLICATION # : AP 1342272
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1116121
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF S TION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT, APPROVAL OF SYSTEM DOES NOT GU TEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL EACTS,
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 FE RAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] 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 [ 667 ] 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: Set M/N TP VM EL 3.32. S property corner
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE
L
D FILL REQUIRED: [18.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
0 400 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)(0, FAC.
E
R
SPECIFICATIONS BY: Brian J ingr!p7 TITLE: Environmental Specialist II
APPROVED BY: LE: Environmental Specialist II St. Lucie CHD
II Brian J Ingram
DATE IssUED: 05/08/2018 EXPIRATION DATE: 11/08I2 9
DH 4016, 0,8/09 (Obsoletes all previous editions which may not be used) Page 1 o 3
Incorporated: 64E-6.003, FAC
v 1.1.9 AP1342272 se30763G7
i
File �o
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
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.
St. Lucie County Health Department
f'�►�'I'�' 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT#:56-SF-1843809 BILLDOC#:56-BID-3738018 CONSTRUCTION APPLICATION #: AP1342272
RECEIVED FROM: Mauricio Salas AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 2887 PAYMENT DATE: 05/01/2018
MAIL TO: (Brookville Homes of PBC INC)
5
FACILITY NAME:
PROPERTY LOCATION:
2314 Atlantic Beach Blvd
Fort Pierce, FL 34949
18
Lot:
Property ID: 1436-603-0029-000-2
30
Block:
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.
-1 - Surcharge (All)
1
$
15.
-1 - OSTDS New Permit Surcharge
1
$
100.
:1 - OSTDS Construction Application and Plan Review,New
1
$
100.
123 - OSTDS Construction Site Evaluation
1
$
115.
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.1
127 - OSTDS Construction System Inspection
1
$
75.1
133 - OSTDS Construction Reinspection
1
$
50.1
II
RECEIVED BY: VanceMH AUDIT CONTROL NO.
r
E` 9 STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
n`°D' APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[go'] New System [ ] Existing System [ ] Holding Tank
[ ! ] Repair `[ ] -Abandonment [ J Temporary
APPLICANT: �� � .4:: U� t � `�� /0
AGENT: MCWla-0
MAILING ADDRESS: Pr'` vvS�tl��
PERMIT NO. ✓u` _s �''�O y
DATE PAID:
FEE PAID: nx
RECEIPT #: ✓
[ ] Innovative
TELEPHONE: 51-A - ()Gig i
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT.- SYSTEMS MUST BE CONSTRUCTE
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 (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
-------------------
PROPERTY INFORMATION
LOT: Ik BLOCK: :3'0 SUBDIVISION:
PLATTED:
PROPERTY ID # : ,310 ' D - Oo z-9 - O �ONING : I /M OR EQUIVALENT; [ Y / N ]
PROPERTY SIZE: ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC Qk ]<=2000GPD [ 1>2000GPI
IS SEWER AVAILABLE AS PER 381.0065, FS? ,[ rY//N ]
�-pDISTANCE To SEWER: FT
PROPERTY ADDRESS: �.3�•�k
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [ RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1
2
3
4
[ ] 'Floor/Equipment Drains [ ] Other (Specify)
I I J URE: DATE:
�J L
SIGNAT�-'
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of
I��
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Brookville Homes of PBC INC
CONTRACTOR / AGENT: Mauricio Salas
i
LOT: 18
I —
SUBDIVISION:
BLOCK: 30
ID# : 1436-603-0029-000-2
APPLICATION # AP13422
PERMIT # 56-SF-1843
DOCUMENT # SE1076367
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST
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: 0.29 2
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE
AUTHORIZED SEWAGE FLOW: 724.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/AC]
UNOBSTRUCTED AREA AVAILABLE: 1820.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00
BENCHMARK/REFERENCE POINT LOCATION: Set M/N TP VM EL 3.32. S property corner
FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE PO:
ELEVATION OF PROPOSED SYSTEM SITE 7.00 [INCHES / �
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES i
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 5 FT POTABLE WATER LINES: 35 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? ( ]YES [ ]NO]
10 YEAR FLOOD ELEVATION FOR SITE:
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL /N3VD
FILE INFORMATION SITE 1
SOIL PROFILE INFORMATION SITE 2
I
SOIL PRO
USDA SOIL SERIES:Canaveral fine sand,
i
!Munsell #/Color Texture
0 to 5 perc
Depth
10YR 3/2
Sand
0 To 20
10YR 4/3
Sand
20 To 23
16YR 5/2
Sand
23 To 37
1 OYR 6/2
Sand
25 To 37
10YR 513
Sand
37 To 57
HOLE CAVING
Refusal
57 To 72
USDA SOIL SERIES:Canaveral fine sand,
Munsell #/Color Texture
10YR 3/2 Sand
10YR 3/4 Sand
10YR 5/2 Sand
10YR 612 Sand
10YR 5/3 Sand
HOLE CAVING Refusal _
0 to 5 per
Depth
0 To 18
18 To 22
22 To 40
24 To 40
40 To 5611
56 To 7
OBSERVED WATER TABLE: 31.00
INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ( PERCHED / APE
ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] EXISTING
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 24.00
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR612 stripping in 10YR5/2 matrix >10% with diffuse boundaries starting at 24" in SB2.
em all t.nlnw RM SR9 7 hPlow BM.
EVALUATED BY:
V Ingram, Brlan (T}(le: Environmental specialist n)
�/
DHi4015, 08/09 (Obsoletes previous editions w ich may not be used) Incorporated: 64E-6.001, FA
AN 342272 E101843809
DATE: 05/03/20
Page 3 �r 4