HomeMy WebLinkAboutOSTDS NEWSCANNED
PERMIT #: 56-SF-I 860476
By � Lucie CountyAPPLICATION # : AP 1353490
STATE OF FLORIDA DATE PAID:
:" DEPARTMENT OF HEALTH
� ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
.SYSTEM
RECEIVED IPT #:
W s DOC NT # : PR1125905
JUL 26L
8
CONSTRIIC ON PERMIT FOR: OSTDS NeW ST. LucieCoun rmltt
APPLIC (Northwest Realestate)
PROPERTY DRESS: 8401 Germany Canal Rd Port Saint Lucie, FL 34987
LOT: BLOCK,: SUBDIVISION:
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 3230-311-0001-000-8 [OR TAX ID NUMBER]
i
SYSTEM iMUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.00651I F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFAC ORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SIRVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY; THE
PERMIT ; PLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSIIANCEi OF THIS PERMIT DOES NOT EXEMPT , THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, -Oil LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 00 ] GALLONS / GPD Septic 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 [
R [
A TYPE
I CONF
N
F LOCA
I ELEV
-E BOTT,
L
D FILL
0
T
H
E
R
DATE I
DE 4016
] SQUARE FEET Drainfield new SYSTEM
] SQUARE FEET N/A SYSTEM
;M: [ ] STANDARD [ ] FILLED DO MOUND
'ION: [XI TRENCH [ ] BED [ ]
N OF BENCHMARK: 16d nail in N side burned palm tree E of
ON OF PROPOSED SYSTEM SITE
OF DRAINFIELD TO BE
[ 45.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 37.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
2ED: [26.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
ed contractor installing the system is responsible for installing the minimum category of tank in accordance with
13(3)(f), FAC.
MIONS BY: Brian J Ingram TITLE: Environmental Specialist II
BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J In am
ED : 07/18/2018 EXPIRATION DATE: 01118/2020
08/09 (Obsoletes all previous editions which may not be used)
ted: 64E-6.003, PAC
AP1353490
Zayre . of 3
Fi�e `�D
SE1085780
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
admi istrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proc edings are governed by Rule 28-106, Florida Administrative Code. A ,petition for
admi I istrative hearing must be in writing and must be received by the Agency Clerk for the
Dep �tment, 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
Cler 'ls 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
cons itute a waiver of your right to an administrative hearing, and this order shall become a 'final
to
by
Should this order become a final order, a party who is adversely affected by it is entitled
al review pursuant to Section 120.68, Florida Statutes. Review, proceedings are
;d by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
copy, accompanied by the filing fees required by law, with the Court of Appeal in the
date District Court. The notice must be filed within 30 days of rendition of the final order.
File Copy
St. Lucie County Health Department
yip a 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
11
PAYING ON: PERMIT#:56-SF-1860476 BILL DOC #:56-BID-3813370
CONSTRUCTION APPLICATION #: AP1353490
RECEIVED FROM: Tiffanv Short AMOUNT PAID: $ 515.00
PAYMEN T FORM: CREDIT CARD PAYMENT DATE: 07/03/2018
. MAIL
FACILIT
PROPE1
(Northwest Realestate)
VAME
Y LOCATION:
1 Germany Canal Rd
Saint Lucie, FL 34987
Ot:
Block:
P
operty ID: 3230-311-0001-000-8
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - O
TDS Construction System Inspection Research Fee
1
$
5.00
-1 - Sur
harge (All)
1
$
15.00
-1-OS'
DS New Permit Surcharge
1
$
100.00
-1-OS
DS Construction Application and Plan Review,New
1
$
100.00
123 - O
TDS Construction Site Evaluation
1
$
115.00
126 - 0.
TDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - O,�
TDS Construction System Inspection
1
$
75.00
133 - O i�
TDS Construction Reinspection
1
$
50.00
REC DVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3612952
File Cop
v r� STATE OF FLORIDA
F DEPARTMENT OF HEALTH
ONSITE'SEWAGE TREATMENT AND DISPOSAL
SYSTEM
V1% APPLICATION FOR CONSTRUCTION PERMIT
APPL ATION FOR:
[I ew System [ ] Existing System [ ] Holding Tank
[ ] epair [ ] Abandonment [ ] Temporary
PERMIT NO.5�-Sf109(291(&
DATE PAID:
FEE PAID:
RECEIPT #:
[ ] Innovative
[ ]
APPLI T���`��Jx��
AGENT ! _ . 1 GC �� f �U�TELEPHONE:
I ` DRESS. MAILI /in�
TO BE
COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE
APPLI RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATT IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
ca = a aPROPEFORMATION
LOT:BLOCK: SUBDIVISION: PLATTED:
PROPE TY ID # : ,/ d l V 3 1 ) V 0 0 1 0 I- 15C ZONING: I /M OR EQUIVALENT: [ Y / N ]
PROPEITY SIZE: ACRES WATER SUPPLY: [L-I' PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SE R AVAILABLE AS PER 381.0065, FS? Y Y'/ N ] DISTANCE TO SEWER: -7S FT
PROPE TY ADDRESS : _V nu 1
DIREC IONS TO PROPERTY fy �! 1 U °��"�� °"Q'"crb
e:,, 1 I 1-c,
r
BUILD
Unit
No
1
NG INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL fax -
Type Of No. of Building Commercial/Institutional System Design
Establishment Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC
2
3
4
[ ] Floor/E 44p ein nt-�rai7ts [—=�=2:?er(Specify)
SIGN UR
DH 40i�5, 08/09 (Obsoletes previous editions which may not be used)
incorporated 64E-6.001, FAC itee t of�,4
STATE OF FLORIDA APPLICATION # AP1393490
DEPARTMENT OF HEALTH PERMIT # 56-SF-1860476
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1085780
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT it Northwest Realestate
CONTRACTOF / AGENT: Tiffany Short
LOT: BLOCK:
SUBDIVISION: ID# : 3230-311-0001-000-8
i
TO BE COIII"LETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
RF.GTQTRATTnN NrTMRFR AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. _
PROPERTY ii�IZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 323.00 ACRES
TOTAL ESTMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZE) SEWAGE FLOW: 484500.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1006.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK,, FERENCE POINT LOCATION: 16d nail in N side burned palm tree E of system
ELEVATIONII'OF PROPOSED SYSTEM SITE 45.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMgM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATITER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING OUNDATIONS 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 50 FT
SITE SUB CT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
QnTT_ nM^W IT.L. T'kTWMLMATTAN QTTF I SOIL PROFILE INFORMATION SITE 2
USDA SOIL'SERIES:Hilolo
Munsell/Color
loamy sand
Texture
Depth
1 OYR 5/2
Loamy Sand
0 To 15
10YR 5/1
Loamy Fine Sand
15 To 43
10YR 5/8
CMN/PRM RF
16 To 35
10YR 7/2
Loamy Fine Sand
35 To 46
10YR 7/2
Fine Sand
46 To 65
HOLE CAVI �
G
Refusal
65 To 72
i
OBSERVED F7
ESTIMATED
HIGH WATE
SOIL TEXT'
DRAINFIELD
10YR5/8 CN
8131 45" bel
SITE EVALT
USDA SOIL SERIES:Hil010 loamy sand
Munsell #/Color Texture
Depth
10YR 4/3
Loamy Sand
0 To 13
10YR 5/1
Loamy Fine Sand
13 To 39
7.5YR 5/8
CMN/PRM RF
17 To 30
10YR 6/2
Loamy Fine Sand
39 To 47
1 OYR 7/2
Fine Sand
47 To 63
HOLE CAVING
Refusal
63 To 72
TER TABLE: 37.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES
RE/LOADING RATE FOR SYSTEM SIZING: Loamy Fine Sand/0.35 DEPTH OF EXCAVATION:
CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
I/ADDITIONAL CRITERIA
ined using USDA WSS and soil boring.
PROM RF mottling in 10YR5/1 matrix >2% starting at 16" in SBI.
BM. S132 43" below BM.
BY:
III Ingram, Brian (Tit :: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 08/p9 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
AP1353490 EID1860476
INCHES
DATE: 07/10/2018
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