HomeMy WebLinkAboutDEPT OF HEALTH ONSITE SEWAGE TREATMENT DISPOSALWA STATE OF FLORIDA
APPLICATION e:Ap1784256
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID;
SYSTEM
�RECEIPT f♦:
DOCUMENT @: PR1738068
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Michael Stankoski
PROPERTY ADDRESS: 1311 White Oak Ln Fort Pierce. FL 34982
LOT: O6 BLOCK: SUBDIVISION:
PROPERTY ID ®: 3409-803-0005-000-4 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAIL ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
361.0065, 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 £YEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD SBntic new CAPACITY
A [ 1 GALLONS / GPD NIA CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K I 1 GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS @P®Ps [ ]
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ I SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [m] MOUND [ ]
I CONFIGURATION: ( 1 TRENCH Ix] RED [ ]
N
F LOCATION OF BENCHMARK: Orange spot CL of Rd, E PL extended N
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ][FINCHES FT ][ ABOVE BELOW]HENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.00][ INCHE9 FT ] ABOVE BELOW(EENCHMARR/REFERENCE POINT
L
D
O
H
E
R
ILL REQUIRED: [22.001 INCHES EXCAVATION REQUIRED: [ 60.00 ) INCHES
The system is shied for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Brien J Ia TITLE: Environmental Specialist III
APPROVED BY: TITLE: Environmental Specialist III St Lucie CHU
Brian J in
DATE ISSUED: 021Y1/2022 EXPIRATION DATE: 08121I2023
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, SAC Page 1 of 3
v l.l.d "1754256 SE}654612
SCANNO
�7/(1 �jf1 (((� air
,=/lte ISugoGW/uU NILW
1
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 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-
3000. The Agency Clerk's email is agency_plerk@FloridaDEP.gov.
Mediation is not available as an altemative 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 maybe 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.