HomeMy WebLinkAboutDEPT OF HEALTH SEWAGE TREATMENT AND DISPOSAL APPLICATION CONSTRUCTION PERMT 8-23-18I
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i Q.n STATE OF FLORIDA
E. .f DEPARTMENT OF HEALTH
ONSITE SEWAGE T
SYSTEM FtECEIV
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LST. County, Permitting
CTION PERMIT FOR
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PERMIT #:56-SF-1861945
APPLICATION #: AP1354448 -
DATE PAID:
FEE PAID:
SCANNED RECEIPT #:
V DOCUMENT #: PR1139732
St. Lucie coax'ty
APPLICII T: (Grande Construction of Florida)
' PROPERlp Y ADDRESS: 4701 Buchanan Dr Fort Pierce, FL 34992
LOT: $ BLOCK: 38 SUBDIVISION: Indian River Estates
PROPERTY ID #: $4OZ-6OJr-01ZZ-OOO-1 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
I
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
F.S.; AND CHAPTER 64E-6, -F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE 381.00115,
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.
ISSUANG OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE,IOR LOCAL -PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM:
T [
A [
I N[ I
K [
D [
R [
A TYPE
I CONE
N
F LOCA
I ELEV.
E BOTT
L
D FILL
0 30091
T The 11
H s.64E
E '
R
:SIGN AND SPECIFICATIONS
30 ] GALLONS / GPD Septic new CAPACITY
] GALLONS / GPD N/A CAPACITY
j GALLONS GREASE INTERCEPTOR CAPACITY .[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
)0 ] SQUARE FEET Drainfield new SYSTEM
) SQUARE FEET N/A SYSTEM
STEM: [ ] STANDARD [X] FILLED [I MOUND [ j
RATION:! [ ] TRENCH [x] BED [ ]
N OF BENCHMARK: Site BM #2 N&D E side of Buchanan near S property line extended
ON OF PROPOSED SYSTEM SITE [ 1.00 ][INCHES FT ][ABOVE BELOW I BENCBMARK/REFERENCE POINT
OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
2ED: [15.003 INCHES EXCAVATION REQUIRED: [ ] INCHES
is sized for 3 bedrooms with a maximum occupancy of 6 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.
SPECIFICATIONS BY: Brian J n am TITLE:
11 _ Environmental Specialist II
APPROVED BY:,
/ ! /+^^^"�- TITLE: Environmental Specialist II St. Lucie CHD
Brian J ngram
DATE ISSUED: 08/15/2018 EXPIRATION DATE: 02/15/2020
DH 4016,'I'08/09 (Obsoletes all previous editions which may not be used)
Incorported: 64E-6.003, FAC Page 1 of 3
ll
v 1.1.4 AP1354448 SE1089774
1 I�
i
NOTICE OF RIGHTS
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A party whose substantial interest is affected by this order may petition for an
d! ministrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such
p.�oceedings 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
A' ency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency
C erk'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
copstitute a waiver of your right to an administrative hearing, and this order shall become a 'final
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
iate 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
PAYING' ON: PERMIT #: 56-SF-1861945 BILL DOC #:56-BID-3824355 CONSTRUCTION APPLICATION #: AP1354448
i
RECEI� D FROM: Grande Construction AMOUNT PAID: $ 515.00
PAYME ; T FORM: CHECK 4123 PAYMENT DATE: 07/10/2018
MAIL
(Grande Construction of Florida)
FACILI II� NAME:
PROPE�TY LOCATION:
ji01 Buchanan Dr
F,�rt Pierce, FL 34982
128 -
-1 - S
-1 - C
-1 - C
i
123 -
j 126 -
127 -
133 -
8 38 Block:
erty ID: 3402-605-0122-000-1
EXPLANATION or DESCRIPTION: QUANTITY FEE
S Construction System Inspection Research Fee
ge (All)
New Permit Surcharge
Construction Application and Plan Review,New
S Construction Site Evaluation
5 Construction Permit (New or Mod, Amendment)
3 Construction System Inspection
3 Construction Reinspection
1
$
5.00
1
$
15.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
BY:' VanceMH AUDIT CONTROL NO: 56-PID-3616913