HomeMy WebLinkAboutDEPT OF HEALTH SEWAGE TREATMENT AND DISPOSAL 6-20-18j
PERMIT #:56=SF-1:844684
APPLICATION #: AP1342818
STATE OF FLORIDA '
DEPARTMENT OF HEALTH
DATE PAID:
ONSITE ;SEWAGE TREATMENT AND
DISPOSAL FEE PAID:
SYSTEM
SCANNED RECEIPT #:
elf DOCUMENT #: PR1120444
Sk LU
CONSTRUCT ON PERMIT FOR: OSTDS New
I
APPLICANT Eric Graff
PROPERTY A DDRESS; 8185 Carlton Rd Port Saint Lucie, FL 34987
a LOT: BLOCK: SUBDIVISION:
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY #: 3229-111-0001-000-0
[OR TAX ID NUMBER]
i SYSTEM b6ST
BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065.,�
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,
.
WHICHSE�VED
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
I�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 [ 1,05C
] GALLONS / GPD Septic new
CAPACITY
IA [
! ] GALLONS / GPD N/A
CAPACITY
GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK1250 GALLONS]
IK [ _ 300,11
GALLONS DOSING TANK CAPACITY [67.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
ID [ 667
R [.
!A TYPE SYS'
!I CONFIGUR
IN
IF LOCATION'
I ELEVATI02
IE BOTTOM O]
IL
i
I
D FILL REQ1
1 The syste
400:gpd.
SQUARE FEET Drainfield new SYSTEM
SQUARE FEET N/A SYSTEM
[ ] STANDARD [ ] FILLED [XI MOUND [ ]
)N: [' ] TRENCH [X] BED [ ]
IF BENCHMARK: SE comer of well pad
OF PROPOSED SYSTEM SITE [ 11.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
DRAINFIELD TO BE [ 21.00if INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
RED: [50.00]_ INCHES_._ EXCAVATION REQUIRED;: [ ] INCHES
is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
T The licensed contractor installing the system Is responsible for installing the minimum category of tank in accordance with
H s. 64E-6.0 3(3j(D, FAC.
Performin Lift Dosing.
E Pumps m ` St be certified as suitable for distributing sewage effluent.
R Hard rock ocated beneath drainfield area. Bottom of drainfield elevation based on 42" suitable -soil requirement.
SPECIFICATI
NS BY.. Brian J Ingram
TITLE: Environmental Specialist II
APPROVED BY:
TITLE :,Environmental Specialist II
St. Lucie CHD
Brian ngram
DATE ISSUED
06/20/2018
EXPIRATION DATE: 12/07/2019
DH 4016, 08/{09
(Obsoletes all previous
editions which may not be used)
incorporatedl:
64E-6.003, FAC
Page l of 3
v 1..1,4
WW
AP1342818 SE10�
NOTICE OF RIGHTS
A party whose substantial interest it affected by this order may petition for an
admir istrative 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
admi� istrative hearing must be in writing and must be received by the Agency Clerk for the
DepI ta. ment, within twenty-one (21) days from the receipt of this order. The address of the
Agen y Clerk is 4052 Bald Cypress Way, RIN X02, Tallahassee, Florida 32399. The Agency
Clerk s facsimile number is 850413-8743.
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
constl;ute 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
to jud rial 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 filliI gone copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
secol.1 copy, accompanied by the filing fees required by law, with the Court of Appeal in the
armoro biriate District Court. The notice must be filed within 30 days of rendition of the final order.
HEALTH
PAYING C
PAYMEN
MAIL TO:
128
-1 - S
-1 - C
-1 - C
i
123 -
126 -
127 -
133 -
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
ft PERMIT #: 56-SF-1844684 SILL ooC #:56-BID-3740817 CONSTRUCTION APPLICATION* AP1342818
D FROM: Cherie Howington AMOUNT PAID: $ 515.00
'FORM: CHECK 11082 PAYMENT DATE: 05/03/2018
Eric Graff
R�1( LOCATION:
81 �iS Carlton Rd
Poft Saint Lucie, FL 34987
reps
petty ID: 3229-111-0001-000-0
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
DS Construction System Inspection Research Fee
1
$
6.00
Rrge (All)
1
$
15.00
S New Permit Surcharge
1
$
1.00.00
S Construction Application and Plan Review,New
1
$
100.00
DS Construction Site Evaluation
1
$
115.00
DS Construction Permit (New or Mod, Amendment)
1
$
55.00
DS Construction System Inspection
1
$
75.00
DS Construction Reinspection
1
$
. 50.00
BY: VanceMH AUDIT CONTROL NO. 56-PID-3531407