HomeMy WebLinkAboutD O H SEWAGE TREATMENT - DISPOSAL SYSTEM - 8-29-18,STATE OF FLORIDA
DEPARTMENT OF HEALTH JEJ( ONSITE SEWAGE TREATMENT AND DISPL E
SYSTEM I RE EIV��
S i r' 14 "018
PERMIT #: 56-SF-1 859695
APPLICATION #: AP1360264
t'%A2�E DA1@ :
RECEIPT #:
DOCUMENT #: PR1141740
CONSTRUCTION
PERMIT FOR: OSTDS New I ST. Lucie County, Permitting + q'vN
sit
Y
APPLICANT:
Duvilla & Marie Myrtil
C(�n
PROPERTY
ADDRESS: 2208 Cortez Blvd Fort Pierce, FL 34982
LOT:
BLOCK: SUBDIVISION:
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
#:
PROPERTY
ID 2124-234-0005-000-3
[OR TAX ID NUMBER]
SYSTEM
MUST 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,
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.
ISSUANC
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 [ 900
] GALLONS / GPD Septic new CAPACITY
A [ I
] 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 [ 334 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [x] FILLED [] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: site BM#1 NiD in sidewalk S property line
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 3.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [17.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
° 200 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H a. 64E-6.013(3)(0, FAC.
E
I
R
SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist SI St. Lucie CHD
Brian J I ain
DATE ISSUED: 08/29/2018 EXPIRATION DATE: 02/29/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1360264 SE1091768
NOTICE OF RIGHTS
f 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
Should this order become a final order, a party who is adversely affected by it is entitled
to . dicial 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.
HEALTH
St. Lucie County Health Department
5150 NW Milner Dr Port Saint.Lucie, 'FL 34983
PAYING ON: PERMIT #: 56-SF-1859695 BILL DOC #:56-BID-3921963 CONSTRUCTION APPLICATION #: AP1360264
RECEIVED FROM: BSE Construction Group
AMOUNT PAID:
$ 515.00
PAYMENT FORM: CHECK 5749
I
PAYMENT DATE:
08/16/2018
MAIL TO: Duvilla & Marie Myrtil
j
�q3/
,S 7c 7
FACILITY NAME:
I
PROPERTY LOCATION:
2208 Cortez Blvd
Fort Pierce, FL 34982
I
I
Lot: Block:
Property ID: 2124-234-0005-000-3
EXPLANATION or DESCRIPTION:
QUANTITY FEE
I
128 - OSTDS Construction System Inspection Research Fee
1
$ 5.00
-1 - Su�charge (All)
1
$ 15.00
I
-1 - OSTDS New Permit Surcharge
1
$ 100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$ 100.00
123 - OSTDS Construction Site Evaluation
1
$ 115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$ 55.00
127 - OSTDS Construction System Inspection
1
$ 75.00
1.33 - OSTDS
I
Construction Reinspection
1
$ 50.00
I
I
REC IVED BY: VanceMH
I
AUDIT CONTROL NO. 56-PID-3656029