HomeMy WebLinkAboutD O H SEWAGE TREATMENT - DISPOSAL SYSTEM 9-14-18I
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM R-ECEIVE®
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CONSTRUCTION PERMIT FOR:
OSTDS New
APPLICANT: Nicholas & Heather Tubito
PROPERTY ADDRESS: Oleander Ave Fort Pierce, FL 34982
SEP 18 2018
ST. Lucie Coun
PERMIT #:56-SF-1872363
APPLICATION #: AP1361133
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1153606
LOT: BLOCK: SUBDIVISION:
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PROPERTY ID #: 3409-114-0004-000-2
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
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[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, IF.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 EXEMPT
THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
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SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,200 11 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 [
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]GALLONS @[ ]DOSES PER 24 HRS #Pumps f ]
D [ 767 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [XI FILLED [] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [XI BED [ ]
N �
F LOCATION OF BENCHMARK: site BM top of tab in
I ELEVATION OF PROPOSED SYSTEM SITE [
9 BOTTOM OF DRAINFIELD TO BE [
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stake NE corner of
4.00 ][ INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT
0.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
FILL REQUIRED: [14.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2'per bedroom), for a total estimated flow of
460 gpd.
The licensed (contractor installing the system is responsible for installing the minimum category of tank in accordance with
� S. 64E-6.013(3)(f), FAC. FILEF
Copy
PE CIFICATIONSIBY: Brian J Ingr m TITLE: Environmental Specialist II
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PPROVED BY: I� 1 TITLE: Environmental Specialist II St. Lucie CHD
Brian J Ingr
%TE ISSUED: 1 09/14/2018 EXPIRATION DATE: 03/14/2020
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1 4016, 08/09 1 (Obsoletes all previous editions.which may not be used)
icorporated: 164E-6.003, FAC. Page 1 of 3
v 1.1.4 AP1361133
SE1103593
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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 receivedby 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
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 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.
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>s St. Lucie County Health Department
�aG 5150 NW Milner Dr Port Saint Lucie, FL 34983
HE LTH
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PAYING,ON: PERMIT #: 56-SF-1872363 BILL ooc #:56-BID-3935840 CONSTRUCTION APPLICATION #: AP1361133
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 3810 PAYMENT DATE: 06/22/2018
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MAIL TO:j Nicholas & Heather Tubito
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FACILITY INAME :
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PROPERTY LOCATION:
Oleander Ave
Fort! Pierce, FL 34982
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Lot:i Block:
Property ID: 3409-114-0004-000-2
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
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-1 - OSTDS New Permit Surcharge
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-1 - OSTDS Construction Application and Plan Review,New
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123 - OSTDS Construction Site Evaluation
126 - OSTDiS Construction Permit (New or Mod, Amendment)
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127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
RECEIVED;BY: VanceMH
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n11AMTITV FI~F
1
$
5.00
9
$
15.00
1
$
100.00
1
$
100.00
1
$
115.00
1
$
55.00
1
$
75.00
1
$
50.00
AUDIT CONTROL NO. 56-PID-3666688