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Home My WebLink AboutD O H PAPERWORK1♦ COPY ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT 4t:56-SF-1872363 APPLICATION #:AP1388835 --DATE-PAID-__ FEE PAID: RECEIPT #: DOCUMENT #: PR1198195 CONSTRUCTION PERMIT FOR: QSTDS New SCANNED APPLICANT: Nicholas & Heather Tubito BY t.a ourny PROPERTY ADDRESS: 5703 Oleander Ave Fort Pierce. FL34982 LOT: BLOCK: PROPERTY ID #: 3409-114-0004-000-2 SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MOST 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. ISSUANCE 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 [ 1.500 ] 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 I ]GALLONS @I ]DOSES PER 24 HRS #Pumps [ D [ 934 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: I ] STANDARD [X] FILLED [ ] MOUND I CONFIGURATION: I ] TRENCH [X] BED I ] N F LOCATION OF BENCHMARK: site BM top of tab in survey stake NE corner of I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L LA 0 T H E R 4.00 ] [1 INCHES FT ] 0.00 ] I INCHES FT ] BELOW] BENCHMARK/REFERENCE. POINT BELOW] BENCHMARK/REFERENCE POINT n Wu1M ; l 1Y.UUI 1NUMGJ' CEUHVA11uy v Wul=—.— L 1 + system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: _ �itew`•�•• ibd TITLE: Environmental Supervisor I Dia+ a S Hay DATE ISSUED: 01/14/2019 EXPIRATION DATE: DR 4016, 08/09 (Obsoletes all previous editions Which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CED 07/14/2020 Page 1 of 3 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 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. ----- Well 5°l-21P14q -- �p:e a'pA STATE OF FLORIDA PERMIT NO.56-SF-t%j0t36B DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: C.0 a-tS-' SYSTEM RECEIPT #: CII)-UDU APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [, ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ X] Modification APPLICANT: Nicholas & Heather Tubito lq2- 26l-qI ( I AGENT: AlexanderJ. Piazza PSM, Inc TELEPHONE :772-340-7770 MAILING ADDRESS: 619 SW Biltmore Street Port St Lucie FL 34983 ------------------------------------------------------------------------------------------ ------------- ---------------------------------- TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 3409-114-0004-000-2 PLATTED: Non ZONING: R I/M OR EQUIVALENT: [ Y/@ ] PROPERTY SIZE: 3.771 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ X]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ YQ ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5703 Oleander Ave, Fort Pierce, FI 34982 DIRECTIONS TO PROPERTY: See BUILDING INFORMATION Unit Type of NO Establishment 1 Residence 2 Guest Residence 3 4 [ ] Floor/Equipment Drains SIGNATURE: [ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC 3 3677 1 750 [ ] Other (Specify) DATE: 12/19/18 DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 11 STATE OF FLORIDA DEPARTMENT_ OF HEALTH _ ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICATION # PERMIT # 56-SF-1872363 DOCUMENT # SE1147586 APPLICANT: Nicholas & Heather Tubito CONTRACTOR / AGENT: Alexander Piazza . LOT,. BLOCK: SUBDIVISION: ID# : 3409-114-0004-000-2 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT .EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS• PROPERTY SIZE CONFORMS TO SITE PLAN: [XI YES [ ]NO NET USABLE AREA AVAILABLE: 3.78 ACRES TOTAL ESTIMATED SEWAGE FLOW: 560 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 9450.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1400.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1400.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM top of tab in survey stake NE comer of pond ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCHES / FT ] [[ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 44 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]N01 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: PT [ MSL / NGVD T4 1 JUSDA SOIL SERIES:Ankona sand Munsell #/Color Texture Depth 10YR 7/2 Fill - Sand 0 To 14 1 OYR 413 Sand 14 To 17 1 OYR 42 Sand 17 To 23 10YR 411 Sand 23 To 33 10YR 5/1 Sand 27 To 36 10YR 72 Sand 36 To 48 7.5YR2.52 Sand 48 To 54 7.5YR 414 Sand 54 To 72 TP 7 JV1L USDA SOIL SERIES:Ankona Sand Munsell #/Color Texture Depth 1 OYR 7/2 Fill - Sand 0 To 16 10YR 4/3 Sand 16 To 21 10YR 4/1 Sand 21 To 33 1 OYR 511 Sand 29 To 39 10YR 62 Sand 39 To 50 10YR 22 Sand 50 To 57 7.5YR 4/3 Sand 57 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ AEOVE / BELOW]] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 28 INCHES ( ABOVE / BELOW 1 HIGH WATER TAHLE VEGETATION: [ ]YES LX]NO MOTTLING: [X]YES [ ]NO [ PERCHED / APPARENT ] EXISTING GRADE DEPTH: 28.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: L 1 TRENCH LX ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. 1511 stripping in 10YR411 matrix >10% With diffused boundaries starting at 28" in SB1 and 30" in S132. d" ahnve BM. S82 6" above BM. /7 SITE EVALUATED BY: INCHES DATE: 09/14/2018 Ingram, Brian (Title: Env nmental Specialist IO (ENVIRONMENTAL HEALTH) Pa e 3 of 4 DEC6015, 08/09 (Obsoletes previous editions which ma not be used) Incorporated: 60E-6.001, FAC A St. Lucie County Health Department a'.'ifP Ae b10U NW Milner ur-voTFSalni-Cucle, YC:T4umj— -- -- - -- HEALTH PAYING ON: PERMIT*56-SF-1872363 BILL DOC#56-BID-4054600 CONSTRUCTION APPLICATION #.AP1388835 RECEIVED FROM: Alexander J Piazza AMOUNT PAID: $ 275.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 12/19/2018 MAIL TO: Nicholas & Heather Tubito FACILITY NAME: PROPERTY LOCATION: 5703 Oleander Ave Fort Pierce, FL 34982 Lot: Property ID: 3409-114-0004-000-2 EXPLANATION or DESCRIPTION: Block: -1 - Surcharge (All) 126 - OSTDS Construction Permit (New or Mod, Amendment) 128 - OSTDS Construction System Inspection Research Fee -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review, New QUANTITY FEE 1 $ 15.00 1 $ 55.00 1 $ 5.00 1 $ 100.00 1 $ 100.00 RECEIVED BY: MontanezNM Note: Modification wfin 90 days of original permit AUDIT CONTROL NO. 56-PID-3831817