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HomeMy WebLinkAboutD O H PAPERWORK:- FILE -COPY PERMIT #: 56-SF-1910780 STATE_OF_FLORIDA— APPLICATION a_:.AP_1.3889-7--1 DEPARTMENT OF HEALTH ONSITE SEWAGE DATE PAID: TREATMENT AND DISPOSAL FEE PAID: -����¢`• SYSTEM „ RECEIPT #: DOCUMENT It: PR1198387 CONSTRUCTION PERMIT FQR: - OSTDS New SCANNED APPLICANT: Bradle & Brittany MurrayBY PROPERTY ADDRESS: 4912 Pinetree Dr �For[ Pierce, FL 34982 LOT: 10, 11, & 12 BLOCK: 3 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-602-0092-000-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [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 PERIODOF 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 [ 900 ] GALLONS / GPD Septic new CAPACITY t A [ ] GALLONS / GPD NIA CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY -[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY_ [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 500 ] 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 Orange paint triangle CC Of Rd, Center Of Drom I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 7.00 it INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT L D O T H E R SP FILL REQUIRED: [15.001 INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a totalestimatedFlow of 300 gpd. RECEIVED JAN 14 2019 Farmltting ECIFICATIONS BY: ,.-APPROVED BY: r DATE ISSUED: ,DH 4016, 08/09 Incorporated: --'- - ---7 "' ------ Environmental Specialist II 6M^^4+FTLE: Environmental Specialist II St. Lucie CHO Hilan J Ingr 0111512019 EXPIRATION DATE: 07/15/2020 (Obsoletes all previous editions which may not be used) 64E-6.003, PAC Page 1 of 3 v 1.1.4 F 1398971. SE1147378 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 IM68, 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. (k, St.-Lucie_C.ounty_Health-Department - 01PC 3 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT a,56-SF-1910790 BaLDOC#56-BID-4055136 CONSTRUCTION APPLICATIONM AP1388971 RECEIVED FROM: Pace 2000 Inc AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 5512 . ' ' PAYMENT DATE: 12/20/2018 MAIL TO: Bradley & Brittany Murray FACILITY NAME: PROPERTY LOCATION: 4912 Pinetree Dr Fort Pierce, FL 34982 - 10,11,&12 3 Lot: Block: Property ID: 3402-602-0092-000-2 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -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 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3832325 A_, PLICATION FOR: L x ] New System [' `] Repair AGENT: MAIL2IQG ADDREss: V- ISPOSAL i T PERMIT NO. DATE -PAID i i FEE PAID: RECEIPT #: ing System L ] Holding Tan)c [ , ] Innovative [] Abandonment [ ] Temporary [ ] TELEPHONE K�7G-3i�U TO BE. COMPLETED By AP YL-ICANT 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/6j,/�, BLOCK: �-_7� n `S�i7BD2VISIOIQ:� PLATTED: l g-5 PROPERTY ID it: /Jl`Ili2.^IAL%Z^�J��%-���n'� ZVNING: IIM OR EQUIVAE.r firENT: L Y I DT ] . PROPERTY, SIZE: i�� ACRES WATER SUPPLY: [ ] PRIVATEPUBLIOCXI<=2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y'/ 1; PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: P BUILDING INFORMATION Unit- Type of No Establishment 2 1 4�- - / - g"Ll / 4 [ ] Floc SIGNATURE: L 1>2000GPD DISTANCE TO SEWER: /i,��FT n 1)(13 RESIDENTIAL [' ] COMMERCIAL No, of Building Commercial/Institutional System Design Bedrooms Area Sgft,Table 1,.Chapter 64i-G FAC 3 ,------------- 42 9l�?0.ss (Specify) DH 4015, .08/09 .(Obsoietes previous editions I'll-ich may not be used) Incorporated 64E-6.001, FAC DATE: 12 + 91 18 Page 1 of 4 .;, STATE OF FLORIDA APPLICATION R AP1388971 DEPARTMENT OF HEALTH— — R 1-- - - - PERMIT # 56-SF-1910780 ONSITE SEWAGE TREATMENT AND. DISPOSAL SYSTEM ,X S' SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT H SE1147378 APPLICANT: Bradley & Brittany Murray CONTRACTOR / AGENT: Pace 2000, Inc - LOT: 10, 11. & 12 BLOCK: 3 SUBDIVISION: Indian River Estates IIDO: 3402-602-0092-000-2 TO BE COMPLETED BY ENGINEER, HEALTH `DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAT. EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [.]NO NET USABLE AREA AVAILABLE: 1.36 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY ( RESIDENCES -TABLET / OTHER -TABLE 2 j AUTHORIZED SEWAGE FLOW: 3400.02 GALLONS PER DAY. [ 1506 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 900.00 SQFT -i1 UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM orange paint triangle CL of Rd, cei ELEVATION OF PROPOSED SYSTEM SITE 4.00 CLINCHES / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 30 FT NORMALLY WET: [ ]YES [X]NO • WELLS: .PUBLIC: FT LIMITED USE: FT - PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 25 FT POTABLE WATER LINES: 80 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES (XING 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: PT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 I RnTT. PPn7TT.7 TN7nRMLTTnN s7TR o USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture _ Depth 1 OYR 6/2 . Fine Sand 0 To 7 10YR 6/1 Fine Sand I To 36 10YR 7A Fine Sand 27 To 36 10YR 5/1 Fine Sand 36 To 48 1 OYR 5/2 Fine Sand 48 To 52 1 OYR 3/1 Fine Sand 52 To 58 10YR 2/1 Spodic Material 58 To 72 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 12 10YR .511 Sand 12 To 17 .1OYR 611 Fine Sand 17 To 39 10YR 7/1 Fine Sand 30 To 43 10YR 512 Sand 43 To 55 10YR 313 Sand 55 To 59 10YR 211 Spodic Material 59 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES ( ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION% DRAINFIELD CONFIGURATION: [ j TRENCH ,,,[X I BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA _ IT determined using USDA WSS and soil borings. ' U11 stripping In 10YR611 matrix >10% with diffuse boundaries starting at'27" in S81 and 30" In SB2. 4" below SM. SB2 2" below BM. /) 'SITE EVALUATED BY: Ingram, Brian trlI Environmental Spectallstll) (ENVIRONMENTAL HEALTH) DR '4015, 08/09 (Obsoletes previous editions v ch say not be used) Incorporated: 64E-6.001, SAC INCHES DATE: 01/03/2019 'Page 3 of 4 AP1388971 EID1910780 v 1.0.2 STATE OFFLORIDA (a1 RTMENT OFTH ONSITE SEWAGETMENTANDDISPOSAL SYSTEM .mSITE EVALUATION AND SYSTEM SPECIFICATIONS PPLICANT:�c AGENT OT: D // BLOCK: 13 SS/U�BDIVISION:�rQ F3� g . C%n � ,n / ROPERTY ID ik i'��yO L • InOT iY ML—�1.�CJ' % [ Section/Township/Parcel No. or Tax ID Number O BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS DST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. ROPERTY SIZE CONFORMS TO SITE PLAN: %� YES [ ] NO NET USABLE AREA AVAILABLE:�ACRES OTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCL•S-TABLEVOTHER-TABLE2 ] UTHORIZED SEWAGE FLOW: •`,� 0 O._ *, `[- GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE' ] NOBSTRUCTED AREA AVAILABLE; 6p(7 /— SQFT, . UNOBSTRUCTED AREA �jREQUIRED: 0j 00 '1S/Q�FT ENCHMARK/REFERENCE POINT LOCATION:. m f-LA � TJ J�J f'"/�'ln1Pi/J % s/'I �(1'0 i / ��() (,ry //• y LEVATION OF PROPOSED SYSTEM. SITE IS [INCHES/FT Ij [ABOVE/B,� W] BENCHMARK/REFERENCE POINT HE MINIMUM'SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES URFACE NATER:A.AJ _FT DITCHES/SWALES;�5'0_FT 'NO Y WET? [ ] YES r�i�v NO ELLS: PUBLIC: �FT LIMITED USE:. DO FT PRIVATE -FT NON —POTABLE: �}�7 FT UILDING FOUNDATIONS: 40 � FT - PROPERTY LINE S:'... SO / FT ;POTABLE WATER LINES: /�FT ITE, SUBJECT TO FREQUENT FLOODING: 0 YEAR FLOOD ELEVATION FOR SITE: TEXTURE USDA SOIL SERIES: 1 [ ] YES VQ NO 10 YEAR FLOODING?. [ ] YES 'P<l NO FT MSL/NGVD SITE ELEVATION: FT MSL/1N9VD .TO ' TO. ` TO TO TO TO TO ,rive 1LL' 11Ve VriMHl'1V1V J1'1'L' t LL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: BSERVED WATER TABLE: INCHES [ABOVB/BELOW r] EXISTING GRADE. 'IT PE: [ PERCHED /APPARENT ] STIMATED WET SEASON WATER TABLE ELEVATION:INCHES .[.ABOVE/BELOW ] EXISTING GRADE IGH, WATER TABLE VEGETATION: [ ] YES 9� NO MOTTLING: [ ] YES ,[x] NO DEPTH: INCHES OIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES RAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) ITE-EVALUATED B �T_ - DATE: u 4015, 12/11 (ob.oletes previous edition.-hi.h.may not be used) Incorporated: 64E-6.001, FAC Paga 3 0£ 4 oll- 5� xPPLxLra'i?iOx � APi3889; 1 STATE O$ FILORIDA. JP F� _ 'fi, F2 _ PERMIT #:56-SF-19't0780 :DEPARTMENT OF HEALTH nocot4ENT c.F►1322f70 ONSITE SEWAGE TREATMENT ANDc 9 10 `- OSAH M SYSTE CONSTRUCTION IN$PECTION AND FAPPROVAI,L DATE PAID IV2012018---- s-- FEE' PAID-6-1 ram}-00 RECEIPT t:56-PID-3832325 APPLICANT.x.. Bradley 8 Br[ftany Murray, AGENT: Pace2000.Inc PROPERTY AnDRassi 4912 Pinetree Dr Fort Pierce, FL34982 LOT: 10.11.8r12 .... - -- 9LOcKs 3.... SOBDIVxSION.I 6dian.River Estates IDIt:- 3402 602A092-000-2' CHECKED[%I ITEMS ARE NOT IN COMPLIANCE WITH STATUTE: OR ROLE AND MOST RE : CORRECTED.. TANK. INSTALLATION SETEAORS [ I [:Oil TANK SIZE Ell 1090.00 [21 C 1 [271 SURFACE WATER.. FT I 3 .[02.3 TANK; MTERIAL Polypropyler[e [ 1 [281 DITCHES 47 FT [ 1 L031 OUTLET. DEVICE G 3 [291 :PRIVATE WELLS _--_-__ FT {. 1 [041 MULTI-cBAMBZttEED [i l�-N I - - I I [303 PUBDIC WELLS --__-_ .FT 3 ID53 OUTLET M- THE FolylokPL-68 E. I (31] IFAIGATION WELLS _ .FT C 1 [061 LEGEND 1., 70-.143-1=4 2, 1. 1' [323 POTABLE WATER75 FT I [071 WATERTIGHT [ J [331 BUILDING FOUNDATIONS t' FT � [ 3 (083 LEVEL I 1, [341 PROPERTYLINES26 - FT G I C091 DEPTH TO LID { ]. 190 OTHER __ _._ FT DRAINFIELD INSTALLATION FILLED./ MOUND SYSTEM [. 1 [101 AREA. [l1:_ 384 [21 S4F! [: 1 [36] DRAINFIELD COVER. ] [111 DISTRIBUTION- BOX HEADER. X. [ ].. [371 SHOULDERS L I E121 NUMBER OF DRAINLINES 1. 4,00 2. [ ] [381 SLOPES [ I [131 DRAINLINE SEPARATION C I [393 STABILIZATLON 09/20/2019 L I [141 DRAINLINE SLOPE — - [' 1 Lis] DEPTH OF COVER ADDITIONAL. INFORMATION C 1 1161 ELEVATION [ ABOVE. fEEEIEFS 6.00. I 1 1463 UNOBSTRUCTED AREA [ I [171 SYSTEM LOCATION [ 3'. [4'i3 STORMHATER RSINOrk [ ] [=83 DOSING PUMPS [ I. [493 ALARMS' I I E1,91 AGGREGATE SIZE [ ] 1431 MAINTENANCE AGREEMENT I ] t201 AGGREGATE EXCESSIVE FINES' E 1' C443 BUILDING AREA 1' '(213 AGGREGATE DEPTH [ ]. (451 LOCATION CONFORMS WITH SITE ':PLAN PILL / EXCAVATION MATERIAL. I 1 1461 FINAL SITE GRADING 3 [221 FILL-AMO➢NT I I:. L473 CONTRACTOR Jeff Nelson (JEFFREY k'NEL [ 3 [231 FILL: TEXTURE I I: L48I OTHER INFILTRATOR. QWck4 EQ36 (singles [ ] [241 EXCAVATION DEPTH. ABANDONMENT E- 1 [251 AREA REPLACED -I I [491 TAN& PUMPED [' 1 [261 REPT:nr'T'^+F'NT MATERIAL, [ ] 1503 TANK CRUSHED & TILLED Comments.- Comments are on page 2. _.._ croNSTROCTxoN [ APPROVED / `` "�`^^ — St. Lucie Cm DATE.- 08/15/2019 DISAPPROVED 3: EnW{o ynental Speclallstll�Ilnq= (ENVIRONMENTAL HEALTH) tax" SYSTEM L APPROVBD / DISAPPROVED ]:� [ St.LOCIe CHD: DATE: 09f20/2019 Environmental S_pevla0st It an J Ingram :(ENVIRONMENTALHEALTH), (Explanation of Violations on folloviag.page) ➢H•4016, 08/09 (Obsoletes all previous editions which may not be used) incorporated: 64E-6,.003, PAC Page 2 of 3- EH.Database V 1.0.1 Ap13889j1 EID19i0780 0 STATE Or MRrDA DWARTfAM& OF Fi=Tk QNSITR SEWAGE, 4 MATVIEN7 AIM MOOSAL STEM - , CONSTRV=w =E=cT'rpK Nip F'TN" APPROVJM ronnAntc* ns Docman;T ji-F11322170 121201201 a, YZE PAXD:515-00- Tftp;;is-iTm.—Is sW-d for ibedWoT;svrjfh a-ma)dmpMZcWpwOy of a pepsor%(2 per bedroom),. Cora total estimated flow of'300 NewST. filter, and US long TRENCH DIP installed. No violations, system ok to cover. try phong. Needs final 'Inspection for -mound system, ancl.finaf site grading. Finpj system apprqV4., Contrictor.atitt bullicIft departmemd"110 anal approval.. DN, 4016.j 00/69 (Obsqletes all pxevi.Ma editions which may not be U404) - jtjdotpomted'� 64E-6.00S' rAc page 2 ar 3 EH Datab"t �v f.0.1 - AP1330971