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Home My WebLink AboutD O H PAPERWORK4 STATE OF DEPARTMEN g ONSITE SE SYSTEM • APPLICATI APPLICATION -FOR: OF HEALTH GE TREATMENT AND DISPOSAL FOR CONSTRUCTION PERMIT [ N New System [ ] Existing System [ ] Repair [ ] Abandonment APPLICANT- pp��k`' v �( �S AGENT: MA -Liz ` MAILING ADDRESS: 'Po Dn,, Ril TO BE COMPLETED BY AP BY A PERSON LICENSED APPLICANT'S RESPONSIB PLATTED (MM/DD/YY) IF PROPERTY INFORMATION LOT: -1) BLOCK - PROPERTY ID #: twLb '" PROPERTY SIZE:' �1� ACR IS SEWER AVAILABLE AS PER PROPERTY ADDRESS: 15'0Ci DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment I O-V Fl" S�'�11e '�•oml� 2 3 4 [ ] Ploor/Equipment Drain SIGNATURE- DH 4015, 08/09 (Obsoletes p Incorporated 64E-6.001, FAC I ] Holding Tank [ ] Temporary S-t PERMIT NO.6G+"Si�17L� DATE PAID: FEE PAID: RECEIPT #: L I Innovative TELEPHONE: !;;�1—zn-05l� I T OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED NT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR STING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. 1 BY SUBDIVISION: �^^f, Qia&e— �,_'j•�^��p5--(,�/'�y PLC ,E (Cie county ZONING:I/M OR -.EQUIVALENT: [ Y / N I WATER SUPPLY: [ ] PRIVATE PUBLIC [?k ]<=2000GPD [ ]>2000GPD 31.0065, FS? [ Y / N ] DISTANCE TO SEWER: PT C� 7 RESIDENTIAL [ 1 COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Soft Table 1,.Chapter 64E-6, FAC [ I Other editions which may not be 0 Page 1 of 4 %It NOTICE OF RIGHTS = A parry whose subst ntial 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 b I Rule 28-106, Florida Administrative Code. A petition for administrative hearing must oe in writing and must be received by the Agency Clerk for the Department, within twenty-o ie (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald C ypress Way, BIN # A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. Mediation is not avai able as an alternative remedy. Your failure to submi a petition for hearing within 21 days from receipt of this order will constitute a waiver of yo r right to an administrative hearing, and this order shall become a'final order'. Should this order be ome a final order, a party who is adversely affected by it is entitled to judicial review pur uant 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 col iy of a Notice of Appeal with the Agency Clerk of the Department of Health and a econd copy, accompanied by the filing fees required by law, with the Court of Appeal in t e appropriate District Court. The notice must be filed within 30 days of rendition of the final order. ice• ;:. (E .. , St. Lucie County Health Department 1mku 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMITM5-SF-1708127 BILL DOCu56-BID-3270929 CONSTRUCTION APPLICATIONM..AP1256234 RECEIVED FROM: Mauricio Salas AMOUNT PAID: $ 515:00-- PAYMENT FORM: CREDIT bARD PAYMENT DATE: 09/15/2016 MAIL TO: (BKV Homes) FACILITY NAME: PROPERTY LOCATION: 2506 Tamarind Dr Fort Pierce, FL 34949 Lot: 3 Property ID: -1 - OSTDS Construction Applica 123 - OSTDS Construction Site E 126 - OSTDS Construction Perm 127 - OSTDS Construction Syste 128 - OSTDS Construction Syste 133 - OSTDS Construction Reins -1 - Surcharge (All) -1 - OSTDS New Permit Surchan RECEIVED BY: Block: 3 or DESCRIPTION: and Plan Review,New (New or Mod, Amendment) i Inspection Inspection Research Fee QUANTITY 1 1 1 1 1 1 1 1 AUDIT CONTROL NO. 56-PID-3087480 FEE 100.00 115.00 55.00 75.00 5.00 50.00 15.00 100.00 STATE OF F DEPARTMENT ONSITE SEW CONSTRUCTION PERMIT FOR: APPLICANT: (BKV Homes) PROPERTY ADDRESS: 2506 HEALTH TREATMENT AND DISPOSAL SYSTEM PERMIT New Dr Fort Pierce, FL 34949 LOT: 3 BLOCK: 31 SUBDIVISION: Fort Pierce Shores PROPERTY ID #: PERMIT #:56-SF-1708127 APPLICATION #:AP1256234 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1033329 [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 CHAPTE 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOIL ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS OR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH AODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT D ES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQIJIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] GALLONS / GPD _ A [ ] GALLONS / GPD N [ ] GALLONS GREASE Ii: K [ ] GALLONS DOSING TT D [ 667 ] SQUARE FEET _ R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDI I CONFIGURATION: [ ] TRENCI N F LOCATION OF BENCHMARK: Nall I ELEVATION OF PROPOSED SYSTEM E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: [15.001 IN The system is sized for 4 bedrooms 0 of400 gpd. T The licensed contractor installing the H s. 64E-6.013(3)(f), FAC. E I F,1 SPECIFICATIONS BY: Brian J APPROVED BY: CEPTOR CAPACITY CAPACITY [ CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] SYSTEM SYSTEM [x] FILLED [ ] MOUND [ ] [X] BED [ ] n Rd west side of street middle of I 7.00 ] [ INCHES FT ] [ 4.00 I I INCHES FT I BELOW] BENCHMARK/REFERENCE POINT BELOW]BENCHMARK/REFERENCE POINT EXCAVATION REQUIRED: [ ] INCHES a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow DATE ISSUED: 09/22/2016 DH 4016, 08/09 (Obsoletes all p evi Incorporated: 64E-6.003, FAC v .1.4 is responsible for installing the minimum category of tank in accordance with TITLE: Environmental Specialist Ix Environmental Specialist II St. Lucie CHD EXPIRATION DATE:. 03/22/2018 editions which may not be used) AP1256234 SE1008507 Page 1 of 3 STATE OF F DEPARTMENT ONSITE SEW SITE EVALU HEALTH TREATMENT AND DISPOSAL SYSTEM N AND SYSTEM SPECIFICATION APPLICATION # AP1256234 PERMIT # 56-SF-1708127 DOCUMENT # SE1008507 APPLICANT: BKV-Homes— CONTRACTOR / AGENT: Mauriclo 3alas LOT: 3 BLOCK: 3 SUBDIVISION: Fort Pierce 31 iores ID#: 1425-603-0004-000-7 TO BE COMPLETED, BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QVALIFIED PERSON, ENGINEERS MU51 PROVIDE REGISTRATION NUMBER AND S13N AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE LAN:' Ex ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.35 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 875.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1932.00 SOFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SOFT BENCHMARK/REFERENCE POINT LOCATION: Nail in Rd west side of street middle of property, r ELEVATION OF PROPOSED SYSTEM SI E 7.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BI MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [XINO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES IX]N g 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFTLF SNFr1RMATTnM arms 7 USDA SOIL SERIES:CHnavaral findsand Munsell #/Color Texture Depth I OYR 612 Fine Sand 0 To 30 1 OYR 5/1 Fine Sand 30 To 35 1 OYR 5/3 Fine Sand 35 To 66 10YR 7/2 Fine Sand 66 To 72 OBSERVED WATER TABLE: 56.00 I' ESTIMATED WET SEASON WATER TABLE E. HIGH WATER TABLE VEGETATION: SOIL TEXTURE/LOADING RATE FOR S DRAINFIELD CONFIGURATION: [ ] r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and sc 10YR611 and 10YR612 stripping In 10YR612 n SB1 7" above SM. SB2 6" above BM. SITE EVALUATED BY: DH 4015, 08/09 (Obsoletes previous USDA SOIL SERIES:CanaVer'a1 find sand Munsell #/Color Texture Depth 10YR 512 Fine Sand 0 To 37 10YR 6/3 Fine Sand 37 To 63 1 OYR 7/2 Fine Sand 63 To 72 :RES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] VATION: 27 INCHES [ ABOVE / BELOW ] EXISTING GRADE [ ]YES Ex ]NO MOTTLING: [X]YES [ ]NO DEPTH: 27.00 INCHES ITEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES DRENCH [XI BED [ ] OTHER (SPECIFY) borings. trix @ 27" In SS1. DATE: 09/21/2016 n (TMe: Environmental Specialist II) (ENVIRONMENTAL HEALTH) which may not be used) Incorporated: 64E-6.001, FAO Page 3 of 4 AP1256234 EID1708127 v 1.0.2 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL 0ICATION # A,P1256234 PERMIT #:56-SF-1708127 DOCUMENT #:FI1113610. DATE PAID:09/15/2016 FEE PAID:515.00 RECEIPT #:56-PID-3087480 APPLICANT: BKV Homes _ AGENT: Maurlol0 Salas _ PROPERTY ADDRESS: 2506 Tamarind Dr Fort Pierce, FL 34949 LOT: .BLOCK: BY SUBDIVISION: Fort Pierce Shores ID#: 1425-603-0004-000-7 St. Lucie County CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. I E I TANK INSTALLATION [01] TANK SIZE [11 1090.00 121 [021 TANK MATERIAL Polyethylene I.033 OUTLET DEVICE [041 MULTI -CHAMBERED [ Y N 1 [051 OUTLET FILTER POlylok PL-68 [06] LEGEND 1. 70-143-11D03 2. [071 WATERTIGHT [081 LEVEL [09] DEPTH TO LID DRAMFIELD-INSTALLATION 1101 AREA 11] 679.2 [21 SQFT 1111 DISTRIBUTION BOX _ HEADER X [121 NUMBER OF DRAINLINES 1. 6.00 2. [131 DRAINLINE SEPARATION [141 DRAINLINE SLOPE [151 DEPTH OF COVER [161 ELEVATION [ ABOVE / BELOW IBM 4.00 [171 SYSTEM LOCATION [181 DOSING PUMPS [19] AGGREGATE SIZE E201 AGGREGATE EXCESSIVE. FINES [2l] AGGREGATE DEPTH -SETBACKS [ ] [273 SURFACE WATER FT [ ] [281 :DITCHES FT I 7 [291 PRIVATE WELLS FT [ ] [301 PUBLIC WELLS: FT [ ] [313 IRRIGATIONWELLS FT [ ] 1321 POTABLE WATER 21 'FT [ ] 1331 BUILDING FOUNDATIONS 6 FT [ ] 1341 '.PROPERTY LINES 23 FT [ ] [351 OTHER. FT FILLED / MOUND SYSTEM [ 1 [361 DRAINFIELD COVER [ 1 (371 SHOULDERS [ ] [38] SLOPES [ ] [391 STABILIZATION- 05/11/2017 ADDITIONAL INFORMATION [ I E401 UNOBSTRUCTED AREA [ ] [411 STORMWATER RUNOFF [ ] [421 ALAR14S [ ] [43] MAINTENANCE AGREEMENT L 1 1441 BUILDING AREA [ ] [451 LOCATION CONFORMS WITH SITE PLAN [ ] [461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ 7 [47] CONTRACTOR MICHAEL W STUHR(ASHTO [ ] [221 FILL AMOUNT [ 1 [481 OTHER INFILTRATOR Qu[ck4.Plus EQ36 LP [] [23] FILL TEXTURE [ ] [241 EXCAVATION DEPTH ABANDONMENT L I [251 AREA REPLACED I 1 [491 TANK PUMPED [ ] [261 REPLACEMENT MATERIAL [ ] 150] TANK CRUSHED 6 FILLED Comments: Comments. are on page 2. St. Lucie CND DATE: 04/21/2017 CONSTRUCTION [ APPROVED / DISAPPROVED I' Environmental Specrali., II Brian J Ingam(ENVIRONMENTAL HEALTH) FINAL SYSTEM ( APenovm / ` ✓� St. Lucie _ CHD DATE: 05/1112017 DISAPPROVED ]:' Environmental Specia' 11 Brian J Ingram (ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DR 4016, 08/09 (Obsoletes all previous editions which may not be used) Page 2 of 3 Incorporated: 64E-6.003, FAC EH Database v 1.0A AP1256234 EID1708127 r ' STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL 4 naIcATIoN s:AP1256234 PERMIT n:56-SF-1708127 DOCUMENT n:F11113610 DATE PAID;09/15/2016 FEE PAID:515.00 RECEIPT a:56-PID-3087480 Violation Number Comment comments The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. New ST and DF. 6x10 long. No violations, system ok to cover, contractor notified by phone. Needs final approval for for mound system. Final system approved. Contractor and building department emailed final approval. DE 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Pago 2 of 3 EH Databaso v 1.0.1 AP1256234 EID1700127