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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: APPLICANT: Donald & OSTDS New PROPERTY ADDRESS: 17787 Okeechobee Fort Pierce. FL 34945 LOT: BLOCK: SUBDIVISION: PERMIT #:56-SF-1929177 APPLICATION #:AP1401098 DATE PAID: SCANNED FEE PAID: BY RECEIPT #: St. Lucie Count�PocDMENT #: PR1207373 PROPERTY ID #: 3202-333-0025-000-3 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAR ID NUMBER] SYSTEM MUST HE 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 T [ 900 ] GALLONS / GPD SeDtic New CAPACITY A [ ] 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 Has #Pumps [ ] D [ 375 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED pr] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: SITE BM SET 1/2" IR & CAP ELEV=21.7 I ELEVATION OF PROPOSED'SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D t O T H E R [ 7.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT [ 2.00 ][ INCHES FT ][ABOVE JBELOW BENCHMARK/REFERENCE POINT ILL REQulmy: [ZJ.UU] INCHES EXCAVATION REQUIRED: [ OD.UU] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. SPECIFICATIONS BY: Dianna S May TITLE: Environmental Supervisor I APPROVED BY: �f%-ter /�^'i� TITLE: Environmental Supervisor I St. Lucie CHU D3avna 3 DATE ISSUED: 03/15/2019 EXPIRATION DATE: 09/15/2020 De 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC 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. _ St. Lucie County Health Department Fla-)r�rTa 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: # 56-SF-1929177 BILL DOC#56-BID-4089963 CONSTRUCTION APPLICATION#: AP1401098 RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 03/01/2019 MAIL TO: Donald & Sandra McDonald FACILITY NAME: PROPERTY LOCATION: 17787 Okeechobee Fort Pierce, FL 34945 Lot: Block: Property ID: 3202-333-0025-000-3 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 -Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection QUANTITY FEE 1 $ 5.00 1 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3868001 �S11E 2 STATE OF FLORIDA i. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION .FOR: J( New System [ ] Repair APPLICANT: AGENT: 45�4 MAILING ADDRESS: [ ] Existing System ( ] Abandonment ( ] Holding Tank [ 7 Temporary A)Wl14seA PERMIT NO. S(O�F-�929�I7 DATE PAID: Liq FEE PAID: [� RECEIPT #: [ ] Innovative [ ] TELEPHONE: /77,-?,)G-902? 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: 1101:21� PLATTED: PROPERTY ID #: 3?�}. 2-333 -0o25-per-3 ZONING: A&-tt- I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE:Zi —13— ACRES WATER SUPPLY: V1 PRIVATE PUBLIC [ ]<=2000GPD [ ]n>2n0000GPD IS SEWER AVAILABLE AS7 PER 381.0065, FS? [+_Y /pDISTA2NCE ,TO SEWER: Iy � + FT PROPERTY ADDRESS: 1-I%S 1y01<-ec CViobee- RA DIRECTIONS TO PROPERTY: )T? $-7 DVerre-6bee kkk BUILDING INFORMATION Unit Type of No Establishment 1 Siha�P 16*w il4 z 3 4 (RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: 3 ) f DH 4015, 08/ 9 (Obsoletes previous editions which may not be used) Incorporate 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # DEPARTMENT OF HEALTH PERMIT # 56-SF-1929177 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT If SE1156948 APPLICANT: Donald & Sandra McDonald CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC. LOT: BLOCK: SUBDIVISION: ID#: 3202-333-0025-000-3 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 23.93 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 35895.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2S00 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 800.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: SITE BM SET 1/2" IR & ELEVATION OF PROPOSED SYSTEM SITE 7.00 CLINCHES / FT 1 [ 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: 100+ FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 90 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATTON STTR 1 [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO) FT [ MSL / NGVD 1 SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth 1 OYR 6/2 'Sand 0 To 5 10YR 7/1 Sand 5 To 14 1 OYR 7/2 Sand 14 To 30 1OYR 618 CMN/PRM RF 19 To 27 10YR 5/1 Clay Loam 30 To 56 1 OYR 4/2 Sandy Loam 56 To 63 REFUSAL Refusal 63 To 72 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Pineda sand Munsell #/Color Texture ' Depth 1 OYR 6/2 Sand 0 To 5 1 OYR 711 Sand 5 To 18 10YR 7/4 Sand 18 To 28 1OYR 5/1 Clay Loam 28 To 53 1 OYR 412 Sandy Loam 53 To 61 REFUSAL Refusal 61 To 72 OBSERVED WATER TABLE: 30.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 56 INCHES DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) - REMARKS/ADDITIONAL CRITERIA f determined using USDA WSS and soil borings. 10YR618 CMN PRM RF mottling in a 10YR712 matrix >2% starting at 19" in SB1. 7" below BM, SB2= 8" below BM. SITE EVALUATED BY: � DATE: 03/12/2019 May, Dianna (TiOe: Envirom ntal Supervisor 1) (Florida Department of Health in St Lu DE 4015, 08109 (Obsoletes previous editions which may not ba used) Iucozpozated: 64E-6.001, Me Page 3 of 4 ui o 0 _ In U C M W U (mu ro05 i-i y = :3 ea aQ er I Ocaaa)) uJ jr LL m a ��v�r13 c` Oom MODEL D643-5W-OM TL 3 8R - 2 BA lillllkghh&pDestinyTr I:d.isi a,. LLC I PHONE: 866-782-6600 FAX: 229-873-6620 a�gMPcnRfa9Eae www.Destinyhomebu;lders.com DESTINY TIT L.L.C. — DRAFTING SERVICES DEPT. SALES FLOOR PLAN CL u LLI LL )ma4 4gr 1/6/2009 " " 1600 1-A1 "� - CL ® SCANNED �� y \ BY V St. Lucie County W �O o N c U N 0 05 A= U «. o Co �> rp cEc`aa c O c d 0 W N 'I LL a � C- o ��v�ima�i W 3 Oo� MODEL D843-58D-Nn 3 8R - 2 8A. Destiny LLC PHONE: 866-782-6600 FAX: 229-873-6620 a mm PUM "Dow www.Destinyhomebuilders.com DESTINY L.L.C. DRAFTING SERVICES DEPT. =3 R.W. wwY ROM YOULTRIE. GEOR 31784 mmO 1-EE6-762-tit SALES FLOOR PLAN 2E439TFM I"' e' jW BojM i/B/1009 a " ,BBB - 1-A1 "� - MODEL D6434804)M 3 BR - 2 BA - Destiny IX-0 - 1 PHONE: 866-782-6600 FAX: 229-877-6620 www.Destinyhomebuilders.com DESTINY L.L.C. DRAFTING SERVICES DEPT. 205 R.W. RRYANT ROAD YOOLTME, O[OQGIA 31786 PHONE: 1-666-782— 600 •. nciora aura SALES FLOOR PL21N H m TWEEKINE I 1 m *434 B'.-0T6T Y1O 11/6/mm `R .6m I 1-A1