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Home My WebLink AboutD O H PAPERWORK1 APPLICATION #:AP1394664 �` STATE OF FLORIDA PERMIT #:56-SF-1919301 v ,� '� DEPARTMENT OF HEALTH y ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI1307820 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:01/25/2019 0``coA era FEE PAID•515.00 �qp OAA S I RECEIPT #:56-PID-3849284 APPLICANT: Girard Ciufo AGENT: Steven Marshall PROPERTY ADDRESS: 10240 Carlton Rd Port Saint Lucie, FL 34987 SCANNLU by LOT: BLOCK: St. Lucie County SUBDIVISION: ID#: 4210-223-0001.000-9 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR ROLE AND MUST BE CORRECTED. TANK INSTALLATION [01] TANK SIZE [1] 1090.00 [21 [021 TANK MATERIAL Polypropylene [031 OUTLET DEVICE [041 MULTI -CHAMBERED [ Y N ] [051 OUTLET FILTER Polylok PL-68 [06] LEGEND 1. 70-143-11DC3 [071 WATERTIGHT [081 LEVEL [091 DEPTH TO LID DRAINFIELD INSTALLATION [101 AREA (17 679.2 (21 [111 DISTRIBUTION BOX [121 [131 [141 [15] 116] [171 [18] 1191 1207 [211 NUMBER OF DRAINLINES DRAINLINE SEPARATION DRAINLINE SLOPE. DEPTH OF COVER ELEVATION [ ABOVE SYSTEM LOCATION DOSING PUMPS AGGREGATE SIZE R3 SQFT _ HEADER X 1. 6.000 2. / aELOW ]BM 6_00 AGGREGATE EXCESSIVE FINES AGGREGATE DEPTH I 7 SETBACKS [271 SURFACE WATER FT [281 DITCHES 100 FT [291 PRIVATE WELLS 100 FT [301 PUBLIC WELLS FT [311 IRRIGATICN WELLS FT [321 POTABLE WATER 117 FT [331- BUILDING FOUNDATIONS 6 FT [341 PROPERTY LINES Bo FT [351 OTHER FT FILLED / MOUND SYSTEM [361 DRAINFIELD COVER [371 SHOULDERS [ ] [381 SLOPES [ ] [391 STABILIZATION 07/09/2019 ADDITIONAL INFORMATION [ ] [401 UNOBSTRUCTED AREA [ ] [411 STORKWATER RUNOFF [ ] [421 ALARMS [ ] [431 MAINTENANCE AGREEMENT [ ] [441 BUILDING AREA [ ] [451 LOCATION CONFORMS WITH SITE PLAN [ ] [467 FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ ] [221 FILL AMOUNT C 1 [471 CONTRACTOR MICHAEL W STUHR(ASHTO [ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP [ ] 1241 EXCAVATION DEPTH ABANDONMENT [ ] [251 AREA REPLACED [ ] [491 TANK PUMPED [ ] [261 REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED S FILLED Comments: Comments are on page 2. CONSTRUCTION I APPROVED / St. Lucie CHU DATE: 05/09/2019 DISAPPROVED 1: Envlro mental Specialist ll A' Jingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ AppROVEn / DISAPPROVED ]: St. LOCie CHD DATE: 07/09/2019 vironmental Specialistl Tian J Ingram(ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DH 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 AP1394664 EIDIO19301 STATE OF FLORIDA 1- a DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Violation Number Comment eta APPLIcATIDx #:AP1394664 PERMIT #:56-8F-1919301 DOCUMEM #:FI1307820 DATE PAID:01/25/2019 FEE PAID:515.00 RECEIPT #:56-PID-3849284 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, filter, and 6x10 long DF installed. No violations, system ok to cover. Contractor notified by phone.. Needs final inspectionfor potable line setback, building. foundation set back,.. mound system, gutters?, and final site grading. Final system approved. Contractor, building department, and homeowner emailed final approval. DH 4016, 00/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 0£ 3 EH Database v 1.0.1 AP1394664 EID1919301 `.,. STATE OF FLORIDA DEPARTMENT OF HEALTH ORBITS SEWAGE TREATMENT AND DISPOSAL SYSTEM OON$TNUCTIOW VOMIT FOR? 06TOS New APPLICANT: Girard ClufO PROPERTY =ones: 10240 CFrltan Rd Part Saint Lucie, FL 34987 LOT: ELOCE4. SUBOTVISION: FRRMZT P166-$F-1919301 APPLICATION O, AP1394664 DATE PAID, no PALS: AEQEIv7 N: Cocu DINT d t PR1201627 (SECTION, TOWNSUIP, RANGE, PARCEL NGL'ERI PROPERTY ID. 0: 4210-223•CSB1-OQO-B JOB TRY ID WOLMER) SYSTEM maw BE CONSTRUCTED IN ACCORDANCE WITH a"CIFICATIONe AND SIMONSON of SECTION es1.00e3, F.S., AND cNAPTER G4E-6, S.A.C. DEPARTMENT APPROVAL., OF SYSTEM DOE$ NOT GMA)U470E SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIMD ANY GRANGE IN MATERIAL FACTO, WHICH SERVED AS A MOIO FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS NAY RESULT IN TDIE PERMIT BEING RARE DOLL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT FOREST THE APPLICAN@ PROM CpNPLIANCE WITR OTAER FADAAAL., STATE, OR LOCAL PERRITTING REQUIRED FOR D£VELOPMSNT-OF THIS PROPERTY. UNION DasIGN Am SPECIFICATIONS T t 1.00 1 GALLONS ! Opp Septic new CAPACITY A [ I gamms / am NIA CAPACITY N [ 1 GALXOMQ OREASE INTERCEPTOR CAPACITY (ImYIN CAPACITY SINGLE TANE.I 2250 0ALTOV01 R [ 1 GALLONS DOSING TAKE CAPACITY ( IGALLONS a[ ]DOSES PER 24 RRS #P=Pa D [ 600 1SQUARE PORT DmInfield now SYSTEM R [ 1 aQOARR FEET NIA SYSTEM' A TYPE SYSTEM: ( I STANDARD [ I FILLED 1Yj NOUNS I J I COWFIGUAATxm: [Y1 TRENCH I I DEB [ I N F LOCATION BY asmoeNARY: site BM yellow OFppedlR W of $yet= I ELEVATION OF PRUPOOED SYSTEM FITS t IRO ]31 N US PT }[ABOVE 0L HENCHIAM/REFEPENCE POINT E BOTTOM OF ➢RAINFIELD TO BE ( B•00 I[ TNC 8"FT1'I .ABOVE BELOW IDENCHNANN/BEEERENCE-POINT maximum occupancy -Of S persona (2 perbedroom),.fare totet estimated flow of SRCDIFICATION9 BY: Brian J In 4 m TSTAZi BhmirOe:meetal SDevialiet II APPROVED By """'�--TI@LEx Eaviconmental 68naieliab Iy St.Lucia CBD adua T InA DATE wsnll)i 02/08/2015 EXPIRATION DATE: 04/002020 DO 4016, 09/09 (OMeolhtoa all Pcevioua eeitiane which may not he used) IncarPoratedl 64E-6.003, FAC Page I of 3 v L,L-4 AR1394664 Se1161346 - }� SCANNED BY St. Lucie County NOTICE OF RIGHTS A party whose substantial Interest Is affected by this order may petition for an administrative hearing pursuant to. sections 120.559 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 Clark Is 4052 Baid'!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 subin4 a petition for hearing withln 21 days from receipt of thls'orderwill constitute a walyer of your'right to an administrative hearing, and this order shall become Wfinal order'. Should this order become final order, a parry Whgis adveimely,aHected by it Is entitled to judicial review pursuant to Section 120,68, Florida Statutes. Review proceedings are governed by the Florida Rulea of Appellate Procedure. Such proceedings may be commenced by filing one copy of Notice of Appeal with the Agency Clerk of the Department of'Health and a second copy,. accompanied by the fling 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. STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM ® APPLICATION FOR CONSTRUCTION PERMIT PERMIT NO. rTSF, q I9 PI DATE PAID: S I FEE PAID: 5] o RECEIPT 0: ?.10 APPLICATION FOR: (j 7 Now System [ I Existing System [ 1 Holding Tank [ 1 Innovative [ ). Repair [ ) Abandonment [ ] Temporary [ ] APPLICANT: Girard Clufo AGENT: Staved Maul uII PSM TELEPHONE; 772,940.1382 MAILING ADDRESS: 10240CARLTON ROAD, PORT ST. LUCIE,.FLORWA 34987 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED. AGENT. RYSTEHS MVST NE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 4S9.552, FLORIDA STATUTES, IT IS THE APPLICANT'S REBPONSIBILITX TO PROVIDEDOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MN/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: NA BLOCK: NA SUBDIVISIONI NA PLATTED: No PROPERTY ID p: PARCEL WN0.4210.223-0001.000.9 ZONING: AG-5 I/H OR EQUIVALENT: [ No 1 4.4 PROPERTY SIZE: +/-10 ACRES WATER SUPPLY': [,(] PRIVATE PUBLIC [ ]5=2000GPD.I 7>2000GPD IS SEWER AVAILABLE AS PER 301.0065, FSY [ No. I DISTANCE TO SEWER: NA FT PROPERTY ADDRRSS+ 10240 CARLTON ROAD, PORT ST. LUCIE, PLORWA 34987 DIRECTIONS TO PROPERTY; SW on Glades .Cutoff .Road . in Saint Lucie Co. to Carlton Road. Two right. Proceed+/- 2 miles north to subject prepedy on right. BUILDING INFORMATION [ I RESIDENTIAL [ I COMMERCIAL Unit Type of No- of Building Commercial/IneC#tutional System Design No Establishment Badroome Area.. Scift Table 1, Chapter 64E-6, FAC 1 Single Family Residence (4— o2,cj(eD . 2 3 4 f ) Floor/Equipment Drains [ 7 Other (Specify) SIGNATURE: Z— Ln�� DATE: OR 4015, 06/.9 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 4 - STATE OF FLORIDA APPLICATION 8 AP1394664 DEPARTMENT OF HEALTH M,,,IT P 56.SF•1919301 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM pocmreNm ASE11$1343 SITE EVALUATION AND SYSTEM SPECIFICATION A n APPLICANT; Girard Clufo coweAcTOR / aursa T: Steven Marshall LOT: BLOC&:.. SUSDrvIeTOE: IDS: 4210-223-004L0 TO AS CONIVISTED PI ENOII9EUR, ==I". DERMTDNFP EMPLOYEE, OR OTHER QOALISIEO PERSON. ENGINUMS met PROVIDE REGISTRATION NDDPER AND 9;GN AND am EACH PAGE OF SUetaITTAL, OOMPLETE ALL ITEMa. PROPERTY SIZE CONFOAHS TO SITE PLAN: IX ]YES [ IND NET CRABLE AREA AVAILABLE: 9.40 ACRES TOTAL ESTIPATED MWASE FLOW: 400 GALLONS PEA DAY [ A➢SIDEN¢S+TABLE} '/ 9M- R-TABLE 2 I AUTIMRISEII SEWAGE FLOW: 14100.00 GALLONS PER MY IF 1500 GPD/ACRE OR 2509. GPD/ACRE I UNOBSTRUCTED AREA AVAILABLE: 4500.00 SQFT OROBSTRUCTEO AREA REQUIRED: 1000,00 aQFT BENCHMIIRX/REFEPENGS POINT LOCATION: Site BM allow C8 d IR VV Of S stem ELEVATION OF PROPOSED SYSTEM SITE 1.00 I igs / PT I I ABOVE / BWOW I BENCWOSiR/RBPAPENCU POINP THE MINIMUM SISMACII MICH CAN EE MAINTAINED SHOW THE PROPOSED SYSTEM TO TEE PTILIOWING MATVRES SURFACE WATER: FT DITCHES/SWALE9, FT NORNALLY WET: [ ]YES [XINO WELLS: PUBLIC: FT LIMITEO CEO:_FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING ;OUNOATIONSI $ PT PROPERTY LINE31 92 FT POTABLO WATER LINES: S$ FT SITS MancT M FREQOENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? r IMS [XINOI 10 YEAR FLOOD ELEVATION FOR SITE.: FT[ MSL / NGVD I SITE ELEVATION; PT [ MSL / NGVD SOIL PROFILE SNFORHATSON SITE 1 SOIL PROFILE INFORMATION SITE 2 CEDA SOIL seAICBIPineda Wend Munaell b/Color Texture Depth 10YR4/2 Sand OTn.14 IOYR6/0 Send 14 To 26 10YR712 Sand 28 To 36 1OG5/l Loamy Sand 35T040 100611 Sandy Clay Loam 40 To 61 HOLE CAVING Refusal 61 To 72 USDA SOIL SERI➢9:PLnedo sand Munsell AlColor Texture Depth 10YR 82 Send 0To 17 t0YRW Sand 17 To 24 VYR511 CMN/PRM RF 17 To 24 f0YR614 Sand 24 To 41 1013 611 Sandy Loam 41 To 44 10G 6/1 SandYClay Loam 44 To 05 100511 Loamy Send 55 To 63 HOLE CAVING Rafoal 63TO 72 OBSERVED WATER TABLE: 19,00 INCHES [ ABOVE / AELpW) EXISTING GRADE TYPO: [ PERCHED / APPARENT 1 ESITIASE, WET SOURS1 WATER TABLE DLL9ISxoW: 17 zwCRF.S [ "an / BBLON ] EXISTXNU GRXRN HMR WATER TABLE VRGLTAT;CN: [ Me [XINO MOTTLING. [XIMS [ IND DEPTH: 17.00 1NCHES SOIL TEXTURE/LOADING RATE FOR, SYSTEM SIZING: Sandl0.00 EEPTE OP EXCAVATION: INCR84 . DRAiNIM34, CDNFIGUPARION: [X I TAMc11 [ 3 ZED [ I OTHER (SPECIPY) IREHARRS/AODSTIONAI. CRITERIA sSiVS1 ay:70 .11nod ua1n: USOA WSS and soil borlays. 0YR5/8 CMN PROM RF moNllnB In 10YR4/2 matrix>2% suiting at 17" In S➢L 4" balnw SM. SS2 la below M. a1= EFAIJOWESD at, DATE: 02/01/2019 I"an,aden[TINB mlt0rvneniNSPe?16116110 (ENVIRONMENTAL NPAITNI DR 4015, 00/09 IOpeele0ae PiW9ou6 e4ltien4 aNe 6 not M Vac41 xnceiporAKO, 64E-6.001{ 9?NC PaVe 3 OE 4 AP1304664 WD1919001 a1.0A PI I I NW CORNE SECTION 1 —37-3B FOUND 1/ ' IR & CAP NO ID I M b 50.03 1 FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes AIIPrevious.Site Plana for 08T 'S 5� SF-19193v1 & WeA N 2 !o 1 LEGEND: BM = BENCHMARK CL = CENTERLINE COV. = COVERED IR = IRON ROD ID = IDENTIFICATION PSM = PROFESSIONAL SURVEYOR MAPPER SQ.FT. = SQUARE FEET OHL = OVERHEAD ELECTRIC AND UTILITY WIRES WUP = WOOD UTILITY POLE SET IR & CAP PSM 6376 SITE BM i U m SET IRON ROD & CAP PSM j9377`�r�8-l1I\Q_\\` r II EI.EV� \I N I Q f w 0 rye/ � \ 285.61' CROCK DRIVE — - rc F I �� EXI5TIN WELL R A I id W MNO SET 9AM LINE YI�pI.FIm�® Ay. 9� two Ro NORTH OF THE NW NORTH 1/2 OF THE SOL ti� OF THE NW 1/4 OF LESS THE WE: 9.399 Ar