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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
PERMIT #:56-SF-1578486
APPLICATION #:AP1170641
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR969973
CONSTRUCTION PERMIT FOR: OSTDS New SCANNED
BY
APPLICANT: (Standard Pacific Of Florida GP, Inc.) St- i _[ inioPirni [nt;---
PROPERTY ADDRESS: 3037 NW Radcliffe Way Part St Lucie; FL 34953
LOT: 43 BLOCK:
PROPERTY ID #: 4425-7030-0048-000-3
SUBDIVISION: Riverbend
[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 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 [ 1,200 ] GALLONS / GPD Septic 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 SHE #Pumps [
D [ 575 ] SQUARE FEET Drainfield SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND
I CONFIGURATION: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: orange paint spot on top of drainage manhole SW corner of Lot 13-BM 6' Elev ctrof
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D
O
T
H
E
R
[ 23.00 ] I INCHES FT ] [ ABOVE BELOW
123.00 ] I INFT ] [ABOVE BELOW
a, MliWuI1t6U: L 10.UUJ INCHES E uay '1'IUN M Wulmu: 1 1 INCHES
ie system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow
460 gpd.
ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
64E-6.013(3)(f), FAC.
I DF 4'1"
POINT
POINT
SPECIFICATIONS Chantele o s TITLE: Environmental Specialist II
APPROVED BY: Environmental Specialist II St. Lucie CHD
Chentele Potts
DATE ISSUED: 01/07/2015 EXPIRATION DATE: 07/07/2016
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1170641 SZ947131
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
Y
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 # A02, Tallahassee, Florida 32399-1703. The
Agency Clerk's facsimile number is 850-410-1448.
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
v 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.
r
1,.,i lsa3-oy67
1
STATE OF FLORIDA
DEPARTMENT OF HEALTH
it
ONSITE SEMGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
I
APPLICATION rE:AP1170641
PERMIT n:56-SF-1578486
DOCUMENT a:F11029031
DATE 2AxD:12/31/2014
FEE PAID:515.00 -
RECEIPT n:56-PID-2589555
APPLICANT: Standard Pacific Of Florida GP, Inc.
I,c 1T: Dave Fowler (CulpepperBTerpening, Inc) SCANNED
PROPERTY ADDRESS: 3037 NW Radcliffe Way Pod St Lucie, FL 34953 RY
DT: 43 BLOCK: St. Lucie County
ID4:
CHECKED (XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MOST HE CORRECTED.
TANK INSTALLATION
SETBACKS
I 1
[011
TANK SI2E [17 750.00 [21 750.00
[
1
1271
SURFACE WATER 100
FT
[ 1
1021
TANK MATERIAL Concrete
[
I
[287
DITCHES
FT
[ )
[031
OUTLET DEVICE
[
3
[293
PRIVATE WELLS
FT
(. 1
[041
MULTI -CHAMBERED L Y N
[
1
(301
PUBLIC WELLS
FT
[ 3
[051
OUTLET FILTER POlylok PL-68
[
3
[317
IRRIGATION WELLS
FT
( 1
(061
LEGEND 1. 28-015-01SC3 2. 28-015-01SC3
[
3
[321
POTABLE WATER
FT
[ 3
[073
WATERTIGHT
(
1
[331
BUILDING FOUNDATIONS 7
FT
[ 1
1083
LEVEL
[
3
[343
PROPERTY LINES 12
FT
[ 1
[093
DEPTH TO LID
[
1
1351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUFID SYSTEM
[ 1
[103
AREA [13 577,32 121 SQFT
(
1
[361
DRAINFIELD COVER
[ 3
[111
DISTRIBUTION BOX HEADER x
[
3
(371
SHOULDERS
[ 1
[121
NUMBER OF DRAINLINES 1. 3.00 2.
(
1
[381
SLOPES
[ 1
[131
-DRAINLINE SEPARATION
[
3
[393
STABILIZATION 12%1012015
[ 1
[141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ 1
(161
ELEVATION [�/
BELOW IBM 24.00
[
3
[401
UNOBSTRUCTED AREA
[ 3
(171
SYSTEM LOCATION
(
I
[417
STORMHATER RUNOFF
[ 1
[181
DOSING PUMPS
[
1
[423
ALARMS
[ )
(191
AGGREGATE SIZE
(
1
[433
MAINTENANCE AGREEMENT
[ 3
[201
AGGREGATE EXCESSIVE FINES
(
1
(443
BUILDING AREA
[ 1
[211
AGGREGATE DEPTH
(
1
[453
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
L
3
[461
FINAL SITE GRADING
[ 3
[221
FILL AMOUNT
(
1
[471
CONTRACTOR Bdan Davis(BOan Dads Sep
t 1
1231
FILL TEXTURE
(
3
(481
OTHER INFILTRATOR Ou1dc4 Plus E036 LP
[ 1
[241
EXCAVATION DEPTH
ABANDONMENT
[ 1
[251
AREA REPLACED
L
1
[491
TANK PUMPED
[ 3
[263
REPLACEMENT MATERIAL
(
1
[501
TANK CRUSHED 6 FILLED
Commants:
Commants are on page 2.
CONSTRUCTION
I APPROVED / DISAPPROVED 1:
St. Lucie CHU
DATE: 10109MO15
ant
E&Ironm Spec I Bruns ingnnn(ENVI
ENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED 1:
St Lucie CHU
DATE: 12/102015
nv. e r aeon pe ento In
In t LUCIO County)
i(Explanation of violations on £ollovin9 Polls)
!DR 4016, 08/09
(Obsoletes all previous editions which my not be used)
iIncorporated:
64E-6.003, PAC
Page 2 of 3
Ell Database r 1.0.1 AP1170641 F OIS78466
Aei1�i STATE OF FLORIDADEPARTMENT OF HEALTH
.& ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL.
Violation Number Comment
APPLICATION 1t:AP1170641
PEM11T n:56-SF-1578486
DOCOWNT a:F11029031
DATE PAxn:12/31/2014
FEE PAm:515.00
RECEIPT p:56-PID-2589555
he system is sized for 4 bedrooms with a maximum occupancy of S persons(2 per bedroom), for a total estimated flow of 460
pd.
o Violations, system OK to cover. Contractor notified onsite. No final needed.
od and gutters ok
emailed final: to SLC building -and builder
4016, 08/09 (Obsolotes all previous editions which may not be used)
orporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1170641 E101578486