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HomeMy WebLinkAboutD O H PAPERWORKti 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