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HomeMy WebLinkAboutD O H PAPERWORK - APPROVED SITE PLANN STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Existing Modification APPLICANT: Thomas & Mary Osteen PROPERTY ADDRESS: LOT: SCABN�NED St. Lucie Coat 8505 Immokolee Rd Fort Pierce, FL 34951 BLOCK: SUBDIVISION: PERMIT #:56-SF-04595 APPLICATION #:AP1410674 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1225124 OSTDS #:02-0639-N PROPERTY ID #: 1335-230-0001-000-6 [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 [ 900 ] GALLONS / GPD SeDtiC EXistina CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 300 ] GALLONS DOSING TANK CAPACITY [67.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ] D [ 667 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: L ] I CONFIGURATION: [ ] N F LOCATION OF BENCHMARK: Drainfield New SYSTEM N/A SYSTEM STANDARD [ ] FILLED (x] MOUND TRENCH [x] BED [ ] Nail in tree N of I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R [ 28.50 111 INCHES FT ] [ [ 14.50 ] [ INCHES FT ] [ BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT ILL REQUIRED: [31.UU] INCHES EXCAVATION REQUIRED: [ 3e.UU1 1NCBNS 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. Performing Lift Dosing. Drainfield 468 sgft. 199 sgft new DF to be added. must be certified as suitable for distributing sewage effluent. - SPECIFICATIONS BY. Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: col TITLE: Environmental Specialist I St. Lucie CHD Hunter DATE ISSUED: 05/06/2019 EXPIRATION DATE: 11/06/2020 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP14106/4 SE1163997 r 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. „ gal - off Yli�a HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150-NW Milner Dr Port Saint Lucie, FL 34983 rr.56-SF-04595 elLLoocu:56-BID-4151040 CONSTRUCTION APPLICATION 9: AP1410674 ASHTON SEPTIC TANKS, INC. (Resist AMOUNT PAID: $ 350.00 CHECK 26360 PAYMENT DATE: 04/25/2019 MAIL TO: Thomas & Mary Osteen FACILITY NAME : .Mary (Chuck Enns Const/Expired Osteen PROPERTY LOCATION: 8505 Immokolee Rd Fort Pierce, FL 34951 Lot: Block: Property ID: 1335-230-0001-000-6 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - Surcharge (All) 1 $ 15.00 124 - OSTDS Construction Repair or Mod Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 131 - OSTDS Construction Application & Existing System E 1 $ 50.00 130 - OSTDS Construction System Inspection Training Cent 1 $ 5.00 139 - OSTDS Application Approval Existing, No Insp 1 $ 35.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3912386 d -.STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT PERMIT N0.51� J� - 0lS l5 DATE PAID: [I FEE PAID: L ILOO RECEIPT ': TOR APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ 7 Innovative C l Repair [ ] Abandonment C ] Temporary APPLICANT:`` I I�OMUks D'ST�ei ply AGENT: �,sn1fJY�zXfS (,-TW' cy,, aVl� TELEPHoNE:772 -21PgX MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.10$(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: I.MkYi PLATTED: PROPERTY ID #: )335 -7 30` M1-000 10 _ ZONING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: I2.14 ACRES WATER SUPPLY: [V] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 3.8�+1.0065, FS? I Y / © ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 9)SO5 .F whmoy ol-cL- 9 IA DIRECTIONS TO PROPERTY: E505 SwnmAV&,�Lrr BUILDING INFORMATION [V/3 RESIDENTIAL C ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sq£t Table 1 Chapter 69E-6 FAC 1�AWlt 2 3 11�1IGlWS C1�1ALL��CYS 4 [ ] Floor/Equipment Drains [ l Other (Specify) G DATE: Z I SIGNATURE: DR 4015, 08/ 9 (Obsoletes previous editions which may not be used) page 1 of 4 Incorporated 64E-6.001, FAC sc i r r� 4 r r � ' d `v i u STATE OF FLORIDA APPLICATION # AP1410674 DEPARTMENT OF HEALTH PERMIT # 56-SF-04595 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1163997 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Thomas & Mary Osteen CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC. LOT: BLOCK: SUBDIVISION: ID#:1335-230-0001-000-6 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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 12.74 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 19109.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Nall In tree N Of system painted Orange ELEVATION OF PROPOSED SYSTEM SITE 28.50 [ INCHES / FT 7 L 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: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 20 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD 0 mT/1 CTT4 1 JV 1Y USDA SOIL SERIES:Winder loamy sand Munsell #/Color Texture Depth 10YR 4l2 Sand 0 To 12 1 OYR 5/2 Sand 12 To 25 1 OYR 611 Loamy Sand 25 To 51 7.5YR 5/6 MANY/DST RF 25 To 30 7.5YR 516 CMWPRM RF 30 To 45 10YR 6/1 Loamy Sand 51 To 72 SV1L Lnvsauu a USDA SOIL SERIES:Winder loamy sand Munsell#/Color Texture Depth 10YR 412 Sand 0 To 12 10YR 7/4 Sand 12 To 21 I OYR 512 Loamy Sand 21 To 28 7.5YR 411 Sandy Clay Loam 28 To 35 1 OYR 6/2 Loamy Sand 35 To 57 7.5YR 5/6 CMN/PRM RF 35 TO 60 5B 511 Sandy Loam 57 To 67 5B 5/1 Loamy Sand 67 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 35 INCHES L ABOVE / HELOW 1 ... -HIGH RATER TABLE 'VEGETATION: [ ]YES IX]NO MOTTLING: [X]YES I ]NO' [ PERCHED / APPARENT EXISTING GRADE DEPTH: 35.00 INCHES SOIL-TEXTURE/LOADING RATE FOR SYSTEM SIZING-, _ _ Sand/0.60 DEPTH OF EXCAVATION: _ DRAINFIELD CONFIGURATION; P 1 Ta.—..an [XI BED [ ] OTHER (SPECIFY) F.>y"i_s*.EKS/ADDY^'T�-cRITERIA lvtnitr i determined using USDA WSS and soil borings. 7.5YR 516 CMN Prom RF mottling in 1 OYR 6/2 matrix> 2% starting at 35" in S132. S82 28.5" below SM. SB1 21" below BM. Shell/gravel-like material encountered at 40" In SB1 and continued throughout the remainder of the profile. „ SITE EVALUATED BY: 35 INCHES DATE: 04/30/2019 Collier, Hunter (Title: Environmental Specialist 0 (Flonea oepanmem or nealm in w. L 'OH 4015, 08/09 (obsoletee Previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1410674 EID346434 v1.0.2 r STATE OF FLORIDA, DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM . EXISTING SYSTEM AND SYSTEM REPAIR EVALUATION PERMIT 4 V `5lS �nL=CANT: ?horv[�S DSTee.-� � CONTRACTOR / AGENT: q'[�_ _ Y1_ S i L 7f MVICe, Sn c LOT: BLOCK: 1 sDBbly: }, Pr 14/1 IDa: l335-030-off TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EwLOYEE, SEPTIC TANK CONTRACTOR OR OTHER_ CERTIFIED PERSON. SIGN AND SE_:,L AIM SUBMITTED DOCUMENTS. COMPLETE PSL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR NOTE IN REMARKS WHY THE TANKS CANNOT BE CERTIFIED. .EXISTING TANK INFORMATION //J� [ qE j GALLONS SEPTIC TANXjGPD ATII -LEGEND: '['M-0 MATERIAL: &16-� RAFFLED:[Y / N] [ ] GALLONS SEPTIC TANK/GPD ATU LEGEND: C7 D °/S C-61ATERIAT:. RAFFIED:[Y / N] [ ] C-ALLONS GREASE INTERCEPTOR LEGEND: MATazTAL_ GALLONS DOSING TANK LEGEND F '[�Z8�0 MATERIAL: ,7F7C 4 Pubes: [ 7 I CERTIFY THAT THE LISTED TANKS WERE PUMPED ON L�/ / 9 BY prj��,(, j�'%�!j � mm, THE VOLUMES SPECIFIED AS DETERMINED BY [ DIMENSTONS / FILLING Tim, EN5 I, ARE PROF OBSERVABLE DE CTS OR LE S, A AND HAVE [ SOLIDS 1P�EFLECTICfO�N D1E1VICE-/ OUTLET FILTER DEVICE.I INST ED- - J�,LG1,cua�W h1S�'%h �Zpn-Fi[i�i7�1y �_ yx S. OF LICENSED CONTRACTOR BUSINESS NAMD_ DRAINFIRLD INFORMATION r,(iZ 5] SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES [ ] DIMENSIONS: /Z X 3 q [ ] SQUARE FEET SYSTEM NO. OF TRENCHES [ ] DIMENSIONS:. TYPE OF SYSTEM: [ ] STANDARD [ ] FILLED [ ] MOUND [ ] CONFIGURATION: [ ] TRENCH BED [ ] ' DESIGN: ff T HEADER [ ] D-BOX [ ] GRAVITY SYSTEM DCJ DOSED SYSTEM ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION TO EXISTING GRADE I!f— INCHES ABODE /.BBWW] SYSTEM FAILURE AND REPAIR INFORMATION [ 2003 ] SYSTEM INs'TAzzATION DATE TYPE .OF WASTE [DOMESTIC [ I COMMERCIAL [ Zoe) ] GPD ESTIMATED SEWAGE FLOW BASED ON [ ] METERED WATER >4 TABLE 1, 64E-6, FAC SITE [ ] DRAINAGE STRUCTURES [ ] POOL CONDITIONS- [ ] SLOPING PROPERTY [ ] ___ ,--NATURE OF C ] HYDRAULIC OVERLOAD FAILURE: [ ] DRAINAGE / RUN OFF FAILURE [ I SEWAGE ON GROUND SYMPTOM: C -I PLUMBING BACKUP [ ] SOILS [ ] ROOTS [ ] TANK C i [' ] PATIO / DECK [ j MAINTENANCE C 7 WATER TABLE [ ] D BOX/HEADER [ ] PARKING [ j SYSTEM DAbMJGE [ I DRA-INFIELD REMARKS/ADDITIONAL CRITERIA j'� - 513[)yM 4:10 1Z X 11Y f- i @ Cl -SUBMIT'LD BY: 1 A w TI-TLE/LICENSE59QM02_i.% 7 DP'q'E: 7 Zy Olt 4015,-06/09 bsolete previous' editions which may not be used) Incorporated 6=6.001, FAC Page 4 0£ 4 "fiB f �Vl G� ELL PERMIII t 56-SF- Q �l % ADDRESS ' 1 /N �( • $(] MILE I33 DATE ISSUED d JOB CITY LOT �= BLOCK ' EC SUBDIV PoF6G)La- BUILDER OWNER d�GGN MTS & BOUNDS 61 N) TOTAL SQ FEET /RF�6 / COMM / MULTI # BEDROOMS S/T SIZE G 0 SIT SERIES i (Y AEROBIC (Y 49 AGGREGATE ROCK OUTLET FILTER [ D/F SIZE M j BE (FRENCH MOUND 0 / N) DOSIN BAF LO N) INSTALLER too-, INSTALR NOTIFIED / N � DRILLER WELL Pa RMIT # 58- W uu Ifs COaA�� dF SYS LOC (LR LF ClR CF CR) WELL LOC (LR LF LS 'RF/ RR RSS CF CR) PUB EXCAV SIZE ( EXC CE / INSP SYSTEM INSP ( GUTTER / FILL INSP '2 � �' LEGEND p 1� - y TUBOUT ELEV '�� t:: WSWT ems►. �,� D/.5-c���-Ccl Front Elevation Rear Elevation Right Elevation Left Elevation 22'-6' ,4'•0' B'd' I I W I I � I I I I I I I I I I I I I I I I I I I Ji' rr IMiratee WmEow Above L_---�—__ I I i I 4 I I I l y I I I I I I I I I I I 5 I I I I I I I tnI I I I I I I I I I I I I I I I q I m l I I I I I�rl I I r l . Irr l --------- ------------ - .d Foundation Plan Metal Per Milt Spada over 30# Fell base sheet over 6/8" CD) , See Structural I 2 x 4 w/ AI.Fascia & drip Cont. Vented Soffit Attached Per Manufacturer's spec's Stucco Re -bar in concrete filled See structural drawings 12 R-58 Insulation Engineered Trusses Tru Simpson Anchors Bea block Per Structural Con rete lintel Per 1/2" Drywall - /2" Drywall over 3/4" pt furring Insulation-R-4.1 Foundation Plan I Wall Section a uW _ ___—_ �4A - I\ -------------- Pamh I Ic —T ms _ q I I Icy _ s p 4-- -1 I� �,4 I Betlroom I e'4' I n I TI• .4 I I I &I I I I0 I crew Room I I G I I � I w ��• I I I I I I I I AR \\ Pomh F L--------- -- -- ---- • 4•- u'a SCANNED B7 FDOH in St- Lucie County St. ude Count Environmenta(Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS # & Well # Date: n p Reviewer. Revised s yr-1 Project Sheet 1