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HomeMy WebLinkAboutD O H PAPERWORKSt. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: a:56-SF-1968307 BILL DOC#56-BID-4228312 CONSTRUCTION APPLICATION#. AP1419830 RECEIVED FROM: Gentile Corporation AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD 09052G PAYMENT DATE: 06/19/2019 MAIL TO: (Gentile Corporation) SCANNED BY St. Luciecouav FACILITY NAME: PROPERTY LOCATION: 1806 N 47th St Fort Pierce, FL 34947 Lot: 20&21 Property ID: 2406-502-0258-000-6 EXPLANATION or DESCRIPTION: P Block: 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 ejl byj I, c Iq OT 01 UN 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-3992991 ©l eLxeATxoN :# AP14` :9830 STATE OF FLORIDA PERMIT #_56-SF 1.968307 MPAPUMENT OF HEALTH Docuumn it-R1365414 'ONSXTE SERA= TREATbIENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL.APPRDVAL DATE PAID-00/12F2,019'_- S(;FlNN� PEE "a".95.00 BY RECExPYF #156-P104051450 APPLICANT: Gentile Corporation St. Lucie Comb/ AGENT: Gentlie Corpbratfort PROPERTY AuDREss r 186814; 47M St FortPierce, FL 34047 LOT: .20 & 21 HLOCFI Q SUBDIVISION: ID#; 2406-502-0258400.6, TANK INSTALLATION L I toll TAN& SIZE ["11 1090.0.0 [21 .[ 1 [621 TANK. MATERIAL _.Polypropylene - '[ I '1033 OUTLET DEVICE - ] 104J MULTI -CHAMBERED E[ Y N I. I I 3051 OUTLET FILTEg- 'Polylo (_PL-68 - [ 1 [D:61 LEGEND' t 7G443-11EIC4, 1. I. E07-1 -WATERTIGHT C 1 081 LEVEL [ I'. [091 DEPTH TO ,LID DiiamwIE'LD INSTALLATION I [10.1 AREA [17. 339i6- E21 SQET ( J E11.1 DISTRIBUTION BOX .HEADER. X [ 71 [121 NUMBER OF DRAINL'INES 1. 5.00 2. (, :I ,E131 ;DRAINLnM' SEPARATION [ -1 {141 DRAINLINE.-SLOPE ,I 11s1 DEPTH OF .COVER 7 1161, ELEVATION [ ABOVE ( IBM 12:00- C 1 [1?) SYSTEM'LOCATION" [ l [3e) D092xo PUtpS [ I 1191 AGGREGATE SIZE RULE AM MUST BE. SETBACKS [ 1 [273 SDRFACE,WATER, FT C I -12al DITCHES FT I. 1 (291 PRIVATE WELLS 77 PU"'q WELLS EL E 1 [311 IRRIGATION WELLS PT E I [321 POTABLE WATER 26 FT E 1 I331 BDILDINo FOIINDATIONS T FT ( I [34) PROPERTY [ I ,E361 OTHER FM .'PILLED I Momw SYSTEM I 1 1361 DRAINFIELD COVER I =] E371 SHOULDERS [ 1 E3$j sLOPEs' [ 1 1391 STABILIZATION 01/15/2020 ADDITIONAL INFORMATION' [ l [401 'UNOBSTRUCTED AREA E 1 [411 STORMWOXR: RUNOFF E 1 (491 ALARMS. I I E43.1 MAINTENANCE AGREEMIENT, IF 1203 AGGREGATE ERCTSSIVE FINE$ :[ 1 [44].• BUILDING AREA 1 l [231 AGGREGATE DEPTH, 1 .1 C451 LOCATION CONFORMS WITH'SITE, 'PLAN FILL./:ERCAVATI(M MATERIAL; I .I t461 FINAz SITE. GRADING 1 1 [271 PILL AMOUNT I a (471, CONTRnCTOR M(CHAELWST.UHR,(ASHTO [ )' [231. FILL TEBTURE I I E481 OTHER INFILTRATOR QUIck4Plus EQ36 LP E 1 [24] EXCAVATION; DEPTH ABANDONMENT E _I E231 :AREA REPLACED r 'I [491 'TANK _PUMPED 08/2112019 I l [261 REPLACEMENT MATERIAL I :I ISO) TANK CRUSHED 6,FILLED 08/21/2019 CommeaEst-_Cealmente are on page 2. CoN$TROCTIOTI [ APPROV.SD / -St. Lucie CID DATE.- 12/04/2019 DISAPPROVED[ 1 ° Emrtop entaf_Speelalistl[gd .gram (ENVIRONMENTAL HEALTN) FINAL. SYSTEM [_ I/ DFSAPPROVED 1: .. '=""�^'��_ St. Lucie CHD DATE: 0111612020 Environmental Specialist II Q i d Ingram (ENVIRONMENTAL HEALTH) (Explanation o£ ViolatlaR, on foileying page), 6/ DH 4016, 08109 (Obsol'etes all previous editions, which may not Se' usa8) Incorporated; 64E-6.003E PAC, Page .2 of 3 EH Database• k 1:03. AP1419010 EI0190fi307 Violation, Number STATE OF ltoklDA DEPARTMENT OF HEALTH ONSITE SZWAJ= TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION MM.r=AL APPROVAL Comme GxcATxoH #-�AP1419830 aoaerHT #,-:FI1365414 The system Is, sized W2 bedrooms with a.ma)dmum occupancy of.4,persona (Zoerbedropm), for 9 total estimated flow of200 IMENT INSPF-aTION ONLY. S*rpt;mped!qrKfa - b an - doryed properly. an Inspection apOtoved, NeWSTitilhOr', drict Ska lopq BED DP InsWed. No violations, system ok to cover. Contractor phoner. Needs final frispectionfor mound system and final site #radloq. m appmved. Contractor and building department emalled finaPapproval. DH 4016, 08109 (Obsdletes aXI, previous editions wbicb may not be used.) Incorporated, 64H-6.D03, FAC 'Page: 2-of 3 EH Databa e V 1.0.1 AP141983D EuD19GOD7 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56SF-1968307 APPLICATION #:AP1419830 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1242791 SCANNED ,yCONSTRUCTION PERMIT FOR: OSTDS New �1a gg BY/v g, .APPLICANT.:_ (Gentile Corporation) St. Lucie UOUnli/ •?ROPERTY ADDRESS: 1806 N 47th St Fort Pierce, FL 34947 LOT: 20 & 21 BLOCK: P SUBDIVISION: Harmony Heights PROPERTY ID #: 2406-502-0258-000-6 [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 Seotic 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 HRS #Pumps [ ] D [ 250 ] SQUARE FEET Drainfleld New SYSTEM [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: NID in CL of Rd, S property line extended W --I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE t~ L t,' D F 0 T H E R I C 10.00 ] [INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT [ 13.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT ILL REQUIRED: [15.uu] INCHES EXCAVATION REQUIRED: 1 1 im:nr:a The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200 gpd. SPECIFICATIONS BY: .., Brian J!y',IIn�lg�lrasm ,, TITLE: Environmental Specialist II APPROVED BY: YiV\�7CA A A .1 fad' " TITLE: Environmental Specialist I St. Lucie CED Hunter A Collier DATE ISSUED: 07/05/2019 EXPIRATION DATE: p� 01/02/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) �I�� ■=Q+//of 3 Incorporated: 64E-6.003, FAC v [J v 1.1.4 AP1419830 SE1192126 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.56.9 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. +q, STATE OF FLORIDA BY S DEPARTMENT OF HEALTH �4 �u�o .OU�Ono ONSITE SEWAGE TREATMENT AND A O aS' SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: IV New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: [ ] Innovative APPLICANT: Gentile Corporation AGENT: -Gentile Corporation TELEPHONE:954-520-0 548 MAILING ADDRESS: 3160 TURTLE COVE, WEST PALM BEACH, FLORIDA, 33411 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST 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: 20&21 BLOCK: P SUBDIVISION: HARMONY HEIGHTS PROPERTY ID #: 2406-502-0258-000-6 PLATTED: MAR 19 ZONING: RS-4 I/M OR EQOIVALENT: [ No ] PROPERTY SIZE: 0.265 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC IV ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 1806 NORTH 47TH STREET, FORT PIERCE, FLORIDA DIRECTIONS TO PROPERTY: FROM THE INTERSECTION OF ORANGE AVENEUE AND ANGLE ROAD GO NORTHWEST ON ANGLE ROAD TO AVENUE Q. GO EAST ON AVENUE Q TO NORTH 47TH STREET. GO NORTH ON 47TH STREET TO THE PROPERTY ON THE RIGHT. BUILDING INFORMATION IVI RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC 1 SINGLE FAMILY 2 1000 2 3 4 [ ] Floor/Equipment Drains [///�I/]� other (Specify) SIGNATURE: V ✓ "�' DATE: 06/18/2019 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Gentile CONTRACTOR / AGENT: LOT: 20 & 21 Gentile BLOCK: P SUBDIVISION: Harmony Heights ID#: 2406-502-0258-000-6 APPLICATION # AP1419830 PERMIT # 56-SF-1968307 DOCUMENT # SE1192126 6UANNE9 BY St. Lucie County '10 BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MOST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAT FACE PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.26 ACRES TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLE/ / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 650.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT BENCHMARK/REFERENCE POINT LOCATxON: NID in CL of Rd, S property line extended W ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 90 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO) 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD. SnrL PROFIT,R INFORMATION STTR 1. SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Nettles sand • Munsell #/Color Texture Depth 1 OYR 4/2 Sand 0 To 11 WYR 712 Sand 11 To 38 1 OYR 5/8 CMN/PRM RF 27 To 38 1 OYR 4/2 Sand 38 To 43 1OYR 211 Spodic Material 43 To 47 1 OYR 4/4 Sand 47 To 56 1 OYR 514 Sand 56 To 63 10YR 5/4 Loamy Sand 63 To 72 USDA SOIL SERIES:Nettles sand Munsell#/Color Texture Depth 1 OYR 4/2 Sand 0 To 11 1 OYR 7/2 Sand 11 To 38 1 OYR 5/8 CMN/PRM RF 27 To 38 1OYR 4/2 Sand 38 To 43 1 OYR 2/1 Spodic Material 43 To 47 1 OYR 4/4 Sand 47 To 56 1 OYR 5/4 Sand 56 To 63 1OYR 514 Loamy Sand 63 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW]] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 27 INCHES [ ABOVE / BEE ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 27.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) IS REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR 518 CMN Prom RF mottling in 10YR712 matrix> 2% starting at 27"in B1. SB1 10" below BM. SB210" below BM. SITE EVALUATED BY: INCHES DATE: 06/26/2019 Ingram, Brian (Title: Environmental Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1419830 EID1968307 v 1.0.2 4 STATE OF FLORIDA j.. l DEPARTMENT OF HEALTH Qi ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT #. APPLICANT: GENTILE CORPORATION AGENT: GENTILE CORPORATION LOT: 20 AND 21 BLOCK: P SUBDIVISION: HARMONY HEIGHTSinto J�/�1tl1tl�y A PROPERTY ID # : 2406-502-0258-000-6 ( Tax ID Number )t Lucie Comb ] 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: [✓] TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: YES [ ] NO NET USABLE AREA AVAILABLE: 0.265 ACRES _GALLONS PER DAY [ RESIDENCES -TABLE 1/OTHER-TABLE 2 ] _GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: (SITE BENCHMARK TWO) SEE SURVEY ELEVATION OF PROPOSED SYSTEM SITE IS 0.6 [Fr ] [BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 FT DITCHES/SWALES:15 FT NORMALLY WET? [ ] YES [ ] NO WELLS: PUBLIC: 200 FT LIMITED USE:100 FT PRIVATE: 75 FT NON -POTABLE: 50 FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES:10 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: Still, Y1f0!''1LC; 1N1!'UM wxj.ULV bl''xz C MUNSELL #/COLOR TEXTURE USDA SOIL SERIES: DEPTH TO TO TO TO TO TO TO TO TO OBSERVED WATER TABLE: INCHES [ABOVE/BELOW r] EXISTING GRADE. TYPE: [ PERCHED /APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: 05/03/2019 INCHES DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4