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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Leydl Hemandez & Yeimy Cruz PROPERTY ADDRESS: 5402 Hickory Dr Fort Pierce, FL 34982 LOT: 2 PROPERTY ID #: PERMIT #:56-SF-1969308 APPLICATION #:AP1420421 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1242602 BLOCK: 58 SUBDIVISION: Indian River Estates 3402-609-0220-000-0 [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 [ 1,050 ] 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 [ 500 ] SQUARE FEET Dralnfleld New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM Set PK nail . I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D I 0 T H E R [ 27.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 5.00 ][INCHES FT ]I ABOVE BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: [ U.UU] INCHES EXCAVATION REQUIRED: t DO=j 1NUH b 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. SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St, Lucie CHD Hunter A Collier DATE ISSUED: 07/01/2019 EXPIRATION DATE: 01/01/2021 DH A016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1420421 SE1191618 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. OR Igg St. Lucie County Health Department HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: tt 56-SF-1969308 BILL DOC#56-BID-4231514 CONSTRUCTION APPLICATION#: AP1420421 RECEIVED FROM: Leydi Hernandez & Yeimy Cruz AMOUNT PAID: $ 515.00 PAYMENT FORM: CASH PAYMENT DATE: 06/24/2019 MAIL TO: Leydi Hernandez & Yeimy Cruz FACILITY NAME: PROPERTY LOCATION: 5402 Hickory Dr Fort Pierce, FL 34982 Lot: 2 Block: 58 Property ID: 3402-609-0220-00" EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3997079 STATE OF FLORIDA ".� DEPARTMENT OF HEALTH ry*n ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ] New System [ J Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT:. PERMIT NO. 5b-8f -I9U9:i p� DATE PAID: FEE PAID: RECEIPT #: UK)- [ ] Innovative AGENT: �I ilk J TELEPHONE S-7D1(LJ) I15-o-oc p MAILING ADDRESS: �('� ':� (`� ��'l_T�Y t j? k CC FL -3 -Aqq i TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST 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: BLOCK. '� 3 SUBDIVISION: (11j1(, ) Yt�JY�C EPSt_16 PLATTED: PROPERTY ID #: 3403 -(DEA 030 -000 ` 0 ZONING: p,S- I/M OR EQUIVALENT: [ Y`r N ] PROPERTY SIZE: ACRES WATER SUPPLY: [ ].PRIVATE PUBLIC [-1/]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y0 ] DISTANCE TO SEWER: ,n�FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION [J ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design NO Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 1 We lnm� l� Li_ 2 3 4 [ ] Floor/Equipment Drains [ ] Other (.Specify) SIGNATURE: DATE: O DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of � � 3 > dR u ii a d E € A i fl p5 o FDOH in St. Lucie County Environmental- Health., Site Plan Approved for -Construction ' upersedes All Previous Site Plans for Y�"� & Well # elg41 ill I ®a+ I Aka i }, 4 w F"� ip i• "%Gq ; B RyRa ..a :cc. p pp xiip ��.l.I� bE� 1Tr•-^7Tre�7� r EN MEN! F.�cu wquo uut�a om—. vines v[� a su�x¢wswnw xw ,ao N4 wue �ne.°M. a"`me['Wtlw. mia m�m�0i,o• •,"wort. m. , N'rwevr. m [0 a v.uv v wZo . V .YI�.�/ Wiu t�tt.w la [[1m1 g a.'ucarii e[m�[e.n./4's .u.m �yy� kwvi tiwrv[nve.mw..»na[[mWn�en ms�m .w mm[ v K �m[n anrcw mruc n mm Na.mrmm [ffi�d �aam [m m mmF N n.c . � wnrnv�n,..o..ryoow 0 TYPICAL IX RIOR WALL e d F )OTNO 5 ON A5 euN,na [caeo �r-ew.roN..sw.l..0 o C w . C Mx-nNM .Nnp.w >, f6 o» a� UC: af) U F j.O. -0O O J C 'O rj O N N > AREA TA6NLATON CO C 0 CL TWG: 0.53R 50. Fl. GARAGE an 50, FT. EN1RT C O OL Q L PORCH: 55 50. FT. LANAI: ]35 iUTAL: 4366 50. Fi. O � In W PRELIMINARY 'FOR .L d y REVIEW ONLY N=, n FAMILY RDOM Eg 2-CAR GARAGE ��J STATE OF FLORIDA APPLICATION # AP1420421 DEPARTMENT OF HEALTH PERMIT # 56-SF-1969308 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1191618 APPLICANT: Leydi Hernandez & Yeimy Cruz CONTRACTOR / AGENT: LOT: 2 BLOCK: 58 SUBDIVISION: Indian River Estates ID#: 3402-609-0220-000-0 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: [X]YES [ ]NO TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM set NET USABLE AREA AVAILABLE: 0.23 ACRES [ RESIDENCES-TABLE1 / OTHER -TABLE 2 ] [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT ELEVATION OF PROPOSED SYSTEM SITE 27.00 [I INCHES I/ FT ] [I ABOVE I/ BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 66 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 45 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOI 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Lawnwood sand Munsell#/Color Texture Depth 1 OYR 3/1 Fill - Sand 0 To 25 1 OYR 411 Sand 25 To 36 1 OYR 5/1 Sand 36 To 49 1OYR 211 Spodic Material 49 To 56 7.5YR 3/3 Sand 56 To 68 1 OYR 2M Sand 68 To 72 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 1 OYR 3/1 Fill - Sand 0 To 25 1OYR 4/1 Sand 25 To 47 1 OYR 5/1 Sand 46 To 50 1OYR 2/1 Spodic Material 50 To 63 7.5YR 3/3 Sand 63 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 46 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 46.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 63 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r- REMARKS/ADDITIONAL CRITERIA SWT determined using USDA WES and soil borings. 10YR 5/1 stripping in IOYR 411 matrix> 10% with diffuse boundaries starting 46" in SB2. S82 27" above SM. SB1 29" above BM. SITE EVALUATED BY: Collier, Hunter (Title: Environmental Specialist 1) (Florida Department of Health in St. L DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 06/27/2019 Page 3 of 4 AP1420421 EID1969308 v 1.0.2 County r......................................................, LEFT ELEVATION -9AR ELEVATION RIGHT ELEVATION PRELIMINARY FOR REVIEW ONLY C EXTERIOR ELEVATIONS n¢v�soHs s _ h I CRUZ RESIDENCE ^ , aog�omw •co rrr+ a aid§'8d6aggl d�d�A 999999 4¢ lueou��®®�a.. 3 g d§ ¢ s� E� 2 Yl F K' '� y j m d ss A� 6 0 Lg 00 de SR fi �o {=OWN b pe +?a s a ¢gp g Fe € 8 s ul S R ( E �gCg 4x Fd p@@ 6g a p$ P5 FOR R "R Fa a� a �L a A yea a as An P_;5+ gin .-A k o oil. �o �m a � A�� A as n D 55 y fig^ A ��}j$ p{C3mp p{�1pA. y{'/�^�®QS� Fn Ai £•geC_FR D P F I I ; FT\ !l", _� % --- ; -fie• _ � 1 r 1 r r ' I 1 1 11- ___�_ _� I �'' r I I' II zm 5 3 D ZK r j FDOH in St. Lucie County Environmental"Health Supersedes All Previous Site Plans for OSTDS Reviewer: ELECTRIC LOAD CALLS IENMEC Sn (0Pu miml xnw nrKn•o+ ELECTRICAL SYMBOL LEGEND 6 s ua �O XL n®,�pp(�r z�//JJ e BYTE. 9� oa ABOVE GROUND ELECTRICAL RISER �eonm v. � ns[ s ew[ wrc[ xo scar & Well # UNDERGROUND ELECTRICAL RISER �mnm.. i rw.sc � ear umv xo our PRELIMINARY FOR REVIEW ONLY FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS #S - -- 3 & Well # Date: -1 Reviewer: 146 PLUMBING RISER DIAGRAM MECHANICAL PLAN