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Home My WebLink AboutD O HSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED BY st. Luce County PERMIT #:56-SF-1973299 APPLICATION #:AP1422845 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1244985 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Brooke and Anthony Revels PROPERTY ADDRESS: MOCO Ln Fort Pierce, FL 34945 LOT: 1 BLOCK: 5 SUBDIVISION: Jay Gardens PROPERTY ID #: 2311-601-0068-000-0 [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 [ 900 ] GALLONS / GPD SeDtic 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 [ 375 ] SQUARE FEET Dfainfield New SYSTEM R [ ] SQUARE FEET - N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED[i2] MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED N. _-...._... - F LOCATION OF BENCHMARK: Site BM No. 1 Double P.K. Nails in Pine tree I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: r18.001 D T H E R [ 15.00 ] CLINCHES FT ] [ ABOVE A BELOW BENCHMARK/REFERENCE POINT [ 15.00 ) [I INCHES `FT ] [ ABOVE A BELOW h BENCHMARK/REFERENCE POINT system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9pd. SPECIFICATIONS BY: Hunter ACol lier - TITLE: Environmental Specialist APPROVED BY: TITLE: Envirdnmental Specialist I Hunter A Colliez _ DATE ISSUED: 07/19/2019 EXPIRATION DATE: DH 4016, 06109 (Obsoletes all previous editions which .may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1422895- SE1194274 I St. Lucie CHD 01/18/2021 Page 1 of 3 i 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 y#thin,.21_days from, receipt of thisorder 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. v " .}STATE OF FLORIDA ,DEPARTMENT OF HEALTH Gpe ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM =" .APPLICATION FOR CONSTRUCTION PERMIT PERMIT DATE PAID: FEE PAID: i572/5-vo RECEIPT it: ek— /e05'3 APPLICATION FOR: '" C New System C ] Existing System I ] Holding Tank I [ ] Repair [ ] Abandonment [ ] Temporary [ APPLICANT:+X Ko AGENT:X MAILING ADDRESS: Innovative TELEPHONE : fe %? 3 �40 7 2.2.3 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 /INFFORMATION /�(] LOT: BLOCK: -05'� SUBDIVISION: �. 1� �44 S PLATTED: PROPERTY ID ([: °C511-1401_mAg 0 O-Q ZONING: n�_� I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: d,9 a ACRES WATER SUPPLY: [>C]-PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y'/ I�] DISTANCE TO SEWER: FT PROPERTY ADDRESS: xoc Q DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ 'RESIDENTIAL � [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area,S� Table 1, Chapter 64E-6 FAC I 3 4 [ ] Floor/Equipment D ns [ Other (Specify) SIGNATURE : / DATE: 71 (7 �_ % 7 DIi 4015, 08/09 (Obsoletes previous editions which may not be used)' Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDAi DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND:.DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Brooke and Anthony Revels APPLICATION # AP1422845 PERMIT # 56-SF-1973299 DOCUMENT # SE1194274 CONTRACTOR / AGENT: Pace 2000, Inc LOT: 1 BLOCK: 5 SUBDIVISION: Jay Gardens ID#: 2311-601-0068-000-0 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 NET USABLE AREA AVAILABLE: 0.21 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLON S•PER,DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 315.01 GALLONS PER,DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM No:'1' Double P.K. Nails.in Pine tree ELEVATION OF. PROPOSED SYSTEM SITE 15.00 [ 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:. 38 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: _95 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 80 FT SITE -SUBJECT TO FREQUENT FLOODING? [ ]YES JX]NO 10 YEAR FLOODING? [ ]YES [X]N O1 10 YEAR FLOOD ELEVATION FOR SITE: - FTll.MSL./'NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 .. .. SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Nettles Munsell #/Color sand Texture Depth 1OYR 5/1 Sand 0 To 24 10YR 611 Sand 24 To 33 10YR 7/1 Sand 33To 40 7.5YR 3/3 Loamy Sand 40 To 46 10YR 4/3 Sandy Loam 46 To 51 1 OYR 512 Sand 51 To 64 1 OYR 6/2 Sand 64 To 72 USDA SOIL SERIES:Nettles sand Munsell#/Color Texture Depth 1OYR 5/1 Sand 0 To 18 '10YR 6/2 Sand 18 To 25 1 OYR 7/2 Sand 24 To 37 .1 OYR 3/2 Spodic Material 37 To 46 10YR 4/2 ' - Sandy Clay Loam 46 To 56 1 OYR 5/2 "' Sand 56 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] •'. EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ABOVE / BEE ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES' [X]NO ;� MOTTLING: [X]YES [ ]NO DEPTH: 24.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/ DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [. ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR 712 stripping in,10YR-6/2 matrix> 10%with diffuse boundaries starting at 24" in S132. SB2 15" below BM. Sal 13" below BM. - I tv t SITE EVALUATED BY: Collier, Hunter (Title: Environmental Specialist 1) (Florida Department of Health In St. L DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E4.001, FAC 56 INCHES DATE: 07/17/2019 Page 3 of 4 AP1422845 EID1973299 v 1.0.2 � E W m� STATE OF FLORIDA PERMIT 1k. DEPARTMENT OF HEALTH i ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: .ar��'I- '"�`hn � ReVPIS AGENT A �bCe- 2000, I[)C,. LOT: �jrri/�� L.�� BLOCK:_ SUBDIVISION:.^�R S PROPERTY ID #:"23 I - u�� " �� " l.. [ S• ctioll;ownship/Parcel No. or Tax ID Number ] '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 P [ ] YES""' ]''I NET USABLE AREA AVAILABLE: 7P ACRES TOTAL ESTIMATED SEWAGE FLOW: 't0 _GALLONS•PER'DAY ,[RESIDENCES-TABLEI/OTHER-TABLE2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ I500'GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 'yn SQFT-/7p' UNOBSTRUCTED AREA REEQUIRED: C 0'0 SQFT BENCHMARK/REFERENCE POINT LOCATION:-` J" i &Iqn AA 4 ,4/ J-LI� � J ELEVATION'OF PROPOSED SYSTEM SITE IS [INCHES/FI' ] ABOVE/DE, LQ�W '] BEN HMARK/REFERENCE ��POO'IRT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM ;THE -PROPOSED SYSTEM TO THE FOLLOWING FEAT'ULyeS SURFACE WATER:�_FT DITCHES/SWALES: -j7 FT NOR�VALLY WET? [ I YES ��//] NO WELLS: G FOUNDATIONS: LIMITED USE:. 42 Q FT PR�TE:�FT NON-POTABLE:60 FT BUILDING FOUNDATIONS: �Q f FT PROPERTY LINES:D_FT POTABLE WATER LINES:-z2F-FT SITE SUBJECT TO FREQUENT FLOODING:, [ ] YES-•Xl NO 10 YEAR FLOODING? [ ] YES I ] NO 10 YEAR FLOOD ELEVATION FOR SITE: .'FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD >UIL r.KUN'ILE INFORMATION SITE 1 9AULYOZ:L rr/ UULUR TEXTURE - DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: USDA SOIL SERIES: I1VLN J1Tz Z TEXTURE DEPTH V TO TO TO TO TO TO OBSERVED WATER TABLE: INCHES [ABOVE/BELOW' '] EXISTING GRADE. TYPE:[ PERCHED /APPARENT ] ESTIMATED NET SEASON WATER TABLE ELEVATION: - • INCHES [.ABOVElBFLOW ] 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 CRIP�RIA: SITE EVALUATE 'l;�/�-/-//c��/�� l/��s�7y� DATE: DH 4015, 12/11 (Obsoletes Previous, editions which may not be used) Incorporated: 'i64E-6.001, FAC INCHES 3 of 4