HomeMy WebLinkAboutONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEMC
w
RECEIVED
I q66- 0Lr7a
NOV 0 5 2011
STATE OF FLORIDA Permitting Department
DEPARTMENT OF HEALTH St. Lucie county
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Adobe
AGENT: All County S
PROPERTY ADDRESS:
LOT:
SCANNED
BY
7180 S US Hwy 1 Port Saint Lucie, FL 34952
BLOCK:
APPLICATION #:AP1416266
PERMIT #:56-SF-1952718
DOCUMENT #:FI1351289
DATE PAID:05/28/2019
FEE PAID-515.00
RECEIPT #:56-PID-3954769
SUBDIVISION:
LD#: 3422-123.0001.000.0
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR ROLE AND MOST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1537.00 I22 1090.00
[
1 [271
SURFACE WATER
PT
[ ]
[02]
TANK MATERIAL Polypropylene
[
] (28]
DITCHES 15
FT
[ ]
1031
OUTLET DEVICE
[
] [29]
PRIVATE WELLS
FT
[ 1
[041
MULTI -CHAMBERED [
Lk N ]
I
] 1301
PUBLIC WELLS
FT
[ ]
1051
OUTLET FILTER Polylok PL-68
[
] [311
IRRIGATION WELLS
FT
1 1
[06]
LEGEND 1. 70-143-16DC4 2. 70-143-11DC4
1
1 [321
POTABLE WATER 100
FT
[ ]
1073
WATERTIGHT
[
] [33]
BUILDING FOUNDATIONS 18
FT
[ ]
1081
LEVEL
1
] 1341
PROPERTY LINES 5
FT
[ ]
I093
DEPTH TO LID
[
] [35]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[10]
AREA [1] 667.88 121 SQFT
[
1 [361
DRAINFIELD COVER
[ I
1111
DISTRIBUTION BOX _ HEADER X
[
] 1373
SHOULDERS
[ 1
1123
NUMBER OF DRAINLINES 1.8.00 2.
[
1 1383
SLOPES
[ 1
1131
DRAINLINE SEPARATION
I
] [39]
STABILIZATION 11/04/2019
[ ]
[14]
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
1161
ELEVATION [ ABOVE /
BELOW
]BM 1.00
[
] [401
UNOBSTRUCTED AREA
1 ]
1171
SYSTEM LOCATION
[
1 1413
STORMWATER RUNOFF
I I
[18]
DOSING PUMPS 1.00
[
] [42]
ALARMS
[ ]
[19]
AGGREGATE SIZE
[
] [43]
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[
1 1441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
I 1451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
1
] [46]
FINAL SITE GRADING
[ I
[221
FILL AMOUNT
[
1 [47]
CONTRACTOR Mike Spears (All County
Sep
[ 1
[231
FILL TEXTURE
[
1 (48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED
[
] [49]
TANK PUMPED
[ I
1263
REPLACEMENT MATERIAL
[
] [50]
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION I /
DISAPPROVED ]' Envuonman'� tal Specialist ll
CHD DATE: 10/15/2019
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:� St. Lucie CHID
Environmental Specialist 11 B n J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 00/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v1.0.1 AP1416266 EID1992718
DATE: 11/04/2019
Page 2 of 3
Violation Number
Coauaents
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATION p:AP1416266
PEENIT a:56-SF-1.952718
DocumENT a:F11351289
DATE PAID:05/28/2019
FEE PA,ID•515.00
EECEIPT g:56-PID-3954769
New ST, filter, DT, liberty 113 hp pump, and 5x7+3x8 long DF installed. No violations, system ok to cover. Contractor notified
onsite. Needs final Inspection for mound system, alarm check, and final site grading.
Final system approved. Contractor any building department emailed final approval
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 2 of 3
EH Database v 1.0.1 AP1416266 EID195271B
r
't
C
OP
PERPIIT #:66-SF-1962718
STATE OF FLORIDA APPLICATION #:AP1416266
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
RECEIPT #:
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Adobe Corp)
PROPERTY ADDRESS: 7180 S US Hwy 1 Port Saint Lucie, FL 34952
LOT:
BLOCK:
SUBDIVISION:
DOCUMENT #: PR1241398
PROPERTY ID #: 3422-123-0001-000-0 [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
T [ 1.200 ] GALLONS / GPD Septic new CAPACITY
A [ ] GALLONS / GPD CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR. CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ 750 ] GALLONS DOSING TANK CAPACITY 167.00 ]GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DO MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Pink CRF NE property comer
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES FT ][
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHES FT I
L
DI
O
T
H
E
R
BENCHMARK/REFERENCE POINT
BENCHMARK/REFERENCE POINT
'ILL REQUIRED: LZU.UU) INCHES EXCAVATION REQUIRED: [ Z4.UU ] INCHES
iPerforming Lift Dosing.
Pumps must be certified as suitable for distributing sewage effluent.
Proposed tanks larger than required by rule. Permit specifications based off contractor proposal.
SPECIFICATIONS BY: Brian J Ing TITLE: Environmental Specialist II
APPROVED HY:^^'"'3'ITLE: EnVironmental Specialist II St. Lucie CHID
Brian ziq
DATE ISSUED: 06/20/2019 EXPIRATION DATE: 12/20/2020
DH 4016, 08/09 (Obsoletes all pr Vious editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1. 1.4 A 1416266 SEL190647
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.
r St. Lucie County Health Department
Mnaa' 5150 NW Milner Dr Port Saint Lucie, FL 34983
HFMTH
PAYING ON: #:56-SF-1952718 6aLDDcrr56-BID-4202074 CONSTRUCTION APPLICATION #: AP1416266
RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 1 PAYMENT DATE: 05/28/2019
MAIL TO: (Adobe Corp)
FACILITY NAME:
PROPERTY LOCATION:
7180 S US Hwy 1
Port Saint Lucie, FL 34952
Lot:
Property ID:
EXPLANATION or DESCRIPTION:
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
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-3954769
STATE OF FLORIDA
i DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO.(g
DATE PAID:
FEE PAID: 515 Ce [
RECEIPT #:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Adobe
AGENT: Ashton Septic Tanks TELEPHONE:772-216-9827
MAILING ADDRESS: 376 Cyclone Dr, Ft. Pierce, FL 34950
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.
iJi�77�:yY;`lI�I7(i}l5i V yl
LOT: N/A
BLOCK: N/A SUBDIVISION:
N/A
PLATTED:
1954
PROPERTY ID
#: 3422-123-0001-000-0
ZONING: 1000
I/M OR EQUIVALENT: [
No ]
PROPERTY SIZE: 1.413 ACRES WATER SUPPLY:
[
] PRIVATE PUBLIC [,/]<=2000GPD [
]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [
No
] DISTANCE TO SEWER:
N/A FT
PROPERTY ADDRESS: 7180 S US Hwy 1
DIRECTIONS TO PROPERTY: 7180 S US Hwy 1
BUILDING INFORMATION
Unit Type of
No Establishment
I Retail
2
3
4
[ ] RESIDENTIAL
[ V ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
N/A 8374 sq ft 400 gpd
[ 1 Floor/Equipment Drains [ ) Other (Specify)
SIGNATURE:
667 sq ft drainfield required (672 sq ft provided)
1200 gal septic tank 750 gal pump tank
8 rows of 7 EQ36 Quick 4 (12 sq (t/ ea X 56 =672 sq ft
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE: p 1
Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1416266
DEPARTMENT OF HEALTH PERMIT # 56SF-1952718
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1190647
APPLICANT: Adobe(
CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC.
LOT: BLOCK:
SUBDIVISION: ID#: 3422-123-0001-000-0
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: I ]YES [ ]NO NET USABLE AREA AVAILABLE: 1.41 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 3525.02 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:
ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT I [ ABOVE / RELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES CHINO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 10 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]N01
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:
Munsell#/Color
Texture
Depth
10YR 7/1
Gravel
0TO 19
10YR 311
Loamy Sand
0 To 19
10YR 511
Sand
19 TO 28
10YR 6/1
Sand
23 To 28
10YR 413
Fine Sand
28 To 53
IOYR 5/3
Fine Sand
53 To 64
HOLE CAVING
Refusal
64 To 72
USDA SOIL SERIES:
Munsell p/Color
Texture
Depth
10YR 711
Gravel
0 To 24
1 OYR 311
Sandy Loam
0 To 24
10YR 511
Sand
24 To 31
10YR 6/1
Sand
25 To 33
10YR 4/3
Fine Sand
33 To 51
10YR 512
Fine Sand
51 To 66
HOLE CAVING
Refusal
66 To 72
OBSERVED WATER TABLE: 31.00 INCHES [ ABOVE /
BEE
] EXISTING GRADE TYPE:
[ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 22
INCHES
[ ABOVE /
BELOW ]
EXISTING GRADE
HIGH WATER. TABLE VEGETATION: [ ]YES [X ]NO
MOTTLING:
[X ]YES [ ]NO
DEPTH: 22.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
Sand/0.60
DEPTH OF EXCAVATION: 24 INCHES
DRAINFIELD CONFIGURATION: [ I TRENCH [X ] BED
[ ] OTHER
(SPECIFY)
7 REMARKS/ADDITIONAL CRITERIA
VVT determined using USDA VISS and Soil borings.
Stripped Matrix-10YR611 stripping in 10YR511 matrix >10% woth diffuse boundaries starting at 22" in SHI.
I and SH2 3" below HM. -
SITE EVALUATED BY:
DATE: 06/04/2019
Ingram, Brian ITMa: Enyjronmental Specialist l6 (ENVIRONMENTAL HEALTH)
De 4015, 0E/09 (Obeoletes previous editions vhich vK/yy not be ueeu Incorporated: 64E-6.001, PAC Page 3 Of 4
AP1416266 EID1952718 V 1.0.2