HomeMy WebLinkAboutHealth Department Septic Approval PERMIT #: 56-SF-1609589
APPLICATION #: AP1190934
STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID:
CONSTRUCTION PERMIT RECEIPT #:
's DOCUMENT #: PR976548
CONSTRUCTION PERMIT FOR: OSTDS Abandonment
APPLICANT: Mary Jo Watts(St. Lucie County/Gentile Construction)
PROPERTY ADDRESS: 3905 Avenue J Fort Pierce, FL 34947
LOT: 7/8 BLOCK: 35 SUBDIVISION: Sunland Gardens
PROPERTY ID #: 2405-703-0042-000-3 [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 1 GALLONS / GPD Septic 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 [ 334 1 SQUARE FEET SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [g] MOUND [ ]
2 CONFIGURATION: [ ] TRENCH [xl BED [ ]
N
F LOCATION OF BENCHMARK: Orange circle in Center of road at extension Of east property line
I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [33.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons(2 per bedroom),fora total estimated flow
0 of 200 gpd.
-T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s.64E-6.013(3)(f), FAC.
H Have the tank abandoned in accordance with the following procedures:. (a)The tank shall be pumped out. (b)The
E bottom of the tank shall be opened or ruptured,or the entire tank collapsed so as to prevent the tank from retaining
water,and(c)The tank shall be filled with clean sand or other suitable material,and completely covered with soil.
R
SPECIFICATIONS BY: Jacob K Ki chner TITLE: Environmental Specialist 2
APPROVED BY: TITLE: Environmental Specialist 2 St..Lucie CHD
Jacob K Kirchner
DATE ISSUED: 06/02/2015 EXPIRATION DATE: 12/02/2016
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
V i.i.a AP7.190934 SE962260