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AP-18-654 (2)q, CI )e'if /fin O-cicz or - STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Existing Modification APPLICANT: Christian Lanser PROPERTY ADDRESS: 175 NW 100 St Miami, FL 33150 LOT: 16 PERMIT # :13-SC-1807762 APPLICATION #:AP1318654 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1102144 BLOCK: 4 SUBDIVISION: Bonmar Pk Add A Re -sub PROPERTY ID #: 11-3101-023-0320 [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 [ 1,090 ] GALLONS / GPD existinaseotictank CAPACITY A [ ] GALLONS / GPD 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 R [ ] SQUARE FEET A TYPE SYSTEM: [X] I CONFIGURATION: [x] N Trench configuration drainfi SYSTEM STANDARD TRENCH [ ] FILLED ] BED SYSTEM [ ] MOUND F LOCATION OF BENCHMARK: FFE 13.30' NGVD I ELEVATION OF PROPOSED SYSTEM SITE [ 31.20][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 61.201[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E O T H E R 'ILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ ;5U.UU ] INCHES 1.- Existing 1090gal septic tank & 225 sq ft trench drainfield, certified by Statewide Septic on 03/05/2018, to remain. 2.-INSTALL ADDITIONAL 150 SQ FT TO ACHIEVE A TOTAL OF 375 SQ FT TRENCH DRAINFIELD. EXPOSE EXISTING DRAINFIELD. 3.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench. 4.-Invert elevation of drainfield to be no less than 8.70' NGVD. 5.-Bottom of drainfield elevation to be no less than 8.20' NGVD. The system is sized for 3 bedrooms with a max occupancy of 6 persons (2 per bedroom), for a total estim. flow of 300 gpd. SPECIFICATIONS BY: Teresa J Solomon TITLE: Master Septic Tank Contractor APPROVED BY: TITLE: Engineering Specialist II Dade CHD Erlande Omisca DATE ISSUED: 04/11/2018 EXPIRRATION DATE: 10I/11/2019 DH 400116, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003 FAC CONTRACTOR... Sr1.1 1RIN rM v 1 .1.4 AP1318654 The Enl'raiMot (of designee) is required to perform a soil boring adjacent to the drainfeld excavation at the time of final inspection. Prior to Final Approval, the FDOH inspector shall witness the soil boring and compare the results to the original site evaluation submitted. A reinspection fee wi l be assessed if the contractor is not at the jobsite at the arranged time. 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.