1234 NE 94 ST HRS permit 2020STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSA?��,
SYSTEM
CONSTRUCTION PERMIT
.,
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CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Eli Bravo & Maria Contreras)
PROPERTY ADDRESS: 1234 NE 94 St Miami, FL 33138
LOT: 22-24
PROPERTY ID #:
BLOCK:
11-3205-010-0210
SUBDIVISION:
PERMIT #:13-SM-1858641
APPLICATION #: AP1352240
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1127489
Miami Shores Bay View
[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 [ 1,350 ] GALLONS / GPD septic tank 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 [ 650 ] SQUARE FEET Trench configuration drainfi SYSTEM
R [ ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: T.B.M. nail & disc on crown of road NE 94 St at East property lin. 5.94' NGVD
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.44 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.28 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 6.00] INCHES EXCAVATION REQUIRED: [ 12.701 INCHES
0
T
H
E
R
"PERMIT AMENDED on 04/01/2019 for the change to one single septic system; laundry system no longer included.
1.-Install 650 sf of drainfield in trench configuration.
2.-Perimeter of excavation area shall be at least 2 ft wider and longer than the proposed absorption bed or drain trench.
3.-Invert elevation of drainfield to be no less than 5.50' NGVD.
4.-Bottom of drainfield elevation to be no less than 5.00' NGVD.
5.-Install a 1350 gal min. septic tank with an approved filter.
(Comments Continued on Page 2.)
SPECIFICATIONS BY: Rolando Arrieta
TITLE: Certified Environmental Health Profess
APPROVED BY: TITLE: Engineering Specialist II Dade CHD
r an a Omisca
DATE ISSUED: 07/30/2018
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EXPIRATION DATE: 01/30/2020
Page 1 of 3
v 1 1 4 AN '352 -ace 5E1159488
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.