HomeMy WebLinkAboutSewageSTATE OF FLORIDA p
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL Og.,1Q1Q
SYSTEM
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St.
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Kimberly SDaraclo
PERMIT #:56-SF-2022271
APPLICATION #:AP1456842
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1289820
PROPERTY ADDRESS: 18001 Wagonwheel Ln Port Saint Lucie, FL 34987
LOT: 10 BLOCK: SUBDIVISION: Carlton Country Estates
PROPERTY ID #: 3211-701-0012-000-6 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MOST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
301.0065, 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 Seotic new CAPACITY
A I ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY ( ]GALLONS @[ ]DOSES PER 24 HRS #Pumps
D [ 767 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: I ] STANDARD [ ] FILLED pc] MOUND [ ]
I CONFIGURATION: I ] TRENCH [X] BED I ]
N
F LOCATION OF BENCHMARK: FND N&D LS#2391 ELEV=23.63'. E property line extended N
I ELEVATION OF PROPOSED SYSTEM SITE [ 13.001 &INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 ]I INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
system is sized far 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), fora total estimated flow of
gpd.
SPECIFICATIONS BY: - Brian a Ingr;}m TITLE: Environmental Specialist II
APPROVED BY: / ITLE: Environmental Specialist II St. Lucie CHD
Brian J Ing
DATE ISSUED: 01/24/2020 EXPIRATION DATE: 07/24/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Pa e 1 of 3
v 1.1.4 AP1456842 SE123♦rof
"T"
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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.
St. Lucie County Health Department
Vfdndi 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: 0:56-SF-2022271 BILL DOG #:56-BID-4503084 CONSTRUCTION APPLICATION#:AP1456842
RECEIVED FROM: Dave Golden Homes AMOUNT PAID: $ 660.00
PAYMENT FORM: CHECK 26912 PAYMENT DATE: 12/10/2019
MAIL TO: Kimberly Sparacio
FACILITY NAME:
PROPERTY LOCATION
18001 Wagonwheel Ln
Port Saint Lucie, FL 34987
Lot: 10Block:
Property ID: 3211-701-0012-000-6
-
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
-1 - Well Construction
1
$
115.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4248246
a IE
4,. STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
u� SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
M L N6.541- 50156
PERMIT .5
jk1I
DATE PAID. 1�1
FEE PAID:
RECEIPT #:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Kimberly Sparacio
AGENT: Dave Golden Homes TELEPHONE:7//72--466-08/29
MAILING ADDRESS: 4900Indrio rd. Ft. Pierce, Fl. 34951 7A V/y edih
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 INFORMATION
LOT: 10
BLOCK: SUBDIVISION:
Carlton Country Estates
PLATTED:
PROPERTY
ID #: 3211-701-0012-000-6
ZONING:
I/M OR EQUIVALENT: [
Y/N ]
PROPERTY SIZE: 5 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/N ] IS
nnDISn^TA1tN�.C�`'E,,,,TAO SEWER: �F'T{�
PROPERTY ADDRESS: XXX Wagon Wheel Lane Ft. Pierce Fl. ISOM 1,�fA.A�� V1 C'L
J
DIRECTIONS TO PROPERTY: west on Rt 70, to Ideal Holding Rd. South to Wagon Wheel Lane, east to lot.
BUILDING INFORMATION
Unit Type of
No Establishment
1 Single family residence
[,/] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
4 3501
2
3
4
[ ] Floor/Equipmeryt:%Draing [, ]
SIGNATURE:
Other (Specify)
DATE:
DH 4015, 08/09 ( bsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT:
CONTRACTOR / AGENT:
LOT: 10
Dave Golden Homes
BLOCK:
APPLICATION # AP1456842
PERMIT # 56-SF-2022271
DOCUMENT # SE1239260
SUBDIVISION: Cariton Country Estates ID#: 3211-701-0012-000-6
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: 5.19 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES —TABLET / OTHER —TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 7784,99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 3000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1250.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: FND N&D LS#2391 ELEV=23.63'. E prop(
ELEVATION OF PROPOSED SYSTEM SITE 13.00 [ INCHES / FT 1 [ ABOVE /
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: 100 FT
NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE:
100 FT NON —POTABLE:
FT
BUILDING FOUNDATIONS: 5 FT
PROPERTY LINES: 100 FT
POTABLE WATER LINES:
90 FT
SITE SUBJECT TO FREQUENT FLOODING?
[ ]YES Ex ]NO
10 YEAR FLOODING? [ ]YES
[X]NO1
10 YEAR FLOOD ELEVATION FOR SITE:
FT[ MSL / NGVD 1 SITE ELEVATION: FT C MSL
/ NGVD
SOIL PROFILE INFORMATION STTE 1
SOIL PROFILE
INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 4
10YR 5/2
Sand
4 To 26
IOYR 6/1
Sand
13 To 26
I OYR 5/6
Sand
26 To 39
10YR 4/2
Sandy Clay Loam
39 To 65
HOLE CAVING
Refusal
65 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 4/1
Sand
0 To 4
10YR 5/1
Sand
4 To 30
1 OYR 6/1
Sand
15 To 30
1 OYR 6/4
Sand
30 To 40
1OYR 512
Sandy Clay Loam
40 To 66
HOLE CAVING
Refusal
66 To 72
OBSERVED WATER TABLE: 22.00 INCHES [ ABOVE / BELOW 1 EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 13 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [X]YES [ ]NO DEPTH: 13.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY)
[- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
I OYR611 stripping In 1 OYR512 matrix >10% with diffuse boundaries starting at 13" in SB1.
SB7 13" below BM. SB211" below BM.
SITE EVALUATED BY:
Ingram, Brian (Title: Envif mental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 01/22/2020
Page 3 of 4
AP1456842 EID2022271 v 1.0.2
APPLICANT'S
LEGAL DESCF
7a2,2-7-71
51- 301-39
6Anii6z1n.647nmrc+'c+vQTCM,fC�TT7.?�YNT.'FYA]LId.T]rnN
I certify that there are no potable private wells within 75 feet of the available area for the
proposed septic system, that there are no non -potable wells within 50 feet of the available area
for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated
building foundation, that there are no public wells that serve less than 25 people or less than
15 homes or businesses within 100 feet of the proposed septic system, that there are no public
wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of
the proposed septic system, that the water line from the water meter or well to the structure is
at least 10 feet from the available area for the proposed septic system unless the plans show
the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or
vacuum sewage line in a public easement or right-of-way that abuts the property, that there
are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the
proposed septic system unless the property was created prior to 1972, that the septic system is
proposed on the side of the lot farthest from surface water, that all private wells, septic
systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot
are shown on the site plan, that all public wells within 200 feet of the applicant's lot are
shown on the site plan, and that the location of building or residences, swimming pools,
recorded easements, paved areas or driveways, sidewalks, the general slope of the property,
tilled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or
wetlands are shown on the applicants lot.
The natural grade elevation in the area of the proposed septic system and the benchmark must
be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic
system.
NOTE: SIUST BE.CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR OR ENGINEER.
doo. pnmtaseplics:Sepli,Appppage1117
CERTIFIED BY:
FLORIDA PRSQFESS ONAAL NO.:
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DATE:-_"�— JOB NO.: _1 —