HomeMy WebLinkAboutSewage•10/812019
Reservation Confirmation
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND
4�R SYSTEM
APPLICATION FOR CONSTRUCTION
APPLICATION FOR:
[✓] New System L 7 Existing System
[ ] Repair [ 1 Abandonment
APPLICANT: James E Mowers Jr. & Lisa L. Mowers
AGENT: Steven Marshall PSM
JAN 10 2019DATE
ST. Lucie County
NO.
ID:
D:
#:
[ ] Holding Tank [ ] Innovative
[ ] Temporary [ ]
MikILING ADDRESS: 2062 SE Triumph Road Port Saint Lucie, FL 34952
TELEPHONE: 772-940-1382
TO BECOMP
BY A PERSON ERSOLETED BYAAPPLICAN'T OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
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 (/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 7 BLOCK:
N/A SUBDIVISION:
Montoya2 Estates
PLATTED: 2002
PROPERTY ID #:
3209-700-00007-000-8
ZONING: SF-RES
I/M OR EQUIVALENT:
[ No ]
PROPERTY SIZE:
8.72 ACRES WATER SUPPLY:
[ ✓] PRIVATE PUBLIC [ ]<=2000GPD [
1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ]
DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 6105 CARLTON ROAD, PORT ST. LUCIE, FLORIDA 34987
DIRECTIONS TO PROPERTY: WEST ON OKEECHOBEE ROAD TO CARLTON ROAD. SOUTH +/- 1 TO SUBJECT PROM
BUILDING INFORMATION
Unit Type of
No Establishment
1 Modular SF Residence
2
3
4
[ ✓ ] RESIDENTIAL [ I COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft Table 1, Chapter 64E-6 FAC
2 1,248
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: Steven D. Marshall
Digitally signed by Steven D. Marshall
Date: 2019.10.09 00:22:02-04'00'
DATE: 10-09-2019
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC FILE COPr 1 of 4
https://secure.rzda.neyazbookllhankyou.cfm?CFID=1165686&CFfOKEN=f2fk96401322cOe-84AtA44A-9CFB-4C33-BFBE8394A8427237 3/5
UP
i
JAN Z 7 2019 PERMIT #:56-5F-04966
STATE OFFLORIDA
APPLICATION #:AP1448639
^
DEPARTMENTTOFFHEHEALTHY• 1 Y 1C(�� L DATE PAID:
ONSITE SEWAGE TREATMENT AND D FEE PAID:
SYSTEM
RECEIPT.#:
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: James t# Lisa Mowers
PROPERTY ADDRESS: 6105 Carlton Rd Port Saint Lucie, FL 34987
LOT: 7 BLOCK: SUBDIVISION:
PROPERTY ID #: 3209-700-0007-000-8
DOCUMENT n: PR1280398
OSTDS 0:02-0996-N
Montoya 2 Estates
[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 ] GALLONS / GPD
Septic new
CAPACITY
A [
] GALLONS / GPD
N/A
CAPACITY
N [
] GALLONS GREASE
INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
] GALLONS DOSING
TANK CAPACITY [
]GALLONS 8( ]DOSES PER 24 HRS #Pumps ( ]
D [ 334 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [S] MOUND
I CONFIGURATION: [ ] TRENCH [x]' BED [ ]
N
F LOCATION OF BENCHMARK: Orange painted 20d nail in fence post SE of cyst
I ELEVATION OF PROPOSED SYSTEM SITE [ 19.001r INCHES FT ][
[ 12.00 ] [INCHES. FT ] [
E BOTTOM OF DRAI71ELD TO BE
L
D FILL REQUIRED: (25.003
0
T
H
E
R
I
BENCHMARK/REFERENCE POINT
BENCHMARK/REFERENCE POINT
system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated Flow of
gpd.
SPECIFICATIONS BY:, Brian 7 Ingram, TITLE: Environmental Specialist II
APPROVED BY: [ //h"'" yaw TITLE: Environmental Specialist II St. Lucie CHD
Brian J Ingr'�
DATE ISSUED: 11/12/2019 i EXPIRATION DATE: 05/12/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not he used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1A A 1448639 SE1229300 r�wn
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
f1�3Yida' 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: 4:56-SF-04966 BILL DOC a:56-BID-4461346 CONSTRUCTION APPLICATION4: AP1448639
RECEIVED FROM: Steven Marshall PSM AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 86716Z PAYMENT DATE: 10/16/2019
MAIL TO: James & Lisa Mowers
FACILITY NAME : Town & Country Homes
PROPERTY LOCATION:
6105 Carlton Rd
Port Saint Lucie, FL 34987
7
Lot: Block:
Property ID: 3209-700-0007.000-6
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
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4201083 ����
0.
STATE OF FLORIDA, PERMITAPPLICATIONTO.CONSTRU�CT,,� - 5930023 -
REPAIR,'MODIFY,ORABANDON AWELL. Penlul No,�__ L
0,Ir1 SD'Olhwesl FlondaoUhquolD
PLEASE FILLOUTALLAPPLICABLF.FIELDSL)NofthwdsCDliuidF(dWIPermit Stipulations Required (5eo`Allodled)❑St. JohnsRlvafrmrwrorwalrcon'/oIXoOSoulh Florida r nU"ppm,n npjw [ t rho 02,5240und No._Bollnaailon Nn
SVvIaDPBe RIYBf ap➢mryrel" derpomed PllDMnlywaerq "SPA9;8bb ODEP CUPAVUP Applfcetlon N
.,.'OOelagalod Aultlonly (II A�Pllcablej--, �-- - - I
. .Il
ti
'OwnenLegal Name Gorpprall - foss Ily
2 ..��..wF 1
I/�J - 'Stale
T ('ll�i
IF 'Telephone N�mEef
'We Ilo�n'�-(,,gg�f}the s Roatl Name or umhe C
-
¢
'Forest ID N (PIN) or All emote f(ey (Circle pya). r � Block U016
4 S ] ���(((:�
CXV? Chack if 82.62A._Yoe No
'Sectmnor Land Grnnl o's ippe County 9uudrvis on 'y'
s {rnencan77r Il rvf(QC ��f I103 �l0A-��3d l�diL17PLl.Sa�9
'Water •Llcense 'Telephe
Wag Contraclor Number umber Email Address
O t-��
,. �
'Water ell oalraclor's Address. ,., ...., Gt
7.'Typo of Work:,,!�`_Conslrgction__Rapalr'^,�Modiricalloh`" 'Abondownanl
..
` 8.'Number of Proposed Wells I _ nv..,un rorL.prr, ueeniwnn,o Ann dw+mmm_ _
9.'Specify Intended Use(s) of Wallis); ® V �a7n
16,
D
.'g—Oomeslic ILpndseape Ipigakon _'Agdoellural Irrigation _SIPa Invaetig`ovop. I
,'
_B`ollled,Waler Supply _.Raareello'nArdalmgallun—UvosocY,t• _Monllodngl "
_Public Water Supply (Limited iUse/DOH)—Ndrserylnfpatlon _ Test p 1-NOV 1' 2 2019
_Earth-Cou led Geolharmaf
f'bhllc Water Supply (Community or Non-Communily/DEP)--CammerciaUlndusmal
Goil CourseIrrigation_HYAC Supply,
Classllrijac6on - _HYAC Ralum
Class Infection' 'Ra ha a C o I U('d Id ItDI l ' A It 'sl a dR a -'D 1 '
,_ c rg omm rca n us a sposts qu or. or ga n eeov ry, to nago
Ft OH'fn,St Lucie Cou
Romadlaliorc _Recovery _Air Spurge _Dlhorfoz:e,bor__—,___._._ ... __.. ....- _ -- --.EN IROR1Gt�t't•9'AL"I{-J H'
Olhortowcwnl _ IVI In N"{n nyrnaoscc is fmmMM Woad pY 9 "npamoiliynuttur4yl
10,'Dslancn from Septic System if s200 f1. it Facili'r�esprlpllon_j�.J• 12. ESiLnaled$lad'Aate '-� ,
I Esllmaled Wall Depth La. - . 'Bsllmme''d��rCr�,astnO C) plh'lU,Jtl 'Pnn�ary Cast°np OTamole!! i_im 01,00:Nnle: Pmm_—To_IL
14. Estimated Screen Interval: Froq�Td,(_II. '
15.'Primary Casing Material, TBIack Stool. ,__Gj1lmfzed V.__PVC __TSloinloss Slee6
^Not Ga_sed. !Others
16:Sacontlorybasing:_3slescppeCa-sl'rrp._Linei._SUifpco Casing Olamelar.. Jr.
17. Secondary Casing Material; _Black steal_Gulvan@ed PVC Slalnless Stool --,Other - -- '
18; Method of Conslrucllon. Repair, or.Abandonment: _Aurjer ICatile Tobl —Jolted Ralary _Sanfc, '
Combfnaliori(Two or MoreN6thcds), HandzDdven'(Well Potn¢St POlnl)' Hydrauf(cPolnt lOkeclMush):.
Horizontal Grilling __'Ptugged,by Approved Method
1g. P.roposod routing I o al for the Primary. Secondary, and gddillonal Casing:' I
From To Seel Material (--Benlonito—,Neal Cemenl_0Ihpr )
FrorrL _,_To„ _Seas Material L__ Berltonlle ,•Neal Cementl ''Other ) '
From_ToTSa61't�lalurbll_BenlonheNealGumanl_--Other r)
From —To Seal Material _Benlonile_Neal Camenl�0lher
20, Indicate total number of oxispng wells on site' L'st numtierof existing disused Wells ensile ,
21.15 lhiswell or any existing v)ell orwoJerwilhdrawal pnlhe owner's contiguous properlycavered undera ConsumpNe/Water UsoPermil(CUPJWUP); r
or:00PAAAJP''APplicq[ion7 XVes —No Ifyusr,wmpla(elhe followi,ip: CUPPNUP,Na. ... DISVIct,Woll ID•No, _
22. Ladludo f.OngftuL'o^�_ -
23.Data Obtained From: _�GPS Map _Survey Datum NAD 27_NADS3=WGS84' t
Fso Rnrj S d
Rocelpi Na. Check Nol. _
D BY'AMAUTHORIEEP,'CFFICER,OR REPRESENTATNEiQF 1'HE,WMD4R DELEGATED"iuTHORITy, THE
31NG ALL CONSTRUCTION REPAIR.'MODIF,ICATIOA„ORAOANOONMENTACTIVITIES:.. ,
FAC Elfecdvo Onlo;`0dobor7,2a10 Peg➢Iof2
Y
l
St. Lucie County Health Department
t 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH!
PAYING ON: a: aiuooc456-BID-4459327
RECEIVED FROM: American Drilling AMOUNT PAID: $ 115.00
PAYMENT FORM: CREDIT CARD 043040 PAYMENT DATE: 10/14/2019
MAIL TO: American Drilling
405 SW 2nd St
Okeechobee FL 34974
FACILITY NAME: American Drilling
PROPERTY LOCATION:
405 SW 2nd St
Okeechobee FL 34974
Lot:
Property ID: _
1 - Well Construction
EXPLANATION or DESCRIPTION:
Block:
QUANTITY
1
FEE
$ 115.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4198311
Note: 6105 Carlton Rd
e'.. STATE OF FLORIDA
DEPARTMENT OF HEALTH
` Q ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
V 'L. NO. 59-3ma3
PERMIT NO. 51[0-SF-.UCIUU
DATE PAID: joluo1kci
FEE PAID: S645
.RECEIPT #: $[9Rljn7__
[✓] New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ j Abandonment [ ] Temporary
APPLICANT: James E Mowers Jr. & Lisa L. Mowers
[ ] Innovative
[ 1
AGENT: Steven Marshall PSM TELEPHONE: 772-940-1382
MAILING ADDRESS: 2062 SE Triumph Road Port Saint Lucie, FL 34952
-------------------------------------------------------------------------------------
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 469.105(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 (bM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 7 BLOCK: N/A SUBDIVISION: Montoya 2 Estates PLATTED: 2002
PROPERTY ID #: 3209-700-00007-000-8 ZONING: SF-RES I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 8.72 ACRES WATER SUPPLY: [ ✓j PRIVATE PUBLIC. [ ]'<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 6105 CARLTON ROAD, PORT ST. LUCIE, FLORIDA 34987
DIRECTIONS TO PROPERTY: WEST ON OKEECHOBEE ROAD TO CARLTON ROAD. SOUTH +/- 1 TO SUBJECT PROP]
BUILDING INFORMATION
Unit Type of
No Establishment
1 Modular SF Residence
E
3
4
[ ✓ ] RESIDENTIAL
[ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
2 1,248 -um)
1,06
[ ] Floor/Equipment Drains [ ] Other (Specify)
Steven Marshall Digitally signed by Steven D.Marshnll
SIGNATURE: Date: 2019.10.0900:22:02-04'00' DATE: 10-09.2019
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
APPLICANT:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
8 Lisa Mowers
CONTRACTOR / AGENT: Steven Marshall PSM
LOT: 7 BLOCK:
SUBDIVISION: Montova 2 Estates ID#:3209-7D0.0007-000-6
APPLICATION N AP1448639
PERMIT if 56-SF-04966
DOCUMENT If SE1229300
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MOST 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: 8.72 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 13079.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE 19.00 [ INCHES / FT ) I ABOVE / LEELOW) BENCHeARKIREFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MEL / NGVD ] SITE ELEVATION: FT I MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE.2
USDA SOIL SERIES:
Munsell#/Color
Texture
Depth
1 OYR 4/1
Sand
0 To 12
10YR 5/1
Sand
12 To 26
1 OYR 611
Sand
17 To 26
10YR 312
Sand
25 To 33
1 OYR 4/3
Sandy Clay Loam
33 To 41
10YR 5/3
Sandy Clay Loam
41 To 64
5GY 6/1
Sandy Clay Loam
64 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 412
Sand
0 To 15
1OYR 5/1
Sand
16 To 26
1 OYR 611
Sand
17 To 29
1 OYR 3/3
Sand
29 To 34
1 OYR 4/3
Sandy Clay Loam
34 To 42
1 OYR 5/3
Sandy Clay Loam
42 To 65
5GY 611
Sandy Clay Loam
65 To 72
OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / EELOW ] EXISTING GRADE TYPE: [ PEACHED / APPARENT )
ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE /Eill EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES I ]NO DEPTH: 17.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY)
IS
REMARKS/ADDITIONAL CRITERIASWT determined using USDA WES and soil borings.
0YR611 stripping In IOYR511 matrix >10%with di[tuse boundaries starting at 17" In SB1.
B1 and S0219" below SM.
SITE EVALUATED BY: DATE: 10/23/2019
Ingram, Brian (Tido: nWronmental Spoclalistll) (ENVIRONMENTAL HEALTH)
on 4015, 06/09 (Obsolete. Previous editions vhi =y not ba used) Incorporated: 64E-6.001, FAD Page 3 Of 4
AP1448639 EID346821 y1.0.2