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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