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Home My WebLink AboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Part St. Lucie Properties, Inc) PERMIT #:56-SF-2016731 APPLICATIoN #:AP1453371 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1284774 PROPERTY ADDRESS: 6004 Hickory Dr Fort Pierce FL 34982 LOT: 6 BLOCK: 70 SUBDIVISION: Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3402-609-0650-000-3 [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 @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [x] FILLED [ ] MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM Orange painted °x", CL of Rd, center of propel I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D I O T H E R 1 5.00 111 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 3.00 11 INCEES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: [ID.UU] INCHES EXCAVATION REQUIRED: L DtJ.DuJ incucb The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. E COPY FIL SPECIFICATIONS BY: Brian J Ingram,TITLE: Environmental Specialist II APPROVED BY: w�+^-TITLE: Environmental Specialist II St. Lucie CHD Brian J Ing DATE ISSUED: 12/12/2019 EXPIRATION DATE: 06/12/2021 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1A.4 M1453371 SE1233609 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. ci >sN St. Lucie County Health Department [0 Idd 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: a:56-SF-2016731 BILL DOC #,56-BID-4490519 CONSTRUCTION APPLICATION it:AP1453371 RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 1536 PAYMENT DATE: 11/15/2019 MAIL TO: (Port St. Lucie Properties, Inc) FACILITY NAME: PROPERTY LOCATION: 6004 Hickory or Fort Pierce, FL 34982 8 70 Lot: Block: Property ID: 3402-609-0650-000-3 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4232591 `4 STATE OF FLORIDA ` DEPARTMENT OF HEALTH U� ONSITE SEWAGE TREATMENT AND DISPOSAL .r SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. r%!5f -2O I -5 1 DATE PAID: ((Cj FEE PAID: RECEIPT #: IV(] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ I APPLICANT: PORT ST LUCIE PROPERTIES, INC. AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770 MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983 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. W"Ikf)a31Z40WMik,!Vs)ciS41400)� i LOT: 8 BLOCK: 70 SUBDIVISION: INDIAN RIVER ESTATES U-8 PLATTED: 1957 PROPERTY ID #: 3402-609-0650-000-3 ZONING. R I/M OR EQUIVALENT: [ No I PROPERTY SIZE: 0.223 ACRES WATER SUPPLY: [�/1 PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 6004 HICKORY DRIVE FT. PIERCE, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION I,(] Unit Type of No Establishment 1 RESIDENCE 2 3 H [ ] Floor/Equipment Drains [ I COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms AreaSgft Table 1, Chapter 64E-6, FAC 3 ioZ Gi5 FP [V ] Other (Specify) GARBAGE GRINDERS/DISPOSALS a,a.urw�+q,uo.mirve. Alexander J Piazza SIGNATURE: DATE: 8-23-19 DH 4015, 08/09 (Obsoletes 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: Port St. Lucie CONTRACTOR / AGENT: LOT: 6 ,Inc J. Piazza PSM. Inc BLOCK: 70 SUBDIVISION: Indian River Estates ID#:3402-609-0650-000-3 APPLICATION # AP1453371 PERMIT # 56-SF-2016731 DOCUMENT # SE1233609 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: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 345.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM orange painted "X", CL of Rd, center of property ELEVATION OF PROPOSED SYSTEM SITE 5.00 I INCHES / FT ] [ FABOVE / BELOW ] BENCHMARK/REFERENCE 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: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 32 FT SITE SUBJECT TO FREQUENT FLOODING? I ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 TO 19 10YR 5/1 Sand 19 To 33 10YR 6/1 Sand 26 To 33 1 OYR 2/1 Spodic Material 33 To 39 10YR 4/1 Sand 39 To 51 5YR 2.5/2 Spodic Material 51 To 59 7.5YR 4/4 Fine Sand 59 To 65 10YR 4/4 Fine Sand 65 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 TO 15 1 OYR 511 Sand 15 To 35 1 OYR 6/1 Sand 29 To 45 5YR 2.5/2 Spodic Material 45 To 50 7.5YR 414 Fine Sand 50 To 57 1OYR 4/4 Fine Sand 57 To 72 OBSERVED WATER TABLE: 60.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: I PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 26 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: I ]YES IX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 26.00 INCHES SOIL TEXTURE/LOADING'RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) 7 REMARKS/ADDITIONAL CRITERIA WSWT determine using USDA WSS and soil borings. I OYR6/1 stripping in 10YR511 matrix>10% with diffuse boundaries starting at 26" In SB1. SB1 5" above BM. SB2 7" above SM. n SITE EVALUATED BY: Ingram, Brian (TI)1a- nvlronmental Specialist 16 (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions wh may not be used) Incorporated: 64E-6.001, FAC AP1453371 EID201G731 59 INCHES DATE: 12/09/2019 Page 3 of 4 v 1.0.2 8/512019 Go qlefVjapS 6004 Hickory Dr KA 6004 Hickory Dr- Google Maps Encounter: Cad CUICII Mirifle Ribl. Siod". Ll GO gle Map data 02019 200 ft - 0 https:l".google.comlmapslplacel6004+Hlckory+Dr,+Fort+Pierce,+FL+349821@27.3555965,-80.3071558,17zldata--!3ml!4bl!4m5!3m4!lsOx88deefa6d6O22a23:Cxb2635004flfe9550!8m2!3d27.355... 1/2 APPLICANT'S NAME: PORT ST LUCIE PROPERTIES, INC. rj(o. fr-_ Z01031 LEGAL DESCRIPTION: LOT 8, BLOCK 70, INDIAN RVER ESTATES, UNIT 8 PItlJ�PSD S F11ZTl1TT �11�JQfO:. 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, filled 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: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. . av ryM llyee M�tnm„,r,.a, Alexander Piazza a�-.V 11�llYW [p 16581 fElCWM11] W 1. nrAkvM.+l Wva CERTIFIED BY: FLORIDA PROFESSIONAL NO.: 6330 DATE: 08/23/19 JOB NO.: 19-4752 does/1'ormstseptics/SepticApppPage207