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Home My WebLink AboutHEALTH PERMITSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Gwendolyn Hutchings PROPERTY ADDRESS: 4800 Seagrape Dr Fort Pierce, FL 34982 PERMIT #:56 -SF -1903060 APPLICATION #:AP1505727 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1352087 LOT: 42 BLOCK: 1 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-608-0117-000-2 [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 Seotic 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 [ 500 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: CL of seagrape @ the south PL I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D E 0 T H E R [ 4.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 16.00 ] [ INCHES FT ] [ ABOVE BELOW ]BENCHMARK/REFERENCE POINT ILL REQUIRED: t3U.UUj INCHES EXCAVATION REQUIRED: t j 1NUMM5 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. SPECIFICATIONS BY: Brian Davi�s�fx1 TITLE: Master Septic Tank Contractor APPROVED BY: A� 4a____7ITLE: Environmental Specialist I Hunter A Collier DATE ISSUED: 06/08/2020 EXPIRATION DATE DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.1 AP1505727 SF1311179 St. Lucie CHD 12/08/2021 Page 1 of 3 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 71 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56 -SF -1903060 BILL Doc #:56 -BID -4702316 CONSTRUCTION APPLICATION #: AP1505727 RECEIVED FROM: Brian Davis Septic AMOUNT PAID: $ 305.00 PAYMENT FORM: CHECK 9883 PAYMENT DATE: 05/21/2020 MAIL TO: Gwendolyn Hutchings FACILITY NAME: PROPERTY LOCATION: 4800 Seagrape Dr Fort Pierce, FL 34982 42 Lot: 1 Block: Property ID: 3402-608-0117-000-2 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 126 - OSTDS Construction Permit (New or Mod, Amendment) QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 55.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56 -PID -4413598 d� STATE OF FLORIDA PERMIT NO. "t DEPARTMENT OF HEALTH DATE PAID: 2i ' ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: .� SYSTEM RECEIPT #: �`°°`"�' APPLICATION FOR CONSTRIICTION PERMIT TC'AT-7GON�'�� Lbw SY [ l Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ) Abandonment [ ] Temporary [ ] APPLICANT; Groza Builders AGENT: Brian Davis Septic & Backhoe Services TELEPHONE: -7 7 2. 5 7 1. 8 2 0 0 MAILING ADDRESS: P.0 Box 99, Fellsmere, FL 32948 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: 1 BLOCK: 42 SUBDIVISION: Indian River Estates PLATTED: niz (T/Z-. PROPERTY ID #:3402-608-0117-000-2 ZONING: R I/M OR EQUIVALENT: [ Y /01 PROPERTY SIZE: 0.34 ACRES WATER SUPPLY: [ ] PRIVATE PUBLI K ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N�] DISTANCE TO SEWER: Zc,�FT PROPERTY ADDRESS: 4800 Seagrape Dr DIRECTIONS TO PROPERTY: Turn L on Okeechobee Rd, Turn Slight R on Virginia Ave, Turn R on S US Highway 1,Turn L on E Weatherbee Rd,Turn R on W Midway Rd, Take the 2nd L on Seagrape Dr,4800 Seagrape Dr is on the Left BUILDING INFORMATION Unit Type of No Establishment 1 House 2 3 4 [>�) RESIDENTIAL [ ) COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC 3 1,444 V—e? [ ] Floor/Equipment Drains [ ] Other (Specify) (,/ y SIGNATURE: DATE: ( cJ DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 r4E �T x 4s STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS WE APPLICANT: Groza Builders LOT: 1 BLOCK: 42 SUBDIVISION: PROPERTY ID #: 3402-608-0117-000-2Sec/ PERMIT # . ao-� � " `il )' tkgc) AGENT: Brian Davis Septic & Backhoe Indian River Estates [Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: (/� YES [ ] NO NET USABLE AREA AVAILABLE: ) '%`( ACRES TOTAL ESTIMATED SEWAGE FLOW: 3cA5 GALLONS PER DAY [ DE S -TABLE /OTHER-TA$LE21 AUTHORIZED SEWAGE FLOW: Y15-0 GALLONS PER DAY [150 00 PD A UNOBSTRUCTED AREA AVAILABLE: "75-c-> SQFT UNOBSTRUCTED r 'AREA REQUIREDD : 7 S--�j SQFT BENCHMARK/REFERENCE POINT LOCATION: D r S �� 5&tzeq- r'"` ELEVATION OF PROPOSED SYSTEM SITE IS ` NC /FT]/BELOW] BENCHMARK{ REFERENCE POINT THE MINIMUM SETBACKWHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER. --4 FT DITCHES/SWALES: 3 � FT NORMALLY WET? [ ] YES [�j NO WELLS: PUBLIC: , ( FT LII4ITED USE: �c'f- FT PRIVATE :T FT NON -POTABLE: 7 *S FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES:I/FT POTABLE WATER LINES :—FT SITE SUBJECT TO FREQUENT FLOODING: 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR � V46 ( (- (v w V C _SKr Z u ( Io S7 [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] NO FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD TEXTURE DEPTH �Z U TO IZ -Z-TO ( "?' Z TO 37 Y( TO S y L� T-4 TO 7 TO TO USDA SOIL SERIES. =-' ;;i SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH Z — C� TO(3 5 (3 TO L z.., �j 2ZrTO'S6 5 34, TO C(v �i TO 'i �— -7 y-> TO r 7 1,47 s7 TO -72— TO TO _ TO USDA SOIL SERIES: -7� OBSERVED WATER TABLE: 3 7 INCHES [ABOVE / E OW EXISTING GRADE. TYPE: CHED /<] ESTIMATED WET SEASON WATER TABLE ELEVATION INCHES [ABOVE /dIEDVrP EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [jq NO MOTTLING: [,� YES [ ] NO DEPTH: (Z INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 5(/-'6 DEPTH OF�EXCAVATION:� INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [4 BOT R 7�(�SPECIFY) REMARKS/AD ITIONAL`CF�ITERIA l3 ��C- o l c ( GV, -- SITE ,-- SITE EVALUATED BY: lii 2� �L `17 pL (�(�% -DATE : 5✓ DE 4015, 06/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4 dge of Pavement — — — — — _ _ _ _ _ _ _ Center Line -89 58'35 E 309.9 / 71 RRSPK(2004) — - — - 599 .— - — --- — 3'(tgleasured) 3 f O'(Plat) - oWlterated SCOtt Street 59'56 E f 5506' fPK(2004) 50'Rlght o/ Way i obliteroted 7;,1�• 4 ,�a Edae of/Povement J17.25 ® I OUL 17.70 I ® CB I a J L o N c 'u � N I I h1 C4 N N I wv Nfifi_ Sit Bench Mark El. 17.32 VD II FNTT 10.7' 30.00' I 30.00' FNTT ac•>, \'1;,17.31 x 17.10 / x�' 7.09 6.30 Toe o/ Swale _ �fi.18 — ./— — — 1.17 ® * ^ 1 AUL--8958'361 124.9BYMeYlsmyo '128YP/ot) — /�� — —+141'09 Lengi►=39.25' Revision Description, Radlus=25,00' drainage Site Plan 5.23.19 17•p1� d=89'56'58"^\ 3.10.20 Revised Building Building Drown By, Field Book. /� 'water Line 1 -------- — 7 i 1 x18.34 1804-30 1 � p \ ' oeoU \� N O m in x17.68 ( x4.J3' f C C4 Proposed a -� �� ------ 52.6' --- — W Concrete U N Give i 44.43' S4ptic AigB `005 Sq Ft / QAvoilabel Z L J 375 SgFt Trench / \ -L _ _ 1lrakl1ietd A _ J / --�J---r------------ IP x185 d1 ZL IRCS 55 I V , � I PP41 17• t 1 Lot 1, Block 42 - Vacant 1 FIRC v a I q� J,F I II I I I I I Hickory Drive I 1 Center Line Prepared For: 14 v m O a 0 I��Ip N U) -� 0 70'+ to Septic S89'58' 19 "E 125.96'(Measurdd) 125'(Plat) IRC - Irrigation Lot 2, Block 42 - Vacant 1 well Lot 3, Block 42 - Vacant 1 Lot 4, Block 42 - Vacant \ \ 1 FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTDS # Sia- -l�ih,��o�� & Well # Date: Reviewer: Gwen M. Hutchings St. Lucie LEGEND CIE - Covered Entry LEGAL DESCRIPTION Lots 1, Block 42, INDIAN RIVER ESTATES UNIT 7, according to the Plat thereof, as recorded in Plat Book 10, Page 75, Public Records of St. Lucie County, Florida. SURVEYOR'S REPORT 1 This Survey shall not be valid unless sealed with an embossed Surveyor's Seal 2 No underground improvements have been located as part of this Survey. 3 The last field date of this Survey was: 5-16-18. 4 This Survey was prepared using the Plat of Record only. No other documents were provided and no search of the public records was performed by this office. 5 The Survey shown hereon meets the requirement for field accuracy in a suburban area as set forth by the Minimum Technical Standards (5J-17.050-052FAC). 6 By acceptance of this survey all parties agree that the signing surveyor's liability is limited to the amount paid for said Survey. 7 Unless other wise noted all bearing and distances are in accordance with the record plat and have been verified by field measurements. See map for bearing base. 8 Parcel/Lot line locations have been based on found survey control along the center line of Seogrope Dr and Scott Street. 9 LEFT BLANK. 10 The Legal Description shown hereon was provided by the client and/or his/her representatives. 11 No ownership of fence lines has been determined as part of this Survey. 12 Off set calls to found survey control are relative to the nearest property corner, intersection of lines, point of curvatures (PC), point of reverse curvatures (PRC) or other identifiable point. 13 Compliance with local zoning requirements and or with requirements set forth by other State, Public, and/or Private entities has not been verified as part of this Survey. 14 Elevations shown are in accordance with the North American Vertical Datum of 1988 (NAVD) and ore based on existing County Bench Mark control CAC - Concrete Pad with Air Conditioning CB - Catch Basin CBS - Concrete Block Structure CMP - Corrugoted Metal Pipe CPE - Concrete Pad with Pool Equipment CTV - Cable TV Box GV - Water Gate Valve HYD - Fire Hydrant 0/L - Overhead Utility Line PP - Power Pole PPA - Power Pole with Guy Anchor SSMH - Sanitary Sewer Manhole TCB - Telephone Communications Box UB - Utility Box WM -Water Meter FCM - Found 4'x4"Concrete Monument FIP - Found 11" Iron Pipe FIPC - Found Iron Pipe with Cop FIR - Found 15 Iron Rod FIRC - Found 15 Iron Rod with Cap SIRC - Set #5 Iron Rod with Cap 18#7357" FIPC - Found 1/2" Iron Pipe with Cop FM - Found Ma Nail FMD - Found Mag Nail with Disk FN - Found Nail FNTT - Found Nail with Tin Tab FPK - Found PK Nail FPKD - Found PK Nail with Disk FRRS - Found Rail Road Spike /CO - In Pavement Cut Out KARNER SURVEYING, INC. Residential & Commercial Surveying Services 2740 SW Martin Downs Blvd.#333, Palm City, FI.34990 Phone: (772)288 7206 Fox:(772)223 8181 ard S Sfaf Seat wr.Yar•s s..l FEMA Flood Zone data shown here on is based on the visual inspection of the digital Flood Hazardous Maps provided by the Federal Emergency Management Agency (FEMA) and is limited to the accuracy of such maps. Flood Zone: X Community #: 120285 Panel #: 0193 Suffix: K Date: 2.119.2020 PREPARED FOR: GAlly Parker Brown Title Insurance Agency Old Republic National Title Insurance Company Seacoast National Bank, ISAOA Gwendolyn Hutchings Prepared By: Regina C. Korner, PSM#4363 Karner Surveying, Inc. LB#7357 Date, Revision Description, 2.11.19 drainage Site Plan 5.23.19 Covered Patio, Drive & Dim 3.10.20 Revised Building Building Drown By, Field Book. 1 OF 1 CADD-1 1804-30 Job No., CADD File, File No., 1804-30 Sheet Title, Boundary Survey Scale, Dote. Sheet No.. 1"-301 5.15.18 Drown By, Field Book. 1 OF 1 CADD-1 1804-30 Job No., CADD File, File No., 1804-30 SLC-IndRIvEst7-42-1