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HomeMy WebLinkAboutSewageCONSTRUCTION PERMIT FOR: APPLICANT: Rene SOsa STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM �[ DOCUI CENT #: PR1284689 JAN 13 2020 OSTDS New ST. Lucie County, Permitting PROPERTY ADDRESS: 6801 Penny Ln Fort Pierce, FL 34951 LOT: 16 BLOCK: 1 SUBDIVISION: Lakewood Park PERMIT #:56-SF-1764487 APPLICATION #:AP1451878 DATE PAID: FEE PAID: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 1301-611 -0246-000-9 [OR TAR ID NONBER] 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 T [ 900 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] E I ] GALLONS DOSING TANK CAPACITY [ ]GALLONS U ]DOSES PER 24 RRS #Pumps I 1 D [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ 1 SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED IX] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] L N F LOCATION OF BENCHMARK: Site BM FND Nail & TT, E p I ELEVATION.OF PROPOSED SYSTEM SITE [ 2.00 ] E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R line extended N, elev=21.72' IES V FT ] [ ABOVE A BELOY 2.00 ] [INCHES FT ] [ABOVE BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT N WuZ N ; L Ie.UUI 1NUNGJ l: VAI VN NY:WUlN V: L OW-W 1. 1NUeZz system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of gpd. FILE COPY SPECIFICATIONS BY: Brian J Ingr TITLE: Environmental Specialist II APPROVED BY: �fITLE: Environmental Specialist II St. Lucie CHO Brim J Ingr 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 1.1.4 AP1451878 SE1233529 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. a t4 HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: MAIL TO: Rene Sosa St. Lucie County Health Department 5150 NW Milner Dr. Port Saint Lucie, FL 34983 rr. 56-SF-1764487 BILL DOC #:56-BID-4483635 CONSTRUCTION APPLICATION #: AP1451878 Rene Sosa AMOUNT PAID: $ 660.00 CREDIT CARD 230550 PAYMENT DATE: 11/06/2019 FACILITY NAME: PROPERTY LOCATION: 6801 Penny Ln Fort Pierce, FL 34951 Lot: 16 Block: 111 Property ID: 1301-611-0246-000-9 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: EvansJS AUDIT CONTROL NO. 56-PID-4226286 Note: Spetic permit 56-SF-1764487 & well permit 59-30083 � sne az_ STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [�] New System [ 7 Existing System [ ] Holding Tank [ ] Repair [ J Abandonment [ ] Temporary PERMIT N0..5)' ' 176 yy ;t DATE PAID: iLL019 FEE PAID: ~ RECEIPT #: 2SnS o0 ,[ ] Innovative [ J APPLICANT: 1. �KP. �� 5 p AGENT: ¢ S O is TELEPHONE: 31 Z-3$�] 73p 3 MAILING ADDRESS: Eydr0d-1- r t" PJ(- FL -9 Kr S TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.305(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. PROPERTYINFORMATION //� o LOT: C7 BLOCK: SUBDIVISION: u'I�wibd pt +' -7 PLATTED: PROPERTY ID #: J301-61(-02`PG-006.q ZONING: Y"��-/ I/M OR EQUIVALENT: [ Y/N 7 . PROPERTY SIZE: � ACRES WATER SUPPLY: [�,] PRIVATE PUBLIC [ ]<=2000GPD [ 7>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS7 1[ YON I DISTANCE TO SEWER: FT PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC I 3 2 3 4 [ ] Floor'/\E�q/u)iiPMent Drains [ 7 Other (Specify) SIGNATURE: �'�!(� '-( DATE: ) I� r DH 4015, 03109 (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: Rene Sosa CONTRACTOR / AGENT: LOT: 16 BLOCK: 111 SUBDIVISION: Lakewood Park ID#:1301-611-0246-000-9 APPLICATION # AP1451878 PERMIT # 56-SF-1764487 DOCUMENT # SE1233529 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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.24 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TAB LEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 359.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARX/REFERENCE POINT LOCATION: Site BM FND Nail & TT E property line extended N, elev--21.7Z ELEVATION OF PROPOSED SYSTEM SITE 2.00 [[INCHES] / FT ] L ABOVE / 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: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOTT. RROFTT.F. TNFORMATTON STTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 4/1 Sand 0 To 17 1 OYR 5/1 Sand 17 To 30 10YR 6/1 Sand 27 To 34 10YR 2/1 Spodic Material 34 To 39 7.5YR 3/4 Sand 39 To 44 7.5YR 413 Sand 44 To 55 1 OYR 513 Sand 55 To 72 USDA SOIL SERIES: Munsell #/Color Texture - Depth 10YR 4/1 Sand 0 To 17 10YR 511 Sand 17 To 30 1 OYR 6/1 Sand 24 To 31 10YR 2/1 Spodic Material 31 To 35 7.5YR 313 Fine Sand 35 To 45 1 OYR 4/3 Fine Sand 45 To 61 10YR 5/3 Fine Sand 61 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ) ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 24.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: 39 INCHES DRAIRFIELD CONFIGURATION: I ] TRENCH [ ] BED [ ] OTHER (SPECIFY) (- REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. 1611 stripping in 10YR5/1 matrix>10% with diffuse boundaries starting at 24" in S132. and SB2 2" below BM. 1 /) SITE EVALUATED BY: �t/ � �. Ingram, Bnan (Title: De 4015, 08/09 (Obsoletes previous editions which DATE: 1210912019 ronmental Specialist II) (ENVIRONMENTAL HEALTH) not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1451878 EID1764487 v 1.0.2 Property Card Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification • Site Address: PENNY LN Parcel ID: 1301-6I1-0246- Account tl: 170129 Sec/Town/Range: 000-9 01/34S/39E Map ID: 13/01N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Elder Mendoza LAKEWOOD PARK -UNIT 9- BLK I 1 I LOT 16 (MAP 2225 SE Short ST 13/01N) Port St Lucie, FL 34952 Current Values Historical Values 3-year Just/Market: $8,600 Assessed: $8,600 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $8,600 2019 $8,600 $8,600 $0 $8,600 2018 $8,200 $6,600 $0 $6,600 2017 $6,000 $6,000 $0 $6,000 Sale History Date Book/Page Sale Code Deed Grantor Price 08-05-2019 4312 / 0206 0111 QC Murray (TR) Donald K $100 02-28-2018 4102 / 2568 0111 QC Murray (TR) Donald K $100 02-05-2015 3714 / 0209 0111 QC Murray Donald K $100 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF ' Exterior Data View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type Roof Cover: Roof Structure: Building Type: Frame: Grade: Effective Year: N/A Story Height: No. Units: 0 Secondary Wall: Interior Data A/C %: 0% Electric: Primary Int Wall: Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas .- Finished/UnderAir 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.24 Land Size (SF): 10,400 Total Building Count: 1 Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. Page 1 of 1 httos://www.oaslc.orwUCard/ 11/6/2019