HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Anthony Giaccone
PERMIT #:56-SF-2058059
APPLICATION #:AP1480750
DATE PAID:
FEE PAID:
RECEIPT If:
DOCUMENT #: PR1348646
PROPERTY ADDRESS: 5417 Cassia Dr Fort Pierce, FL 34982
LOT: 23 & 24 BLOCK: 73 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-610-0107-000-6 [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 [ 375 _] SQUARE FEET Drainfield new SYSTEM
R C ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DR] MOUND [ ]
I CONFIGURATION: [X] TRENCH
N
F LOCATION OF BENCHMARK: site BM, O
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: [18.001 INCHES
0
T
H
E
R
[ ] BED [ ]
inted "X", CL of rd, center of property
[ 2.00 if INCHES FT ] [ ABOVE
[ 2.00 J[ INCHES FT ] [ ABOVE
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated Flow of
9pd•
POINT
POINT
SPECIFICATIONS BY: Brian J In 95E
TITLE: Environmental Specialist II
APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHD
Brian J Iq4 am
DATE ISSUED: 0511512020(/ EXPIRATION DATE: 11/15/2021
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 AP1480750 SE1297811
u
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 'finial
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.
` g ryF 3 �jfy^y"'3
Vie. i'•..d
`� St. Lucie County Health Department
HEALTH
5150 NW Milner Dr PortSaint Lucie, FL 34983
PAYING ON: #:56-SF-2058059 BILL DOC #.56-BID-4641392 CONSTRUCTION APPLICATION #: AP1480750
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 5205 PAYMENT DATE: 04/24/2020
MAIL TO: Anthony Giaccone
FACILITY NAME:
PROPERTY LOCATION:
5417 Cassia or
Fort Pierce, FL 34982
Lot: 23 & 24 Block: 73
Property ID: 3402-610-0107-000-6
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
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Anthony Glaccone
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 23 & 24 BLOCK: 73
SUBDIVISION: Indian River Estates ID#: 3402.610-0107-000-6
APPLICATION # AP1480750
PERNIT # 56SF-2058059
DOCUMENT # SE1297811
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: [XIYES [ ]NO NET USABLE AREA AVAILABLE: 0.34 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 849.98 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:
CL of rd. center of
ELEVATION OF PROPOSED SYSTEM SITE 2.00 L INCHES / FP ] [ 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: L ]YES [XINO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
PROPERTY LINES: 5 FT POTABLE WATER LINES: 5 FT
]YES IX]NO 10 YEAR FLOODING? [ ]YES ' [X]NOI
_FT [ L / NGVD ] SITE ELEVATION: FT [ MSL /NGVD M15
USDA SOIL SERIES:
Munsell #IColor
Texture
Depth
1 OYR 5/2
Sand
0 To 35
1 OYR 6/1
Sand
24 To 50
1 OYR 211
Spodic Material
50 To 55
10YR 3/3 -
Spodic Material
55 To 61
I OYR 4/3
Fine Sand
61 To 66
1 OYR 212
Spodic Material
66 To 72
Rr1TT. VPnWTT.F. TN RMATTr1N STTF. i
USDA SOIL SERIES:
Munsell #IColor
Texture
Depth
1 OYR 4/2
Sand
0 To 7
10YR 5/2
Sand
7 To 49
10YR 612
Sand
26 To 52
10YR 212
Spodic Material
52 To 62
10YR 314
Fine Sand
62 To 72
OBSERVED WATER TABLE: 63.00 INCHES L ABOVE / BELOW I EXISTING GRADE TYPE: L PERCHED / APPARENT I
ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES L ABOVE / FBELDW1I EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES LXINO MOTTLING: [XIYES [ ]NO DEPTH: 24.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH L ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in IOYR512 matrix >10% with diffuse boundaries starting at 24" in SB1.
SB7 2" below BM. SB2 0" above BM. 12
SITE EVALUATED BY: DATE: 05/08/2020
InOram, He m : Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions eh ch may not he used) Incorporated: 64E-6.001, FAC Page 3 Of 4
AP1480750 EID20S8059 v 1.0.2
�• 4
o� STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT #.
APPLICANT:
Anthony Giaccone
AGENT:
Alexander J. Piazza PSM, Inc.
LOT: 23/24
BLOCK: 73 SUBDIVISION:
Indian River Estates Unit 9
PROPERTY ID
#: 3402-610-0107-000-6
[Tax ID Number
]
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: [✓]
YES [ I
NO NET USABLE AREA AVAILABLE: 0.344
ACRES
TOTAL ESTIMATED SEWAGE FLOW:
500
GALLONS
PER DAY [RESIDENCES -TABLE I/OTHER-TABLE2
]
AUTHORIZED SEWAGE FLOW:
GALLONS
PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE
I
UNOBSTRUCTED AREA AVAILABLE:
750
SQFT
UNOBSTRUCTED AREA REQUIRED: 750
SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/Fr ] [ABOVE/BELOW'] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT DITCHES/SWALES:15 FT NORMALLY WET? [ ] YES ]✓] NO
WELLS: PUBLIC: 200 FT LIMITED USE: 100 FT PRIVATE: 75 FT NON —POTABLE. 100 FT
BUILDING FOUNDATIONS:S FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES I✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW
ESTIMATED WET SEASON WATER TABLE ELEVATION:_
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: 1✓] TRENCH [ ]
REMARKS/ADDITIONAL CRITERIA:
BED
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
r] EXISTING GRADE. TYPE:[ PERCHED /APPARENT ]
_ INCHES [.ABOVE/BELOW ] EXISTING GRADE
MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
DEPTH OF EXCAVATION:
] ] OTHER (SPECIFY)
INCHES
s re
AlexanderJ Piazza o� �� .ati, m;,,moaomeee,[n<vmoom>,,..a.an&,
SITE EVALUATED BY: o�ezoiouiv,<9msu�w DATE: 3-27-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICANT'S NAME: Anthony Giaccone 5(y-SF ZG5�07
LEGAL DESCRIPTION: S 1/2 Lot 23 & All of Lot 24, Blgck 73, Indian River Estates Unit 9 (Pg
POOOSED S XXSX; Z'L��>��'�' i1��'(1ltlt� VW
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 watef 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 wifhin 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.
p9NIhfIVmtl L/RkuMnl My
Alexander Piazza
Aw nmMJonldnle[3cmmulsn.
m.Rlevnlflw
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.: 6330
DATE: 03/27/20 JOB NO.: 20-5334
docstforms/septics/SepticAppp?age207