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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
`APPLICANT: (Port St. Lucie Properties)
PROPERTY ADDRESS: 594 Beach Ave Port Saint Lucie, FL 34952
LOT: 5 & 6
BLOCK: 19 SUBDIVISION: River Park
PROPERTY ID # : 3419-510-0237-000-1
PERMIT #:56-SF-2090779
APPLICATION #: AP1509623
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1377866
[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 @[ ]DOSES PER 24 HRS #Pumps [
D [ 375 ] SQUARE FEE!
R [ ] SQUARE FEE!
A TYPE -SYSTEM: [ ]
I CONFIGURATION: [x]
N
F LOCATION OF BENCHMARK: Site BM Set Nail-Elev=8.01
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [x] FILLED [ ] MOUND [ ]
TRENCH [ ] BED [ ]
I ELEVATION OF PROPOSED SYSTEM SITE [ 13.00][ INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 11.00][ INCBES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D E
O
T
H
E
R
'.LAil, KEQU.LxEjj: [ 10-UU1 INCHES EXCAVATION REQUIRED: [ J INCHES
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 J gram TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian rAngram
` DATE ISSUED: 07/14/29ft EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
01 /14/2022
Page 1 of 3
v 1.1.4 AP1509623 SE1336702
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 850-41.3-8743.
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.
7
Y
St. Lucie County Health Department
RY } a 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2090779 BILL Doc #:56-BID-4727171 CONSTRUCTION APPLICATION #: AP1509623
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD' 531422 PAYMENT DATE: 06/12/2020
MAIL TO: (Port St. Lucie Properties)
FACILITY NAME:
PROPERTY LOCATION:
594 Beach Ave
Port Saint Lucie, FL 34952 3
5&6
Lot:
Block: 19
Property ID: 3419-510-0237-000-1
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: VanceMH AUDIT CONTROL NO. 56-PID-4451488
STATE OF FLORIDA PERMIT NO. 5r- 19c)0077e-)
DEPARTMENT OF HEALTH DATE PAID: (s) cz� G
�r ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
N3
�' SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Port St. Lucie Properties, Inc.
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE:
MAILING ADDRESS: 619 SW Biltmore Street, PortSt. Lucie, Florida 34983
772-340-7770
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- 5&6 BLOCK: 19 SUBDIVISION: River Park Unit 2 PLATTED: 1959
PROPERTY ID #:
3419-510-0237-000-1
ZONING: R
I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.367
ACRES WATER SUPPLY: {_— PRIVATE
PUBLIC [X]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS
PER 381.0065, FS?
[ No ]
DISTANCE TO SEWER: FT
PROPERTY ADDRESS:
594 Beach Avenue, Port St. Lucie, FL 34952
DIRECTIONS TO PROPERTY: SEE MAP -
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[ ] Floor/Equipment Drains
[%/] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1,271
Other (Specify) GARBAGE GRINDERS / DISPOSALS
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Alexander J. Piazza on:rn=ni�na�n.r� wntc.ni.rrsn�,m.,nn,
�a..i. you mi�csi-Uar rn��-us 6-11-20
SIGNATURE: nm�•.�oxn.rc.ii i,•�z:.u+uar DATE
DH 4015, 08/09 (Obsoletes previous editions which may not be used)`
Incorporated 64E-6.001, FAC Page 1 of 4
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STATE OF FLORIDA PERMIT
DEPARTMENT OF HEALTH
,fa ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
WML
APPLICANT: Port St. Lucie Properties, Inc. AGENT: Alexander J. Piazza PSM, Inc.
LOT: 5&6 BLOCK: 19 SUBDIVISION: River Park Unit 2
PROPERTY ID # : 3419-510-0237-000-1 [ 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 [ ] NO NET USABLE AREA AVAILABLE: 0.367 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES-TABLEI/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/FT ] [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? [ I YES [,(] NO
WELLS: PUBLIC:200 FT LIMITED USE:100 FT . PRIVATE:75 FT NON—POTABLE:100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [q/] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR
USDA SOIL SERIES:
TEXTURE DEPTH
'1' V
TO
TO
TO
TO
TO
TO
TO
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW q EXISTING GRADE. TYPE-[PERCHED/APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [,(] TRENCH [ ] BED
REMARKS/ADDITIONAL CRITERIA:
DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
INCHES
igi a ys gne y eaan er . is
• Alexander J . Piazza DN:cn-- andederrJ. P iaa.o=mey.mm,r _Uiaaa PSM, Inc du
SITE EVALUATED BY : D�W.2o2o.oe e�7.i732'-0 0pey.com, r-US
DATE: 6-11-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICA.NT'S NAIYIE: Port St. Lucie Properties, Inc. S(o
LEGAL DESCRIPTION:. E 1/2 of Lots 5 and 6, Block 1,9, River Park Unit 2 (PB 10, PG 72)
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 surfacewater 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 plot.
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.
INglpl ly syned by Nexand er L PIS
ON:oeAlnanderl. Pt— r-M—der L Phan l
Alexander J. Piazza Inc aa,emalL-alewnde Paaa®a,P,arveyram.�
CERTIFIED BY: Date. 2020.0&11 12:12M -04W
FLORIDA PROFESSIONAL NO.: 6330
DATE: 06/11/20 JOB NO.: 20-5519
docs/ forms/sep tics/SepticApppPage207