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HomeMy WebLinkAbout008 Septic Permit - ChambersSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Ross and Norann Chambers PROPERTY ADDRESS: 4700 Indrio Rd Fort Pierce. FL 34951 LOT BLOCK: PROPERTY ID #: 1418-133-0040-000-7 SUBDIVISION: PERMIT #:56 -SF -2113466 APPLICATION #: AP1528633 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1393719 [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 [ 1,200 ] 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 [ 767 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND I CONFIGURATION: [ ] TRENCH [x] BED [ ] W F LOCATION OF BENCHMARK: Site BM. NiD in CL of Indrio Rd, SE property corner. I ELEVATION OF PROPOSED SYSTEM SITE [ 24.00][ INCHES FT ][ABOVE BELOW 11 BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E O T H E R .LLL k(61 2uleu�u: L d4.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 460 gpd. SPECIFICATIONS BY: Brian J I am TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II Brian J Z ram DATE ISSUED: 081191202JY EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 A-IIS28633 SE1352483 St. Lucie CHD 02/19/2022 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 F Imri E 5150 NW Milner Dr PortSaint Lucie, FL 34983 HEALTH PAYING ON: #:56 -SF -2113466 BILL DOC #:56 -BID -4794654 CONSTRUCTION APPLICATION #: AP1 528633 RECEIVED FROM: Jared Modine AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 2540 PAYMENT DATE: 07/29/2020 MAIL TO: Ross and Norann Chambers FACILITY NAME: PROPERTY LOCATION: 4700 Indrio Rd Fort Pierce, FL 34951 Lot: Property ID: 1418-133-0040-000-7 EXPLANATION or DESCRIPTION: Block: 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: VanceMH AUDIT CONTROL NO. 56 -PID -4514621 — STATE OF FLORIDA PERMIT N0. ` Jam) 3tI(i%i DEPARTMENT OF HEALTH DATE PAID: g' ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: ti SYSTEM RECEIPT #: we APPLICATION FOR CONSTRUCTION PERMIT Ch! APPLICATION FOR: [v/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Ross and Norann Chambers AGENT: Jared Modine TELEPHONE: 772-519-0558 MAILING ADDRESS: 497 S. Brocksmith Road Fort Pierce, FL 34945 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: NA BLOCK: NA SUBDIVISION: NA PLATTED: Y PROPERTY ID #: 1418-133-0040-000-7 ZONING: AR -1 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 1.02 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [�/]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: N/A DIRECTIONS TO PROPERTY: Take US Ito Indrio Rd. Head Weston Indrio. 1st lot after the savannas on the BUILDING INFORMATION [V1 RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Single Family Residence 3 3,371 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) Jared Modine Digitally signed by Jared Modine SIGNATURE: Date: 2020.07.09 10:44:24 -04'00' DATE: 7-9-2020 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: Ross and Norann Chambers CONTRACTOR / AGENT: Jared Modine LOT: BLOCK: APPLICATION # AP'1528633 PERMIT # 56 -SF -2113466 DOCUMENT # SE1352483 SUBDIVISION: ID# : 1418-133-0040-000-7 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: 1.02 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2549.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1150.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT BENCHMARK/REFERENCE POINT LOCATION ELEVATION OF PROPOSED SYSTEM SITE Site BM. NiD in CL of Indrio Rd, SE property corner. 24.00 [ F INCHES / FT ] [ ABOVE / BELO]] 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: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 50 FT POTABLE WATER LINES: 25 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: cOTT, PRnPTT,F INFORMATION SITE 1 [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 5 1 OYR 5/2 Sand 5 To 17 1OYR 5/8 CMN/PRM RF 8 To 17 1 OYR 6/2 Sand 17 To 28 1 OYR 2/2 Spodic Material 28 To 42 7.5YR 3/2 Spodic Material 42 To 51 1 OYR 4/3 Fine Sand 51 To 60 HOLE CAVING Refusal 60 To 72 SOIL PROFILE INFORMATION SITE 2 Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 9 1 OYR 5/1 Sand 9 To 27 10YR 5/8 CMN/PRM RF 9 To 17 10YR 2/1 Spodic Material 27 To 37 1OYR 2/2 Spodic Material 37 To 44 1 OYR 4/3 Fine Sand 44 To 53 HOLE CAVING Refusal 53 To 72 BELOW APPANT OBSERVED WATER TABLE: 3,00 INCHES [ ABOVE /� ] EXISTING GRADE TYPE: [ PERCHED / ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 8 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 8.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) r' REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 CMN PROM RF mottling in 1 OYR512 matrix >2% starting at 8" in S131. SEI1 24" below BM. SB2 23" below BM. i SITE EVALUATED BY: INCHES DATE: 08/18/2020 Ingram, Briari/(Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions/which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1528633 EID2113466 v 1.0.2 APPLICANT'S NAME: ;F05.J C ,r I'y`?e�,5 LEGAL DESCRIPTION: laYn-e( „ . PROPOSED=SEPTI117SYSTELSITE*INFORMA;TIQ 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, tilled 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. dnr, r•n,,,,�Ptn:<.<<ptic:\PPPPate_tl7 ..-:•• O 497 i STATE OF i FLORIDA � CERTIFIE) BY: FLORIDA P O SIONAL N0.: DATE:_�_..f% � 1OB NO.: Property Card 1% Sf- - 21t 3Y&G Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 4700 INDRIO Parcel ID: 1418-133-0040- Account #: 7901 Sec/Town/Range: RD 000-7 18/34S/40E Map ID: 14/18N Zoning: AR -1 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Ross A Chambers 18 34 40 SE 1/4 OF SW 1/4 OF SW 1/4 OF NE 1/4 -LESS W Norann Chambers 150 FT AND LESS E 30 FT AND LESS S 40 FT- (1.02 AC) 1200 N Ffa RD Fort Pierce, FL 34945 Page 1 of 1 Current Values Historical Values 3 -year Just/Market: $28,200 Assessed: $28,200 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $28,200 2019 $28,200 $28,200 $0 $28,200 2018 $27,700 $25,740 $0 $25,740 2017 , $23,400 $23,400 $0 $23,400 Date 10-18-2019 02-02-2006 08-20-1997 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type Sale History Book/Page Sale Code Deed Grantor 4335/ 1074 0001 WD Snyder James E 2484/1403 XX00 WD Macgregor Jr (TR) Fred M 1100/0358 XXOI WD Macgregor Jr Fred A/C %: 0% Primary Building Information Heated %: N/A% Finished Area of this building: 0 SF Sprinkled %: 0% Gross Sketched Area: 0 SF Type Total Areas Price $50,000 $111,500 $100 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 1.02 Land Size (SF): 44,431 Total Building Count: I 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 2020 Saint Lucie County Property Appraiser. All rights reserved. ittps://www.pasic.org/RECard/ 7/29/2020 Exterior Data Roof Cover: Roof Structure: Frame: Grade: Story Height: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Total Areas Price $50,000 $111,500 $100 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 1.02 Land Size (SF): 44,431 Total Building Count: I 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 2020 Saint Lucie County Property Appraiser. All rights reserved. ittps://www.pasic.org/RECard/ 7/29/2020 27° 31'14 N Custom Soil Resource Report Soil Map �56 "5ic- 7(3 q&(o �.i .............. 1 561970 551980 551990 562000 582010 552020 5SZ000 3 Map Scale: 1:622 if printed on A portrait (8.5" x 11") sheet Meters N 0 5 10 20 30 Few 0 30 60 120 180 Map pro)ecbon: Web Mercator Caner coordinates: WGS84 Edge tics: UTM Zane 17N WGS84 6 1 27° 31' 14 N 852M 3 F Custom Soil Resource Report St. Lucie County, Florida 21—Lawnwood and Myakka sands Map Unit Setting National map unit symbol: 1jpvg Elevation: 0 to 200 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Lawnwood and similar soils: 41 percent Myakka and similar soils: 39 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Lawnwood Setting Landform: Marine terraces on flatwoods Landform position (three-dimensional): Taff Down-slope shape: Linear Across -slope shape: Linear Parent material: Sandy marine deposits Typical profile A - 0 to 8 inches: sand E - 8 to 28 inches: sand BhI - 28 to 52 inches: sand Bh2 - 52 to 58 inches: sand C - 58 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 10 to 31 inches to ortstein Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Very low (about 0.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 10 Custom Soil Resource Report Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Description of Myakka Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down-slope shape: Convex Across -slope shape: Linear Parent material: Sandy marine deposits Typical profile A - 0 to 7 inches: sand E - 7 to 27 inches: sand Bh - 27 to 38 inches: sand C - 38 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.57 to 5.95 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Low (about 4.5 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Minor Components Ankona Percent of map unit. 7 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down-slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Electra Percent of map unit: 7 percent 11 Custom Soil Resource Report Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down-slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on rises and knolls of mesic uplands (G156BC131 FL) Hydric soil rating: No Waveland Percent of map unit: 6 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down-slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No 12