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HomeMy WebLinkAboutSewage-Z - - STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Francisco & Peggy Perez PROPERTY ADDRESS: TBD Orange Ave Fort Pierce, FL 34945 LOT: BLOCK: PROPERTY ID #: 2310-412-0002-000 7 SUBDIVISION: PERMIT #:56-SF-1927626 APPLICATION #:AP1400084 DATE PAID: FEE PAID RECEIPT #: DOCUMENT #: PR1207524 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0.065, 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 OE' THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T. [ 1,350 ] 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 [ 834 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED EXI MOUND [ ] I CONFIGURATION: [ '] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: orange painted nail in fence post S of system . �® I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 6.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L , D i O T H E R 'ILL REQUIRED: [22.001 INCHES EXCAVATION REQUIRED: [.. ) INCHES F00system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Brian J Inerrx TITLE: Environmental SP ecialist II APPROVED BY DATE ISSUED Environmental Specialist II Brian J Ing 03/18/2019 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which 'may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 09/18/2020 Page 1 of 3 v 1.1.4 1AP1400084 SE1151285 l 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. HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-1927626 BILL DOC #:56-BID-40872441 CONSTRUCTION APPLICATION #: AP1400084 Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 515.00 CHECK 156 PAYMENT DATE: 02/26/2019 MAIL TO: Francisco & Peggy Perez FACILITY NAME: PROPERTY LOCATION: TBD Orange Ave Fort Pierce, FL 34945' Lot: Property ID: 2310-412-0002-000-7 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 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3866206 i g, STATE OF FLORIDA DEPARTMENT OF HEALTH = ONSITE SEWAGE TREATMENT AND DISPOSAL ' SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT No. 5U-8F—' 0al�jj��7 DATE PAID: FEE PAID: RECEIPT #: [v/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Francisco & Perez AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: MAILING ADDRESS: 619 SW Biltmore Street, Port St. 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: na BLOCK: na SUBDIVISION: PROPERTY ID # : 2310-412-0002-000-7 na PLATTED: na ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 5.00 ACRES WATER SUPPLY: [�/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Orange Avenue, Fort Pierce, FL DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION Unit Type of No Establishment 1 RESIDENCE 2 6-ytp51}h oy<,c 3 , Vof e_ 4 [ ] Floor/Equipment Drains [ ,/ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 3,783 © 3 (A) [ ] other (Specify) GARBAGE GRINDERS / DISPOSALS Digi.Hyvpy d6y Akw &,I Piano Alexander J Piazza DN:c US,o UnffillnlW,nu-ADIJ27EOOD0016581L17C9600001931. = kamk,J SIGNATURE- oa_26M3131166k]J-0Sar DATE : 1-31-19 DH 4015, 08/09 (Obsole.tes 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: Francisco & Peggy Perez CONTRACTOR / AGENT: AlexanderJ. Piazza PSM, Inc LOT: BLOCK: SUBDIVISION: ID# : 2310-412-0002-000-7 APPLICATION # AP1400084 PERMIT # 56-SF-1927626 DOCUMENT # SE1157285 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: 5.02 ACRES TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 12549.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 1.2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1250.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: orange painted nail in fence post S of syst ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ] [ ABOVE / ] 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: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD RnTT. PRnFTT.F. TWVnRMATTnW RTTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL'SERIES:Riviera fine sand Munsell #/Color Texture Depth 1 OYR 5/1 Fine Sand 0 To 13 1 OYR 5/3 Fine Sand 13 To 26 10YR 5/2 Fine Sand 20 To 26 1 OYR 7/4 Sand 26 To 41 10YR 512 Sandy Clay Loam 41 To 57 10YR 5/2 Loamy Sand 57 To 72 USDA SOIL SERIES:Riviera fine sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 14 10YR 5/2 Sand 14 To 24 10YR 5/1 Sand 21 To 29 10YR 7/4 Sand 29 To 40 10YR 512 Sandy Clay Loam 40 To 55 10YR 5/2 Loamy Sand 55 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR512 stripping in 10YR5/3 matrix >10% w/ diffuse boundaries starting at 20" in SB1. S131 10" below BM. SB2 9" below BM. SITE EVALUATED BY: DATE: 03/05/2019 Ingram, Brian (TiteEnvironmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1400084 EID1927626 v 1.0.2 STATE OF FLORIDA PERMIT DEPARTMENT OF HEALTH 'tee, ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Francisco & Peggy Perez AGENT: Alexander J. Piazza PSM, Inc. LOT: na BLOCK: na SUBDIVISION: na PROPERTY ID # : 2310-412-0002-000-7 [ 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: 5.00 ACRES TOTAL ESTIMATED SEWAGE FLOW: 767 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1200 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM.SITE i534 [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? [ ( 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? 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: 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: 7RAINFIELD CONFIGURATION: [V/] TRENCH [ ] BED 2EMARKS/ADDITIONAL CRITERIA: ( j YES ]✓] NO FT MSL/NGVD SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: �] EXISTING GRADE. TYPE:[ PERCHED /APPARENT ] _ INCHES ABOVE BELOW ] EXISTING GRADE MOTTLING: [ ] YES [ ] NO DEPTH: INCHES DEPTH OF EXCAVATION: INCHES ( ] OTHER (SPECIFY) ........ .. a y'T y eaan er i DN:c=US,wUnafhated,00=A01427E0000o16581EE3C9600001981.—Ale—der Alexander J Piazza 3ITE EVALUATED BY: ate2o19.01.3, 1604:16-05'00' DATE: 1-31-19 )H 4015, 12/11 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 APPLICANT'S NAIME: LEGAL DESCRIPTION: Francisco & Peggy Perez 2310-41.2-0002-000-7 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, 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. Dlgltallyslgned 6y Akrzndcrl Plaaa AI exa ri d e r J Piazza . -AC 277EEODDOD 659 EE3C96DD0019al. nrcA4:iandMl Piaaa CERTIFIED BY: 04.2019.0131169356-05W FLORIDA PROFESSIONAL NO.: 6330 DATE: 01 /31 /19 JOB NO.: 17-3366 docs/ forms/septies/Sep EicAppp Page207 •�� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM V"M APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: [ ] Innovative [ l APPLICANT: Francisco & Peggy Perez AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: MAILING ADDRESS: 619 SW Biltmore Street, Port St. 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: na BLOCK: na SUBDIVISION: na PLATTED: na PROPERTY ID # : 2310-412-0002-000-7 ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 5.00 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Orange Avenue, Fort Pierce, FL DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION Unit Type of ' No Establishment 1 2 3 4 RESIDENCE [v/] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equipment Drains [ / ] Other (Specify) GARBAGE GRINDERS / DISPOSALS Digiwly DN:oUS.o Unmiliwedd by du'AO1427EOOOGO16581 EMC960000198 1. =-Ale drrl SIGNATURE: Alexander J Piazza f°1 Dn 2019.013116:04:33-05'00' DATE: 1-31-19 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 1/31/2019 Orange Avenue, Fort Pierce, FL - Google Maps Google yaps Orange Avenue, Fort Pierce, FL f j ra 1. �.� { r 1 i i a� �.........._..-.,•. ._..,...— -.... ..,.....-....__..__t,.,.._. .Si .rya ntY � t � St Lucie Cou ail 4P t . lX�i i . A insurenceAutoAucUons m� Beacon + - .. ' tt a Blue T.60 � 1 ; , , Morningslde;� . 3 . 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The natural grade elevation in the area of the. proposed septic system andthe 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. Digitally signed by Al- andcrJ PI.— Alexander J Piazza �1%.61-AU1427E60060165BIEEX9600001981. f DaAlexander J PlaIIu CERTIFIED BY: ,� te:2019.013116.03i6 NSY 0' FLORIDA PROFESSIONAL; NO.: 6330 - DATE: 01 /31 / 19 JOD NO.: 17-3366 , dots/ forms/septics/SepticApppPage207