HomeMy WebLinkAboutSewageSTATE OF.FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (The Outdoors Quality, LLC)
PROPERTY ADDRESS: TBD Melton Dr Fort Pierce, FL 34982
PERMIT #:66-SF-2110366
APPLICATION #: AP1526397
RECEIVED DATE PAID:
AUG 2 41070FEE PAID:
RECEIPT #:
Permitting DepCoo
run�<�`w eDOCUMENT #: PR1393460
St. Lune•
LOT: 17 &18 BLOCK: 3 SUBDIVISION: Ruhlman
PROPERTY ID #:
3403-805-0057-000-1
[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 Sentic 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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED []
F LOCATION OF BENCHMARK: Site BM. NID in S side of rd, center of property
I ELEVATION OFF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D i
O
T
H
E
R
,"Jj 2CE%2U1I4EL: t-Iy.UUJ INCHES EXCAVATION REQUIRED: L 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. I
SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J gram '
DATE ISSUED: 08/18/202 EXPIRATION DATE: 02/18/2022
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 AP1526397 SE1352166
'dICOPY P'
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.
STATE OF FLORIDA PERMIT NO. ® 211035Y
1 s� DEPARTMENT � OF HEALTH DATE PAID: S-It ��a�
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: /0 [* 0
;,.:, <4 , SYSTEM RECEIPT #: Ip:3
WE APPLICATION FOR CONSTRUCTION PERMIT /30Z 0 0
APPLICATION FOR:
[v/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: THE OUTDOORS QUALITY, LLC. 3WO.rdo -777,519 --7,1( 0
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
----------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------
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
1
LOT: 17&18 BLOCK: 3 SUBDIVISION
PROPERTY ID # : 3403-805-0057-000-1
RUHLMAN S.D. PLATTED: 1953
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.3208 ACRES WATER SUPPLY: [/I PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: MELTON DRIVE, FORT PIERCE, FLORIDA34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[,./] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1573
[ ] Floor/Equipment Drains [�/]
SIGNATURE : Alexander J. Piazza
Other ( Specify) GARBAGE GRINDERS / DISPOSALS
Digiinny:iped by Al—nderJ. Pima
DN:—Ak<aadc J. Pima, —AI—W., J. Pima PS%I, Inc., oa,
cmaiiakaandemiamp^�ajpwrvcy.cuin. C=us 7-16-20
Dma,. 20:0.m.1- i W.59 aeon DATE
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: The Outdoors Quality, LLC
APPLICATION # AP1626397
PERMIT # 56-SF-2110355
DOCUMENT # RF15tr,21RR
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 17 & 18 BLOCK: 3
SUBDIVISION: Ruhiman ID#: 3403-805-0057-000-1
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: 0.32 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET '/ OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 479.00 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: Site BM. NiD in S side of rd, center of property
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES / FT ] [ 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: 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: 31 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
ROTT. ARCIFTT.F. TW7nRMATT(WQ CTTF. 1 RATT. DRf1FTT.F. TTTFCIRMATTr)V CTr F. 9
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/1
Sand
0 To 5
10YR 611
Sand
5 To 38
10YR 7/1
Sand
25 To 43
10YR 4/1
Sand
43 To 47
10YR 2/1
Spodic Material
47 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 7
10YR 5/1
Sand
7 To 33
10YR 6/1
Sand
23 To 44
10YR 2/2
Spodic Material
44 To 50
7.5YR 3/2
Spodic Material
50 To 72
J
OBSERVED WATER TABLE: 49.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO' MOTTLING: [X]YES [ ]NO DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA•
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 23" In SB2.
SB1 2" above. SB2 V above. -7
SITE EVALUATED BY:
Ingram, n (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous ed., s which may not be used) Incorporated: 64E-6.001, FAC
DATE: 08/03/2020
Page 3 of 4
AP1526397 E102110355 v 1.0.2
STATE OF FLORIDA PERMIT
DEPARTMENT' OF HEALTH
�t ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,.� SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: THE OUTDOORS QUALITY, LLC. AGENT: Alexander J. Piazza PSM, Inc.
LOT: 17&18 BLOCK: 3 SUBDIVISION: RUHLMAN S.D.
PROPERTY ID # : 3403-805-0057-000-1 [ 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: 0.3208 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE 1/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? [ [ 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 [✓] 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:
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: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [4 TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:,
igia ys gne y exan er . iazza
Alexander J . Piazza DN:cn=Nerud`e,pI Pla .jp,= eyW .,-1.15IIa PSM, Inc, ou,
email�lexanderplaaa®aJpsurveycam, c=US
SITE EVALUATED BY: Dare: 20:0.07.1611:10:28-04'00' DATE • 7-16-20
DH 4015, 12/11 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
Page 3 of 4
A.PPLICA.NT'S NAIME: THE OUTDOORS QUALITY, LLC.
LEGAL DESCRIPTION: LOTS 17 & 18, BLOCK 3, RgHLMAN S.D., PB 9, PG 55 SLC FL
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.l.00-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 -inn-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 `,yells 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.
r.
NOTE: MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR -OR ENGINEER.
MgMa signed by MeunderJ. Piam
Alexander J. Piazza b ��nd `�®a s °,°°^
CERTIFIED BY: Date 2020,07.1611:1016 -0a.W
FLORIDA PROFESSIONAL. NO.: 6330
DATE: 07/16/20 JOB NO.:, 20-5833
docs/forms/septics/SepticApppPage207