HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL RFC
SYSTEMSrV�O
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (The Outdoors Quality, LLC)
PROPERTY ADDRESS: TBD Melton Dr Fort Pierce, FL 34982
LOT: I & 20
g11,r.9
perm"ttl Zo
St C c eOC u tY eht
BLOCK: 3 SUBDIVISION: Ruhlman
PERMIT #:66-SF-2110368
APPLICATION #:AP1526400
DATE PAID
FEE PAID:
RECEIPT #:
DocuMENNT #: PR1393486
PROPERTY ID #: 3403-805-0059-000-5 [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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [XI BED [ ]
N
F LOCATION OF BENCHMARK: Site BM NiD, S side of rd, center of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHES FT ][ABOVE BELOW]BENCRMARK/REFERENCE POINT
L
D E
O
T
H
E
R
r'NWUt1ie;1j: L LL.UUJ INCHES EXCAVATION REQUIRED: [ ] INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY:/j Brian J IWam TITLE: Environmental Specialist II
APPROVED BY: ✓ N"" TITLE: Environmental Specialist II St. Lucie CHD
Brian J Pgram
DATE ISSUED: 08/18/2030 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 AP1526400 SE1352214
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 parry 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
r 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2110358 BILL DOC P56-BID-4778428 CONSTRUCTION APPLICATION #: AP1526400
RECEIVED FROM: Alexander J Piazza AMOUNT PAID: $ 660.00
PAYMENT FORM: CHECK 103 PAYMENT DATE: 07/17/2020
MAIL TO: (The Outdoors Quality, LLC)
FACILITY NAME:
PROPERTY LOCATION:
TBD Melton Dr
Fort Pierce, FL 34982
Lot: 19 & 20 3
Block:
Property ID: 3403-805-0059-000-5
_ 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
-1 -Well Construction .
1
$
115.00
RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-4504729
E
STATE OF FLORIDA PERMIT NO. 5F ;2 I t 0358
.DEPARTMENT OF HEALTH DATE PAID: I / 77 Zd
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
•.} SYSTEM RECEIPT # :
APPLICATION FOR CONSTRUCTION PERMIT GK. 103 13a0,00
APPLICATION FOR:
[j/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: THE OUTDOORS QUALITY, LLC. J&rAb'ejQ �loJ/O
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
LOT: 19&20 BLOCK: 3 SUBDIVISION: RUHLMAN S.D. PLATTED: 1953
PROPERTY ID #: 3403-805-0059-000-5 ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.3208 ACRES WATER SUPPLY: [,I] PRIVATE PUBLIC [ ]<=2000GPD [ 1>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 [,/] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC'
1 RESIDENCE 3 1573
2
3
4
[ ] Floor/Equipment Drains [ .11 Other (Specify) GARBAGE GRINDERS / DISPOSALS
Oigitnlly signed by AI—dcr.l. pi.
ON: en=Al—duI. PJe .u=AI¢nemlar I. Itm P.M. Inc. uu,
Alexander J. Piazza a�hlcxanuemi��ojp:urveywmc=uS 7-16-20
SIGNATURE. D_Nc0.W.1611:lo:79 "(Xr 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
CONTRACTOR / AGENT: Alexander J Piazza
LOT: 19 & 20 BLOCK: 3
SUBDIVISION: Ruhlman ID#:3403-805-0059-000-5
APPLICATION # AP1526400
PERMIT # 56-SF-2110358
DOCUMENT # RF1.1.9071A
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, S side of rd, center of property
ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ 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: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT PQTABLE WATER LINES: 31 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]N01
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT ( MSL / NGVD
SOIL PROFILE INFORMATION STTE 1 Cr)TT. DRAFTT.F TM nPMnTTnV aTq 7
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 411
Sand
0 To 8
1 OYR 5/2
Sand
8 To 45
1 OYR 6/1
Sand
20 To 58
7.5YR 2.5/2
Spodic Material
58 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
' 10YR 4/2
Sand
0 To 11
10YR 5/2
Sand
11 To 39
1 OYR 6/1
Sand
21 To 55
7.5YR 3/2
Spodic Material
55 To 72
OBSERVED WATER TABLE: 49.00 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.
10YR6/1 stripping in 10YR512 matrix >10% with diffuse boundaries starting at 20" in SB1.
SB1 3" below BM. SB2 2" below BM.
T
SITE EVALUATED BY: DATE: 08I03/2020
Ingram, Brian itle: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obsoletes-previous editions hich may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1626400 EID2110358 v 1.0.2
STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT #.
APPLICANT : THE OUTDOORS QUALITY, LLC. AGENT: Alexander J. Piazza PSM, Inc.
LOT: 19&20 BLOCK: 3 SUBDIVISION: RUHLMAN S.D.
PROPERTY ID # : 3403-805-0059-000-5 [ 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 VOTHER-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 TA33LE:40+ INCHES [BELOW 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 [ ]
REMARKS/ADDITIONAL CRITERIA:
BED
DEPTH OF EXCAVATION: INCHES
[ ] OTHER (SPECIFY)
t-ilysign y —n er . Iona
Alexander J. Piazza DN:m=AlexantlerJ.Paaa,o=Aleaanderl. Pia za PSM 1n4 nu,
email=alecinderpiaaa@aJpsurvey.mm, c=US
SITE EVALUATED BY: Date: 2020.07.1617:10:28-04.00- DATE: 7-16-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of j
APPLICA:NT'S NAME:
THE OUTDOORS QUALITY, LLC.
LEGAL, DESCRIPTION: LOTS 19 & 20, 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. 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.
DI911Ely signed by Ale —del. Plam
am I
Alexander J. Piazza jMn.a�ue a11a11-.1 A de1Pa M�a1PP° =fn
CERTIFIED BY: DaW 2020.07.1611:10:16-04W
FLORIDA PROFESSIONAL NO.: 6330
DATE: 07/16/20 JOB NO.: 20-5834
docs/forms/septics/SepticApppPage207