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HomeMy WebLinkAboutHealth Department Septic Approval (2) �t 1 PERMIT #:66-SF-1713733 APPLICATION #:AP1259508 R STATE OF FLOP IDA DEPARTMENT OE HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: CONSTRUCTION PERMIT RECEIPT #: DOCUMENT #: PRI 036666 CONSTRUCTION PERMIT FOR: O TDS New APPLICANT: Steven Day(772-263-2 22) PROPERTY ADDRESS: 7967 Plantat on Lakes Dr Port Saint Lucie, FL 34986 LOT: 59 BLOCK: SUBDIVISION: Reserve Plantation PROPERTY ID #: 3321-803-0063-000-9 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTE 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 [ 1,050 ] GALLONS / GPD Septic new CAPACITY A [ J GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TA31K CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 J SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD ] FILLED [xl MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: site 13M orange x centerline of rd mid property I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 5.00 ] [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT D FILL REQUIRED: [23.00] INCHES EXCAVATION.REQUIRED: [ 50.001 INCHES The system is sized for 3 bedrooms ith a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow 0. of 400 gpd. T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with H s.64E-6.013(3)(0, FAC. E ' R SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialis I St.Lucie CHD Brlpfi J Ingram - DATE ISSUED: 10/25/2016 ' � N D E: 04/25/2018 DH 4016, 08/09 (Obsoletes all p evious editions which may not be used) / Incorporated: , 64E-6.003, FAC Page 1 0f3 V 1.1.4 AP1259508 SE1011526 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-or a (21) days from the receipt of this order. The address of the 5 Agency Clerk is 4052 Bald C press Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile nun iber is 850-413-8743. Mediation is not avail able 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 YOL r right to an administrative hearing, and this order shall become a 'final order. Should this order bec me a final order, a party who is adversely affected by it is entitled to judicial review pur uant 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. l _h, c x_I St. Lucie County Health Department 16 II '� 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON:. PERMIT#:56 SF-1713733 BILL DOC#:56-BID-3288249 CONSTRUCTION APPLICATION# AP1259508 RECEIVED FROM: Alexander J Piazza PSM, Inc. AMOUNT PAID: $515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 10/13/2016 MAIL TO: Steven Day(772-263-2( 22) FACILITY NAME : PROPERTY LOCATION: 7967 Plantation Lakes Dr Port Saint Lucie, FL 34986 Lot: 59 Block: Property ID: 3321-803-0063-000-9 EXPLANATION or DESCRIPTION: QUANTITY FEE 7 -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 Systerr Inspection 1 $ 75.00 128- OSTDS Construction Systerr Inspection Research Fee 1 $ 5.00 133- OSTDS Construction Reinsp Dction 1 $ 50.00 -1 -Surcharge (All) 1 $ 15.00 -1 -"OSTDS New Permit SurchargE 1 $ 100.00 F i 'i RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3122739 STATE OF F ORIDA PERMIT NO. 'SFd 9/3'33 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �/,5- -�c SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ I Holding Tank [ ] Innovative [ ] Repair I " ] Abandonment [ ] Temporary I ] APP ,ICANT: Steven Day 1•?�) Z(3-oLoa, - AGENT: Alexander J.Piazza PSM,In- TELEPHONE: 772-340-7770 MAILING ADDRESS: 619 SW Biltriore 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: 59 BLOCK: na SUBDIVISION: Reserve Plantation Phase IIA PLATTED: 1988 PROPERTY ID #: 3321-803-0063- 00-9 ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.598 ACRES WATER SUPPLY: W►_P PRIVATE PUBLIC [� ]<=2000GPD ]>2000GPD ~ IS SEWER AVAILABLE AS PER 81.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 7967 Planta 'on Lakes Drive DIRECTIONS TO PROPERTY: -SE.---LOCATION 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 RESIDENTIAL 3 21855 2 3 4 _ - [ ] Floor/Equipment Drains --t ✓] Other (Specify) GARBAGE GRINDERS/DISPOSALS SIGNATIIRE: .� DATE: 10-12-16 DH 4015, 08/09 (Obsoletes revious 49d tions\'which may not be used) Incorporated 64E-6.001, FA Page 1 of 4 . y. STATE OF FLO IDA APPLICATION # AP1259508 DEPARTMENT O HEALTH PERMIT # 56-SF-1713733 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1011526 3 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Steven Day(772-263-20 2) CONTRACTOR / AGENT: Alexander J Piazza PSM, Inc. LOT: 59 BLOCK: SUBDIVISION: Reserve Plant 3tion ID#: 3321-803-0063-000-9 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SION AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE LAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.59 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1474.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM orange x centerline Of rd mid property ELEVATION OF PROPOSED SYSTEM SI .10,00 [ 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: 100 FT NON-POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 20 FT' POTABLE WATER LINES: 20 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] i 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Wabasso sand USDA SOIL SERIES:Wabasso sand Munsell#/Color Texture Depth Munsell#/Color Texture Depth I OYR 4/1 Sand 0 To 14 1 OYR 4/1 Sand 0 To 14 1 OYR 5/4 Sand 14 To 27 1 OYR 5/4 Sand 14 To 27 10YR 6/4 Sand 27 To 33 10YR 6/4 Sand 27 To 33 1 OYR 4/2 Sandy Loam 33 To 50 1 OYR 4/2 Sandy Loam 33 To 50 1 OYR 5/2 Loamy Sand 50 To 57 10YR 5/2 Loamy Sand 50 To 57 1 OYR 6/1 Loamy Sand 57 To 61 1 OYR 6/1 Loamy Sand 57 To 61 10YR 6/2 Sand 61 To 72 1 OYR 6/2 Sand 61 To 72 OBSERVED WATER TABLE: 37.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [X]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES SOIL TEXTURE/LOADING RATE FORS STEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 50 INCHES DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and sc 11 borings. 10YR6/4 stripping in 10YR5/4 matrix @ 19"11 SBI and SB2. SB1 10"below BM.S132 7"below BM.BM=4 "INID SW prop corner-47'/Yellow capped IR SW=47"/SB1=52"SBI=49" SITE EVALUATED BY: DATE: 10/24/2016 Ingran i,DrIon(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 AP1269608 EID1713733 v 1.0.2 9 STATE OF FLORIDA PERMIT #.Sb 17J DEPARTMENT OE HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUAT ON AND SYSTEM SPECIFICATIONS APPLICANT: Steven Day AGENT: Alexander J.Piazza PSM,Inc. LOT: 59 BLOCK:- na. SUBDIVISION: Reserve Plantation Phase IIA PROPERTY ID #: 3321-803-0063-000- [Section/Township/Parcel No.or 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 SI E PLAN: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: 0.598 ACRES TOTAL ESTIMATED SEWAGE FLOW: 666 GALLONS PER DAY [RESIDENCES-TABLE VOTHER-TABLE2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000 SQFT UNOBSTRUCTED AREA REQUIRED: 1000 SQFT BENCHMARK/REFERENCE POINT LOCATION: Painted I'V in CL at midpoint of lot ELEV=24.56 NAVD 1988 ELEVATION OF PROPOSED SYSTEM SITE Is 34 [ INCHES/FT ] [ABOVE ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAI 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 FLO DING: [ ] YES [✓I NO 10 YEAR FLOODING? ( ] YES (✓] NO 10 YEAR FLOOD ELEVATION FOR ITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE , DEPTH TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: USDA SOIL SERIES: OBSERVED WATER TABLE: 40+ INCHES [BELOW r] EXISTING GRADE. TYPE: [PERCHED/APPARENT ESTIMATED WET SEASON WATERT LE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADI HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOE, SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: I,/] TRENCH [ BED ( ] OTHER (SPECIFY) REM2►RKS/ADDITIONAL CRITERIA: . - SITE EVALUATED BY: DATE: 10-12-16 DE 4015, 12/11 (Obsoletes previous editions`which may not be used) Incorporated: 64E-6.001,FAC Page 3 of e . APPLICANT'S NAME: Steven Day 3G 13.P. ?1 3 LEGAL DESCRIPTION: Lot 59, Reserve PlantationPhase IIA, Plat Book 26, Page 13 jyjy j�j)�(\'�j��'/7' �(`^(,�j��TE '[�`,'� l[j�T'j�+"�T'j7��J�j^���'(.jam.l/�1'k��^'('I• �j7(�.$7^'j)''^F1'j/''j� 7(R,ij. .V .RA4/AJ'l�J , ►J�'fJ'..'',!j. - -14. i+.fLl'.GR.C,ti:it.,..i r I certify that there are no potable private wells within 75 feet of the available area for the ' proposed septic system; t at there are no non-potable wells within 50 feet of the available area for the proposed septic sy tem, that there are no wells within 25 feet of a pesticide-treated building foundation, that .1 ere are no public wells that-serve less than 25 people or less than 15 homes or businesses thin 100 feet of the proposed septic system, that there are no public wells that serve more th 25 people or more than 15 homes or businesses within 200 feet of the proposed septic syste that the water line from the water meter or well to the structure is at least 10 feet.from the ailable area for the proposed septic system unless the plans show the line to be double Slee ed,.that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a ublic easement or right-of-way that abuts the property, that there are no lakes, streams, wet ands, or surface water wifhin 75 feet of the available area for the proposed septic system u less the,property was created prior to 1972, that the septic system is proposed on the side of&e 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 plar., that all public wells within 200 feet of the applicant's lot are shown on the site plan, ad that the location of building or residences, swimming pools, recorded easements, pave areas or driveways, sidewalks, the general slope of the property, filled areas, drainage fea es, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on th 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 E Y A FLORIDA CERTIFIED BY: �"•'""' REGISTERED SURVEY R OR ENGINEER. FLORIDA PROFESSIONAL_ N�p.: _M 6 bAT& 10/12/16 1OB NO.: '"!6.26-37 docs/forms/septics/SepticApppPage207 _ ?roperty Card A-$16,1713733 Page 1 of $jte Address: P i rcel ID:3321-803-0063- Account#:35984 Sec/Town/Range: PLANTATION LAKES DR 000-9 28/36S/39E Map ID:33/28N Z ning:RS-2 Use Type:0000 Jurisdiction:Saint Lucie County Ownership Legal Description Steven Day RESERVE PLANTATION-PHASE IIA-LOT 59(MAP 11340 SE Federal Highway 33/28N)(OR 3446-334:3628-2902) Hobe Sound,FL 33455 Current Value Historical Values 3-year r Just/Market: $77,300 Assessed: $41,250 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $41,250 2016 $77,300 $41,250 $0 $41,250 2015 $37,500 $37,500 $0 $37,500 Sale History Date Book/Page Sale Code Deed Grantor Price 05-06-2014 3628/2902 0111 QC Day,Steven $100 10-19-2012 3446/0334 0001 WD Low,John $34,100 03-04-2004 1914/0777 XX00 WD Lease,George J $175,000 Primary Building Information Finished Area of this building:0 SF Gross Area of this building:0 SF Exterior Data View: Roo Cover: Roof Structure: Building Type: Year Built:N/A Frame: Grade: Effective Year:2014 Primary Wall: Stoq Height: No.Units:0 Secondary Wall: Interior Data Bedrooms:0 A/C /o:0% Electric: Primary Int Wall: Full Baths:0 Heat 2d%:N/A% Heat Type: Avg Hgt/Floor:0 Half Baths:0 Sprii ikled%:0% Heat Fuel: Primary Floors: Total Areas i; ` � �•• i�r` Finished/LJnderAir 0 (SF): Gross Area(SF): 0 Land Size(acres): 0.57 Land Size(SF): 24,613 �M rum„� ra, Total Building Count: I Special Features and Yard Items Type Qty Units Year Blt This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2016 Saint Lucie County Property Appraiser.All rights reserved. lttp://www.paslc.org/RECard/ . 10/13/201(