HomeMy WebLinkAboutSewage1
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
PERMIT #:56-SF-2138632
APPLICATION # : AP 1552189
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1407870
APPLICANT: (Port St. Lucie Properties, Inc)
PROPERTY ADDRESS: TBD Marie Rd Fort Pierce, FL 34945
LOT: 12 & 13 BLOCK: 6 SUBDIVISION: Jay Gardens
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 2311-601-0097-000-2 [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 BEINGS 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 ,- 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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND
I CONFIGURATION: [ ] TRENCH [x]'BED [ ]
N
F LOCATION OF BENCHMARK: 20d nail in W side of N gage post, NE of systE
W
I ELEVATION OF PROPOSED SYSTEM SITE [ 15.00][ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 13.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D F
T
H
E
R
ILL REQUIRED: [ 20.00] INCHES EXCAVATION REQUIRED: [ 50.uu J livL-;nmD
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.
SPECIFICATIONS BY: Brian J am TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD
Brian J gram
DATE IssUED: 09/14/2 EXPIRATION DATE: 03114/2022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Page 1 of 3
Incorporated: 64E-6.003, FAC
v 1.1.9 AP1552189 SE1366389
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.
c j St. Lucie County Health Department
M 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-8F-2138532 BILL Doc #:56-BID-4900365 CONSTRUCTION APPLICATION #: AP1552189
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 660.00
PAYMENT FORM: CREDIT CARD 001346 PAYMENT DATE: 08/17/2020
MAIL TO: (Port St. Lucie Properties, Inc)
FACILITY NAME:
PROPERTY LOCATION:
TBD Marie Rd
Fort Pierce, FL 34945
Lot:
Property I D:
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
-1 - Well Construction
RECEIVED BY: MontanezNM
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
1
$
115.00
AUDIT CONTROL NO. 56-PID-4566933
Ty1E
�.� STATE OF FLORIDA
DEPARTMENT OF HEALTH
J ' ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT
DATE PAID: ,1
FEE PAID:
RECEIPT #:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT • Port St. Lucie Properties, Inc.
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: 12&13 BLOCK: 6 SUBDIVISION: JAY GARDENS PLATTED: 1956
PROPERTY ID #: 2311-601-0097-000-2 ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.410 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: rr
PROPERTY ADDRESS: TBD Marie Road, Fort Pierce, 17134945
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION [J] RESIDENTIAL [ ] COMMERCIAL
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter. 64E-6, FAC
3 1,271
[ ] Floor/Equipment Drains Other (Specify) GARBAGE GRINDERS / DISPOSALS
Dighliy sipd by Al—.dcr J. Pi—
Dn:en-Alcxmda J. 14n wAirmdcr J. rum PSM. Im.• ou,
SIGNATURE. Alexander J. Piazza mail-al—'=odepM.4-0i'1w@,jPSvrcey.an -US DATE: 7-15-20
Da. 0.07.IS 41RW
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: Port St. Lucie Properties, Ind
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 12 & 13 BLOCK: 6
APPLICATION # AP1552189
PERMIT # 56-SF-2138532
DOCUMENT # SE1366389
SUBDIVISION: Jay Gardens ID#: 2311-601-0097-000-2
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: D.41 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 615.01 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: 20d nail in W side of N gage post, NE of s,
ELEVATION OF PROPOSED SYSTEM SITE 15.00 [ 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: 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 POTABLE WATER LINES: 60 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
r nwt ermv I
[ ]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 411
Sand
0 To 14
1 OYR 5/1
Sand
14 To 32
1 OYR 6/1
Sand .
22 To 36
1 OYR 2/1
Spodic Material
36 To 43
1 OYR 5/4
Sandy Clay Loam
43 To 52
10YR 5/3
Loamy Sand
52 To 60
HOLE CAVING
Refusal
60 To 72
rmc 7
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 4/1
Sand
0 To 13
1 OYR 5/1
Sand
13 To 31
10YR 6/1
Sand
24 To 36
1 OYR 2/1
Spodic Material
36 To 45
1 OYR 4/4
Sandy Clay Loam
45 To 55
10YR 5/3
Loamy Sand
55 To 62
HOLE CAVING
Refusal
62 To 72
OBSERVED WATER TABLE: 33.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT .]
ESTIMATED NET SEASON WATER TABLE ELEVATION: 22 INCHES [ ABOVE / BEE] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [X]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 22.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED
r- REMARKS/ADDITIONAL CRITERIA
Sand/0.60 DEPTH OF EXCAVATION: 55 INCHES
[ ] OTHER (SPECIFY)
1SWT determined using USDA WSS and soil borings.
0YR611 stripping in 10YR511 matrix >10% with diffuse boundaries starting at 22" in S131.
B1 15" below SM. S13214" below BM. /l
SITE EVALUATED BY: DATE: 09/07/2020
Ingram, Bria itle: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (obsoletes previous editions hich may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4
AP1552189 EID2138532 v 1.0.2
STATE OF FLORIDA PERMIT
: eY� DEPARTMENT OF HEALTH
.�• ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Port St. Lucie Properties, Inc. AGENT: Alexander J. ,Piazza PSM, Inc.
LOT: 12&13 BLOCK: 6 SUBDIVISION: JAY GARDENS'
PROPERTY ID # : 2311-601-0097-000-2 [ 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: 0.410. 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
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
[ J YES [✓] NO 10 YEAR FLOODING? ( ] YES (✓] NO
FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
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
mn
TO
mn
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW T] 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: [VI TRENCH [ ]
RF•MARKS/ADDITIONAL CRITERIA:
DEPTH OF EXCAVATION: INCHES
BED ( ] OTHER (SPECIFY)
ig a yvi y Iona
Alexander J . Piazza DN:cn=Alen d,rpa ana sumey.anderl.PlaaaPSM,Inc',ou,
email=aleaanderpianaoaJpsurveycom, c=US
SITE EVALUATED BY • Dare: lola.07.15,a:44:A6-oa•Ib• DATE: 7-15-20
DH 4015, 12/11 (Obsoietes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
65- 3 t e 35
IF, 21395'32.
APPLICANT'S.NATME:
Port St. Lucie Properties, Inc.
LEGAL DESCRIPTION: Lots 12 & 13, Block 6, ,.Jay' Gardens (PB 10, PG 70)
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 apesticide-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.
NO MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR -OR ENGINEER.
D191M1I 1 sl9 ned by Ak=d er 1. Phan
DN:,,rAle &,1.PIa=a,-A1—nderJ.PkM P51
Alexander J. Piazza Inc,wemail=almnderplaaagalpsmveysam,aU'
CERTIFIED BY.: Deie:1DIDD7A51M435-04W
FLORIDA PROFESSIONAL NO.: 6330
DATE: 07/15/20 JOB NO.: 20-5520
docs/forms/septics/SepticApppPage207