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HomeMy WebLinkAboutSeptic PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: George Shapard PROPERTY ADDRESS: 1530 Pineburke Ln Fort Pierce, FL 34982 LOT: BLOCK: SUBDIVISION: Timberlake Estates PERMIT #: 56-SF-1 888880 APPLICATION #: AP1582019 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1492581 PROPERTY ID #: 2302-601-0027-000-3 [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 [ 1,050 ] 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 [ 667 ] 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: IR, center of cut-out, center of cul-de-sac I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 5.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E O T H E R 2U.;WU11<Z1j: 110.UUJ INCHES EXCAVATION REQUIRED: [ ] INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY:A Brian JnIngram TITLE: Environmental Specialist II APPROVED BY: Ur''" c_=� �— TITLE: Environmental Specialist II Brian Ingram DATE ISSUED: 12/15/2(� 0 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 06/15/2022 Page 1 of 3 v 1.1.4 A21582019 SE1450550 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. S CIO 4ii1 wi tt✓ i l k St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-1888880 BILL DOC #:56-BID-5043377 CONSTRUCTION APPLICATION #: AP1582019 RECEIVED FROM: RJM Custom Homes, Inc AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 015391 PAYMENT DATE: 10/01/2020 MAIL TO: George Shapard FACILITY NAME: PROPERTY LOCATION: 1530 Pineburke Ln Fort Pierce, FL 34982 Lot: Block: Property ID: 2302-601-0027-000-3 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 RECEIVED BY: MontanezNM _ AUDIT CONTROL NO. 56-PID-4740754 STATE OF FLORIDA PERMIT NO. - 1 DEPARTMENT OF HEALTH fie�� DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: �.' SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ) Innovative [ ] Temporary [ ] APPLICANT: George & Tracy Shapard AGENT: RJM Custom Homes TELEPHONE: (561) 267-7476 MAILING ADDRESS: 6917 Vista Parkway North Suite #1 WPB, FL. 33411 ------------- ------------------------------------------------- --------------------------------------------- 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: 23 BLOCK: SUBDIVISION: Timberlake Estates PLATTED: PROPERTY ID #: 2302-601-0027-000-3 ZONING: X I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.56 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [,/]<=2000GPD [,/]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: >1000 FT PROPERTY ADDRESS: 1530 Pineburke Lane Fort Pierce, FL. 34947 DIRECTIONS TO PROPERTY: Turn left onto W. Angle Road, turn left onto Timberlake Drive, turn left onto Pineburke Lane then straight to address of 1530 Pineburke Lane. BUILDING INFORMATION [V ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 SFD 4 2571 2 3 4 [ ] Floor/Equipment D/Ietes ains [ ] Other (Specify) SIGNATURE: DATE: L� DH 4015, 08/09 revious editions which may not be used) Incorporated 64 Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: George Shapard CONTRACTOR / AGENT: RJM Custom Homes, Inc LOT: BLOCK: SUBDIVISION: Timberlake Estates ID#: 2302-601-0027-000-3 APPLICATION # AP1582019 PERMIT # 56-SF-1888880 DOCUMENT # SF1450550 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: 0.56 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 840.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1250.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: IR,center of ELEVATION OF PROPOSED SYSTEM SITE 5.00 [Ij center of cul-de-sac 1/ FT ] [ ABOVE]/ BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 95 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: 70 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 SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 7 10YR 5/1 Sand 7 To 30 10YR 6/1 Sand 24 To 30 10YR 3/1 Sand 30 To 44 10YR 4/4 Fine Sand 44 To 50 1 OYR 5/2 Sandy Clay Loam 50 To 68 1 OYR 5/3 MARL 68 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 9 10YR 5/1 Sand 9 To 34 10YR 6/1 Sand 29 To 34 1OYR 3/1 Sand 34 To 40 10YR 4/4 Sandy Clay Loam 40 To 49 10YR 5/3 Sandy Clay Loam 49 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 24.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 25" in S131. S131 5" above BM. SB2 7" above BM. 11 SITE EVALUATED BY: Ingr 9"I Brian (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1582019 EID1888880 INCHES DATE: 11 /30/2020 Page 3 of 4 v 1.0.2 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 1530 Parcel ID: 2302-601-0027- Account #: 12818 Sec/Town/Range: PINEBURKE LN 000-3 02/35S/39E Map ID: 23/02N Zoning: RS-2 - Cou Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description George Andrew Shapard T'IMBERLAKE ESTATES LOT 23 (0.56 AC) Tracy Ann Shapard 25359 Depue Landing WAY Greensboro, MD 21639 Current Values Historical Values 3-year Just/Market: $36,200 Assessed: $36,200 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $36,200 2020 $36,200 $36,200 $0 $36,200 2019 $21,600 $21,600 $0 $21,600 2018 $21,600 $21,600 $0 $21,600 Date 01-04-2019 09-30-2004 08-29-2003 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 4222/1312 0001 WD Lopez Urbano 2070 / 1374 XX00 WD Rivera David J 1790 / 1730 XX00 WD Ware Thomas Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Type Exterior Data Roof Cover: Roof Structure: Frame: Grade: Story Height: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Total Areas Price $65,000 $88,000 $39,000 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.56 Land Size (SF): 24,393.6 Total Building Count: I Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. tps://www.pasle.org/RECard/ 10/6/2020