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HomeMy WebLinkAboutSeptic PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Craig & Danielle Sammler PROPERTY ADDRESS: 5766 Pinetree Dr Fort LOT: 13 &14 BLOCK: 10 PROPERTY ID #: 3402-603-0112-000-2 FL 34982 SUBDIVISION: Indian River Estates PERMIT #:56-SF-2187992 APPLICATION #: AP1586059 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1492627 (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 SeDtic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ J 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: Site BM. NiD, W side of Rd, near SW property corner. I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 8.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D E O T H E R 1LL k<hVU1RBa: L ZA.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. SPECIFICATIONS BY: Brian J ngram TITLE: Environmental Specialist II APPROVED BY: 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 A21586059 SE1450568 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. St. Lucie County Health Department 7 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2187992 BILL DOC #:56-BID-5058327 CONSTRUCTION APPLICATION #: AP1586059 RECEIVED FROM: RJM Custom Homes, Inc AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 015503 PAYMENT DATE: 10/20/2020 MAIL TO: Craig & Danielle Sammler FACILITY NAME: PROPERTY LOCATION: 5766 Pinetree or Fort Pierce, FL 34982 Lot: Property ID: Block: 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-4759556 E 4„ STATE OF FLORIDA s ; ` DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ �/ ] New S st PERMIT NO. k- -a1`1 C DATE PAID: 0 d- FEE PAID: e- OI RECEIPT #: y em [ ] Existing System [ ] HoldingTank [ ] Repair [ ] Abandonment Temporary [ ] Innovative [ ] porary [ ] APPLICANT: Craig & Danielle Saimnler 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: 13 & 14 BLOCK: 10 SUBDIVISION: Indian River Estates Unit-02 PLATTED: PROPERTY ID # : 3402-603-0112-000-2 ZONING: X I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.91 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [,/]<=2000GPD [,/]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: >1000 FT PROPERTY ADDRESS: 5766 Pinetree Drive Fort Pierce Fl. 34982 DIRECTIONS TO PROPERTY: US-1 North turn on Easy Street, turn left onto Buchanan Drive, turn right onto Bartow Street, turn left onto Pinetree Drive and then to the destination is on the right. 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 2285 2 3 4 [ ) Floor/Equipment Drains [ ) Other (Specify) SIGNATURE: DH 4015, 08/P9 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Craig & Danielle Sammler CONTRACTOR / AGENT: RJM Custom LOT: 13 & 14 Inc BLOCK: 10 SUBDIVISION: Indian River Estates ID#: 3402-603-0112-000-2 APPLICATION # AP1586059 PERMIT # 56-SF-2187992 DOCUMENT # SE1450568 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: 0.91 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2275.02 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. NID, W side of Rd, near SW ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FT ] [[ABC' corner. / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 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: 40 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: ROTT. PRnPTT.F TWUnoMTmT~ 1- [ ]YES [X]NO 10 YEAR FLOODING? [ FT [ MSL / NGVD ] SITE ELEVATION: FT SOIL PROFTT.R TM nVMa TTnXT cTmr. o USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 40 1 OYR 6/1 Sand 19 To 36 10YR 7/1 Sand 40 To 60 HOLE CAVING Refusal 60 To 72 ]YES [X]NO] [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/2 Sand 0 To 5 10YR 5/1 Sand 5 To 38 10YR 6/1 Sand 22 To 36 10YR 7/1 Sand 38 To 40 1 OYR 2/2 Spodic Material 40 To 48 HOLE CAVING Refusal 48 To 72 OBSERVED WATER TABLE: 10.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 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 19" in S61. SBi and SB2 3" above BM. n - SITE EVALUATED BY: Ingram, BriirS (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, OB/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC AP1586059 EID2187992 DATE: 11 /24/2020 Page 3 of 4 v 1.0.2 Property Card Page 1 of 1 11 S i n- Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5766 Parcel ID: 3402-603-0112- Account #: 143732 Sec/Town/Range: PINETREE DR 000-2 11/36S/40E Map ID: 34/11 S Zoning: RS-3 - Cou Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description JAAR ENTERPRISES LLC INDIAN RIVER ESTATES-UNIT-02- BLK 10 LOTS 13 AND PO Box 13148 14 (MAP 34/11N) (OR 3859-2252: 3992-266) Fort Pierce, FL 34979-3148 Current Values Historical Values 3-year Just/Market: $44,900 Assessed: $43,230 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $43,230 2020 $44,900 $43,230 $0 $43,230 2019 $39,300 $39,300 $0 $39,300 2018 $35,900 $35,900 $0 $35,900 Date 05-03-2017 03-24-2016 12-05-2013 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 3992 / 0266 0111 QC Jaar Group 3859 / 2252 0112 SP US Bank Trust NA (TR) 3584 / 2584 0112 CT Brooks Gary E 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 $0 $34,000 $30,100 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): 0.91 Land Size (SF): 39,600 Total Building Count: 1 Special Features and Yard Items Qty Units Year Blt 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. https://www.paslc.org/RECard/ 10/20/2020