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JAN 2 8 2021 I
APPLICATION #:AP1306242
STATE OF FLORIDA Permitting Department PERMIT #:56-SF-1787818
DEPARTMENT OF HEALTH 5t. Lucie County
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11313115
� CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:09/01/2017
FEE PAIn:515.00
RECEIPT # :56-PI D-3354564
APPLICANT: CIVde O'Brien
AGENT: Clyde O"Brien
PROPERTY ADDRESS: TBD Yates Rd Fort Pierce, FL 34981
LOT: 5
SUBDIVISION:
BLOCK:
ID#: 2419-802-0005-000-9
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[011
TANK SIZE [1) 1090.00 [21
[
]
[271
SURFACE WATER
FT
[ 1
[02]
TANK MATERIAL Polypropylene
[
3
[283
DITCHES
FT
[ ]
(031
OUTLET DEVICE
[
1
[293
PRIVATE WELLS 100
FT
( ]
(041
MULTI -CHAMBERED [ Y LjN
[
3
[301
PUBLIC WELLS
FT
1
1051
OUTLET FILTER Polylok PL-68
[
1
[311
IRRIGATION WELLS
FT
[ 1
[061
LEGEND 1. 07-053-10 2.
[
1
[321
POTABLE WATER 45
FT
[ ]
1071
WATERTIGHT
[
1
(331
BUILDING FOUNDATIONS 6
FT
( 1
[081
LEVEL
{
1
[341
PROPERTY LINES 32
FT
[ 3
(091
DEPTH TO LID
j
1
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[103
AREA [1) 609.4 [21 SQFT
[
1
(361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
]
[371
SHOULDERS
[ 3
(121
NUMBER OF DRAINLINES 1, 55.00 2,
[
]
E381
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
]
(39]
STABILIZATION 08/06l2019
( ]
[141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ 3
(161
ELEVATION [ ABOVE / BELOW IBM 2.00
[
3
(401
UNOBSTRUCTED AREA
[ 1
(171
SYSTEM LOCATION
[
1'
[41]
STORMWATER RUNOFF
{ 1
[181
DOSING PUMPS
[
]
(421
ALARMS
[ 1
[191
AGGREGATE SIZE
[
]
[431
MAINTENANCE AGREEMENT
{ 1
(201
AGGREGATE EXCESSIVE FINES
[
3
[441
BUILDING AREA
[ 1
(211
AGGREGATE DEPTH
j
3
(451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ 1 (461 FINAL SITE GRADING
[ ] (221 FILL AMOUNT ( 1 [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ 1 [241 EXCAVATION DEPTH ABANDONMENT
[ 1 [253 AREA REPLACED [ 1 [491 TANK PUMPED
( 3 [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION
DISAPPROVED ] ° Environmental Specialist
FINAL SYSTEM [ APPROVED / DISAPPROVED
Environmentai Specialise
(Explanation of violations on following pag®)
L� St. Lucie CHD DATE: 05/22/2019
(ENVIRONMENTAL HEALTH)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1306242 E101787516
CHD DATE: 08/06/2019
2EM
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of
STATE OF FLORIDA
�- DEPARTMENT OF HEALTH
�? ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION a:AP1306242
PENT x:56-SF-1787818
DOCUMENT x:F11313115
DATE PAID:09/01I2017
FEE PAID : 515.00
RECEIPT N:56-PID-3354564
Y! la ttoaBkmk@rmmn1
Comments
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd. New ST, filter, and 5x9 long DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for mound system and final site grading.
Final system approved. Contractor and building department emailed final approval.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1306242 EID1787818
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Clyde O'Brien
AGENT: Clyde O"Brien
PROPERTY ADDRESS: TBD Yates Rd Fort Pierce, FL 34981
LOT: =5 BLOCK:
APPLICATION #: API 306242
PERMIT #:56-SF-1787818
DOCUMENT # : F 11288672
DATE PAID:09/01/2017
FEE PAID :515.00
RECEIPT #:56-PID-3354564
SUBDIVISION: ID# : 2419-802-0005-000-9
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,
TANK INSTALLATION
[ j [o1] TANK SIZE [11 1090.00 [21
[ 1 [02] TANK MATERIAL Polypropylene
( 1 [031 OUTLET DEVICE
[ 3 [041 MULTI -CHAMBERED [ Y LNJ
[ I [051 OUTLET FILTER Poiylok PL-68
[ 1 [061 LEGEND 1. 07-053-10 2.
[ I [071 WATERTIGHT
[ 1 [081 LEVEL
[ 1 [091 DEPTH TO LID
DRAINFIELD INSTALLATION
[ 1 (101 AREA (11 509.4 [23 SOFT
[ 1 [111 DISTRIBUTION BOX HEADER x
[ 1 1121 NUMBER OF DRAINLINES 1. 5.00 2.
[ 1 [131 DRAINLINE SEPARATION
[ 1 (141 DRAINLINE SLOPE
[ 1 [151 DEPTH OF COVER
[ 1 1161 ELEVATION [ AnovE / BELOW IBM 2.00
( 1 [171 SYSTEM LOCATION
[ 1 (181 DOSING PUMPS
[ 1 [191 AGGREGATE SIZE
[ 1 [201 AGGREGATE EXCESSIVE FINES
[ 1 [211 AGGREGATE DEPTH
SETBACKS
[ 1
[271
SURFACE WATER
FT
[ ]
[28]
DITCHES
FT
[ 1
(293
PRIVATE WELLS
100
FT
[ 1
[303
PUBLIC WELLS
FT
[ 1
[311
IRRIGATION WELLS
FT
[ 1
1321
POTABLE WATER
45
FT
[ 1
[331
BUILDING FOUNDATIONS
6
FT
[ 1
(341
PROPERTY LINES
32
FT
[ 1
(351
OTHER
FT
FILLED
/ MOUND SYSTEM
[ 1
[361
DRAINFIELD COVER
[ 1
[371
SHOULDERS
[ 1
1381
SLOPES
[ 1
1391
STABILIZATION
ADDITIONAL
INFORMATION
( j
[401
UNOBSTRUCTED AREA
[ 3
(411
STORMWATER RUNOFF
[ 1
[421
ALARMS
[ 1
[431
MAINTENANCE AGREEMENT
[ 1
[441
BUILDING AREA
[ 1
1451
LOCATION CONFORMS WITH
SITE PLAN
FILL / EXCAVATION MATERIAL [ i [461 FINAL SITE GRADING
[ 1 [221 FILL AMOUNT [ 1 [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ 1 [231 FILL TEXTURE [ 1 (481 OTHER INFILTRATOR Quick4 Plus E036 LP
[ 1 (241 EXCAVATION DEPTH ABANDONMENT
( 1 (251 AREA REPLACED [ 1 [491 TANK PUMPED
[ j [263 REPLACEMENT MATERIAL [ 1 1501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED St. Lucie CHD DATE: 05/22/2019
_
DISAPPROVED ) ` Environmental Specialist rIan J m (ENVIRONMENTAL HEALTH)
FINAL. SYSTEM [ APPROVED / DISAPPROVED. , t. Lucie CHD DATE: 05/22I2019
{Explanation of Violationo on following page) Env onmental'Specialist 11 Brla In®ram (ENVIRONMENTAL HEALTH)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1306242 EID1787816
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION N:AP1306242
PERMIT a:56-SF-1787818
DOcumENT s : FI 1288672
DATE PAID.09/01/2017
FEE PAID : 515.00
RECEIPT v.56-PID-3354564
Violation Number Comment
Comments
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd. New ST, filter, and 5x9 long DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for mound system and final site grading.
DH 4026, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
EN Database v 1.0A AP1306242 EID1787818
Page 2 of 3
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Clyde O'Brien
PROPERTY ADDRESS: TBD Yates Rd Fort Pierce, FL 34981
LOT: 5 BLOCK: SUBDIVISION:
PERMIT # : 66-SF-1787818
APPLICATION # : AP 1306242
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1076203
PROPERTY ID #: 2419-802-0005-000-9 [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 [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK 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 [XI MOUND
I CONFIGURATION: [ J TRENCH (x] BED [ J
N
F LOCATION OF BENCHMARK: Orange circled nail in W side of Rd NE property corner
I ELEVATION OF PROPOSED SYSTEM SITE ( 8.00 )[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE ( 0.00 ]( INCHES FT ][ABOVE BELOW IBENCHMARK/REFERENCE POINT
L
Di
0
T
H
E
R
'ILL REQUIRED: LLtS.UUJ_.INCHES EXCAVATION REQUIRED: [ ] INCHES
IThe system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
300 gpd.
to licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
64E-6.013(3)(f), FAC.
SPECIFICATIONS BY: Brian J ���
TITLE: Environmental Specialist II
APPROVED BY: LE: Environmental Specialist II St. Lucie CHD
Brian J Ingra
DATE ISSUED: 09/22/2017 jZ EXPIRATION DATE: 06/22/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 ot 3
v 1.1.4 A.B1396242 SE1047726 '
VI
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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.
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Page 7 of 16
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Clyde O'Brien a ,'
PROPERTY ADDRESS: TBD Yates Rd Fort Pierce. FlUll'r+ _ E
LOT: 5 BLOCK:
PERMIT #:66-SF-1787818
APPLICATION # : AP 1306242
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT # : PR1076203
PROPERTY ID #: 2419-602-0005-000-9 [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 L 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 L ] FILLED [X] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: Orange circled nail in W side of Rd NE property Corner
I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
LBOTTOM OF DRAINFIELD TO BE [ 0.00. ] (`fNCHES'': SIT I[p BELOW ]BENCHMARK/REFERENCE POINT
D FILL REQUIRED: L 26.001 INCHES EXCA, AT',ON1REQTiiREb [ ri ] INCHES
The system is sized for 2 bedrooms with a maximum occu `icy ci� persons{2 p r<beEiroom), for a total estimated flow of
O
300 gpd. 4.. r
T The licensed contractor installing the system is responsible for' installilg the minimum category of tank in accordance with
H S. 64E-6.013(3)(0, FAC,
E
R
SPECIFICATIONS BY: Brian S Ingram TITLE: Environmental Specialist II
APPROVED BY: -! L TITLE: Environmental Specialist I
Dianna 8 May
DATE ISSUED: 09/22/2017 EXPIRATION DATE: _
DH 4016, 08/09 [Obsolotes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 3.1A AP1306242 .SE1047726
St. Lucie CHD
03/22/2019
Pag 1 o 3
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Page 8 of 16
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 Sect o 1�20 6 ff on I S _ups. Review proceedings are
governed by the Florida Rules of p to Pre a proceedings may be commenced
by filing one copy of a Notice of Ap e 1�with t ld-A , C t of the Department of Health and a
second copy, accompanied by the tfi " fees re�u d I with the Court of Appeal in the
appropriate District Court. The notice ust be file within 3 days of rendition of the final order.
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St. Lucie County Health Department
H�4LYH 5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: PeRrmT #: 56-SF-1787818 BILL Doc #:56-BID-3583032 CONSTRUCTION APPLICATION It AP1306242
RECEIVED FROM: Clvde O'Brien AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 3779 PAYMENT DATE: 09L01/2017
MAIL TO: Clyde O'Brien
FACILITY NAME: —
PROPERTY LOCATION:
TBD Yates Rd
Fort Pierce, FL 34981
5
Lot: Block:
Property ID: 2419-802-0005-000-9
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
-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: VanceMH AUDIT CONTROL NO. 56-PID-3354564
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STATE OF FLORIDA PERMIT NO. F libI Rig
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
'sync' SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[f ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Cllyde L. O'Brien
AGENT: TELE PHONE : 772-20/- J%173
MAILING ADDRESS: 5065 NW Edgarton Terrace, Port St. Lucie, F134983
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: 5 BLOCK: SUBDIVISION: O'Brien Subdivision
PROPERTY ID # : 2419-802-0005-000-9
PLATTED: 2014
ZONING: RS-3 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 1.081 ACRES WATER SUPPLY: [,(] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: XXX Yates Road, Fort Pierce, FL
DIRECTIONS TO PROPERTY: From intersection of Okeechobee Rd and McNeil Rd, travel south on ]McNeil Rd to Kirby Loop J1
travel east on Kirby Loop Rd to Yates Road, travel south on Yates Road .16 +/-, site is on the west side of Yates Rd.
BUILDING INFORMATION
Unit Type of
No Establishment
1 Single Family Residence
2
3
4
[J] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
2 1406 300
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: � DATE : 9IT
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
Page 1 of 4
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APPLICANT:
Property owner's full name.
AGENT:
Property owner's legally authorized representative.
TELEPHONE:
Telephone number for applicant or agent.
MAILING ADDRESS:
P.O. box or street, city, state and zip code mailing address for applicant or agent.
LOT, BLOCK,
Lot, block, and subdivision for lot (recorded or unrecorded subdivision). If lot is not in a
SUBDIVISION:
recorded subdivision, a copy of the lot legal description or deed must be attached.
DATE OF SUBDIVISION:
Official date of subdivision recorded in county plat books (month/day/year) or date lot
originally recorded. Dividing an approved lot into two or more parcels for the purpose of
conveying ownership shall be considered a subdivision of the lot.
PROPERTY ID#:
27 character number for property. CHD may require property appraiser ID # or
section/township/rangelparcel number.
ZONING:
Specify zoning and whether or not property is in I/M zoning or equivalent usage.
PROPERTY SIZE:
Net usable area of property in acres (square footage divided by 43,560 square feet)
exclusive of all paved areas and prepared road beds within public rights -of way or
easements and exclusive of streams, lakes, normally wet drainage ditches, marshes, or
other such bodies of water. Contiguous unpaved and non -compacted road rights -of -way
and easements with no subsurface obstructions may be included in calculating lot area.
WATER SUPPLY:
Check private or public <= 2000 gallons per day or public > 2000 gallons per day.
SEWER AVAILABILITY:
Is sewer available as per 381.0065, Florida Statutes, and distance to sewer in feet.
PROPERTY ADDRESS:
Street address for property. For lots without an assigned street address, indicate street
or road and locale in county.
DIRECTIONS:
Provide detailed instructions to lot or attach an area map showing lot location.
BUILDING INFORMATION:
Check residential or commercial.
TYPE ESTABLISHMENT:
List type of establishment from Table 11, Chapter 64E-6, FAC. Examples: single family,
single wide mobile home, restaurant, doctor's office.
NO. BEDROOMS:
Count all rooms designed primarily for sleeping and those areas expected to routinely
provide sleeping accommodations for occupants.
BUILDING AREA:
Total square footage of enclosed habitable area of dwelling unit, excluding garage,
carport, exterior storage shed, or open or fully screened patios or decks. Based on
outside measurements for each story of structure.
BUSINESS ACTIVITY:
For commercial/institutional applications only. List number of employees, shifts, and
hours of operation, or other information required by Table II, Chapter 64E-6, FAC.
FIXTURES:
Mark Floor/Equipment Drains or Others and specify item or "NA" if not applicable.
SIGNATURE / DATE:
Signature of applicant or agent. Date application submitted to the CHD with appropriate
fees and attachments.
ATTACHMENTS: A site plan drawn to scale, showing boundaries with dimensions, locations of residences or
buildings, swimming pools, recorded easements, onsite sewage disposal system components and location, slope of
property, any existing or proposed wells, drainage features, filled areas, obstructed areas, and surface water. Location of
wells, onsite sewage disposal systems, surface waters, and other pertinent facilities or features on adjacent property, if
the features are with 75 feet of the applicant lot. Location of any public well within 200 feet of lot. For residences, a floor
plan (residences) showing number of bedrooms and building area of each unit. For nonresidential establishments, a floor
plan showing the square footage of the establishment, all plumbing drains and fixture types, and other features necessary
to determine composition and quantity of wastewater.
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STATE OF FLORIDA APPLICATION # AP1306242
DEPARTMENT OF HEALTH PERMIT # 56-SF-1787818
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1047726
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Clyde O'Brien
CONTRACTOR / AGENT: Clyde O'Brien
LOT: 5 BLOCK:
SUBDIVISION: ID# : 2419-802-0005-000-9
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON, ENGINEERS MUST PROVIDP
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES [ INO NET USABLE AREA AVAILABLE: 1.81 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 2715.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE
Orange circled nail in W side of Rd NE prc
8.00 [ INCHES / FT ] [ ABOVE /
corner
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 30 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE:. FT
BUILDING FOUNDATIONS: 9 FT PROPERTY LINES: 30 FT POTABLE WATER LINES: 40 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOI
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD I SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE i QMTT. ARf1WTT.F. TVVn10 ramr(1M CTrtm 7
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
10YR 5/1
Sand
0 To 19
10YR 611
Sand
19 To 37
10YR 5/3
Fine Sand
37 To 43
10YR 6/2
Fine Sandy Loam
43 To 51
REFUSAL
Refusal
51 To 72
USDA SOIL SERIES:Nettles sand
Munsell #[Color Texture
Depth
10YR 5/1
Sand
0 To 19
10YR 6/1
Sand
19 To 37
10YR 513
Fine Sand
37 To 43
10YR 612
Fine Sandy Loam
43 To 51
REFUSAL
Refusal
51 To 72
OBSERVED WATER TABLE: 23.00 INCHES [ ABOVE / FBELOW11 EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING., Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: ( ] TRENCH [X I BED ( ] OTHER (SPECIFY)
- REMARKS/ADDITIONAL CRITERIA
VT determined using USDA WSS and soil borings.
t6/1 stripping in a 10YR511 matrix >10% with diffused boundaries starting at 16" In SB1.
and S82 8" below BM. _
SITE EVALUATED BY:
Ingram, Brian (Title: Envirgifjfiental Specialist 11) (ENVIRONMENTAL HEALTH)
Da 4015, 08/09 (obsoletes previous editions which may at bo used) Incorporated: 64E-6.001, FAC
AP1306242 EID1707818
DATE: 09/20/2017
Page 3 of 4
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Page 13 of 1
6
STATE OF FLORIDA
+ DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION PERMIT
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
CONSTRUCTION PERMIT FOR:
(x) New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ j Abandonment [ J Temporary [ ]
APPLICANT: Clyde E. O'Brien
PROPERTY ADDRESS: XXX Yates Road, Fort Pierce, FL
LOT: 5 BLOCK:
SUBDIVISION: O'Brien Subdivision
(SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 2419-802-0005-000-9 [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 [ ] GALLONS / GPD SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN-SERIES [ ]
A [ ] GALLONS / GPD CAPACITY MULTI-CHAMBERED/IN-SERIES [ ]
N [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ ] DOSES PER 24 HRS # PUMPS [ ]
D [ J SQUARE FEET PRIMARY DRAINFIELD SYSTEM
R [ 1 SQUARE FEET SYSTEM
A TYPE SYSTEM: [ J STANDARD [ ] FILLED [ ) MOUND [ ]
I CONFIGURATION: [ ] TRENCH ( ] BED [ ]
N
F LOCATION OF BENCHMARK:
I ELEVATION OF PROPOSED SYSTEM SITE [ ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ ] [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ ] INCHES EXCAVATION REQUIRED: [ ] INCHES
O
T
H
E
R
SPECIFICATIONS BY:
APPROVED BY:
TITLE:
TITLE:
DATE ISSUED: EXPIRATION DATE:
DH 4016, 08/09 [Obsoletes all previous editions which may not be used]
Incorporated: 64E-6.003, FAC Page 1 of 3
CHD
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Page 14 of 16
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT: Clyde O'Brien AGENT:
LOT: 5 BLOCK: SUBDIVISION: O'Brien Subdivision
PROPERTY ID # : 2419-802-0005-000-9 [ Tax ID Number
PERMIT
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: 1 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RPSIDENC.ES-TABLEI ]
AUTHORIZED SEWAGE FLOW: 1500 GALLONS PER DAY [ 1500 GPD/ACaE ]
UNOBSTRUCTED AREA AVAILABLE: 1600 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION: mag nail west edge of pavement 40' north of SE corner of lot
ELEVATION OF PROPOSED SYSTEM SITE IS1.3 [INCHES/IT ] [BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT DITCHES/SWALES:40+ FT NORMALLY WET? [ I YES (✓] NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE:100 FT NON—POTABLE:100 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES:20 FT POTABLE WATER LINES: N/A FT
SITE SUBJECT TO FREQUENT FLOODING: [ I YES [✓] NO 10 YEAR FLOODING? I ] YES I✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION:14.9 FT MSL/NGVD
DU11L rMum .L uz liYr Vitl'9A'.L 1UN b l'1P: 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
JV1L leKUt'"11.K 1N!''UkCMA'1'1UN 51TE l
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE: INCHES [ABOVEIBELOW '] EXISTING GRADE. TYPE:[ PERCHED/APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW 1 EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ 1 YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ I TRENCH [ ]
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY:
BED
DEPTH OF EXCAVATION
( ] OTHER (SPECIFY)
DATE:
INCHES
DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001. FAG Page 3 of 4
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Property Card
Page 15 of 16
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: Yates RD Parcel ID: 2419-802-0005- Account #: 177485 Sed'rown/Range:
000-9 19/35S/40E
Map ID: 24/19S Zoning: RS-3 Use Type: 9900 Jurisdiction: Saint Lucie
Ownership
Clyde E O'Brien III
Laurie J O'Brien
5065 NW Edgarton TER
Port St Lucie, FL 34983
Current Values
Just/Market: $44,000 Assessed:
Exemptions: $0 'taxable:
Date
10-13-2004
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
County
Legal Description
O'BRIEN SUBDIVISION (PB 68-35)- LOT 5 (1.18 AC)
Historical Values 3-year
$15,620 Year Just/Market Assessed Exemptions Taxable
$15,620 2017 $44,000 $15,620 $0 $15,620
2016 $14.200 $14,200 $0 $14,200
2015 $14,200 $14,200 $0 $14,200
Safe History
Book/Page Sale Code Deed Grantor
2077 / 2686 XX00 WD Reesc,lrene H
Primary Building Information
Finished Area of this building: 0 SF
Gross Area of this building: 0 SF
Roof Cover:
Frame:
Story Height:
A/C %:0%
Heated %: N/A%
Sprinkled %: 0%
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Hcat Type:
Heat Fuel:
Total Areas
Price
$75,000
Building Type:
Effective Year: 2014
Secondary Wall:
Primary lnt Wall:
Avg Hgt/Floor: 0
Primary Floors:
Finished/Under Air 0
(SF):
Gross Area (SF): 0
Land Size (acres): 1.18
Land Size (SF): 51,400.8
Total Building Count: 1
Special Features and Yard Items
Type Qty Units Year Bit
This information is believed to be correct at this time but it is subject to change and is not warranted.
D Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved.
http://www.paslc.org/RECard/ 9/1/2017
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Page 16 of 16
I I
I
UNREC(YOED PLAT riF-6lIR4ET
_ LOT _�LL
(DCCUPE -'4BENCE) .iNO•B/B°-IRC (P
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2 N87'44'35"E(C 253. 2'(P)(C)
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Enviromo -Ital Health
gS'e Plan Apr J for COnstrUCtlan
z L� �u rsc�.t, I,!� Y)ous Site Plans for \
$mc)�� S 118 Id _ 8 Well p 2 83a on
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LEGAL DESCRIPTION
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LOT 6. O'BRIEN aMswTHEON. ACCONVOIC TO nPLAT
ngRDpp' AS xEWtWEO W ftAr eooK 80. PAOC J1,
PI1W1 RECORDS Or ST, LADE COUNTY, nORIDA
ADDRESS YAWS ROAD
NOTES
I) NOT VALID WMOUT TIE SIGNATURE AND THE ORIGIN RAISED
SCAL OF A FLORIDA UCflBm SURVEYOR AND YAPPER.
2) AOOIDWS OF �1CRJN5 TO MU YJ1P5 OL REPORTS BY
o THAN THE SlpibNF S1AiY[YTN IS PRONWTED. NiHOUT
'
CONSENT OF THE SIG?CNO SURVEYOR,
y }
")D=710M SHOM HEREON PROVIDED BY CUNT AND/OR
CA PROPERTY W "ANS I,051 ACRES. Ya'E OR LESS
SUOJ:50URE
Q51.4
P
4
j
4 2E FEE ).
S) M. LAST DAIC OF FaW ECRA NAS .AR.T A TOI7.
I
6) THE SCUH LEE OF SECTION 19 IS ASSUMED TO 8EAR
U
(
NE9'4YO9"C AND ALL OTHER BEARINGS SHOMq ARE R.EATM
THERETO. ALL L$NENCS AND PSTANCM SUM AR PER IECOm
O
)I (
2I v
PUT (P) AND CALCUTATEU (C) UNUM 940M OTHOMSE
7) LANDS MN HEREON OEAE NOT
=
4 z Z
Q
a
OJ
j 1py'
ABSTRACTED BY THIS OFFICE
FtlR ROYI-OF-CAM RESERVATIONS. ACREEIMTS, M1D/gl
Q
C
I Y
EASEMENTS OF RECOtD. SJOI WORMATNRN SHOULD BE W TAGRD
_J
(� a. rn
t F'F
p
All
?ir
AND CONFIRMED BY 01HEA5 THROUGH APPROPRIATE TITLE
W101CATION,
UNOEnCROUND UIU .r UMTV SRNCES. FOUNDATIONS AND
O S
1 O
O U)
IYPHOVEl1ENTS MEIIE NOT LOCATED AS A PART OF Wi 91RVEY.
(- N m
I
C
9) OESOORED PROPERTY IS LOCATED WTIEN AN AREA HAVING A
d eE O7
J
pL
FLOW OESMATION ZONE'R' ON FLOOD DISURANQ RATE YAP NO.
12111CO180 J, UNDttDflPGRATED ST. LACE COUNTY. nJ=A
(COMM PAYE- 12O ) NM AN EFFECTIVE DATE OF FEWUARY
r Z
W W
O
�
Q > �.
W
LO) ELEVATIONS 9LOMN HEREON ARE Ro.ATIVE TO Ng7M AMERICAN
z 7 m
U
VERTICAL DATUM OF I9HE (NAVD Tle) AND ARE IN FEET AND ARE
BASED ON ST. WCE COUNTY U£NOWMK 'SLD w,n9P HAVING A
h O
0
REVATION OF 11da TO CONVERT FROM MAID '88 1D
-29)
(�
NATU9OD
NATIONAL GEWETC VOCTICAI DATUM OF 1029 (MGM ADD 1.5
FEEL
T
12) 8098'. All. SY OWNMW A, CAPS ARE 5/0' OAUlIER STAMPED
'1B
20
NR°u°.LVAN,r
SEc. v-u_49.
30
JOB RS-16.283
P 8�2a17
PRO'c- A.. . 9 ��
ProFa9aiNAl.-SlfzLifDa'�MD.uAliPln :
—1
1 OF 1
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