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PERMIT #:56-51-4929905
STATE OF FLORIDA FILE CE PH APPLICATION #: AP1401534
DEPARTME NT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM - -
"CEIVED- CEIPT #:
APR 1 2019 DO MENT #: PR1209122
CONSTRUCTION PERMIT FOR: OSTDS New ST. Lucie County, Permitting
APPLICANT: Manual Cuellar Bonilla
PROPERTY ADDRESS: 2260 Rock Rd Fort Pierce, FL 34945
LOT: 4 BLOCK: SUBDIVISION: Model Land Company
PROPERTY ID #: 2323-501-0004-000-4 [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 [ 1,200 ] 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 [ 575 ] SQUARE -FEET
R [ ] SQUARE FEET
A TYPE SYSTEM: [ ]
I CONFIGURATION: [X]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [X] MOUND ( ]
TRENCH [ ] BED [ ]
site BM nail. in PP West of
I ELEVATION OF PROPOSED SYSTEM SITE [ 26.00 ] [INCHES FT ] ["ABOVE
POINT
E BOTTOM OF DRAINFIELD TO BE [ 23.00](INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [21.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of
O 1460 gpd.
T
H
E
R
SPECIFICATIONS BY:,Brian J Ingr TITLE.
Environmental Specialist II
APPROVED BY: Environmental, Specialist II St. Lucie CHD
Brian J Ingram
DATE ISSUED: 03/27/2019 EXPIRATION DATE: 09/27/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1401534 SE1158823
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative hearing pursuant fo 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.
%t1CtJ � �aG%a yJu .
.; t.
sx'a' St. Lucie County Health Department
HER 5150 NW Milner 'Dr Port Saint Lucie, FL 34963
PAYING ON: #- 56-SF-1929905 BILL DOC #56-BID-4091587 CONSTRUCTION APPLICATION * AP1401534
RECEIVED FROM: Trefelner Construcion Inc. AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK -1733 PAYMENT DATE:. 03/05/2019
MAIL TO: Manual Cuellar Bonilla
FACILITY NAME:
PROPERTY LOCATION:
2260 Rock Rd
Fort Pierce, FL 34945
4
Lot:
Block:
Property ID: 2323-501-0004-000-4
EXPLANATION or DESCRIPTION: QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00
-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 $
15.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 $
50.00
RECEIVED BY: MontanezNM
AUDIT CONTROL NO. 56-PID-3869411
STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO.
DATE PAID: � 4
FEE RAID:
Jb�
RECEIPT #:
[Y/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT. Manual A. Cuellar Bonilla
AGENT: James Trefelner TELEPHONE: 772-201-9833
MAILING ADDRESS: 1760 Copenhaver Rd Fort Pierce, F134945
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) Ok 489.552, FLORIDA STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT HAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 4 BLOCK: SUBDIVISION: Model Land Co's
PLATTED:
PROPERTY ID #: 2323-501-0004-000-4 ZONING: AR-1 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 5.10 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 2260 Rock Road
DIRECTIONS TO PROPERTY: See attached map
BUILDING INFORMATION
Unit Type of
No Establishment
1 Residence
2
3
4
[ ] Floor/Equipment Drains
SIGNATURE: / J
[ ✓ ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft__Table 1, Chapter 64E-6, FAC
5 4292
[ .f ] Other (Specify) garbage grinders/ Disposals
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC
DATE; 3/4/2019
Page 1 of 4
"N
STATE OF FLORIDA APPLICATION # AP1401634
DEPARTMENT OF HEALTH PERMIT # 56-SF-1929905
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1158823
APPLICANT: Manual Cuellar Bonilla
CONTRACTOR / AGENT: Trefelner Construcion Inc.
LOT: 4 BLOCK:
SUBDIVISIONt Model Land ComOanv ID#: 2323-501-0004-0004
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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 5.10 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 7650.00 GALLONS PER DAY [ 1.900 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: site BM nail in PP West of system
ELEVATION OF PROPOSED SYSTEM SITE 26.00 [ 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: 150 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 15 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 50 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 SOTT. PROFTT.F. TNFORMATTON CT'Pr 9
USDA SOIL SERIES:Ankona sand
Munsell #/Color Texture
Depth
10YR 5/1
Sand
0 TO 28
10YR 6/1
Sand
21 To 35
10YR 7/1
Sand
35 To 45
10YR 2/1
Spodic Material
45 To 54
10YR 5/4
Loamy Fine Sand
54 To 72
USDA SOIL SERIES:Ankona sand
Munsell #/Color Texture
Depth
10YR 4/1
Sand
0 To 5
10YR 5/1
Sand
5 To 29
10YR 6/1
Sand
23 To 35
10YR 7/1
Sand
35 To 47
10YR 212
Spodic Material
47 To 55
10YR 5/3
Loamy Fine Sand
55 To 72
OBSERVED WATER TABLE: 63.00 INCHES [ ABOVE / BELOA ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES
[ ABOVE / BELOW j EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: j]1Cg
DRAINFIELD,CONFIGURATION: [XITRENCH [ ] BED [ ] OTHER (SPECIFY)
- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR611 stripping In 10YR5/1 matrix >10% with diffuse boundaries starting at 21" in SB1.
8131 and $132 26" below BM.
SITE EVALUATED BY:
Ingram, Brian (Tide: E(y?Ironmental Specialist II) (ENVIRONMENTAL HEALTH)
DR.4015, 08/09 (Obsoletes Previous editions whioh may not be used) Znaorporated: 64E-6.001, SAC
DATE: 03/22/2019
Page 3 of •4
AP1401534 EID1929905 y 1.0.2
APPLICANT'S MAME: ANTONIA CUE L LA R/JAMES T REFE LN E R
LEGAL DESCRIPTION: 2260 RACK ROAD. FORT PIERCE. FL 34945
T CSXSM ,SI 'E',NFORMAT:IQ. Y =2
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 a pesticide -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,
tilled 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.
NOTE: MUST BE CERTIFIED BY. A FLORIDA
REGISTERED SURVEYOR OR ENGINEER.
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Dug 111Yslgned byQiARI E5
CHAR.LES ARNOLD, PSM'.!�LD,PSM
CERTIFIED BY: .' DiW.201103.01114M-OSW .
FLORIDA PROFESSIONAL NO.: LS 4971
DATE: 03/01/2019 JOB NO.: 19-506
Property Card
Page 1 of 2
Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved.
.Property Identification
Site Address: 2260 ROCK Parcel ID: 2323-501-0004- Account #: 14084 Sec/Town/Range:
RD 000-4 23/35S/39E
Map TD: 23/23N Zoning: AR-1 Use Type: 9900 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Manuel A Cuellar Bonilla
Rubenia Benitez
MODEL LAND CO'S SID 23 35 39 THAT PART OF LOT 4
IN NE 1/4 MPDAF: COMM AT 3X4 CONC MONU 49 FT S
2402 Holiday CT
OF AND 30 FT E OF NW COR OF NE 1/4 RUN S 00 DEG 10
Fort Pierce, FL 34982-5633
MIN 15 SEC E ALG E R/W ROCK RD 207.61 FT TO POB,
TH CONT S 00 DEG 10 MIN 15 SEC E ALG SD E R/W
365.38FT TO N R/W HOEFFNER LN, TH E ALGSD N R/W
648.71 FT TO E LI OF SDLOT 4, TH N 00 DEG 08 MIN 45
SEC W 320.11 FT, TH N 86 DEG 04 MIN 15 SEC W 650.54
FT TO POB (5.10 AC) (OR 3953-1255)
Current Values
Historical Values 3-year
Just/Market: $91,200 Assessed:
$91,200 Year Just/Market Assessed Exemptions
Taxable
Exemptions: $0 Taxable:
$91,200 2018 $91,200 $91,200 $0
$91,200
2017 $85,900 $85,900 $0
$85,900
2016 $85,900 $85,900 $0
$85,900
Date
01-06-2017
06-20-2001
02-12-1990
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Book/Page
3953 / 1255
1405 / 1879
0700 / 0571
Type
Roof Cover:
Frame:
Story Height
Sale History
Sale Code Deed Grantor
0001 WD Maceira Luis R
XX00 WD Hoeffner Marie
XX02 WD Philip A Hoeffher
Primary Building Information
Finished Area of, this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
A/C %: 0% Electric:
Heated %: N/A% Heat Type:
Sprinkled %: 0% Heat Fuel:
Price
$110,000
$73,000
$100
Building Type:
Effective Year: 2014
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
Finished/Under Air
0
z'• �_
(SF):
Gross Sketched Area
0
0' Cr:'r`
Land Size (acres):
5.1
Land Size (SF):
222,156
Total Building Count:
1
Special Features and Yard Items
Qty Units Year Bit
ttps://www.paslc.org/RECard/ 3/5/2019
Michelle Franklin, CFA- Saint Lucie County Property Appraiser
March 6, 2019
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Custom Soil Resource Report
St. Lucie County, Florida
2-Ankona and Farmton sands
Map Unit Setting
National map unit symbol. • 1 jpty
Elevation: 20 to 200 feet
Mean annual precipitation: 49 to 58 inches
Mean annual air temperature. 70 to 77 degrees F
Frost -free period: 350 to 365 days
Farmland classification: Not prime farmland
Map Unit Composition
Ankona and similar soils. 50 percent
Farmton and similar soils. 40 percent
Minor components: 10 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Ankona
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy and loamy marine deposits
Typical profile
A - 0 to 11 inches: sand
E -11 to 38 inches: sand
Bh -. 38 to 48 inches: loamy sand
Btg - 48 to 57 inches. sandy loam
Cg - 57 to 80 inches: loamy fine sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 31 to 50 inches to ortstein
Natural drainage class: Poorly drained
-Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to wafer table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0
mmhos/cm)
Sodium adsorption ratio, maximum in profile. 4.0
Available water storage in profile: Very low (about 1.5 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (noninigated): Aw
Hydrologic Soil Group. C/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141 FL)
10
Custom Soil Resource Report
Hydric soil rating: No
Description of Farmton
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Interfluve, talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material. Sandy and loamy marine deposits
Typical profile
A - 0 to 7 inches: sand
E - 7 to 34 inches: sand
8h - 34 to 50 inches. sand
Big - 50 to 80 inches: sandy loam
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Natural drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to '0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding. None
Frequency of ponding. None
Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0
mmhos/cm)
Sodium adsorption ratio, maximum in profile: 4.0
Available water storage in profile: Moderate (about 6.9 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonimlgated): 4w
Hydrologic Soil Group: B/D .
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141 FL)
Hydric soil rating. No
Minor Components
Electra
Percent of map unit. 4 percent
Landform: Knolls on marine terraces, rises on marine terraces
Landform position (three-dimensional): Interfluve
Down -slope shape: Convex
Across -slope shape. Linear
Hydric soil rating: No
Waveland
Percent of map unit. 3 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating. No
11
9' •r
Custom Soil Resource Report
Lawnwood
Percent of map unit: 3 percent
-Landform: Marine terraces on flatwoods
Landform position (three-dimensional): 7alf
Down -slope shape: Linear
Across -slope shape: Linear
Hydric soil rating: No
12