HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #:66-SF-2068841
APPLICATION #: AP1481303
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1349666
CONSTRUCTION PERMIT FOR: . OSTDS New
APPLICANT: Joshua Stiller
PROPERTY ADDRESS: TBD Gullotti PI Port Saint Lucie, FL 34952
LOT: 6 BLOCK: 3 SUBDIVISION: St. Lucie Gardens
PROPERTY ID #: 3414-501-106-200-0 [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 Sentic 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 Drainfleld new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ J
N
F LOCATION OF BENCHMARK: site BM, red capped IR E side of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
Y�
r
D E
O
T
H
E
R
REQUIRED: E23.UU] 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: ian J In TITLE:
9ram Environmental Specialist II
APPROVED BY:, TITLE: Environmental Specialist II St. Lucie CHD
0.1 Brian J Ingr
DATE IS SUED : 05/21 /2020 EXPIRATION DATE: 11 /21 /2021
DH 4016, 66/09 (Obsoletes all previous editions which'may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1481303 SE1298683
l 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 fling 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
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2058841 BILL Doc #:56-BID-4647693 CONSTRUCTION APPLICATION #: AP1481303
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 630524 PAYMENT DATE: 04/28/2020
MAIL TO: Joshua Stiller
FACILITY NAME:
PROPERTY LOCATION:
TBD Gullotti PI
Port Saint Lucie, FL 34952
6 3
Lot: Block:
Property ID: 3414-501-V06-200-0
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 Plari 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
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION''
APPLICANT: Joshua Stiller'
APPLICATION # AP1481303
PERMIT # 56-SF-2058841
DOCUMENT # •SE1298683
CONTRACTOR / AGENT:' Alexander J. Piazza PSM, Inc
LOT: 6 BLOCK: 3
SUBDIVISION: St. Lucie Gardens ID#: 3414-501-106-200-0
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: 1.25 ACRES
TOTAL ESTIMATED .SEWAGE FLOW: 400 GALLONS PER'DAY [ RESIDENCES -TABLET' / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE. FLOW: 1875.00 GALLONS PER DAY [ 3.500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT •UNOBSTRUCTED.AREA REQUIRED: 100.0.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: site BM, red
ELEVATION OF PROPOSED SYSTEM SITE 7,00 [I
IR E side of
/ FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT.
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 80 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE:• FT PRIVATE: 83 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 66 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
ROIT. PROFTT.F. TWFORMATTON RTTR 9
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:
Munsell #/Color
.
Texture
Depth,
10YR 4/2
Sand
0 To 13
1 OYR 5/2
Sand
13 To 30,
1 OYR 6/2
Sand
197o 30
1 OYR 4/2
Sand
30 To 38 ..
10YR 211
Spodic Material
38 To 55
1 OYR 4/2
Fine Sand
55 To 72
10YR 5/3
Fine Sand
60 To 72
ROTT. PROFTT.F. TNFORMATTON RTTF. 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/3
Sand
0 To 7
1 OYR 5/2
Sand
7 To 30
1 OYR 6/2
Sand
.21 To 33
1OYR'4/2
Sand
33 To 38
10YR 211
Spodic Material
38 To 53
10YR 4/2
Fine Sand'
53 To 72
1 OYR 5/2
Fine Sand
61 To 72
OBSERVED; WATER TABLES 61.00 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 [X ] BED [ ] OTHER (.SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
I
JT determined using USDA WSS and.soil borings.
t6/2 stripping In 10YR5/2 matrix >20% with diffuse boundaries starting at 19" in SB1.
7" below BM. SB1 5" below BM.
SITE EVALUATED BY: /
Ingram, Brian
DH 4015, 08/09 (Obsoletes previous editions w
DATE: 05/12/2020
EnvRonmental`Speciallst II) (ENVIRONMENTAL HEALTH)
may not be used) Incorporated: 64E-6..001, FAC Page 3 of 4
AP1481303 EID2058841 v 1.0.2
5b STATE OF FLORIDA PERMIT #.o-����GSl
DEPARTMENT OF 'HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
APPLICANT : - Joshua Stiller. AGENT: Alexander J. Piazza PSM, Inc.
LOT: 6 BLOCK: 3 SUBDIVISION: St. Lucie Gardens Section 24
PROPERTY ID # : 3414-501-1106-200-0 [ Tax ID Number l
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: 1.312 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 667 GALLONS PER DAY [ RESIDENCES -TABLE UOTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: .1000 SQFT UNOBSTRUCTED AREA REQUIRED: 1000 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [[NCHES/Fc ] [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 [V] 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:_
[ ] YES [✓] NO
FT MSL/NGVD
5V1L vxuk,"M" lN9,UkWWxlUv Sl'1Z 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW
ESTIMATED WET SEASON WATER TABLE ELEVATION:_
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO
10 YEAR FLOODING? [ ] YES [✓] NO
SITE.ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR 'TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
q EXISTING GRADE. - TYPE: [PERCHED/APPARENT ]
INCHES ABOVE BELOW ] EXISTING GRADE
MOTTLING:[ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [,/] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
ig a.s gn y exan er, iaaa,
Alexander J Piazza ON:RUS,o Unaffllialed,ou=A01417E000001fi5B1EE3C9600001981.cn=Almnder
1 Plaaa
SITE EVALUATED BY: Wt.: 2020.04.24 11:17.11-04W DATE: 4-24-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of '4
APPLICA I'NT'S NA.IME: Joshua Stiller
LEGAL DESCRIPTION: N 165' of'S 825' of Lot 6, Block 3,-St. Lucie Gardens Section 24
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 night -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.
NOTE: MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR OR ENGINEER.
Olgilaly signed hyAleaanderl Ptmra
DN:c+US, o=Unalfilialed,
Alexander J PiazzaA4ntl=1M0PDa8a8; 81EF3C980gp81981.
CERTIFIED BY: Data: 202044.2411:163"ro0
FLORIDA PROFESSIONAL NO.: 6330
DATE: 04/24/20 JOB NO.': 20-5364
docs/ roans/septics/SepticApppPage207