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Home My WebLink AboutAPPROVED HEALTH PERMIT-#1336- WellsSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Carlos Wells PROPERTY ADDRESS: TBD Brocksmith Rd Fort Pierce, FL 34945 LOT: 15 BLOCK: 3 SUBDIVISION: MCNurlen Farms PERMIT #:56-SF-2211346 APPLICATION #: AP1605765 DATE PAID: FEE PAID: — RECEIPT #:— DOCUMENT #: P 1513955 PROPERTY ID #: 2320-501-0046-000-1 [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 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 Drainfeld new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [XI BED [] N F LOCATION OF BENCHMARK: Yellow capped IR at SE property Corner I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 it INCHES FT ][ ABOVE BE LOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 18.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D 0 T H E R !11.1. u:Wvu rmw; rGS.VVJ 1NU:N ZXVAVA'1'1VN RE uiR u: t 3V.VV J lvuN b The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated Flow of 300 gpd. SPECIFICATIONS BY' ,,,'Brian J In ram TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD � (/�''%t'�' Brian Jngram DATE ISSUED: 02/10/20` 1 EXPIRATION DATE: 08/10/2022 DE 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1605765 SE1484924 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. ri u HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: MAIL TO: Carlos Wells St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #:56-SF-2211346 BILL DOC#:56-BID-5187732 CONSTRUCTION APPLICATION#:AP1605765 Groza Builders, Inc. AMOUNT PAID: $ 195.00 CREDIT CARD 09493G PAYMENT DATE: 02/23/2021 FACILITY NAME: PROPERTY LOCATION: TBD Brocksmith Rd Fort Pierce, FL 34945 Lot: 15 3 Block: Property ID: 2320-501-0046-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 123 - OSTDS Construction Site Evaluation 1 $ -1 - OSTDS Revision 1 $ RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4891553 55.00 115.00 25.00 St. Lucie County Health Department MI 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2211346 BILL ooc#:56-BID-5122160 CONSTRUCTION APPLICATION#: AP1605765 RECEIVED FROM: Groza Builders, Inc. AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 56623 PAYMENT DATE: 12/08/2020 MAIL TO: Carlos Wells FACILITY NAME: PROPERTY LOCATION: TBD Brocksmith Rd Fort Pierce, FL 34945 Lot: 15 3 Block: Property ID: 2320-501-0046-000-1 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -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 QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4824603 STATE OF FLORIDA PERMIT NO. ' Ce DEPARTMENT OF HEALTH DATE PAID: (� `p ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: 23 SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: (�C] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abba-ndon/ment I [ ] Temporary [ ] APPLICANT: CCIY�oS (Lyt G� �J ev�vi 4,2! WP)�S AGENT: ( YY-oz - &-..\&Jz-cS TELEPHONE: IIL-331y-�'�p MAILING ADDRESS: S 11 SQ P L BW- e5L.F-1-3 q9S 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: t 5 BLOCK: 2- SUBDIVISION: MG 1,jkjr1R-n PLATTED: PROPERTY ID #: 9.Za4Z>- So[ ( ZONING: A-G- - 5 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: q•q 5 ACRES WATER SUPPLY: PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /�] DISTANCE TO SEWER: NIA- FT PROPERTY ADDRESS: —T ED DIRECTIONS TO PROPERTY: BUILDING INFORMATION [.(] RESIDENTIAL [ ] COMMERCIAL Unit Type of No//__ of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC I 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DATE: ],a - d - DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1605765 DEPARTMENT OF HEALTH PERMIT # 56-SF-2211346 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1484924 APPLICANT: Carlos Wells CONTRACTOR / AGENT: GrOZa Builders, Inc. LOT: 15 BLOCK: 3 SUBDIVISION: McNurlen Farms ID#: 2320-501-0046-000-1 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: 4.45 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 6675.00 GALLONS PER DAY [ 3.500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE 7.00 [ INCHES / FT ] [ 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 [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: 100 FT BUILDING FOUNDATIONS: 31 FT PROPERTY LINES: 38 FT POTABLE WATER LINES: 46 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [XINO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE. 1. AOTT. PROFTT.F TNFORMATTON ATT.. 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/3 Fill - Sand 0 To 11 1 OYR 6/2 Sand 11 To 30 1 OYR 7/2 Sand 13 To 34 5Y 5/3 Sandy Clay Loam 34 To 40 REFUSAL Refusal 40 To 40 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 10 10YR 512 Sand 10 To 18 1 OYR 5/8 CMN/PRM RF 10 To 18 10YR 6/2 Sand 18 To 29 2.5Y 5/4 Sandy Loam 29 To 31 REFUSAL Refusal 31 To 31 OBSERVED WATER TABLE: 16.00 INCHES [ ABOVE / BEE] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 13 INCHES [ ABOVE / BEIAW ] HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES ( ]NO I PERCHED / APPARENT ] EXISTING GRADE DEPTH: 13.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) — REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR712 stripping In 10YR612 matrix > 10% with diffuse boundaries starting at 13" In SB1 SB1 11" above SM. SB2 7" above)�M. 112 SITE EVALUATED BY: Ingram, Brie itle: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions ich may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 02/24/2021 Page 3 of 4 AP1605765 EID2211346 v 1.0.2 Property Card 59 _ 313,3 Page I of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: Parcel ID: 2320-501-0046- Account #: 155234 Seefrown/Range: BROCKSMITH RD 000-1 20/35S/39E Map ID: 23/20S Zoning: AG-5 Count Use Type: 9900 Jurisdiction: Saint Lucie County Ownership Legal Description Carlos Lee Wells SUBDIVISION OF MC NURLEN FARMS BLK 3 E 1/2 OF Jennifer Lynn Wells LOT 15 (4.45 AC) 3821 SW Coquina Cove WAY Apt 106 Palm City, FL 34990 Current Values Historical Values 3-year Just/Market: $103,200 Assessed: $69,091 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $69,091 2020 $103,200 $69,091 $0 $69,091 2019 $103,200 $62,810 $0 $62,810 2018 $57,100 $57,100 $0 $57,100 Sale History Date Book/Page Sale Code Deed Grantor Price 10-05-2020 4491 / 0961 0001 WD Navarro Luis A $134,900 04-28-2006 2554 / 2656 XX00 WD Booker Ray L $285,000 07-16-2004 2019/ 1066 XX01 WD Campbell Custom Home Bldrs $100 LLC Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 4.45 Land Size (SF): 193,842 Total Building Count: I Special Features and Yard Items Type 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. 0 Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. https://www.pastc.org/RECard/ 12/8/2020 i .' 1 �1 G l• n � i 't ti1Y 1 p \i5 J r > J-�.{ � 1 t Ej. : 1 art TY �l\`, •I t* jig 'i \ \A it,3f ryF \Y I ,�`r l lid .F f \ Yr•-. ��'1 I J 1 � I I s vI t '�My t 4 vu %2i ti v tie Y Kf Ti � x x C6 hey � � Lit Y i 5. g - i e I v � j ; {I �! t \ 1. ,.n. f iSXA.w ...t..l YfL\.( 4�i1 46 i\.\r. r :� }.. x. ✓ �.Q 1 li I s �. Custom Soil Resource Report St. Lucie County, Florida 32—Pineda sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 2x1 nb Elevation: 0 to 100 feet Mean annual precipitation: 47 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 355 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Pineda and similar soils: 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Pineda Setting Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, taIf Down -slope shape: Linear Across -slope shape: Concave, linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 19 inches: sand Bw - 19 to 35 inches: sand Btg/E - 35 to 38 inches: sandy loam Btg - 38 to 60 inches: sandy loam Cg - 60 to 80 inches: loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: Very 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 3 to 18 inches Frequency of flooding: None Frequency of ponding. None Calcium carbonate, maximum content., 4 percent Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Low (about 4.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) 10 Custom Soil Resource Report Other vegetative classification: Slough (R155XY011 FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Hydric soil rating: Yes Minor Components Malabar Percent of map unit 6 percent Landform: — error in exists on — Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear, concave Across -slope shape: Linear, concave Ecological site: R155XY011 FL - Slough Other vegetative classification: Slough (R155XY011 FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: Yes Wabasso Percent of map unit: 5 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141FL) Hydric soil rating: No Valkaria Percent of map unit 2 percent Landform: Drainageways on flatwoods on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -slope shape: Linear, concave Othervegetative classification: Slough (R155XY011FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydnc soil rating. Yes Hallandale Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: Yes 38—Riviera fine sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 2tzw2 11 Custom Soil Resource Report Elevation: 0 to 80 feet Mean annual precipitation: 44 to 59 inches Mean annual air temperature: 68 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Riviera and similar soils: 80 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Riviera Setting Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -slope shape: Linear, concave Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: fine sand E - 6 to 28 inches: fine sand BVE - 28 to 32 inches: fine sandy loam Btg - 32 to 42 inches: sandy clay loam C - 42 to 80 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 6.00 in/hr) Depth to water table: About 3 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Moderate (about 6.0 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: A/D Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Other vegetative classification: Slough (R155XY011 FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G155X6241FL) Hydric soil rating: Yes Minor Components Wabasso Percent of map unit: 8 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf W Custom Soil Resource Report Down -slope shape: Linear, convex Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydric soil rating: No Pinellas Percent of map unit. 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: Cabbage Palm Flatwoods (R155XY005FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Hydric soil rating: No Hallandale Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Hydnc soil rating: Yes Floridana Percent of map unit: 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL), Sandy over loamy soils on stream terraces, flood plains, or in depressions (G155XB245FL) Hydnc soil rating: Yes Oldsmar Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear, convex Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G 1 55XB141 FL) Hydric soil rating: No 13