HomeMy WebLinkAbout121 eden creek ln permitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Michael Young
PERMIT #:56-SF-2220992
APPLICATION #:AP1612830
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT . # : PR1520712
PROPERTY ADDRESS: 121 Eden Creek Ln Jensen Beach, FL 34957
LOT: 12 BLOCK: SUBDIVISION: Oaks At Indian River
PROPERTY ID #: 4509-807-0015-000-9 [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 [ 1,050 ] 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 [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: NiD in E side of Rd, in cul-de-sac
I ELEVATION OF PROPOSED SYSTEM SITE [ 18,001 INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D E
O
T
H
E
R
i-Li, HEUU11iE1): L U.UU J INCHES EXCAVATIUN KEQUIEED: L J LNUtizzi
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Brian J In(j3)am TITLE: Environmental Specialist III
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian J In am
DATE ISSUED: 03/12/2021 EXPIRATION DATE: 09/12/2022
DH 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 AP1612630 SE1488175
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.
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-2220992 BILL ooc #:56-BID-5152188 CONSTRUCTION APPLICATION #: AP1612830
Michael YoungAMOUNT PAID: $ 660.00
CREDIT CARD 05426D PAYMENT DATE: 01/13/2021
MAIL TO: Michael Young
FACILITY NAME:
PROPERTY LOCATION:
121 Eden Creek Ln
Jensen Beach, FL 34957
12
Lot: Block:
Property ID: 4509-807-0015-000-9
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
-1 - Well Construction
1
$
115.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-4856186
Note: 59-31407 -pon_Toso.T s1ggu II`d •aasteiddy Xindoid XjunoD aton-11uteS IZOZ 1gfijAdoD
Xjueuem ,Cue 1nopm popinold st pum 32umgo oa aoDCgns sT 1nq `aurta sty 1e aoauoo aq o; panagaq st uoTleuuojut II`d
°. STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO,
9aj0gq D
DATE PAID:
1 21
FEE PAID:
RECEIPT 0:
APPLICATION FOR:
[,/] New System [ ] Existing System [ J Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ J Temporary [ ]
APPLICANT: _ s��i1h"[ t/ rfy
6 (/1 j o') @ 1 6ecovi eieynv le 1,
AGENT: ,� j !� a TELEPHONE:
MAILING ADDRESS: cam`,/ ,iV s+ii w/aet!
TO HE COMPLETED By APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PZTRSUA.*tT TO 489,105(3)(m) OR 489.552, FLORIDA. STATUTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE, DOCUMEti'2ATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (I-ZI/DD/YY) IV REQUESTING CONSxDERATION OF STATUTORY GRAISDFATHER PROVISIONS,
PROPERTY INFORMATION,} -
LOT; BLOCK: SUBDIVISION: 017(�J � l �i / ('yer PLATTED: 33
PROPERTY ID )(: C 07- Goi7�_r ZO14ING; I/M OR EQUIVALENT: [ Y/T( j
t 1 _
PROPERTY SIZE: ACRES WATER SUPPLY: [ J PRIVATE PUBLIC [ ]<;:2000(,PD [ ]>200DGPD
IS SEWER AVAILABLE AS JPER 381.0065, rs? [ YIN ] DISTANCE TO SEWER:
1 ��(� FT
PROPERTX ADDRESS ;/ ��% j'L.�� - r ' ,�1 �] r� %tip i l4.! .._�.
DIRECTIONS TO PROPERTY: 4r �!° ��llyi .1t?J�rwo !^I Lrf(u7
I j/1j, r✓r%r' -,Ld rrdr,�wrt�7�r/
JJ � e
BUILDING INFORMATION [ ) RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Iast.itutibnal System Design
No Establishment Bedrooms Area 9gft Table 1, Chapter 64E-6:,, FAC
2?J'�
N
] Floor/Equipment Drains [ ] Obher (Specify)
CGNATURE:
I 4015, 08/09 (Obsoldtes VZevioua editions which may, snot: be used)
�corporated 64E-6.001, FAC
DATE :- (✓�ys- d �`
Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Michael Young
CONTRACTOR / AGENT: Michael Young
LOT: 12 BLOCK:
SUBDIVISION: Oaks At Indian River ID#: 4509-807-0015-000-9
APPLICATION # AP1612830
PERMIT # 56-SF-2220992
DOCUMENT # SF1488175
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: 0.51 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 765.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1050.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: NID In E side Of Rd, in cul-de-sac
ELEVATION OF PROPOSED SYSTEM SITE 18.00 [ INCHES / FT ] [r
/ BELOW ] 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: 80 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 75 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
CnTT. DRnFTT.R TUFnPMATTr)M CTTF. 1
[ ]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 10
10YR 6/6
Sand
10 To 26
10YR 5/8
Sand
26 To 72
SOIL PROFILE INFORMATION SITE 2
rTenn enTT. QrPTVQ
i
Munsell #/Color
Texture
Depth
10YR 4/2
Sand
0 To 14
10YR 5/6
Sand
14 To 30
10YR 5/8
Sand
30 To 72
OBSERVED WATER TABLE: 72.00
INCHES [
ABOVE / BELOW ] EXISTING
GRADE
TYPE:
[ PERCHED /
APPARENT ]
ESTIMATED WET SEASON WATER TABLE
ELEVATION:
72 INCHES [
ABOVE
/ BELOW
]
EXISTING GRADE
HIGH WATER TABLE VEGETATION:
[ ]YES
[X]NO MOTTLING: [
]YES
[X]NO
DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
i- REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
No WSWT indicators observed. WSWT determined to be below 72" in both SBs.
S61 18" above BM. SB2 16" above BM. 1-57
SITE EVALUATED BY:
Ingram, Bria Title: Environmental Specialist III) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous edition which may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 03/08/2021
Page 3 of 4
AP1612830 EID2220992 v 1.0.2
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 121 EDEN CREEK LN
Sec/Town/Range: 09/37S/41 k
Parcel ID: 4509-807-0015-000-9
Jurisdiction: Saint Lucie County
Ownership
Michael J Young
Kristine A Barry
2392 SE Patio CIR
Port Saint Lucie, FL 34952
Legal Description
OAKS AT INDIAN RIVER LOT 12
Current Values
Just/Market Value:
S64,400
Assessed Value:
$64,400
Exemptions:
so
Taxable Value:
$64,400
Property taxes are subject to change upon
change of ownership.
• Past taxes are not a reliable projection of future taxes.
• The sale of a property will prompt the removal of all
exemptions, assessment caps, and special classifications.
Use Type: 0000
Account #: 135043
Map ID: 45/09S
Zoning: RM-5 - Cou
Total Areas
Finished/Under Air (SF): 0
Gross Sketched Area (SF): 0
Land Size (acres): 0.51
Land Size (SF): 22.101
Building Design Wind Speed
Taxes for this parcel: SLC Tax Collector's Office -:7
Download TRIM for this parcel: Download PDF [] Occupancy Category I II 111 & IV
Speed 140 160 170
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
U Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.