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HomeMy WebLinkAboutSepticSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Adams Homes of Northwest Florida Inc.) PROPERTY ADDRESS: 5608 Seagrape Dr Fort Pierce, FL 34982 LOT: 20 BLOCK: 54 SUBDIVISION: Indian River Estates PROPERTY ID # : 3402-609-0078-000-9 PERMIT #:56-SF-2215540 APPLICATION #: AP1608833 DATE PAID• FEE PAID: RECEIPT #: DOCUMENT #: PR1499116 [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 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 [ ] FILLED [X] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: CL of Seagrape Dr @ N PL. ELEV 16.85 I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 14.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E O T H E R ILL e4QUIRED: LJL.UUJ INCHES EXCAVATION REQUIRED: L J INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. -SPECIFICATIONS BY: Ian P Moore TITLE: CEHP 17-2072 APPROVED BY: '� TITLE: Environmental Specialist II Brian J ngram St. Lucie CHD DATE ISSUED: 01/19/20 1 EXPIRATION DATE: 07/19/2022 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 AP1608833 SE1456963 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: r RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2215540 BILL DOG #:56-BID-5131648 CONSTRUCTION APPLICATION #: AP1608833 Atlantic Land Desiqns of the TC AMOUNT PAID: $ 545.00 CREDIT CARD 00478A PAYMENT DATE: /21/2020 MAIL TO: (Adams Homes of Northwest Florida Inc.) FACILITY NAME: PROPERTY LOCATION: 5608 Seagradpe Dr Fort Pierce, FL 34982 Lot: a Block: 54 Property ID: 3402-609-0078-000-9 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 CieDI l 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) -S 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4834239 � oSTATE OF FLORIDA PERMIT NO r'zj'j DEPARTMENT OF HEALTH DATE PAID: P� ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:�y'' r '.y SYSTEM RECEIPT #: COp WTI APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [,/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ I Repair [ I Abandonment [ ] Temporary [ ] APPLICANT: Adams Homes of Northwest Florida, Inc. AGENT: Atlantic Land Designs of the Tc, Inc. TELEPHONE: 772-398-4290 MAILING ADDRESS: PO Box 1421 Jensen Beach, Florida 34958 Email - ALD5543@Gmail.com --------------------------------------------------- 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: 20 BLOCK: 54 SUBDIVISION: Indian River Estates Unit 8 PLATTED: 1956 PROPERTY ID # : 3402-609-0078-000-9 ZONING: RS-4 I /M OR EQUIVALENT: [ No I PROPERTY SIZE: 0.3 ACRES WATER SUPPLY: [ I PRIVATE PUBLIC [,/]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 5608 Seagrape Drive Fort Pierce Florida 34qI&I DIRECTIONS TO PROPERTY: See attached Map BUILDING INFORMATION [VI RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Residential 4 2115 2 - 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNAT � DH 4015, 0 09 (Obsoletes previos editions uwhic�may �note used) Incorporated 64E-6.001, FAC DATE: 9/23/2020 Page 1 of 4 ttfE ljy'�• STATE OF FLORIDA PERMIT #.y�'SF,�ZC'�'�.f® DEPARTMENT OF HEALTH . '�"Q► ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Adams Homes of Northwest Florida Inc AGENT: Reliable Treasure Coast Services Indian River Septic LOT:22 BLOCK:54 SUBDIVISION: INDIANRIVER ESTATES-UNIT-08 PROPERTY ID # : 28-36-11-01-D-7 [Tax ID Number 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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: .3 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY (RESIDENCES -TABLE] 0] AUTHORIZED SEWAGE FLOW: 750 GALLONS PER DAY [2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 790 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: Centerline of Seagrape Drive at the North Property line at EL: 16.85 ELEVATION OF PROPOSED SYSTEM SITE ISO I [INCHES 0] [ABOVE M] 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:20 FT NORMALLY WET? [ ] YES [✓] NO WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N/A FT' NON -POTABLE: N/A FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:11 FT POTABLE WATER LINES:39 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR.FLOODING? ( ] YES I✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH 10YR 3/2 S 0 TO 5 1 OYR 4/2 S 5 TO 16 10YR 5/2 S 10 TO 16 10YR 6/1 S 16 TO 31 1OYR 2/1 Spodic 31 TO 40 10YR 3/4 FS 40 TO 47 Refusal na, 47 TO TO TO USDA SOIL SERIES: Lawnwood FS Like SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH 10YR 3/2 S 0 TO 6 1 OYR 4/2 1 OYR 5/2 IOYR 6/1 1 OYR 2/1 10YR 3/4 S 6 TO 18 S 12 TO 18 S 18 TO 33 Spodic 33 TO 39 FS 39 TO 51 Refusal (@ 51 TO TO TO USDA SOIL SERIES: Lawnwood FS Like OBSERVED WATER TABLE:19 INCHES [BELOW Q'] EXISTING GRADE. TYPE: [APPARENT Q] ESTIMATED WET SEASON WATER TABLE ELEVATION:10 INCHES [.BELOW Q] EXISTING GRADE 'HIGH WATER TABLE VEGETATION: [ ] YES [✓] NO MOTTLING: [✓] YES [ ] NO DEPTH:10 INCHES .SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATION:N/A INCHES DRAINFIELD CONFIGURATION: [✓] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ ADDITIONAL CRITERIA: SHS determined-bv>10% 10YR 5/2 stripping in a 10YR 4/2 matrix at 10 inches in site 1. Refusal due to saturation in both sites. BM: 21 S1: 23 S2: 2'3 SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072 DATE: 11/24/20 DE 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5608 Parcel ID: 3402-609-0078- Account #: 37646 Sec/Town/Range: 11/36S/40E SEAGRAPE DR 000-9 Map ID: 34/11N Zoning: RS4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Adams Homes of Northwest Florida Inc INDIAN RIVER ESTATES -UNIT 08- BLK 54 LOT 20 (MAP 3000 Gulf Breeze PKWY 34/11N) Gulf Breeze, FL 32563 Current Values Historical Values 3-year Just/Market: $18,900 Assessed: $18,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $18,900 2020 $18,900 $18,900 $0 $18,900 2019 $15,400 $10,450 $0 $10,450 2018 $13,100 $9,500 $0 $9,500 Sale History Date Book/Page Sale Code Deed Grantor Price 03-09-2020 4395 / 2424 0205 WD Unity Development Investments $45,800 LLC 01-04-2020 4368 / 1413 0205 WD Soderberg Carl -Axel $29,000 11-08-2019 4347 / 0757 0311 PB Soderberg (EST) Mildred M $0 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 r 4 (SF): z Gross Sketched Area 0 (SF): Land Size (acres): 0.3 Land Size (SF): 13,125 Total Building Count: 1 •, Special Features and Yard Items Type Qty Units Year Blt All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. BOUNDARY SUFR\/FEE Y i` LEGAL DESCRIPTION: (Supplied by Client) LOT 20 IN BLOCK 54 OF INDIAN RIVER ESTATES UNIT 8, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 73, OF THE PUBLIC RECORDS OF ST, LUCIE COUNTY, FLORIDA. ABBREVIATIONS: SET = SET 5 8" IRON R6�IBAR WITH MARKED YELLO CAP PS5543 FD = FOUND 5/8 IRON REBAR = IGHT OF WAY _ EASURED P = PLATTED I= C CALCULATED g = RADIUS OF CURVE L = LENGTH OF CURVE D= DELTA OF CURVE FFE = FINISHED FLOOR TION WLE OH -OH -OH- =OVERHEAD IR S41 X-X-X- = CHAINLINK FENCE -0-❑�-= PLASTIC FENCE 0-0-0- = MOOD FENCE CONC. = CONCRETE C.P.= CONCRETE PAD Cov.= COVERED ELECTRIC ® DETER ATER ® POLE POWER gj / c wo I p = O a O � Q LC� Q04 I N C \y\ W V) w C) O O O O ® WAW VAL SURVEYORS NOTES: 1, UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE SHOWN HEREON. 2. ALL LOT DIMENSIONS SHOM ARE PER PLAT UNLESS OTHERWISE SHOWN. 3. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE LOCATED UNLESS OTHERWISE SHOWN. 4, THIS SITE LIES WITHIN FLOOD INSURANCE RATE MAP ZONE X MAP# 12111CO281 J DATED: 2-16-12, 5. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE SURVEYOR AND IS PROVIDED AS A COURTESY, THE FLOOD ZONE SHOULD BE VERIFIED BY A DETERMINATION AGENCY,+ 6, BEARINGS SHOWN HEREON ARE BASED ON THE CENTER LINE OF SEAGRAPE DRIVE AS BEING N00'00'00"E ACCORDING TO THE PLAT DESCRIBED HEREON. P,U,D,E, DENOTES PUBLIC UTILITIES AND DRAINAGE EASEMENT, U. 6U�6DENOTES UTILITY EASEMENT, 8, E ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF THE URVEY, THE EXPECTED USE / PURPOSE OF THIS SURVEY IS HOME CONSJRUCTION. ACCURACY=1 FOOT IN 7.500 FEET OR BETTER, 9, A@PITIONS OR DELETIONS TO THIS SURVEY MAP BY ANYONE OTHER THAN THE IGNING SURVEYOR IS PROHIBITED WITHOUT WRITTEN CONSENT, ,DFRAI NAGE PLAN DRAINAGE xJ;5' = EXISTING ELEVATION = PROPOSED ELEVATION x POSED PLOT PLAN dT TO dONTRAdmIt, HEALTH DEPT., AND BlumwNd DEPT. APPROVAL) ALL ELEVATIONS SHOWN HEREON ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988(N.A,V,D.'88) LOT 18 BLOCK 54 U.E. = 18,83 LOT 19 BLOCK 54 VACANT N 90°00'00" E 30.00' 30.00' c te 5.00 i 5il WIsV Q I x to x 125.00' x SET N �. 41,70' 53.30' v 31.70' o� og � X o S n -.off 46 nn' 41.70' 0 0 M O O LO 0 O 0 0 0 ,CD V / SET Q `n co m `- Cq Z S p o m II > U ro LU LL N o''- o a' J J J Uj Z LO SE WATER N90000© 0011E ao�s 125.00' FDOWin St. Lucie County VALVE Art Environrr,.--ntal.-- al h Site Plan Apgroved for Construction - - = Stipefsees> rewous-Site Plans for SAVANNAH STREET OSTDS #5-Sf•2y5fgo & Well # 50' RA - 20' ASPHALT ROAD Date: t /,' I Uw 5608 SEAGRAPE DRIVE SCALE :1"=30, Atlantic Land Designs Of the Treasure Coast, LB7468 754 NE Jensen Beach Blvd. Jensen Beach, FL 34957 Mailing Address: P.O. Box 1421 Jensen Beach, FL 34958 ALD5543@gmail.com (772) 398-4290 DATE:2/20/20 DRAWN: JC 2020-0083 DATE: REVISIONS 9 22 20 PLOT PLAN LAST FIELD DATE:9/16/20 tified to: I hereby certify that the survey sho*n hereon is true and correct and is based on actual measurements taken in the field. 11 C' CEgSMCA' Fl CA2.e PSM 5543 Dlgltalty signed lylames A.CeslroJr. DN: cn=lames' Ceslro Jr., Atlantic land NesCesiro Jr. Aeslgnsofthe TC,ou, �-ertfall_11ms55432:22:.com, STATE OF Dale: 2020.09.2312:22:55 -04'00' O NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC oRI oP SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL RFO "JRVE�i