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1. PERMIT # : 56-S F-2107123 APPLICATION #: AP1524080 STATE OF FLORIDA DEPARTMENT OF . HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL' FEE PAID: SYSTEM RECEIPT #: (gGUMET,IT # : PR1379883 K CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Paul Charette Pamela Paysner PROPERTY ADDRESS: 633 SE Hidden River Dr Port Saint Lucie, FL 34983 LOT: 5 BLOCK: 1 I SUBDIVISION: Hidden River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] PROPERTY ID #: 3427-701-0006-000-4 •'SYSTEM MUST BE CONSTRUCTED IN. ACCORDANCE WITH- SPECIFICATIONS AND STANDARDS OF SECTIO] 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTE] +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 TH] 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 I 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 L, F LOCATION OF BENCHMARK: Set mag nail at point of reverse curvature at EL: 4.28 I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D 0 T H E R FILL REQUIRED: [31.001 INCHES EXCAVATION REQUIRED: 35.00] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for total estimated flow of 400 gpd. l SPECIFICATIONS: Ian P Moore TITLE: CEHP 17-2072 APPROVED BY:,. nV,L _TITLE: Environmental Specialist I St. Lucie CHI Hunter A Collier DATE ISSUED: 01/31/2020 EXPIRATION DATE: 01/27/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 AP1524080 SE1338718 ' 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 Departmerit, 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. St. Lucie County Health Department d6, i 5150 NW Milner Dr Port Saint Lucie, FL.34983 HEALTH JPAYING ON: #: 56-SF-2107123 BILL ooc #:56-BID-4767791 CONSTRUCTION APPLICATION #: AP1524080 ' RECEIVED FROM: Reliable Treasure Coast Services AMOUNT PAID: $ 430.00 PAYMENT FORM: CREDIT CARD 934054 PAYMENT DATE: 07/07/2020 MAII-70: Paul Charette Pamela Paysner, - FACILITY NAME PROPERTY LOCATION: 633 SE Hidden River Dr Port Saint Lucie, FL 34983 5 1 Lot: Block: Property ID: 3427-701-0006-000-4 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 - 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 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-4496347 c� STATE OF FLORIDA PERMIT N0.5 jbJL?, DEPARTMENT OF HEALTH DATE PAID: '�� "7- 2✓i P ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: `#'3a.o�D SYSTEM RECEIPT #: N APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [J ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Paul Charette and Pamela Paysner AGENT: Reliable Treasure Coast Services Indian River Septic TELEPHONE. 772-562-4242 • MAILING ADDRESS: P.O. Box 1116, Vero Beach FL 32961 • TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSEDiPURSUANT 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: 5 BLOCK: 1 SUBDIVISION: HIDDEN RIVER ESTATES PLATTED: Pre-72 PROPERTY ID #: 3427-701-0006-000-4 ZONING: RS-3 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: .73 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [./]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 633 SE HIDDEN RIVER DR, Port St. Lucie 34983 r DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 Single Family Residence 2 Guest House 3 4 [ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 - 2751 1 482 [ ] Floor/Eq ipmejt Drains A[ ] Other (Specify) SIGNATURE: D 1 11oI DATE: 7/3/20 4 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 f STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND SITE EVALUATION.AND SYSTEM p�pgI,ICAtgT; Paul Charette and Pamela Paysner LOT. 5 PERMIT V �l6AF451(13 DISPOSAL SYSTEM SPECIFICATIONS AGENT: Reliable Treasure Coast Services Indian River Septic BLOCK: 1 SUBDIVISION: HIDDEN RIVER ESTATES PROPERTY ID # : 3427-701-0006-000-4 Tax ID Number _ _mil TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEErOR OTHER QUALIFIED PERSON. ENGINEERS -MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE'OF SUBMITTAL. COMPLETE ALL ITEMS. r— PROPERTY SIZE CONFORMS TO SITE PLAN: YES [E� NO NET USABLE AREA'AVAILABLE: .73 ACRES . TOTAL ESTIMATED SEWAGE FLOW: , 400 GALLONS PER DAY RESIDENCES -TABLE 1 __i] AUTHORIZED SEWAGE FLOW: 1825 GALLONS PER DAY 2500 GPD/ACRE UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: Set Mag Nail at point of reverse curvature at EL- 4.28 _. ELEVATION OF PROPOSED SYSTEM SITE IS1 [INCHES [BELOW p BENCHMARI%REFERENCE'PQIN THE MINIMUM SETBACK WHICH CAN BE MAINTAI DL—FIR9DI THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: +100MAFL FT DITCHES/ WALES: 6 F'I" NORMALLY WET? 0 YES ��/j NO WELLS: PUBLIC: N/A FT LIMITED USE: NIA FT PRIVATE: N/A FT NON —POTABLE: N/A FT BUILDING FOUNDATIONS:13.35 FT PROPERTY LINES:20.96 FT ` POTABLE WATER LINES:15 FT SITE SUBJECT 'TO FREQUENT FLOODING: ( ) YES [✓) NO , i0 YEAR FLOODING? YES NO NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SUIL YAUIN UN J24YUliDW.C.LVN 51TZ 1 MUNSELL #/COLOR TEXTURE DEPTH 10YR 311 FS 0 TO 10 10YR 5/4 S 10 TO 22 10YR 6/4 S 11 TO 22 10YR 2/1 Spodic 22 TO 35 10YR 6/4 FS 35 TO 45 TO Refusal @ 45 TO TO TO USDA SOIL SERIES : Waveland FS Like SVlb Y#iVP'I:LE 1N9'V.KM X'1UN .blXzi G MUNSELL #/COLOR TEXTURE DEPTH 10YR 3/1 FS 0 TO 11, 10YR 5/4 S 11 TO 24 10YR 6/4 S 13 TO 24 10YR 2/1 Spodic 24 TO 33 10YR 6/4 FS 33 TO 51 TO Refusal @ 51 TO TO TO USDA SOIL SERIES: Waveland FS Like OBSERVED WATER TABLE:31 INCHES BELOW r] EXISTING.GRADE. TYPE: APPARENT �] ESTIMATED WET SEASON WATER TABLE ELEVATION:11 INCHES [BELOW _ ffE ISTX ING GRADE HIGH WATER TABLE VEGETATION: d) YES 0 NO MOTTLING: J YES' U—NO DEPTH:11 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING-Sand/.8 DEPTH OF EXCAVATION:35 INCHES DRAINFIELD CONFIGURATION: [,0 TRENCH I BED OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA- SHS determined by>1661 10YR 614 stripping in a 10YR 5/4 matrix at 11 inches in site 1. Refusal due to saturation in both sites. MAFL denoted on survey as "Apparent Shoreline". We propose to install a 1200 gal tank (due to separate dwelling units) and a 500sgft trench drainfield. BM: TO S1: 3'1 $2: 3'1 SITE EVALUATED BY: Ian Moore C.E.H.P., 19-2072 DATE: 712120 DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 - s EXISTG A5PH ROADWAY PF9 m pCTA0.3 5w va�•m mtwY �� I? z�� � urvmTTrmI4`�wm e.w>s waE�pac �. ran mrnwn use ro wmrwn unL © TYP SHALE AND LINER DETAIL s ' Q (CD (c/) a l' CD N --I (/) � N ;4: (D W 7 ° -0CID ::3 m � D <. 2 N D a 0 > CD cD C < CL r c o - -. 90 0 , = N \� \V J r� r >k `z 9 CULVERT NOTES CULVERT PIPES ARE TO BE SET AT THE TOP OF THE RIPPLE AT THE CENTER BOTTCI'I OF THE PIPE THE INVERT PIPE GRADES BUST BE CONSISTENT THROK.HOUT THE ENTIRE LENGTH ( NO BCW) PIPE J0INT5 SHALL BE EXPOSED FOR INSPECTON AT TIME OF THE DRIVE WAY INSPECTION SHALE CONSTRUCTION NOTES I 1ALUM. PICKETS @ 5' O/C SHALE CONSTRUCTION NOTES NOTE, MAX SLOPE IN RETENTION AREA IS 4,1 G WILpING LINE 3'z3' ALUM. POST II'IBED IN CONC. no PROPERTT GRADE @ S'-0' O/ MAX. �/ ® r LINE NOTE' I •OFF PROPERTY LINE I I I ' O ALLUI'I. FENCE DETAILS © TYP 51DE 5WALE NOTE, SEE SITE PLAN FOR OTHER ELEVATIONS SAME SLOPE TO BE MAINTAINED IN ALL 5WALES LOT 4 RESIDENCE Fj=EXISTING FLOOR EL 8.30' 0: O +A Imo''.".' 111���• ���_lil�_L_ l!'l•1 tilGi�Ml 1 ' _�t��"tttil�\ ��t s;.;11/il, .. ��..�■.� III,III,Ih�II \ ���```�- Ifll�ll'Itil'lllll —� ��`• Illlllllllllll���lC� `� - OWN A& SECTION -O• S m<LVC vas O9N IM- r. r>u R3s oM z/ I•➢I 6�°rmlL`OM GRiWR42 TYP DRIVE WAY DETAIL SITE AREA CALCULATIONS SITE AREA 26,659 50 FT IOO.00L WOUSE/GARAGE FOOTPRINT AREA 3,53R 50 FT TOTAL BUILDING FOOTPRINT 3 539 50 FT 13.3% DRIVE5/WA1Y. 1,572 50 FT POOL/DECK 1561 50 FT TOTAL NON 3,133 50 FT 11.8% GREEN SPACE 19,987 50 FT 74.4M FLOOR TO AREA RATIO ff Lo S O-Ota NORM O 0 tr �9 • \ . '�"E •LSRNN HNE Oi 910RE11NE (ttBAi) c auxcN pi a l 9e E a wEa°wc s. F°k C ✓l1B �IB)°D �.°. D ; BEAGI E4 OF.S w'04�7 2O O �iGF9TyF HARK HUNLEY A.LA. ICENSE AR W99784 cr 0 w cy- z L_j w � o w W � � � J W r = � W W N v Q S r7 O N U CO 0 DRIVEWAY CONSTRUCTION NOTES NOTE: $W. _ ALL UTILITIES PULL BE INSTALLED UNDER ItCWtaW S A•o 6R'f.[D -DING TB.EPIIOIIE• EL£GTRIL G.BLE FLY.. -ID HOURS BEFORE DIGGING CALL TOLL FREE ,,,,, m, o ,,;rt Y",.• , "ACO SITE PLAN NOTE5 1-800-432-4770 , „- �• R SUNSHINE STATE sc.�. vrtT N .. ONE CALL OF FL INC. S P — 2 IN ON N" mrpa ". MEN I .,. I ASEUENT - - 'E 307.69 A 354.2 f(M) LOT 6 EXISTING RE4DENCE ' FINISH FLOOR EL 9.00• } A Gw (LB 0 9J°p PROPOSED SITE PLAN STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Paul Charette Pamela Paysner PROPERTY ADDRESS: 6.13 SF Hirlrien River r)r Pnrt Gaint I nnio PI gaonA LOT: 5 BLOCK: 1 SUBDIVISION: Hidden River Estates PROPERTY ID #: 3427-701-0006-000-4 PERMIT # : 56-SF-2107123 APPLICATION #: AP1524080 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1379883 RECEIVED AUG 19 2020 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTIOI 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEI 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 THI 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 [ 500 ] SQUARE FEET Drainfield New SYSTEM R I ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: I ] STANDARD [ ] FILLED [x] MOUND I CONFIGURATION: [X] TRENCH [ ] BED [ ] N I F LOCATION OF BENCHMARK: Set mag nail at point of reverse curvature at EL: 4.28 I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 12.001 INCHES FT IABOVE BELOW I BENCHMARK/REFERENCE POINT L D I O T H E R uaUutxr;u: t 01-UUj INCHES EXCAVATION REQUIRED: [ 35.00 ] INCHES _ system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of gpd. FA SPECIFICATIONS �1,,pTITLE:CEHP 17-2072 APPROVED BY:TITLE: Environmental Specialist I St. Lucie CHI Hunter A Collies DATE ISSUED; 07/31/2020 EXPIRATION DATE: 01/27/2022 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 AP1524080 SE1338718 a \ (D 9) CD cn (D N @yGa ID n± ®Ti... r C r 0 n o U) O x C i0 c O o CD M c N U-w �