HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Sean & Sarah Thomas
PROPERTY ADDRESS: 5313 S 25th St Fort Pierce, FL 34981
LOT:
BLOCK:
SUBDIVISION:
PERMIT #: 56-SF-2184286
APPLICATION #: AP1583417
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1496755
PROPERTY ID #: 3405-441-0002-000-1 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTI02
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 -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 SeDtic 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 Bed SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Top Of west end Of Circular drive median
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.50 ][ INCHES FT ][ ABOVE TrkrTnwl BENCHMARK/REEF
E BOTTOM OF DRAINFIELD TO BE
L
D i
0
T
H
E
R
RENCE POINT
[ 5.50 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
ii,i, K&VUlxn:u: l GU.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
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 B dd A Reinhold TITLE: Environmental Specialist II
APPROVED BY: TITLE: Environmental Specialist II
Todd A Reinho d
DATE ISSUE 01/05/2021 EXPIRATION DATE: O 512022
DH 4016, 08/09 (Obsoletes all previous editions which may not be used) ry
Incorporated: 64E-6.003, FAC P ge 1 of 3
v 1.1.4 A815£33417 96i4!i455G \\
S
St. Lucie CHD
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.
Y
St. Lucie County Health 'Department
I i'4 `d 5150 NW Milner Dr Port Saint Lucie, FL 34983
f�EALTR
PAYING ON: #: 56-SF-2184286 BILL Doc #:56-BID-5049261 CONSTRUCTION APPLICATION #: AP1583417
RECEIVED FROM: Alexander J. Piazza PSM, Inc _ AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 000149_ PAYMENT DATE: 10/08/2020
MAIL TO: Sean & Sarah Thomas
FACILITY NAME:
PROPERTY LOCATION:
5313 S 25th St
Fort Pierce, FL 34981
Lot: Block:
Property ID:
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
.RECEIVED BY: MontanezNM �� �� AUDIT CONTROL NO. 56- Q-44748042
9STATE OF FLORIDA PERMIT NO. SZ1A - ag�p
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
.z SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[,/] New System [ ] Existing System [ ] HoldingTank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Sean & Sarah Thomas
AGENT:
MAILING ADDRESS:
Alexander J. Piazza PSM, Inc. TELEPHONE:
619 SW Biltmorc Street, Port St. Lucie, Florida 34983
772-340-7770
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: - BLOCK: - SUBDIVISION: Not Subdivided PLATTED: -
PROPERTY ID #:
3405-441-0002-000-1
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 1.342 ACRES WATER SUPPLY: [�(] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 5313 South 25th Street, Fort Pierce, Florida 34981
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
[ v/ ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1,764
2
3
4
[ ] Floor/Equipment Drains [ V/ ] Other (Specify) GARBAGE GRINDERS / DISPOSALS
o�siutly cps36y Ne.mdnl iwn
Alexander J Piazza s.wuumtus w-nai41An000wt?2%0:F43"167FA.—A:..nda J
SIGNATURE. [W.2020U, 16 tHWN 4,m DATE: 9-16-20
DH 4015, 08/09 (Obsoletes previous editions which -may not be used)
Incorporated 64E-6.001, FAC
Page 1 of
t
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Sean & Sarah Thomas
CONTRACTOR / AGENT: AlexanderJ. Piazza PSM, Inc
LOT: BLOCK:
SUBDIVISION: ID# : 3405-441-0002-000-1
APPLICATION # AP1583417
PERMIT # 56-SF-2184286
DOCUMENT # RP1AAARrn
To BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIL
REGISTRATION NUMBER AND SIGN AND SEAT, EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 1.34 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2
l
AUTHORIZED SEWAGE FLOW: 2009.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Top of west end of circular drive median
ELEVATION OF PROPOSED SYSTEM SITE 7.50 [ INCHES / FT ] [ ABOVE / 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 [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 10 FT PROPERTY LINES: 50 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD
SOTT. VUnWTT_V TM10ur
USDA SOIL SERIES:Ankona-Urban land complex
Munsell #/Color Texture Depth
1 OYR 5/1
Fine Sand
0 To 12
10YR 7/1
Fine Sand
12 To 20
10YR 6/2
Fine Sand
20 To 36
10YR 3/1
Loamy Sand
36 To 48
HOLE CAVING
Refusal
48 To 72
SOIL PROFTT.F. TNFADMa MTnAT ev— n
USDA SOIL SERIES:Ankona-Urban land complex
Munsell #/Color Texture Depth
10YR 5/1
Fine Sand
0 To 13
10YR 7/1
Fine Sand
13 To 21
10YR 6/2
Fine Sand
21 To 36
10YR 3/1
Loamy Sand
36 To 47
HOLE CAVING
Refusal
47 To 72
OBSERVED WATER TABLE: 28.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 INCHES [ ABOVE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED
7 REMARKS/ADDITIONAL CRITERIA
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 22,00 INCHES
Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES
[ ] OTHER (SPECIFY)
5WT determined using USDA WSS and soil borings. 10YR 711 stripping in 10YR 6/2 matrix >10% with diffused boundaries starting
22 inches in SB1. S131 and SB2 are 7.5 inches below the below BM.
RITE EVALUATED BY:
Reinhold, Toad (Title: EnvironmentalAp'ecialist II) (Florida Department of Health In Ok
ous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE
12/30/2020
DH 4015, 08/09 (Obsoletes
h04COIA47 C-M1 40A9OC
Page 3 of 4
M$
St STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT # . Z sJ q '_q
APPLICANT: Scan & Sarah Thomas AGENT: Alexander J. Piazza PSM, Inc.
LOT: - BLOCK: - SUBDIVISION: Not Subdivided
PROPERTY ID # : 3405-441-0002-000-1 [ Tax ID Number ]
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: I✓] YES [ ] NO NET USABLE AREA AVAILABLE: 1.342 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE Is34 [INCHES/Ff ] [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? [ I YES I✓] 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: [ 1 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
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW '] EXISTING GRADE. TYPE: (PERCHED/ APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES ABOVE BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO 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:
Q, aoryq.y, eun
DN.t=1 d. IPt94 leE o�A0p10DWU0617256C72C4300D167F0.
Alexander J Piazza �2020 P
SITE EVALUATED BY:
oe�Fo2a.iniai4o:oaoo DATE' 9-16-20
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICANT'S NAME:
Sean & Sarah Thomas
LEGAL DESCRIPTION: A portion of Section 5, Townsh(p 35 South, Range 40 East, St. Lucid
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 right-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.
Ulplblyd9ned M Al'.
k an ''u—
Wh.�US
Alexander J Piazza=W AO�.0!0WOP,725m11naN1➢etCd, W2Zr4 pe„A
v-Ale.M.,, P,_
CERTIFIED BY:
FLORIDA PROFESSIONAL. NO.: 6330
DATE: 09/16/20 JOB NO.: 20-5901,
docs/forms/septics/SepticApppPage207