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HomeMy WebLinkAboutSewagea STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR:. OSTDS New APPLICANT: (Rodney Hall Concrete Construction, Inc.) PROPERTY ADDRESS: 11771 Appaloosa Ct Fort Pierce, FL 34987 LOT: 23 PROPERTY ID # PERMIT #:56-SF-2241181 APPLICATION #: AP1630453 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1547265 BLOCK: SUBDIVISION: Pony Pines 3309-605-0026-000-2 [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: [ ] STANDARD [ ] FILLED [XI MOUND I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Site BM, Nail in CL of Rd, center of property I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 10.001I INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L DI O T H 341 ILL REQUIRED: [LU.UU] INCHES EXCAVATION REQUIRED: [ ] 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. Brian J In TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J I am DATE ISSUED: 04/13/2021 EXPIRATION DATE: 10/13/2022 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 AP1630453 SE1504658 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. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2241181 BILL HOC #:56-BID-5182362 CONSTRUCTION APPLICATION #: AP1630453 RECEIVED FROM: Rodnev Hall AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 4918 PAYMENT DATE: 02/15/2021 MAIL TO: (Rodney Hall Concrete Construction, Inc. ) FACILITY NAME: PROPERTY LOCATION: 11771 Appaloosa Ct Port Saint Lucie, FL 34987 Lot: 23 Block: Property ID: 3309-605-0026-000-2 EXPLANATION or DESCRIPTION: QUANTITY 128 - OSTDS Construction System Inspection Research Fee 1 -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 1 1 1 1 1 1 1 FEE $ 5.00 $ 45.00 $ 100.00 $ 100.00 $ 115.00 $ 55.00 $ 75.00 $ 50.00 RECEIVED BY: AdamsC Note: Well App, from Down the Hole to be sent AUDIT CONTROL NO. 56-PID-4886003 STATE OF FLORIDA DEPARTMENT OT' HEALTH ON-5TTE SEWAGE, TREATMNT AND DISPOSAL S`iSTM j; cv=`=''i' A-PPLICATTOk\T FOR CONSTRUCT.IO14 PEEL` 17 1H!APP 'ICATION TOR: pj [ xl DTew System Repair iI A]?PT ICANT: � /�d�J/ri'E PERMIT NO� DATE PAID: FEE PAID: RECEIPT [ ] Existing System [ ] Holding Tank [ ] rinnovative I ] Abandonment [ ] Temporary ' [ ] f�a�L L caste R�r� G'e9�7'R� : ro % .2'iye�e i. AGENT: ZN�j TELEPHOITE :,< / 7•Z UZ/" :iMA.ILING ADDRESS/ "303 ®vile/ iy e xr"f a C'44g4 'Pup, F=t -PrERcc 1 • F,� 3 %� TO BE COMPLETED BY APPLICANT OR APPLICANTrS AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED !:AY A P1kZSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, .FLORIDA STATUTES. IT IS THE -A.PPLICANT�S RESPONSIBILITY TO PROVIDE DOCUMENTATIOIQ OF THE DATE THE LOT WAS CREATED OR PLATTED ( /DD/YX) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIODTS. _,PROPERTY INFORMATION jLOT: ALOCIC: SUBDIVISION: 1) (�PLATTED. 1( PROPERTY ID * : 33D % ' bos - ©©Z v oao- z ZONING: A CJ ,� I/m OR EQUIVAIL:NT: [ Y / N ] ?J'PROPERTY SIZE: ,i ACRES WATER SUPPLY: [X] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000G1111) +iIS SETr1ER AVAILABLE AS PER 381.0065, FS? IQ X / ] DISTANCE TO SEWER: ]?7' ! .PROPERTY ADDRESS: J � U ' ✓� n I m) C C (DIRECTIONS TO PROPERTY: ) I /r v j BUILDING IIYFOMIATION. [ ] RESIDENTIAL [ ] coMr�ERci7 , j' !:!Unit . Type of No, of Building Commercial/ Ins tituti.onal System Design t` 130 ;Establishment Bedrooms Area Soft Table 1, Chapter 64E-6, FA.C, 2 j [ 1 Flo- r E merit Dra' Other (Specify) SIGNATURE i"1'._`L G/{ L'� G �/ . ' DATE! :/ ,, D4 4015, 08/'9 (Ob-'letes previous editions which may not be used) ),-'Incorporated 64E-6.001, FAc Page I oE`4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION .APPLICANT: Rodney Hall Concrete Construction, Inc. CONTRACTOR / AGENT: Rodney Hall LOT: 23 BLOCK: SUBDIVISION: Pony Pines ID#: 3309-605-0026-000-2 APPLICATION # AP1630453 PERMIT # 56-SF-2241181 DOCUMENT # SE1504658 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: 1.89 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2834.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM, Nail in CL of Rd, center of ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ INCHES / FT ] GE / 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: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 45 FT POTABLE WATER LINES: 58 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 [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/2 Fine Sand 0 To 8 10YR 5/4 Fine Sand 8 TO 18 10YR 6/2 Fine Sand 18 To 35 10YR 5/8 CMN/PRM RF 24 To 35 10YR 5/1 Fine Sand 35 To 42 10YR 2/2 Spodic Material 42 To 48 10YR 5/3 Sandy Clay Loam 48 To 66 10YR 5/3 Loamy Sand 66 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/3 Fine Sand 0 To 7 10YR 4/4 Fine Sand 7 To 19 10YR 6/2 Fine Sand 19 To 30 10YR 5/8 CMN/PRM RF 22 To 28 10YR 7/2 Fine Sand 28 To 37 10YR 5/2 Fine Sand 37 To 43 10YR 212 Fine Sand 43 To 55 10YR 4/3 Sandy Clay Loam 55 To 65 10YR 5/3 Sandy Loam 65 To 72 OBSERVED WATER TABLE: 67.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 22.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) ~ REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 CMN PROM RF mottling in 10YR6/2 matrix >2% starting at 22" in SB2. SB1 and S132 8" above BM. /) SITE EVALUATED BY: / Ingram, Tian (Title: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 04/09/2021 Page 3 of 4 AP1630453 EID2241181 v 1.0.2 STATE OF FLORIDA DEPARMM, NT or, HEALTH ONSITE SEWAGE TRriaTiVYNT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS AGENT: :'BLOCK:_ SUDDI-VTSIOIT: Mt, RTY "?-E'eclioVTowiisliii)/ParcolNo. or Tax TD Ntimher PERMIT If:% .5r. 2 ;q it al BE COMPLETED BY E NbINEE RBE ALTH DEPARTV,NT EMPLOYE E , OR OTHER QUALIFIED PERSON- ENGINEERS , f,9'± PROVIDE REGiSTRATTOX NUMBER -AND SIGN AND SEAL EACH 'PAGE OF SUBMITTAL. COMPLETE .ALL ITEMS. 6PERTY SIZE*CONFORMS'TO SITE PLAN: 11. !.:i YES NO NET USABLE M-7X, A AVAILABLE, ACRE S )TAL ESTIMATED SEWAGE -FLOW: 30 GALLONS PER DAY [ RESIDENCES -TABLE 1/OTHER-TABLE 2 THORIZED SEWAGE, FLOW: GALLONS PER DAY [ 1500 (jPD/ACRC OR 2500 GPD/ACRE [OBSTRUCTED AREA AVAILA]3LE: SQFT UNOBSTRUCTED AREA REQUIRED: D: :NCI-IL4ARVREFEIREIIITCE POINT LOCATION. AtION'OF PROPOSED SYSTEM SITE, 1INCHES/FT BELOW'] POINT' �MINIIXIUM SETBACK WHICH CAN BE, MAINTAINED FROM THE PROPOSED SYSTEM TO TI-M, FOLLOWING FEATURJ_i,,3 aFACE WATER: - FT DITCBES/SWALES: 30 FT NORMALLY MET? E I YES K-3 NO ;:[J,S: PUBLIC, 1:960 FT LIMITED USE _VNON-POTABLE: 4T , bI " PR1 ATE, _7,�FT NG FOUNDATIONS. FT PROPERTY LINES: FT POTABLE WATER LINES - %'SUBJtCT TO FREIQUEliT FLOODING: YES 104 NO 10 YEAR FLOODING? YES 3:40 ;YPTIAR FLOOD ELEVATION SITE,: FT MSL/NGVD FOR SI. lgvD SITE ELEVATION: Ell v msi./I tSOIL PROFILE INFORM&TIO39 SITE. 1 If COLOR "I SELL If Tp,-XT,U1_m1 DEPTH TO TO TO TO 4 TO TO TO TO 7 TO i,' USDA SOIL ES: I O.8S .EST HIG DR& RL— SOIL PRoFiLD. iiTFoRmA:TioN SITE 2 MUNSELL if/COLOR TEXT�W_i DEPTH TO: TO TO TO TO: TO: TO TO TO USDA SOIL SERIES: RVED WATER TABLE: IXCI-M&S [ABOVE/BELOW 'I EXISTING GRADE. TYPE. D'ERCI3ED/ApPARENT1 K&TE D WET SEASON WATER TZBlj,,- ELEVATION: --LOW "WATER TABLE'VEGETATION: YES NO MOTTLING: [.ABOVE/BE I EXISTING GRADE, MOTTLING: YES .1qO DEPTH: __1111.cHiSs :TEXTURE/LOAD11,TG RA!.rL FOR SYSTEM SIZING: I'; - - . DEPTH OF EXCAVATION: .11-,HCHE3 CONFIGURATION: E j TRr,,jTcj-j BED OTI-Irm (SPECIFY) EVALUATE' 12/11 (Obsoletss Previous editions which ;my not be used) Incorporated: 64E-6.00,1, F-AC 80 Page 3 o f 4 ' 56 sF 2234It81 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 11771 Parcel ID: 3309-605-0026- Account #: 35526 Sec/Town/Range: 09/36S/39E APPALOOSA CT 000-2 Map ID: 33/09N Zoning: AG-2.5 - C Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Rodney M Hall PONY PINES -UNIT ONE BLK A LOT 23(1.89 AC) 6303 S Header Canal RD Fort Pierce, FL 34987 Current Values Historical Values 3-year Just/Market: $78,200 Assessed: $78,200 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $78,200 2020 $78,200 $78,200 $0 $78,200 $66,100 $0 $66,100 2019 $66,100 2018 $66,100 $66,100 $0 $66,100 Sale History Date Book/Page Sale Code Deed Grantor Price 02-14-2019 4233 / 0390 0001 WD Lopez II Reinaldo L $90,000 0001 WD Lopez Aguiar Henry A $75,000 10-18-2018 03-01-1983 4195 / 2127 0396 / 1116 XX01 CV $9,000 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 C (SF): od Gross Sketched Area 0 ca (SF): iR Land Size (acres): 1.89 WD o Land Size (SF): 82,328.4 U Total Building Count: 1 --i •� @D A a Special Features and Yard Items S� m co W q oo Qty Units Year Blt rO e CC Pr' W ... .. .. ... .... _.. -.... .. ... .. _... ... _.. ....... .. Q dP4 O � F' ved to be correct at this time, but is subject to change and is provided without any warranty. • W pyright 2021 Saint Lucie County Property Appraiser. All rights reserved. till 00 0 m P-i W A Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. �,'� ��fitf•� �G , 't HEALTH Vision: To be the Healthiest State in the Nation Ron DeSantis Governor Scott A. Rivkees, MD State Surgeon General Florida Department of Health in St. Lucie County Conditions for Issuance of Water Well Permits Effective July 24, 2017 • Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email SLCDOH-WELLS(c)-FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS(aD-FLHEALTH.GOV • Submit revisions to permit and/or site map within 48 hours of well construction or abandonment. Florida Department of Health -St Lucie County Division of Disease Control and Health Protection Bureau of Environmental Health Location: 3866 S US Highwayl, Fort Pierce, FL 34982 Mailing: 5150 NW Milner Drive, Port St. -Lucie, FL 34983 Phone 772-873-4931 Fax 772-595-1306 FloridaHealth.gov Accredited Health Department Public Health Accreditation Board