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HomeMy WebLinkAboutSewageSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Coastal Palms Construction) PROPERTY ADDRESS: 10327 Muller Rd Fort Pierce, FL 34945 LOT: 1 . BLOCK: SUBDIVISION: PERMIT #:56-SF-2221690 APPLICATION #: AP1613379 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1524518 PROPERTY ID #: 2334-701-0001-000-1 [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 SeDtiC new CAPACITY A [ ] GALLONS /. GPD N/A CAPACITY N [ J 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 [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Site BM NiD, CL of Rd near driveway I ELEVATION OF PROPOSED SYSTEM SITE. [ 9.00 ][FINCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R REQUIRED: [Zh.UU] INCHES EXCAVATION REQUIRED: [ 64.UU] INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: Brian J I ram TITLE' Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J gram DATE ISSUED: 03/31/202f EXPIRATION DATE: 09/30/2022 " 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 AP1613379 SE1491911 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-2221690 BILL ooc #:56-BID-5153462 CONSTRUCTION APPLICATION #: AP1613379 RECEIVED FROM: Atlantic Land Desiqns of the TC AMOUNT PAID: $ 660.00 PAYMENT FORM: CREDIT CARD 08047G PAYMENT DATE: 01/15/2021 MAIL TO: (Coastal Palms Construction ) FACILITY NAME: PROPERTY LOCATION: 10327 Muller Rd Fort Pierce, FL 34945 1 Lot: Block: Property ID: 2334-701-0001-000-1 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: AdamsC AUDIT CONTROL NO. 56-PID-4857545 Note: Septic & Well 59-31416 STATE OF FLORIDA PERMIT NO f'L77—\V)t ' DEPARTMENT OF HEALTH DATE PAID: 7� g= ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: •.N ..' SYSTEM RECEIPT #: We APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Coastal Palms Construction AGENT: Atlantic Land Designs of the Tc, Inc. TELEPHONE: 772-398-4290 MAILING ADDRESS: PO Box 1421 Jensen Beach, Florida 34958 Email - ALD5543 n,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: 1 BLOCK: SUBDIVISION: Muller Road Ranches PLATTED: 2020 PROPERTY ID #: 2334-701-0001-000-1 ZONING: AG-2.5 C I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 12.1 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: 10327 Muller Road DIRECTIONS TO PROPERTY: See attached BUILDING INFORMATION 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 2226 UA 2 3 4 ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: 4-n� DATE: 01/06/21 ( 's DH 40151 08 9 (OVboletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Coastal Palms Construction CONTRACTOR / AGENT: Atlantic Land Designs of the TC LOT: 1 BLOCK: APPLICATION # AP1613379 PERMIT # 56-SF-2221690 DOCUMENT # SE1491911 SUBDIVISION: ID#: 2334-701-0001-000-1 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: 11.92' ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] 11879.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NID, CL of Rd near driveway ELEVATION OF PROPOSED SYSTEM SITE 9.00 [ INCHES / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 100 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 50 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 ROTL PROFTLF. TNFORMATTON RTTF. 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 FII - Sandy Clay Loam 0 To 7 10YR 7/3 Organic Soil 7 To 14 10YR 5/8 CMN/PRM RF 14 To 26 10YR 4/2 Sandy Clay Loam 14 To 26 10YR 5/1 Sandy Clay Loam 26 To 64 1 OYR 6/2 Sand 64 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Sandy Loam 0 To 34 10YR 5/8 CMN/PRM RF 16 To 25 10YR 5/2 Sandy Clay Loam 34 To 62 10YR 6/2 Sand 62 To 72 OBSERVED WATER TABLE: 59.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 64 INCHES 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 10YR4/2 matrix >2% starting at 16" in SB2. S61 11"below BM. SB2 9" below BM. SITE EVALUATED BY: DATE: 03/26/2021 Ingram, Brian (Title: nvironmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions whic may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1613379 EID2221690 v 1.0.2 v 3o £ gBvd OV3'L00'9-3179 :Paasiodimul (pasn aq -4ou Aem go-rge4 suoTq-rpa snoinaid sa'4aTosgO) 60/80 `Si05 HQ : al a UaioHas) uHH'Lo SSHONI :NOI'LV'Avoxa ao H'Laza : AS aH'LV'n'IrVAS H'LI S :V'Iualluo 7V*N0I'LIaa'd/S?R1 maa aHH [ ] HONHu'L [ ] :NOImvanoialloo =IaNI'dua :JNIZIS WMISAs 'io3 S'LV'.0 VXla'do'I/Hun'Lxs'L 'IIOS SZHONl :HldHa ON I ] SHA I ] :VNI'I110I4 ON [ I SHA I ] :NOIIV'LH9HA H'IHV'L uH'LFIM HJIH HaVED 9Nl'LSIXH [ MO'I38/ HAOflV •] SHHONI : NOI'LV:AHZS H'Ifl'V'L U:HLV:M NOS'VHS 'LSM aH'LV'NI'LSH. 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Property Identification Site Address: 10327 Muller Parcel ID: 2334-701-0001- Account #: 188948 Sec/Town/Range: 34/35S/39E RD 000-1 Map ID: 23/34S Zoning: AG-2.5 - C Use Type: 6000 Jurisdiction: Saint Lucie County Ownership Chris Hargrave Bree Wipperman 409 SE Voltair TER Port St Lucie, FL 34983 Current Values Just/Market: Assessed: Exemptions: Taxable: Legal Description MULLER ROAD RANCHES (PB 90-22) LOT 1 (11.92 AC - 519,235 SF) Historical Values 3-year Year Just/Market Assessed Exemptions Taxable Sale History Date Book/Page Sale Code Deed Grantor 12-01-2020 4520 / 2796 0001 WD Muller Road LLC Type Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Blt Price $220,000 0 0 11.92 519,235 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. ANNYr r low Y i }i x tihy 0 to sit .. it t.� phi, !_ `1 T y s� r � } l•' • v 'u• r F?i 1 ! R y s .. -f tit }): 3 too YA gip TAY Price Rd @POO. Ut MOD, Gu�j Y]r- 6a Wal We talk Custom Soil Resource Report St. Lucie County, Florida 55—Winder loamy sand Map Unit Setting National map unit'symbol. 1jpwk Elevation: 0 to 30 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Winder, drained and bedded, and similar soils: 67 percent Winder, hydric, and similar soils: 15 percent Minor components: 18 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Winder, Drained And Bedded Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Concave, convex Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: loamy sand E - 6 to 12 inches. sand Btg1 - 12 to 33 inches: sandy clay loam Btg2 - 33 to 49 inches: sandy loam Cg1- 49 to 61 inches: loamy sand Cg2 - 61 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 12 to 18 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content. 5 percent Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity. Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D 10 Custom Soil Resource Report Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341 FL) Other vegetative classification: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341 FL) Hydric soil rating: No Description of Winder, Hydric Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear, concave Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: loamy sand E - 6 to 12 inches: sand Btg1- 12 to 33 inches. sandy clay loam Btg2 - 33 to 49 inches. sandy loam Cg1- 49 to 61 inches: loamy sand Cg2 - 61 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 0 to 12 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content. 5 percent Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341FL) Other vegetative classification: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341FL) Hydric soil rating: Yes Minor Components Pineda Percent of map unit: 3 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Linear Across -slope shape: Concave 11 Custom Soil Resource Report Other vegetative classification: Sandy over loamy soils on flats of hydric or mesic lowlands (G156BC241FL) Hydric soil rating: Yes Hallandale Percent of map unit: 3 percent Landform: Flats on marine terraces Landform position (three-dimensional): Interfluve, talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands, (G156BC141 FL) Hydric soil rating: No Riviera Percent of map unit: 3 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: Sandy over loamy soils on flats of hydric or mesic lowlands (G156BC241 FL) Hydric soil rating: Yes Floridana Percent of map unit: 3 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Other vegetative classification: Sandy over loamy soils on stream terraces, flood plains, or in depressions (G156BC245FL) Hydric soil rating: Yes Wabasso Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Winder, shell substratum, hydric Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Concave, linear Across -slope shape: Linear Other vegetative classification: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341 FL) Hydric soil rating: Yes Wabasso, gravelly substratum Percent of map unit: 2 percent Landform: Flats on marine terraces 12 Custom Soil Resource Report Landform position (three-dimensional): Talf Down -slope shape: Convex' Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No 13 Mission: Ron DeSantis To protect promote & improve the health `" ° Governor of all people in Florida through integratedl�" Scott A. Rivkees, MD state, county & community efforts. HLT State Surgeon General Vision: To be the Healthiest State in the Nation 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(a)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 and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St. Lucie County Accredited Health Department 5150 NW Milner Drive • Port St Lucie, FL 34983 :Public Health Accreditation Board PHONE: 772/462-3800 - FAX 772871-5360 StLucieCountyHealth.com r^ STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL ❑ Southwest PLEASE FILL OUTALL APPLICABLE FIELDS ❑ Northwest (`Denotes Required Fields Where Applicable) ❑ St. Johns River ❑South Florida The ureter welt contractor is responsible for completing this fomi and forward/ng the permit application to the O Suwannee River appropriate delegated authority where applicable. VDelPegated Authority (if Applicable) 1 ee'lf-rt-1/ AR/ft1S 'Owner, Le al Name if 2. �b3 -) 'Well Location-Addree 3. 10 *Parcel D o. (PIN) or 4. *S ' 5. n or % d Gran %Q `Water Well C rac or 6. 42 65' /, r,1 e, /I/ f6 5w IOInAsl4A, Cis �a ,ncorea�o i^� JLl /I? f LkG;e/ Road Name or Number, Cit -. 4/)/) i— 11A/) , Imgbip *Range * 0u9U Su '!� �053 SA,( 5 *License Number * phone A .ST nik) - /01 uqo No. 59-31416 Unique ID Stipulations Required (See Attached) 62-524 Quad No. Delineation No. CUPIINUP Application Nd. 3`1 0 *ZIP *Telephone Number //Bv L% �anchBlock Unit fision Check if 62-524: _ Yes _ No � .797y d )-TlllhqFe �v��cns�aal. Goy Der Email Address ;r-?L haw 7. *Type of Work: V' Construction Repair —Modification —Abandonment 8. *Number of Proposed Wells -Reason for Repair, Modification, or Abandonment 9. *Specify intended Use(s) of Well(s): � V Domestic Landscape Irrigation —Agricultural Irrigation _Site Investigation IIJ�'L11U _Bottled Water Supply _Recreation Area Irrigation —Livestock _Monitoring —Public Water Supply (Limited Use/DOH) —Nursery Irrigation Test —Public Water Supply (Community or Non-Community/DEP)—Commerciallindustrial _,Earth -Coupled Geothermal MAR 3 1 —Golf Course irrigation HVAC Supply 2021 Class I Injection _HVAC Return Class V Injection: —Recharge —Commercial/Industrial Disposal _Aquifer Storage and Recovery —Draina%AF0H;1ngcjp Remediation: _Recovery _Air Sparge _Other (Describe) St 0Un1 _Other (Describe) /C� / 1 (Nola: Not all typgs of w I re permitted by a given permitting authortyy) 10.*Distance from Septic Sys m if s200 ft. � 11. Facil(ty� cription J 12. Estimated Start Date 13,*Estimated Well Depth d fL -Estimated Casing Depth ft. 'Primary Casing Diameter in. Open Hole: From To ft. 14. Estimated Screen Interval: From 6 6 To 210 n. ' 15 `Primary Casing Material: Black Steel Zlvanized PVC Stainless Steel Not Cased *'—Other. 16. Secondary Casing: ` Telescope Casing Liner surface asing Diameter in. 17. Secondary Casing Material: Black Steel Galvanized PA Stainless Steel Other 18.'Method of Construction, Repair, or Abandonment Auger Cable Tool Jetted Rotary Sonic Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Ap roved Method Other (Dasoibe) 19. Proposed routing l�vat for the Primary, condary, and Additional Casing: FromTo�Seal Material Bentonite Neat Cement Other ) From To Seal Material L_Bentonite Neat Cement Other ) From To Seal Material ( Bentonite Neat Cement Other ) From To Seal Material (Ben onite Neat Cement Other ) 20. Indicate total number of existing wells on site _ List number of existing unused wells on site 21.*Is this well or any existing well or water% ith"wal on the owner's contiguous property covered under a Consumptive/Water Use Permit (CUPIWUP) or CUP/WUP Application? Yes No If yes, complete the following: CUPANUP No. District Well ID No. 22. Latitude angitude 23. Data Obtained From: GPS Map Survey Datum: ----_PAD 27 NAD 83 WGS 84 the cadlry that I will comply with am aPPrreabte rmdas or Tde aa, Radda Adminiatrallve Code. and that a wafer I eamdry Inel I ere Iho owner d the taopady, Ural the infommtfo use perm! or adlGeal re0tarne pepna, If noedad, has been orwiil be cbtatm_d prior to eemmencement of weV provided is avewale, and that 1 am aware army mznsbwdion. 1 fuller 00" mat all Information prow cadon Is acatmte and that I will obtab �neffilles under Chapter 73, Frande Statulasthe, to maintain ar pmpedy abandon tl+re well; a, I cerbfy that 1 am necessary arm avai from other federal, state, or Iasi avammeplo, c*a r agree to provide a wall reapic agurd ,mat a Wmmodon provided b acauele, end that I have Warmed the owner artheir dampteliam III DislddwillIn3adtrysaftertomcat 'on of .Can mcho,repair,modlgcatio.or rNm a NofmerwnsenlstoallowingpamonnalofdmisWMoartlelegaledAutlmo$yoasts aband and nd by ads pormft, ar the ragan, Mrha aTts 6rsL g cdon. nelmk madVimdon, arabandanmenl authorized by Ihfs permit 105( _ *Sig ature of Contraota 'License No. •Sig a nee or Agent Date Approval Granted Issue Date J/ S(/ Gyff' Expiration Date Fee Received $ ` ` t Receipt No. Check No. THIS PERMIT 15 NOT VALID UNTIL PROPERLY SIGNED SY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURINr,At I rnhlcTPllrrinor occwme Approval huliats AUTHORITY. THE Info c......• ao_can ennr4 t r___.___._ cuowvo mate: votooer r, Zulu Page 1 of 2 BQU PAAM " 17.70 r" — �� RAID 4t00N 71FAS is MIDI 9 s Na7s3AYL SII.IfO' � N� i Y1s'Q� GGpAN, ,J PROPOSED 20X3D CONC. DRIVE 20,67' 17.33' S 812.33' r.7.00 '.e 8 PROPOSED RESRIENCE M F.F.E - 20.00 36.91' 18�A0' I= 20.4Y DETAIL "As SCALE 1" = 40' 00 0 rry cn PROPO ED PLOT PLANz I (�UBJLd7 7a NTRAdTOR HEALTH DBPT- AND BUIIDINu DE7r. APPROVAL) Q DRAINAGE PLAN . =DRAINAGE PROPOSED P = EXISTING ELEVATION AND EXISTING �= PROPOSED ELEVATION M ALL ELEVABONS W#j HMON ARE BA Eo ON NOBOH AWMCAN vatock DARN OF ISM (NAVJL'IB) Q 11 Lil I'rD SURVEYORS NOTES: I. UNLESS 0 NOTED LY PLATTED EASEMENTS ARE SHO HEREON. 2. ALL LOT D ENSONS SHO ( AR PER PLAT UNLESS OTHER tj SE SHOJA. i ND UNDERGROUND UTILITIES OR AR WERE LOCATED UNLESS OTHEROSE SHOW. 4 THIS SITE UES �7" FLOOD INSURANCE RATE VAP ZONE AE 18 API 12111C0170 J DATED: 2-16-12. 5. FLOOD ZONE SH00i HEREON IS AN INTERPRETATION BY THE SURVEYOR AND IS PRRO0VVIIDDE� AS A COURTESY. THE FLOOD ZONE SHOULD BE VERIFIED BY A DETERI,IINATION AGENCY, 6. BEARINGS SHOM HEREON ARE BASED ON THE CENTER LINE OF DULLER ROAD AS BEING N89W2iE ACCORDING TO THE PLAT DESCRIBED HEREON. 7. P.U,D.E DENOTES II��I1BLIC UTILITIES AND DRAINAGE EASEWF iT, U.E DENOTES UTILITY &SEIAENT. 8. THE ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF THE SURVEY. THE EXPECTED USE/PURPOSE OF THIS SURVEY IS HOME iRUCD(Dl AlCURACY=1 FODT 7.6g0 FEET OR BETTER 9. ITIONS OR DELETIDNS TO DNS SURVEY IAAP BY ANYONE OTHER THAN THE SUING SURVEYOR 15 PROHIBITED tTHOUT JOTTEN CONSENT. r ABBREVIATIONS: SET = SET 6/8" IRO RRAEBAR WITH YELLOj� CAP IAARKED P5115543 FO = FOUND 5/8 IRON REBAR IGHT OF WAY (( = = PLATTED LCCALCULATED R RADIUS OF CURVE L = LENGTH OF CURVE D= DELTA OF CURVE FFE - FINISHED FLppR LEyyATION OH -OH -OH- = OVERHEAD IRS X-X-X- = CfUAII(LINK FENCE 0 = PLASTTIC FENNCtt 0-0-0- _ FENCE CONC. = C CRETE C.P.= CONCR TE PAD Cov = COVERED ® ® "mBOTRC LEGAL DESCRIPTION: (Supplied by Client) LOT 1 OF WUL ER ROAD RANCHES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PUT BOOK 90, PAGE 22, OF THE PUBLIC RECORDS OF ST. LUCIE CDUhTY, FLORIDA. glff�• • • • �■ • ■ ■ CAII ,a U AREA RESERVED FOR SEPTIC /GRAIN IELD AREA = 1300 SOUARE FEET ItisAS' T \4\ I ,b° • 1 6 ' 11 � • PROPOSED RESIDENCE "A" / *ATER Of Pa —SEE DETAIL I PROP03D �L r— I 1 L__� N rri LOT 1 - VACANT TAX PARCEL: 2334-701 0001-000-1 AREA = 12.10 ACRES O . S' o 0 0 Z , .0 i1 01 10327 MULLER ROAD SCALE: )"=100' Atlantic Land Designs 0l the Treasure Coast, L87458 rw I� Amssn Beach Blvd..Imnn Beach, ►L 34957 Mailing Address: P.O. Box 1421 Jansen Beach, FL 34958 ALD5543Qgmall.com (772) 398-4290 DATE:) 2 21 / / DRAY(: JC 2020-0675 DATE: REVISIONS LAST FIELD DATE:12/16/20 CN is O O O CN ° -1 S S89'59'48"W 408.39' LOT 3 -,VACANT LOT 4 - VACANT Certified to: HARGRAVE COASTAL PAWS CONSTRUCTION I hereby artily that the were shoAn hereon is true and correct and Is based on actual measurements taken In the Hold. PSM 3543 James A. Cesiro o.. �.•, n•nw NDT VALID WITHOUT AN AUTHENTICATED ELECTRONIC jIONATURE AND AUTHENTICATED ELECTRONIC SEAT. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 10327 Muller Parcel ID: 2334-701-0001- Account #: 188948 Sec/Town/Range: 34/35S/39E RD 000-1 Map ID: 23/34S Zoning: AG-2.5 - C Use Type: 6000 Jurisdiction: Saint Lucie County Ownership Chris Hargrave Bree Wipperman 409 SE Voltair TER Port St Lucie, FL 34983 Current Values Just/Market: Assessed: Exemptions: Taxable: Legal Description MULLER ROAD RANCHES (PB 90-22) LOT I (11.92 AC - 519,235 SF) Historical Values 3-year Year Just/Market Assessed Exemptions Taxable Sale History Date Book/Page Sale Code Deed Grantor 12-01-2020 4520 / 2796 0001 WD Muller Road LLC Type Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Blt Price $220,000 0 0 11.92 519,235 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. St. Lucie County Health Department RUT 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: 9:56-SF-2221690 BILL DOC #:56-BID-5153462 CONSTRUCTION APPLICATION #: AP1613379 RECEIVED FROM: Atlantic Land Designs of the TC AMOUNT PAID: $ 660.00 PAYMENT FORM: CREDIT CARD 08047G PAYMENT DATE: 01/15/2021 MAIL TO: (Coastal Palms Construction) FACILITY NAME: PROPERTY LOCATION: . 10327 Muller Rd Fort Pierce, FL 34945 1 Lot: Block: Property ID: 2334-701-0001-000-1 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: AdamsC AUDIT CONTROL NO. 56-PID-4857545 Note: Septic & Well 59-31416 BOU N D^FRY SU FRVEY ST WARTER ER SECTION 34 TO SHP 35 StX1TH — — 8 RANGE 39 EAS N896827'E 331,58 FDOH in St. Lucie County Environmental,`Health, Site Plan Approved for'.. Construction Supersedes All PreviousSite Plans for OSTDS # G-SF2221 &90 & Well # 51-3/y16 Date: 5 3/ ?Uz/ - --- Reviewer: " PROPOSED. 20X30 CONC. DRIVE 20.67' CR CV N 17.3318 ; 01'2.33' . a 7,00 M o PROPOSED RESIDENCE F,F,E = 20.00 " 36,91' M COVERED 18.0T 20.42' DETAIL '"A" SCALE 1" = 40' PROPOSED PLOT PLAN (OuBlEdT TO doNTRAdTok HEALTH DEPT., AND BumiNd DEPT. APPROVAL) DRAINAGE PLAN —u-i.-= ADRADINXGSTPROPOSED INGx�o`1 = EXISTING ELEVATION xtio'� = PROPOSED -ELEVATION ALL ELEVATIONS SHOO HEREON ARE BASED ON NORTH AMERICAN VERTICAL DATUM OF 1988 (N.A.yA'88) SURVEYORS NOTES: 1, UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE SHOO HEREON. 2. ALL LOT DIMENSIONS SHOWN ARE PER PLAT UNLESS OTHERWISE SHOO. 3. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE LOCATED UNLESS OTHERWISE SHOWN. 4, THIS SITE LIES WITHIN FLOOD INSURANCE RATE MAP ZONE AE 18 MAP# 12111C017O J DATED: 2-16-il 5. FLOOD ZONE SH004 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 SHOO HEREON ARE BASED ON THE CENTER LINE OF HULLER ROAD AS BEING N8958'27"E ACCORDING TO THE PLAT DESCRIBED HEREON. 7, P,U.D.E. DENOTES PUBLIC UTILITIES AND DRAINAGE EASEMENT,. U.E. DENOTES UTILITY EASEMENT, 8. THE ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF THE SURVEY. THE EXPECTED USE/PURPOSE OF THIS SURVEY IS HOME CONSTRUCTION. ACCURACY=1 FOOT IN 7,500 FEET OR BETTM 9, ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY ANYONE OTHER THAN THE SIGNING SURVEYOR IS PROHIBITED WITHOUT WRITTEN CONSENT, ABBREVIATIONS: SET = SET 5 8" IRON R6�E,BAR WITH YELLOW CAP MARKED "PSM5543 FD = FOUND 5/8 IRON REBAR R = IGHT OF WAY M = MEASURED P = PLATTED C 1= CALCULATED = RADIUS OF CURVE L = LENGTH OF CURVE D= DELTA OF CURVE FFE = FINISHED FLOOR ELEVATION OH -OH -OH- = OVERHEAD WIRES X-X-X- = CHAINLINK FENCE 0-0-0-= PLASTIC FENCE 0-0-0- = WOOD FENCE CONC. = CONCRETE C.P.= CONCRETE PAD Cov.= COVERED ® CATER (g POWER [0 ELECTRIC ETER POLE BOX 0 LEGAL DESCRIPTION: (Supplied by Client) LOT 1 OF MULLER ROAD RANCHES ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 90, PAGE 22, OF THE PUBLIC RECORDS OF ST, LUCIE COUNTY, FLORIDA. E BENCHMARK X PAINTED HULLER ROAD ROAD ELEVATION = 17.70 ,V.D.'88 50 R.O.W. - 12' ASPHALT ROAD X— X X— X --i X AREA RESERVED FOR K SEPTIC /DRAINFIELD x AREA = 1300 SQUARE FEET 1ca[C' 00 CD >, M rn N y w b O x�� 00 O I' 0 O "f �o I'D. x I ; J_ 11.64' _ PROPOSED RESIDENCE SEE DETAIL "A" I. x0 LOT 1 - VACANT TAX PARCEL: 2334- 701 AREA = 12.10 ACRES 10327 MULLER ROAD\ SCALE:1 "=100' ,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: 1/2/21 .DRAWN: JC 2020-0675 DATE: REVISIONS LAST FIELD DATE:12/16/20 ,$q X — X — X x — X� x PROW WATER LINE PROPOSED WELL 49 // r DIRT I PAD o I I o' I I I L__J $ � x1 N x N x1. 0 S89°59'48"W 408.39' LOT 3 - VACANT LOT 4 -VACANT Certif ied to: H RGR VE COASTAL PALLS CONSTRUCTION I hereby certify that the survey shown hereon is true and correct and is based on octuoI measurements taken in the field. P3M 5543 D iquany ngned "y lame: a ce:t_ J4me DN1-11ln,aCesiro Jr e,20 intou,email=-05'W36gmail com, c=us p Datr.]Ol1AlA60]3G04-05'OD' C ST ATE OF NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC B CORlai (:::� RED suave SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL