HomeMy WebLinkAboutApproved health department septic onlySTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT MR: OSTDS New
APPLICANT: Raymond Causley
PROPERTY ADDRESS: TBD Tree Top Trl Fort Pierce, FL 34951
BLOCK:
SUBDIVISION:
PERMIT u:56-SF-2268399
APPLICATION n:AP1653196
DATE PAID:
FEE PAID:
RECEIPT 4:
DOCUMENT a:
PR1579051
PROPERTY ID 11: 1407-342-0035-000-7 [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 [ J 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 BPumps [
D [ 667 J SQUARE FEET Dralnfleld new SYSTEM
R [ J SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ J STANDARD [X3 FILLED [ ] MOUND
I CONFIGURATION: [ ] TRENCH [XJ BED [ J
N
F LOCATION OF BENCHMARK: CL of Rd (Oi N PL extended E
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][1 INCHES FT I (I ABOVE BELOW]BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHE3 FT ] ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D
O
T
H
E
R
x WV4s u: L1/.VVJ INCHES EXCAVATION REQUIRED: [ 4U UU] INCHES
system is sized for 3 bedrooms w[th a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: Zan P M=09 TITLE: CERP 19-2072
APPROVED BY: w— TITLE: Environmental Specialist III St. Lucie CHO
Brian J DATE ISSUED: O6/07/2021I ram EXPIRATION DATE: 12/07/2022
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 AP1653196 SE1524485
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
CiUi KAa 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: s:56-SF-2268399 BILLooct.56-BID-5242423 CONSTRUCTION APPLICATION#AP1653196
RECEIVED FROM: Reliable Septic & Service AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 042426 PAYMENT DATE: 04/05/2021
MAIL TO: Raymond Causley
FACILITY NAME:
PROPERTY LOCATION:
TBD Tree Top Trl
Fort Pierce, FL 34951
Lot: Block:
Property ID: 1407-342-0035-000-7
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
-1 - Well Construction
1
$
115.00
RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-4937349
Note: W/ Well# 59-31779
THE
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO.S��ZZ �q
DATE PAID: �N Z
FEE PAID:
RECEIPT #: Z 3 L.G-
APPLICATION FOR:
[�] New System [ ] Existing System [ J HoldingTank
[ ] Repair [ ] Abandonment I ] Innovative
[ ] Temporary [ ]
APPLICANT: Raymond F Causley
AGENT: Reliable Treasure Coast Services Indian River Septic TELEPHONE: (772) 562-4242
MAILING ADDRESS: PO Box 1116, Vero Beach FL 32961
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: Metes and Bounds PLATTED: Pre
-72
PROPERTY ID #: 1407-342-0035-000-7 ZONING: AR-1 I/M OR EQUIVALENT: [ ]
PROPERTY SIZE: 1.15 ACRES WATER SUPPLY: /[[.[.,] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381,0065, FS? [ /,//t' I] DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: Parcel ID: 1407-342-0035-000-7, ree/Top Trail, Ft. Pierce FL 34951
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [.e] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6 FAC
1 Single Family 3 2545
2
3
4
[ ] Floor/Equipme�Drains [ ] Other (Specify)
SIGNATURE:
DATE: 3/30/21
DE 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
me
STATE OF FLORIDA
s` DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT #.
APPLICANT: Raymond F Causlev AGENT: Reliable Treasure Coast Services Indian River
LOT BLOCK: SUBDIVISION: Metes and Bounds
PROPERTY ID #:1407-342-0035-000-7 [Tax ID Number
I'4
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: [VI YES [ I
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS
AUTHORIZED SEWAGE FLOW: 172_ 5 GALLONS
UNOBSTRUCTED AREA AVAILABLE: 75__0 SQFT
BENCHMARE/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE I
NO NET USABLE AREA AVAILABLE: 1.15 ACRES
PER DAY [RESIDENCES -TABLE 1 �]
PER DAY [1500 GPD/ACRE
UNOBSTRUCTED AREA REQUIRED: 750 SQFT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT HE
FT NORMALLY WET? WELLS: No
PUBLIC:N/A FT LIMITED USE: N/A FT PRIVATE:120 FT NON-POTAHLE YES
✓I FT
BUILDING FOUNDATZONS:S FT PROPERTY LINES:20 FT POTABLE WATER LINES: LOB FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES (VI NO SO YEAR FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: YES No
FT MSL/NGVD SITE ELEVATION: [ I FT MSL/NGVD
MUNSELL #/COLOR
10YR 4/2
10YR 411
10YR 5/1
10YR 2/1
10YR 3/6
TEXTURE
DEPTH
S
0
TO 8
S
8
TO 27
S
25
TO 27
Sp Odic --
27
TO 38
FS
38
TO 59
Refusals 59
To
TO
TO
TEXTURE
S
S
S
Spodic
FS
Refusal a(_ 62
DEPTH
0
TO 7
7
TO 29
26
TO 29
29
TO 40
40
TO 62
TO
TO I I TO
USDA SOIL SERIES: Tenble Sand -Like USDA SOIL SERIES: Tantlle Sand -Like
OBSERVED WATER TABLE:41 INCHES [BELOW L"]J EXISTING GRADE. TYPE: AppgRENT O. )
ESTIMATED WET SEASON WATER TABLE ELEVATION:25 INCHE3 [,BELOW 6j EXISTING GRADE
HIGR WATER TABLE VEGETATION: [ ] YES IrI NO MOTTLING: [VI YES � [ ] NO DEPTH:25 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATIONAO INCHES
DRAINFIELD CONFIGURATION: [VJ TRENCH [ I BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA: SHS detPrmine.i h,, I not invo
SITE EVALUATED By:
3130/21
DH 4015, 09/09 (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--AII rights reserved
Property Identification
Site Address: TREE TOP Parcel ID: 1407-342-0035- Account #: 6293 See/Town/Range: 07/34S/40E
TRL 000-7
Map ID: 14/07S Zoning: AR -I
Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Raymond F Causley
7 34 40 N 1/2 OF SE 1/4 OF NW 1/4 OF SE 1/4 OF SW I/4-
Ami Jo Causley
LESS E 30 FT- (1.15 AC)
8406 Deland AVE
Fort Pierce, FL 34951
Current Values
Historical Values 3-year
Just/Market: $36,200 Assessed:
$36,200 Year Just/Market Assessed Exemptions
Taxable
Exemptions: $0 Taxable:
$36,200 2020 $36,200 $36,200 SO
$36,200
2019 $36,200 $30,855 $0
$30,855
2018 $30,200 $28,050 $0
$28,050
Sale History
Date Book/Page
Sale Code Deed Grantor
Price
12-30-2019 4364 / 2618
06-27-2002 1548 / 2637
0001 WD Fountain Wendell
$55,000
06-07-2001 1413 / 2145
XX00 WD Brookes Duane W
XX01 WD Brookes Duane W
$8,000
$100
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
View:
Roof Cover:
Year Built: N/A
Frame:
Primary Wall:
Story Height:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Type
A/C %: 0%
Heated %: N/A°/,
Sprinkled %: 0%
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Heat Type:
Heat Fuel:
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
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
0
ut
1.15
50,094
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.