HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF EEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Jessica Kreuger
PROPERTY ADDRESS: 10900 Hell Rd Fort Pierce, FL 34945
LOT: 9 BLOCK: B SUBDIVISION:
PEST 8:56-SF-2297487
APPLICATION #:AP1667483
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR159.7851
PROPERTY ID #: 2321-501-0021-000-3 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER] -
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
391.0065, 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
T ( 900 ] GALLONS / GPD Seotic 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 [ 334 ] -SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED ptj MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: Orange dot/nail in tree SE of site.
I ELEVATION OF PROPOSED- SYSTEM SITE [ 21.001[ SNCHES FT ][ABOVE YBELOW BENCHMARK/REFERENCE POINT
E- BOTTOM OF DRAINFIELD TO -BE [ 6.00 11 INCHES FT ]. [ ABOVE JBELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [33.001 INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
0 200 gpd.
T
x
'E
R
SPECIFICATIONS VY: Nicole Montanez
APPROVED BY:
- Nicol Monfaneaj
DATE ISSUED: OW21/2021- b
DR 4016, 08/09 (Obsoletes all previous
Incorporated: 64E-6.003, FAC
TIC: Environmental Specialist II
Environmental Specialist II St. Lucie CHD
EXPIRATION DATE: 01/21/2023
which may not be used)
AP1967423 SE155128&
Page 1 of 3
NOTICE OF RIGHTS
A party whose substantial interett is affected bythis order may petition for an
administrative hearing pursuant to sections 120.669 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 parry 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.
i' St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: *e 56-SF-2297487 BILLooc#:56-BID-5328723 CONSTRUCTIONAPPLICATION*:AP1667483
RECEIVED FROM: All Contractor Services AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 320666 PAYMENT DATE: 06/01/2021
MAIL TO: Jessica Kreuger
FACILITY NAME:
PROPERTY LOCATION:
10900 Heil Rd
Fort Pierce, FL 34945
Lot:
i
Block:
B
Property ID: 2321-Z01-0021-000-3
EXPLANATION or DESCRIPTION: QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00
-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
RECEIVED BY: WhiclhamJL
Note: Paid for by Kristin Krueger
1 $
45.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 $
50.00
AUDIT CONTROL NO. 56-PID-5006184
Sblding MOk
S- LL
X=-Ovativa
STATE OP. j*LO• pMA
M=0=4t OM
orATER
AppZICAT.T-cat FOR COMTLIUMXOS PMVUT
3PP�iCq�+ZON FOR:
Existing System
r
- - �Zazsa%= J."jL:JGDJg;M - &Aj,=WX- SNWZW MUST BE CXMTRUL-M
APPZ3:caw-s - , MRSUMIT '1-0 48-9-108(3) tti) ait 4aa_53k�.
MESPONSEBUM TO MOME D k4ojMM _&
'ZX'UT= (MAD/M ;w moms OM=lTMTlw OF MM nam TjM zoo MS MMM (a
T'30 COMMM=ON OF S==Oay GMW=MM MOMVISXOMNS.
LOT:. g-
PILOCK,
Iq
L'ROPA= 6�- �2-6—
ZMMG; I/M bri EQUXVAT MOT: Yo
mms umm
PRxv'= P=wc L. 3<--eOGOWD
IS SWM AIMMME AS pRa 391.0065
. r SS3 E YO l.. D3:90MCE TO. sMWAZ FT
PAMERTr ADMmeal.i Iholl)) P,-;-1 -, r-- . , -
DnM=ONS TO atopw=::
VV IMSIOMM3M
1 . I COMMRCnL
Unit
NO
Type of
NO - Ot BuIldIng
onme=dealz=tit-,;3jona3
AmRa�—B�t
Table 3.,
I
�61v
P ° - g
Z q150
SF
3.
-----------
A
-------------------
f. 4 -C.LWLWj.AqujjMMt DZ-dluq
aim==:
I I Otbdr (Sqacifg j -
D4 403;5, 08/0-4 f o es p viorts ed%iWhIC-b- Mk�Ly UOt be
lacomporated 543-6.001, Used)
DAM.- LJA 2-LO12-1
PagO--1 CKE 4-
STATE OF FLOliIDA APPLICATION # AP1667483
DEPARTMENT OF HEALTH PERMIT # 56-SF-2297487
ONSITE SEWAGE TREATMENT AMID DISPOSAL SYSTEM
DOCUMENT # SE9551288
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Jessica Kreuger
CONTRACTOR / AGENT: All Contractor Services
LOT: 9
BLOCK: B
SUBDIVISION: ID#: 2321-501-0021-000-3
TO BE CO2WLEMM BY ENG=bMER, HEALTH DEPARTMENT ED9?LO7EE, OR OTHER Qt0M3 3MD PERSON_ ENGZf=S MUST PROV333F
REGISTRATION NOM ER AND SIGN AND SEAL EACH PAGE OF SDHMLTTAL. COM745TE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: IX ]YES [ ]NO NET USABLE AREA AVAXLAnT.F; 1.45 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLAW: 2175.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE 7
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK/REFERENCi; POINT LOCATION: Orange dot/nail in tree SE of site.
ELEVATION OF PROPOSED SYSTEM SITE 21.00 1 INCHES / FT ] [ ABOVE / BELOW) BENCHMARK/REFERENCE POINT
THE. MIN=MVM SETBACK WHICH CAN BE bZN=T XMD FROM THE PROPOSED SYSTEM TO THE FOLLOWING; FEATIIRES
SURFACE WATER: -FT DITCHES/3WALE3: 35 FT NCJR^'R► X WET: [ )YES [ X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: rj FT PROPERTY LINES: 50 ET POTABLE WATER LINES: 25 FT
SITE SUBJECT TO FREQUENT FLOODING? [. ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOJ
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 4/1
Sand
0 To 15
10YR 5/1
Sand
9 To 15
10YR 7/1
Sand
15 TO 30
10YR 211
Spodic Material
30 To 38
1 OYR 312
Sandy Loam
38 To Si
10YR 512
Loamy Sand
51 To 72
USDA SOIL SERIES:
Munseii #/Color
Texture
Depth
10YR 4/1
Sand
0 To 12
10YR 511
Sand
9 To 12
10YR 6/1
Sand
12 To 15
10YR 7/1
Sand
it To 31
1 OYR 211
Spodio Material
31 To 38
10YR 3/2
Sandy Loam
36 To 51
10YR 5/2
Loamy Sand
51 To 72
OBSERVED WATER TABLE: 64.00 INCHES C ABOVE / SELOW ) EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED VET SEASON WATER TABLE ELEVATION: 9 • INCHES [ ABOVE /BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 9.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sandy Loarn/0.60 DEPTH OF EXCAVATION: INCHES
D2taI24FxELD CONFZGURATION: . [ ] TRENCH [ X ] BED [ ] OTHER (SPECIFY)
F REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS. and soil borings.10YR511 stripping in a 10YR411 matrix> 10016 with diffuse boundaries starting
at 9" in SB1.
S01 21- below BM. S02 21- below am.
SITE EVALUATED BY: DATE: 07/21/2021
MOntan"oleEnvi onmental pe ialist 10 (Florida Department of Health in S
DR 4015, 08/09 (Obsolates previous edmay not be ed Incorporated: 64E-6.001, PAC Page 3 of 4
AP1667483 EID2297487 v 1.0.2
sX= Os sEORML pE 510 -SF-,;t a19.-1 $ -7
=..gRxnn OF HMTI
=SITE SE'WA.(m TREATMENT zm DxSPOSAL Srvzm
EKtBT : SYsm -tam symm MMAM TsPBLUA =
CONTRACTOR / acmfi: i2o t t .OifltV'Olctoy, ; if nd c-c S, (tt1 C .
LOT: Uj. - BLOM: SUBDXVx �l . ( m�: Z_321- SOw
000
TO HE, COr5PL riw ar FLORMA REGISTERED k'*n='+' mmll DEP M s' "Mo2m, SEPTIC 'wa= cownm=OR ORy
OT$ER CERT VXM PERSON. SI(U MM SPsAL am APPMCABLB ITEMS.
CONPLMM T RT 71CAWON Bmow OR NOTE I24 immmw mr mm TANKS camw7-m cmtTn7sD.
IIMPSS
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mm vo, SPE AS-qsTS� Mr '�.D � MLA / Iait'iMM 3.ARE�F� Os9 v��.�
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Raw ' = a
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I 3TgfiE
TYPE, Or wASTH [ ] DOrMBTIC I 3 commRmzm
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am EST1MMEP $MM FZ= SRSEiD O1Q
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1. EMMULM OVERLOAD
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F
I ROOTS
I I XkTZR TAME
I 7 _
alLURR E
SEWAGE ON GROCiND
E.
I TfI
E I' D 130X/SR=R?-
E 3 nrintu�r�rrs
WTOM: E
! PLMM333id DAMP
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!
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1 aQ3S, 08I09 (ob stes PTWi. =s edi ioa s which mW iiot be used)
tcoltotEted 6 E-6.001, F= rage 4 of a_
M
I VVI I III VL. ,...LAVA, VWL IILr
Boundary &
Topographic
I
LOT 2 I
BLOCK B I'
I
CALCULATED CORNER.
FALLS IN DITCH
NW CORNER OF LOT 9, BLOCK 3 I
O.S OF
PROPOSED
ROPOS PROPOSED
A/C GUEST a
HOUSE 2
PROPOSED
ENTRY
W X17.8'
v
a) DO
LOT 8 U)) to
BLOCK B
0
�o
zz
FND
IRON I
FND 4'X4'
CONC.MONUMENT
...--- .� � au=rfsnsrh�ri'rralrrsn�� 1v'tt'r�r
S5W'2239-W 150.7N(M)
800-09.19-E 3.50'(C).
8091091191E 3.6v(M)
= TOK)GRAfYiIC EVAT10:15
QI} ELEVATIONS AS SHOWN HEREON ARE BASED ON
GPS ELEVATIONS NAVD 1988.
-FOUND 1W IRON ROD, ON SW CORNER
#1 ELEVATION = 22.09'
-FOUND 1/2' IRON ROD, ON BE CORNER
#2 ELEVATION = 21.92'
Site Plan Approved for Construction
Superseges All Previous Site Plans for
LOT OSTDS #%SF_AD' % & Well #
FIND 12'IRON ROD BLOCK-B Date: BLOCKB
11.70' EAST
NSW'4S'57E 201.721M}TO WITNESS CORNER RevieWOr:
N89"49'57"E 213.48'(M) ON ROD 1
of S89"5744"E 21E :48'(P) ,.TOFF S8W'S744'E(C) 118.3Y'(D)
CONC BLOCK .4' OFF
� GARAGE T j
FFE=22.71' 2� I
195d4' 1
CONC PAD WATER �zu
�../ I.V LINE I
>m �• I
0
taus 55. ' v=. CV. I
r�-1 3.0�— LA A.
I
FIi_i1 i oa.« iRESIDENCE N
r2wI j 7.bFFE= .#10900 W P
t� srrcw ��s 24 -PAD 00 Lr) \
¢ COV • - GARAGE O O I
'n'l�' ENTRV �3 FFE=24.08'_cs•
LOT 9
BLOCK B :tom-
�'iit:+SHELL ROCK DNJ� <>;-�� •� � � � \/ 1
'e+ � • 8`OFF I
S90"00'00"W(C)181.61'(D) FND 12' 1 : LOT 10
S89052'33"W 181.90'(M) IRON ROD 1
IRON oD. Ij THE EAST BLOCK B
tl 118.32' 1's
I— OF LOT 9 1"
r_ II BLOCK B 1
U M _ j (LESS OUT)
= C14 (I
U. U) tl ci
o z OWO� 1S
Mg �,�ma ils
0 LU co
0 m 0 I-- LU �g I
00 I-O�`" 1S I
LL I I
fn 0 CO CD 0 C_: II I
LU CO II I
� 1 I
� I
I
FND 12' f1 1
IRON ROD
A 1 FND12"
_ S90'00'00'W(C)161.61'(Dg _ _ _) _390.00'00'MC)118.32YD)_ I IRON ROD
THE S 31.50'FOR RW �SOOTOW'W(C 63.25'(D) -- -- —�
(LESS OUT)
S89'4726'W363.19(M)
HEIL ROAD
VARIABLE WIDTH RIGHT-OF-WAY
ASPHALT ROADWAY
L1 F
N90"00'00"W"W 31.66'(C) o
ADOREss .........
N89"37'06"W 30.89'(M) z
10900 HEIL RO)(1D 1"=1Do'
FORT PIERCE, FLORIDA 34954 GRAPHIC SCALE
0 So 100
LEGAL DESCRIPTION: (AS FURNISHED)
LOT 9 BLOCK B OF THE SUBDIVISION ENTITLED FT PIERCE GARDENS OF SECTION 21'-355 39E AS
RECORDED IN.PLAT BOOK 5, PAGE 61 OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA LESS E�118.32
FT AND LESS S 331.5 FT OF E 181.61FT OF W 213.27 FT AND,LESS RD R/W
BASIS OF BEARINGS: BEARINGS AS SHOWN HEREON ARE BASED ON THE EAST LINE OF THE SUBJECT PROPERTY,ASSUMEDTO BEING S
.,LIST OF POSSIBLE ENCROACHMENTS: FENCES AS SHOWN
NOTE:
DLS#: D20-05-0051
7 ` - }
1)PROPED YUN
FgANOIORIMPROVEMENTS SHOWN WERE PHYSICALLY
'LOCATED BY RELD SURVEY
FLOOD ZONE
( FOR INFORMATIONAL PURPOSES ONLY)
FIELD DATE: 03/17/21
r
IL
2) MONUMENTS FOUND OR SET ARE SHOWN, CALCULATED LINES AND
ON IS NOTED BY
SUBJECT PROPERTY SHOWN HEREON
(
INFORMAT (C)
3)ACCUCOMPUTATIONS AND OR DATA NOT, FOUND ARE SHOWN AS)
APPEARS TO BE LOCATED IN
FLOOD ZONE OUTSIDE OF THE 100
DRAFTER: DJC
01OFLINES
4)ACCURAGFSOBTAINEDINTHIS SURVEYAT�GRFA71JiTHAN:(RirtA4)1'
LAREA
YEAR FLOODPLAIN.
—"-'—" -�-
IN 5000', (SUSURBAN) V IN00' 76W. (COMMERCIAL) V IN 10,0.
6)PRIORTO 6URVEY, INFORMATION OBTAINED WAS LEGAL OESCRwnON
PER F.I.R.M. PANEL NUMBER 12111C 0170J
APPROVED: BHH
Brennan D. Kelley
FROM aIENTOR FROM PUBLICLY PUIILISHED COUNTYTAX COLLECTOR'
LAST REVISION DATE 02116112
Y
32-1-768-6339
SITE. RECORDED FLATS AND OR SECTION CORNER RECORDS IF
APPLICABLE
CER7IFIEDTO: (AS FURNISHED)
SI IF ONLY A DIGITAL SURVEY COPY IS REQUIRED A SURVEYREPORT WILL
ZACHERY A KRUEGER
LjasicA
firehouSemort(wcsx6m
REPLACED IN FILE: THE DIGITAL SURVEY IS NOT FULLAND COMPLETE
- ..
F(kRLJEGER
-
WITHOUTTHE SURVEYREPORT FILE.
HDMEBRIDGE FINANCIAL SERVICES, INC. DBA REAL
ESTATE MORTGAGE NETWORK ISAOA/ATIMA
FIREHOUSE MORTGAGE INC.
ALLIANCE TITLE
AID
C
•AIr CDnditiorter
-Calculated
-WoodPowerPola
NOTES
Abumm pnoNeetawnur beenm mwad for 2opsl mr1op,—ft
CONC
-Centarlhe
-Crsnaele
N.R.-Non•Redial
OHU-Ovedtead Ut0lty Une
Ibp
In =jcwwWIh FAG. 51017•100314•E.6lombn afessmmb or
COY
-Covered
-PC -POlntofCulva1um
JMemwey cl,ecord.VJwd= lnnm on r000do" pale, ism4Lded•Ub
D
-DesGlption
P.O.B.•PAtIM of BaginnkAg
iamanonm,eeceNmtrneamdnwrveyare.d�ropaer
_ DE
-DrainageEeeament
p,D.C.- Point o6Commenownant
Nound and na aelamYldd
DUE
•Drainage &Utlgty Eamt
PP -Power Pole
odir
Ne off..tundlmpraramanbaratrunue,rwloopedOyWaauvoy„
se mled
D1W
-Driveway
PRO-PohrtofReVHseCurvature
ThlWyss my not bsrueo fpromsapdkn prrpmea
ESMT
- Easemerd
-UdinemetEasement
Any 6orveyshordd
Arty eapepmnX ordmh0eldlpos7ma01fnnal ereapprmamsb
FND
-Found
WI
VYM •Water Meter
Ropoily RnmZwbpm, ruses nm phyuwNmmdd
M
-Measured
-o•-WcodFVCFence
Monuments bind or eat av eha4n
N&D
• Nall & Disk
o- - Chain Unk Fence
1' in?Sw.
2. Aforuyadp0& survey copy is reputed. ■ wrMrepmtnA9 be pbwd Inie. Ths dfg.W suvey Is nN W mrd wmpblowftw be suwympa" no.
THIS SURVEY IS PREPARED FOR THE EXCLUSIVE
USE AND BENEFIT OF THE PARTIES LISTED HEREON.
LIABILITY TO THIRD PARTIES MAY NOT BE
TRANSFERRED OR ASSIGNED.
,
Deal Land Surveying, LLC
804 S French Avenue
-_ Sanford, FL 32771
407-8783796
INFO@deallandsurveying.com
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SKETCH OF SURVEY WAS MADE UNDER MY
RESPONSIBLE CHARGE AND TO THE BEST OF MY KNOWLEDGE AND BELIEF SAID
SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA
BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER &1-17 FLORIDA
ADMINISTRATIVE CODE. FURTHER, THIS DOCUMENT IS ELECTRONICALLY SIGNED AND
SEALED PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTESAND.CHAPTER
5J-17 OF THE FLORIDA ADMINISTRATIVE CODE.
DATE OF FIELDWORK: 03/17/21
DATE SIGNED: 03/18/21
NAME: BILL H. HYATT LS4838
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE
AND AUTHENTICATED ELECTRONIC SEAL
DATE I REVISION I DATE REVISION
03/18/21 Add Spot Elevations 1 03/16/21 Add Proposed Guest House