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Home My WebLink AboutApproved Septic and Well Permit - Charles ResidenceSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR APPLICANT: OSTDS New C'rnvar R Sarah Charles PROPERTY ADDRESS: LOT: PROPERTY ID #: 1Rann Schumann Rd Fort Pierce, FL 34945 BLOCK: SUBDIVISION: 2203-122-0001-000-1 PERMIT #:56-SF-2311051 APPLICATION # : AP 1679954 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1598856 [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 [X] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Orange dot on edge of drain pipe s of property, w of driveway to site location. I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 21.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D F O T H E R ILL REQUIRED: (29.001 INCHES EXCAVATION REQUIRED: [ f 1Nl I1LJ The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 400 gpd. Set the system to achieve maximum gravitational flow. SPECIFICATIONS BY: Nicole Montanez TIT L6: Environmental Specialist II APPROVED BY Q �H0 e �!i? %1� IT E: Environmental Specialist II St. Lucie CHD Nicole Montanez DATE ISSUED: 07/27/2021 �' ] i 4 EXPIRATION DATE � DH 4016, 08/09 (Obsoletes all previous editijons which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1679954 SE1555536 01/27/2023 Page 1 of 3 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. e'napsT9 �O' • ` pro.,` 4 py STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL ElSouthwest E Northwest PLEASE FILL OUT ALL APPLICABLE FIELDS (`Denotes Required Fields Where Applicable) ❑,St. Johns River (VSOuth Florida Thctvarc,tvrllconrracrorli respcnriblerorcornpicting ❑Suwannee River thiskrmandfoneardinyrhepamrnppflCaHonrvrha oppropriareddlegaredauthontyrheeappGcable. 0 DEP D Delegated Authority (If Applicable) No. 59-32163 Unique ID Stipulations Required (Sao Attached) 62-524 Quad No. Delineation No. CUPAWPApplication No. �• Grover & Sarah Charles 471 Woodcrest Drive Ft Pierce, FI 34945 ,Owner, Legal Name if Corporation Address 'City 'State 'ZIP Telephone Number 2.18900 Schumann Road Ft Pierce FI 34945 Well Location - Address, Road Name or Number, City 3.2203-122-0001-000-1 "Parcel ID No, (PIN) or Alternate Key (Circle One) Lot Block Unit 4.03 35S 38E St Lucia Check if 62-5240 Yes Q No Section or Land Grant 'Township 'Range `County Subdivision 5. James P. Tyson 11352 954-818-4269 downthehole@att.net °Water Wall Contractor `License Number Telephone Number E-mail Address 6, PO BOX 881496 Port St. Lucie FI _ 34988 `Water Weil Contra is Address City State ZiP 7. -Type of Work: cjConstruction ❑ Repair Modification[] Abandonment 8, `Number of Proposed Wells 1 'ReasontorRepalL M NLFJOTJVV 9I �. `S ecify Intended Uses) of Well(s): Domestic Landscape Irrigation Agricutturai irrigation B Site Investigations ❑❑❑ Bottled Water Supply Recreation Area Irrigation Livestock Monitoring V tPublic Water Supply (Limited Use/DOH) NurseryrrigaionTest Public Water Supply (Community or Non-Community/DEP)� CommerdahlndusI(IaI Earth -Coupled Geothermal JUL 2 7 2 Class i lNection ❑ Golf Course Irrigation HVAC Supply HVAC Return Class V Injection: ❑ Recharge [] commercial/Industrial Disposal ❑ Aquifer Storage and Recovery ❑ Drainag ' U� Coin m Reediation: ❑ Recovery [I Air Sparge [I Other (D>�) a" ) Use Onl r7 Other (ommw) vDistance from Septic System if <_ 200 ft. ft)* 11. Facility Description tjroposea tiesiaence 12, Es6mated Start Date Haxir 3 ° timated Well Depth 120 ft, 'Estimated Casing Depth 100 ft, Primary Casing Diameter 2 in. Open Hole: From =E: To �ft. 4. Estimated Screen Interval: From 100 To 120 ft. 5,`Pdmary Casing Material: Black Steel Galvanized 19WC Stainless Steel Not Cased Other: 6, Secondary Casing: Telescope Casing Liner Surface Casing Diameter in, 17, Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other 18 `Method of Construction, Repair, or Abandonment: Auger Cable Too] Jetted � Sonic Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other (Qaaarlba) 19. Proposed Grouting Interval for the Primary. Secondary, and Adwi 40 f-Ba From o To 95 Seal Material ( Bentonite eat CeMerib Other ) From To Seal Material ( Bentonite eat Cement Other _ ) From To Seal Material ( Bentonite Neat Cement Other ) From To Seal Material ( Bentonite Neat Cement Other ) 20. Indicate total number of existing wells on site 0 List number of existing unused wells on site 0 21 "Is this well or any existing wall or water with��n the owner's contiguous ppropertyy covered under a Cons umptiveMater Use Permit (CUPMIUP) MIUP Application'? Yes f yes, complete the followin or CUPg: CUPIWUP No. DlsUiot Welt ID No. 22. Latitude Longitude 23. Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 I harafry urtN Nall ae cargalywnY lM ap;4:eahSnAonofT;I1c44 FWds AdnYn:ctr-ve Gods, trod thst.+ Iar taNfy ate!lam Via oanerarthe prw".tnat m ndamaean prav`Aed i9 aewr-le.td that i am a"o at my tao pe.vif a Iajri rarbvya Nr i, if ".kon has main m a s ebtn:gad = t au d aist i tZe a of waa ft 2ZvciftiCa mo . thsi f e L- i"V Spmi4 is m twit ar W &AI tlaM +ath wk a l C of 6, 1 am cmutud�n. 1Nraarwarty Otst>D informaYon pmvibd'arN'.s aGpEaatnnif aceaata and Nor1tit abla:n aM apsnt far ft oantd, Mal a+n udetmalon Procido 4awupo andtl of 1haveiifamadthewh ofMrir nm=iy tpprovsi 5cm *7w fed", vti! or Earl pwamnw,b, It appii tla. I apraa to ptaeida s w:s racpcnu'4tfins n hNl:a about. arrosr rmnrat'a W Naei>0 ponarr.0 of ins Y4TD d etaPlad Aatnm:y atacv xaok{nn raaa+t tans 0,&.at W. 30 day. attu complel:on 1 ero .amwatlan, rapak, +raGaca5on, ar man wee she 0.:I'>ba,oew•.tnsioa.raps.. moCJYat'on.a abandanaerf aJlfldRad ayn;e peso,!. a^) x^'.-"t�'tllq�l.lftl'shoCar O_Calla iltL !1 11352_``� 6-11-21 Signature of Can r `License No, vsig6atureofOwnerorAgent Data Approval Granted y Fee Received 8 e 0o THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN A PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL e Expiration Date ` Chock Nv. Initiate OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORRY. THE 'ION. REPAIR MODIFICATION, OR ABANDONMENT ACTIVITIES, DEP Form; 62-632.900(l) Inoorpoated in W F— IQ qq "g�sy b 3a hog @ d y a �_- a arg y, , f. 5 e �qs fQ � �- Earg3@ � znp s sb�rd fYgkh 3�i � 6 vd4 b E g pp G aa py ini 6 8 d y 3 Y �9 29 �, Y r idGg Y ai � � � • � >��.. a �g cII a�q y� y �� ysa s y��$e F e I ; Y Hey$ Yn HM � g gng Ea ' sa., . v. H a N 3 WIN k7 yG� � C is s ✓55 � •gnay i 6 s a �� !Ic jgeYaly a a' p}"!y Y` b3�C n�5Cf8 Rd�ha $ I Iv aol o m� aR I I(ew m'u q 8p25@ �4 + voy m z Y! b a NNg�gQ e $ n' �jngBy ON�uKW zOri nSFZ�I^ mb U 00 W(X 1 I !iI Il I II Hi II 9 j! it 991S9L 3.90.S Lp05 I, 4 !�; la I yx I �G � ii (�`r,� � t� 6`� c' `q=� �j.":J 8aZ•� 0= �`�i� �� a qr dp6■��+3} Q� ! i55y� @Ep ® .tl c_� r' 2i8 ip��QtlEeS oV>i i'RX 5 a8 �d2al ica8Yst3ui�ii�SJ 9 Ylild4L Cg4F 4yi�cG 1A111,11 �iC44:iHN tt A ..J � e'_'`-'_' � � lanO.w Meemoocos-luc9�•• � �e�4P�s9a41a�itly�� Vlt1 l St. Lucie County Health Department _ 5150 NW Milner Dr Port Saint Lucie, FL 34983 �u Uti PAYING ON: 4:56-SF-2311051 BILL DOC #:56-BID-5358672 CONSTRUCTION APPLICATION #: AP1679954 RECEIVED FROM: Jared_Mo_dine �- _ AMOUNT PAID: $ 545.00__y PAYMENT FORM: CREDIT CARD�110191_ �� PAYMENT DATE: 06/10/2021_____� MAIL TO: Grover & Sarah Charles FACILITY NAME: PROPERTY LOCATION: 18900 Schumann Rd Fort Pierce, FL 34945 Lot: Block: Property ID: 2203-122-0001-000-1 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 RECEIVED BY: AdamsC A� ,m AUDIT CONTROL NO. 56-PID-5042525 Note: Well App being sent in separately�,�.a i v� St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: f: BILL Doc#:56-BID-5360117 RECEIVED FROM: Down the Hole �11352�_ AMOUNT PAID: $ 115.00 PAYMENT FORM: CREDIT CARD 043974� _ PAYMENT DATE: 06/14/2021 _—_ MAIL TO: Down the Hole 11352 PO Box 881496 Port Saint Lucie FL 34988 FACILITY NAME: Down the Hole 11352 PROPERTY LOCATION: PO Box 881496 Port Saint Lucie FL 34988 Lot: Property ID: _ -1 - Well Construction EXPLANATION or DESCRIPTION: Block: QUANTITY 1 FEE $ 115.00 RECEIVED BY: AdamsC _�. _ AUDIT CONTROL NO. 56-PID-5045527 Note: 59-32163 - 18900 Schumann Rd STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [V/] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Grover and Sarah Charles AGENT: Jared Modine MAILING ADDRESS: 471 Woodcrest Dr. Fort Pierce, FL 34945 PERMIT NO . ` 1 DATE PAID: FEE PAID: RECEIPT #: U rI [ ] Innovative [ l TELEPHONE: 772-519-0558 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: PROPERTY ID #: 2203-122-0001-000-1 PLATTED: ZONING: AG I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 43.83 ACRES WATER SUPPLY: [,(] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 18900 Schumann Rd. Ft Pierce, FL 34945 DIRECTIONS TO PROPERTY: Orange Ave West to Knight Rd. Turn Right (north) onto Knight Rd. Turn left onto Schumann Rd Approx 1/2 mile on your right is the property. 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 Single Family Residence 2 2700 2 3 4 [ ] Floor/Equipment - SIGNATURE : [ ] Other ( ecify) DATE: f ` DH 4015, 08/09 Obsoletes previous editions which may not be used) Page 1 of 4 Incorporated 64E-6.001, FAC APPLICANT: STATE OF FLORIDA APPLICATION # AP'1679954 DEPARTMENT OF HEALTH PERMIT # 56-SF-2311051 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1555536 SITE EVALUATION AND SYSTEM SPECIFICATION Grnver & Sarah Charles CONTRACTOR / AGENT: Jared MOdlne LOT: BLOCK: SUBDIVISION: ID#:2203-122-0001-000-1 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: 43.83 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 65745.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange dot on edge of drain pipe s of property, w of driveway to site location. ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ] [ ABOVE / BELOW I 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: 5 FT PROPERTY LINES: 200 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: 0^1 T TJnnV7TL+ CTTP. 1 [ ]YES [X]NO 10 YEAR FLOODING? [ FT[ MSL / NGVD ] SITE ELEVATION: FT SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/1 Sand 0 To 30 10YR 4/1 Sand 13 To 30 10YR 5/1 Sand 30 To 40 10YR 7/1 Sandy Clay Loam 40 To 59 10Y 511 Sandy Clay Loam 59 To 72 ]YES [X]NO] [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/1 Sand 0 To 32 10YR 4/1 Sand 14 To 32 10YR 5/1 Sand 32 To 40 10YR 711 Sandy Clay Loam 40 To 57 10Y 5/1 Sandy Clay Loam 57 To 72 OBSERVED WATER TABLE: 55.00 INCHES [ ABOVE / LLELCIW j EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 13 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 13.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED r REMARKS/ADDITIONAL CRITERIA Sand/0.60 DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) 3WT determined using USDA WSS and soil borings. 10YR4/1 stripping In a 10YR3/1 matrix with >10% diffuse boundaries starting 13" in SB1. :1 10" above BM. SB211"!above BM. SITE EVALUATED BY: Montanet, `k1cole ((J[tie: $nvironmental Specialist II) (Florida Department of Health in S DR 4015, 08/09 (Obsoletes previous editions which may not 6e y}ed) Incorporated: 64E-6.001, FAC 679954 EID2311051 INCHES DATE: 07/21 /2021 Page 3 of 4 v 1.0.2 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address:18900 Parcel ID:2203-122-0001- Account#: 123 80 Sec/Town/Range:03/35S/38E SCHUMANN RD 000-1 Map ID: 22/03X Zoning: AG-5 Count Use Type: 6000 Jurisdiction: Saint Lucie County Ownership Legal Description Grover C Charles (LF EST) 3 35 38 W 1/4 OF NE 1/4-LESS CANAL AND RD R/W- (43.83 Sarah K Charles (LF EST) AC) 471 Woodcrest DR Fort Pierce, FL 34945 Current Values Historical Values 3-year Just/Market: $213,169 Assessed: $19,753 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $19,753 2020 $213,168 $19,753 $0 $19,753 2019 $206,868 $19,053 $0 $19,053 2018 $165,580 $17,653 $0 $17,653 Sale History Date Book/Page Sale Code Deed Grantor Price 06-18-2018 4148 / 0392 0314 WD Charles Grover C $100 12-20-2017 4082 / 0897 0130 WD Schumann Groves Inc $182,000 12-01-1985 0487 / 2189 XX01 CV $477,350 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 2,700 SF View: Year Built: 1986 Primary Wall: Corr Metal Bedrooms: 0 Full Baths: 0 Half Baths: 0 Roof Cover: Sheet Metal Frame: Story Height: 1 Story A/C %: 0% Heated %: 0% Sprinkled %: N/A% Exterior Data Roof Structure: Gable Grade: FarmUTA No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Total Areas Building Type: FarmUtil Effective Year: 1986 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Type Qty Units Year Blt 0 2,700 43.83 1,909,234.8 1 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.