HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
PERMIT #:56=SF-2338055
APPLICATION #:AP1702121
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1651983
APPLICANT: (Port St.
Lucie
Properties)
PROPERTY ADDRESS:
6110
Bamboo Dr
Fort Pierce, FL 34982
LOT: 01 BLocx: 95 svBDlvxsxox: Indian River Estates
PROPERTY ID #: 3402-610-0645-000-9 [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-61 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 [
900 ] GALLONS / GPD
S@DfIC 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
[ 500 ]
SQUARE
FEE!
R
[ ]
SQUARE
FEE!
A
TYPE SYSTEM:
[ ]
I
CONFIGURATION:
[ ]
N
F
LOCATION OF
BENCHMARK:
Drainfield New SYSTEM
N/A SYSTEM
STANDARD ( ] FILLED [XI MOUND ( ]
TRENCH [x] BED [ ]
I ELEVATION OF PROPOSED SYS
E BOTTOM OF DRAINFIELD TO BE
0.
0
T
H
E
R
TOP OF METAL CAP ON FIRE HYDRANT PAD N OF PROPERTY.
TEM SITE [ 6.00 ][
FT ][
ABOVE
BELOW ]BENCHMARK/REFERENCE POINT
INCHES
[ 13,001[ INCHES FT ][ AEOVE BELOW]BENCHMARK/REFERENCE POINT
1LL KC:SjUl KCiU: rLU.VUJ 1N[:F1L'A' L'X(:AVA'1'1VN 1tN:tiVlItC:U: J J 1
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated Flow of
300 gpd.
SPECIFICATIONS
BY: Matthew S Vajanyi
TITLE: Environmental Specialiat I
APPROVED BY:
TITLE: Environmental Specialiat I
$f. LUCIe CHD
Matthew S V j y'
DATE ISSUED:
10/29/2021
EXPIRATION DATE:
04/29/2023
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 AP1902121 SE167.3162
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.
4,. 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: Port St. Lucie Properties, Inc.
PERMIT NO.sr%[,>S
DATE PAID: 2 ZI--
FEE PAID:
RECEIPT #: i9 [%Z `_7UZ-
[ ] Innovative
[ 1
AGENT:
Alexander J. Piazza
PSM, Ina
TELEPHONE
MAILING ADDRESS:
619
SW Biltmore
Street, Port St.
Lucie, Florida 34983
772-340-7770
----------------------------------------------------------------------------- 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: 95 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1957
PROPERTY
ID #:
3402-610-0645-000-9 ZONING: R
I/M OR EQUIVALENT: [ NO ]
PROPERTY
SIZE: 0.261
ACRES WATER SUPPLY: [ ] PRIVATE
PUBLIC [\/<=2000GPD [ ]>2000GPD
IS SEWER
AVAILABLE AS
PER 381.0065, FS? [ NO ]
DISTANCE TO SEWER: FT
PROPERTY
ADDRESS:
TBD Bamboo Drive, Fort
Pierce, Florida 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4]
[✓] RESIDENTIAL [ ] COhIMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC
3 1,585
[ ] Floor/Equipment Drains [�] Other (Specify) GARBAGE GRINDERS/DISPOSALS
Alexander J Piazza ""' "�' Pierce'
SIGNATURE: wwoou:.uc_.w,moin,rn,m-nm,ex„ DATE: 8.02-21
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1702121.
DEPARTMENT OF HEALTH PERMIT # 56-SF-2338055
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1613162
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLxcANT: Port St. Lucie Properties
CONTRACTOR / AGENT: Alexander Piazza
LOT: 01 BLOCK: 95
sveDxvxsioN: Indian River Estates ID#: 3402-610-0645-000-9
TO HE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVID&
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.29 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 724,98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750,00 SQFT UNOBSTRUCTED AREA REQUIRED: 750,00 SQFT
BENCHMARK/REFERENCE POINT LocamxoN: TOP OF METAL CAP ON FIRE HYDRANT PAD N OF PROPERTY.
ELEVATION OF PROPOSED SYSTEM SITE 6,00 [ INCHES / FT ] I[ABOVE /BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 11 FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 52 FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 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
RnrT. RRnFTT.c. TWMRMATTnW RTTE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color Texture Depth
1OYR 5/1 Sand 0 To 22
1OYR 6/1 Sand 18 To 30
1OYR 7/1 Sand 22 To 30
10YR 2/1 Spodic Material 30 To 48
2.5Y 5/3 Sand 48 To 72
USDA SOIL SERIES:
Munsell #/Color Texture Depth
10YR 5/1 Sand 0 To 24
10YR 6/1 Sand 17 To 34
10YR 7/1 Sand 24 To 34
107R 2/1 Spodic Material 34 To 44
5YR 3/1 Sand 44 To 54
10YR 4/3 Sand 54 To 72
USDA SOIL SERIES:
Munsell #/Color Texture Depth
10YR 5/1 Sand 0 To 24
10YR 6/1 Sand 17 To 34
10YR 7/1 Sand 24 To 34
107R 2/1 Spodic Material 34 To 44
5YR 3/1 Sand 44 To 54
10YR 4/3 Sand 54 To 72
OBSERVED WATER TABLE: 40.00
INCHE3 [ABOVE
/
HELOW
] EXISTING GRADE
TYPE:
[ PERCHED / APPARENT 1
ESTIMATED WET SEASON WATER TABLE
ELEVATION:
17 INCHES [ ABOVE
/
HELOW
]
EXISTING GRADE
HIGH WATER TABLE VEGETATION:
[ ]YES EX
]NO MOTTLING: [X]YES
[ ]NO
DEPTH: 17,00 INCHES
30IL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
iWT determined using USDA WSS and soil borings. 10YR611 stripping in a 10YR511 matrix> 10% with diffuse boundaries starting
17" in SB2. SB1 6" above BM. 5B2 6" above BM.
9ITE EVALUATED BY;
" VaJanyl, Matthew (Title: ENOraamenJaL5lfeclalist q (Florlaa Department of Health In B
DH 4015O6/09 (Obaoletes pravioua etlitiona whioh may not be Raed) Incorporatetl: 64E-6.001, FAC
,
INCHES
DATE: 10/2
$/2021
Page 3 of 9
AP1702121 EID2006055
9ITE EVALUATED BY;
" VaJanyl, Matthew (Title: ENOraamenJaL5lfeclalist q (Florlaa Department of Health In B
DH 4015O6/09 (Obaoletes pravioua etlitiona whioh may not be Raed) Incorporatetl: 64E-6.001, FAC
,
INCHES
DATE: 10/2
$/2021
Page 3 of 9
AP1702121 EID2006055
APPLICANT'S N
Port St. Lucie Properties, Inc.
LEGAL DESCRIPTION: Lot 1, Block 95, Indian River Estates Unit 9 (PB 10, PG 74)
I certify that there are no potable private wells within 75 feet of the available area for the
proposed septic system; that there are no non -potable wells within 50 feet of the available area
for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated
building foundation, that there are no public wells that serve less than 25 people or less than
15 homes or businesses within 100 feet of the proposed septic system, that there are no public
wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of
the proposed septic system, that the water line from the water meter or well to the structure is
at least 10 feet from the available area for the proposed septic system unless the plans show
the fine to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or
vacuum sewage line in a public easement or right -of --way that abuts the property, that there
are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the
proposed septic system unless the property was created prior to 1972, that the septic system is
proposed on the.side of the lot farthest from surface water, that all private wells, septic
systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot
are shown on the site plan, that all public wells within 200 feet of the applicant's lot are
shown on the site plan, and that the location of building or residences, swimming pools,
recorded easements, paved areas or driveways, sidewalks, the general slope of the property,
filled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or
wetlands are shown on the applicants lot.
The natural grade elevation in the area of the. proposed septic system and. the benchmark must
be shown on the site plan. Please locate the benchmark within 200 feet of Inc proposed septic
system.
NOTE: MUST BE CERTIFIED BY A FLORIDA
REOISTERED SURVEYOROR ENGINEER.
� eiN>�e0 MueuMe.anae+
Alexander) Piazza "'�==fe�<=a„
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.: 0 6330 y
DATE: 08/02/21 JOB NC),: 21-7551
does/1'ortns/septics/SepticApppPage207
Page 4 of 4
Property Card
Page 1 of
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser —All rights reserved.
Property Identification
Site Address: 6110 Parcel ID: 3402-610-0645- Account #: 38721 Sec/Town/Range:
BAMBOO DR 000-9 12/36S/40E
Map ID: 34/12S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Brittany N Thompson INDIAN RIVER ESTATES-UNIT-09- BLK 95 LOT I (MAP
Tyler J Farinas 34/I2S)
111 SE EI Si[o CT
Port S[ Lucie, FL 34983
Current Values
Historical Values
3-year
Just/MarkeC $26,100 Assessed: $11,999 Year
Just/Marke[
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $11,999 2021
$26,100
$I1,999
$0
$I1,999
2020
$18,000
$I0,909
$0
$10,909
2019
$14,600
$9,918
$0
$9,918
Date
04-27-2021
03-11-2021
06-25-2003
View:
Year Built N/A
Primary Wall;
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Book/Page Sale Code Deed Grantor Price
4600 / 2044 OOO I W D PORT ST LUCIE PROPERTIES $55,000
INC
4584/1035 0001 WD GietzTim $48,000
1744 / 2144 XX00 WD Harko Patricia M $15,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Roof Cover:
Roof Structure:
Frame:
Grade:
Story Height:
No. Units: 0
Interior Da[a
A/C%:0%
Electric:
Heated %: N/A%
Heat Type:
Sprinkled %: 0%
Heat Fuel:
Building Type:
Effective Year: N/A
Secondary Wall:
Primary In[ Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.29
Land Size (SF): 12,500
Total Building Count: I
Special
Features
and Yard
Items
Type
Qty
Units
YearBlt
All information is believed to be correct a[ this time, but is subject to change and is provided without any warranty.
® Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.
https://paslc.gov/RECard/ 9/16/2021
REFERENCE POINT: TOP OF METAL CAP ON FIRE HYDRANT PAD N OF PROPERTY.