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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.