HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Port St Lucie Properties)
PROPERTY ADDRESS: 8005 Banyan St Fort Pierce, FL 34951
PERMIT #:56SF=2366898
APPLICATION #:AP1728216
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1677748
LOT: 26 HLOCK: 19 suBDlvxsxoN: Lakewood Park
PROPERTY ID #: 1301-603-0087-000-1 [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 [ 900 ] GALLONS / GPD SBD(IC 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 FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD ( ] FILLED [x] MOUND [ ]
I CONFIGURATION: [ 1 TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: PAINTED NID NW OF PROPERTY
I ELEVATION OF PROPOSED SYSTEM SITE [ 8,00 ][ INCHES FT I ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12,001[ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
of
ILL REQUIRED• [L1. UU] INCHES EXCAVATIVN REUUI1lEu: L l +
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 Specialist I
APPROVED BY:
TITLE: Environmental Specialist I
St. LUCIe CHD
Matthew S Vaja
DATE ISSUED:
11/03/2021
EXPIRATION DATE:
05/03/2023
DH 4016, 08/09
(Obsoletes all previous
editions which may not be used)
Incorporated:
64E-6.003, PAC
Page 1 of 3
v 1.1.4
AP1729216 SE1614093
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 850413-8743.
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.
5� - Z3lal� Ff°I8
Opquefir41 STATE Oil FLORIDA PBRMITAPPLICnr10NTODONSTRUCr,
REPAIR, MODIFY, OR ABANDONAWELL pomllNo.
59-32430
❑Southwest P ensR plL6 auTALI pp4c aLE Ne Ds Modda Unique ID
' P'•'T +. ❑Nodhwest ((DoneasRsquired�leldsINhe101 ppl(cable) Permit Stipulations Required (Soo Attachod)
AA�a�ssh Johns River T6olVelerwallcunba<IOdrrerpontlefc/ormniplelydp
oulh Florida
..... gpJy^• 138uwannee River rrpP o><f an
nanrrM'ri ilm lN��l rnpYltrn6le. the e2-624 Qund No,Dallaoahon No.
a
❑DEP CUPMNP Application No.
QDelegelodAuthority (I(Applicable)___. _ -M, I,. _ ... _
Ft Pierce
�woll Loaauon-Atltlreoo, Rootl Name or Numbe4 Clly
3.1301-603-0087-000-1 26 19
'Parcel ID Not(PIN)orAllemate Kay (Circle Oils) Lot Block Unll
a, 14 34S 39E St Lucie Chock if 62-624:❑ Yes [allo
'Seollon or Lend Grant Township `Ranito 'County Subdivision
6, James Paul Tyson 11362 964-818-4268 downthehole@alt.net
'Water Well Contractor 'License Number 'Telephone Number E•mall Address
6, PO BOX 881496 Port St. Lucie FI 34988
'Water Well Contra (or's Address City Slate 21P
7. 'Type of Worlc Camunr Ilon ❑ Repair ❑ Mudigcollonrl Abandonment
R. 'Number of Proposed Wells r 'Aopncnrarnapalc IeaelAcasca arnnondonmen
9. 'Spacify Intended Uses) of Well(o): o ae amp
omestlo e Landscape Irrigation ® Agricultural Irrigation Site Investigations (,
Bottled Water Supply Recreation Area irrigation Livestock Monitoring
Public; Water Supply (Limited UseIDOH) Nursery hilgallon Test
Public Water Supply(Community or Non,CommunllylDEP) Commarclellinduslrlal Earth -Coupled Geothermal NOY —
ClasslInjection Golf Course lrrlgallon HVAC Supply
HVAC Return
'less V Injection ❑ Recharge ❑ Commarclalllndustrlal Disposal ❑ Aquifer Slorege and Recovery ❑ Drainage
smedlallon:❑ Recovery❑ Alr Sparse ❑ Other vco,cdbo)
-1 Other (Desedbo)
'Olslence from Sopilo System If 5 200 R., J+ 71, Faallily C
'Eellmeled WDII DBpIa120 fl, 'Eshelaled Casing DBplh1
Eallmaled Screen Interval: From 1000 . To120 1t,
'Primary Casing Material: Black Steel Galvanized
Not Cased Other:
Secondary Caeing: Telescope Casing Liner Surface Casing Diameter In,
Esllmeletl Start Oala r+onr
Open Hole: From=To=_R.
17. Secondary Casing Material: Bieck Steel Galvanized PVC stainless Sloal 011ter
10.'Me01ad of Canelydcllon, Repelr, or AUendanmenl: Auger Cable Tovt Jotlod la Sonic
11
Combination (Two or More Methods) liand Driven (Well Point, Sand Point) Hydrau a Polnl (Olracl Push)
Hodzonklotilling Plunged by Approved Method Other(omcdbcl
19, Proposed Grouling Interval for the Primary, Secondary, and Addlllo g:
From_ To 95 Seol MAlorlal ( Sorrento me Other. 1
From_ To _ Seal Material ( 9enlonlle me Other. r
From To •Sent Material ( Dentonite Nest Cement Other 1
From To Seal Material( Donlonho Neal Cement Other 1
20, indicate toled number of existing wells on alte_0 List number of existing unused walls on site 0
214'le this wall orgny esisllnn well or water wllhd Ion the owner's Gonllggpis ropedV a�ppv� red under a ConsumpllveM/alat Use Permlt (CUPMIUP)
or CUP/WUP Applicallon7 Yes o Ifyae,complel)lh0(DlkWng:C PANIpP No, Dlsircl Well ID No,
22, Lellludo Lon
23. Data Obtained From:
OPS
Map
Survey
Datum;
_NAD 27 __NAD 83
WGS S4
'4lconeo No, 'Slnnalu o of Ormer arAn ntnm,.
Iesuo Onlo,('./�,•`J�i�� Eaplrnllon Date��Hydrolagloi Approval
Foo Received S Racalpt No. Chock Na,
THIS PERMIT la NOTVALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED Opf"=11 On REPHEOENTATIVE OF THE WMD OR DELCOATED AUTHORITY, THE
PERMIT SHALL BE AVAILABLE AT 782 WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT AOTIVITIES,
County
HEALTH
�o STATE OF FLORIDA
� DEPARTMENT OF HEALTH
u'p ONSITE SEWAGE TREATMENT AND DISPOSAL
sSYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APP
LICATION FOR:
PERMIT NO. Sr Z&ta V,9y
DATE PAID: 9 D21
FEE PAID: 5
RECEIPT (): Cl�
�Zn5"
[✓] New System [ ] Existing System [ ] Holding Sank
[ ] Repair ( ] Abandonment ( ] Temporary
APPLICANT : Port St Lucie Properties Inc,
AGENT: Kristen
MAILING ADDRESS: 201 SW PSL Blvd. PSL, Fl. 34984
[ ] Innovative
TELEPHONE: (772)281-8584
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: 26 BLOCR; 19
LAKEWOOD PARK UNIT NO. 3
SUHDIV2S20N:
PROPERTY ID $: 1301-603-0087-000-1
PLATTED: Y
ZONING: RS-4 I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 036 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381*0065, FS? [ No ] DISTANCE TO SEWER: NA FT
PROPERTY ADDRESS: 8005 BANYAN ST
D IRECT20NS TO PROPERTY: South corner of Seminole Roed and
BUILDING INFORMATION [✓] RESIDENTIAL
street
[ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1 Chapter 64E-6 FAC
1 Single Fnmily 3 1 P 153� b
2
3
4
f 1 Floor/Equipment Drains
SIGNATURE:
[ ] Other (Specify)
F
DH 9015, 08/09 (Obsoletea previous editions which may not be used) page 1 of 4
Incorporated 69E-6.001, FAC
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT; Port St LUCIe Properties
CONTRACTOR / AGENT: Kristen Montalto
LOT: 26
BLocx: 19
3UBniv2slox: Lakewood Park ID#:1301-603-0087-000-1
APPLICATION If AP1728216
PERMIT # 56-SF-2366898
DOCUMENT # SE1614093
TO BE COMPLETED HY ENGINEER,
HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON, ENGINEERS MU3T 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: 0.36 ACRES
TOTAL ESTIMATED SEWAGE FLOW:
300
GALLONS PER
DAY [ RESIDENCES -TABLET
/ OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW:
540.01
GALLONS PER
DAY [ 1500 GPD/ACRE
OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE:
1600.00
SQFT
UNOBSTRUCTED AREA REQUIRED: 750,00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: PAINTED NID NW OF PROPERTY
ELEVATION OF PROPOSED SYSTEM SITE 8,00 [ INCHES / FT ] [ S
/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 65
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:
5 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
SOIL PROFILE INFORMATION
SITE 1
SOIL
PROFILE
INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color Texture Depth
1 OYR 5/1 Sand 0 To 6
1OYR 5/1 Fine Sand 6 To 27
10YR 6/1 Fine Sand 20 To 27
1 OYR 5/1 Sand 27 To 38
1OYR 6/1 Sand 27 To 38
5YR 4/2 Sand 38 To 42
1OYR 3/1 Sand 42 To 48
10YR 4/2 Sandy Clay Loam 48 To 60
10YR 4/2 Sandy Loam 60 To 72
USDA 80IL SERIES:
Munsell #/Color Texture Depth
10YR 5/1 Sand 0 To 19
10YR 6/1 Sand 15 TO 19
10YR 7/1 Sand 19 To 28
10YR 4/2 Sand 28 To 31
10YR 2/1 Spodic Material 31 To 36
10YR 5/2 Sandy Clay Loam 36 To 50
10YR 4/2 Sand 50 To 54
SY 5/2 Sandy Clay Loam 54 To 60
5Y 5/2 Sand 60 To 72
OBSERVED WATER TABLE:
USDA 80IL SERIES:
Munsell #/Color Texture Depth
10YR 5/1 Sand 0 To 19
10YR 6/1 Sand 15 TO 19
10YR 7/1 Sand 19 To 28
10YR 4/2 Sand 28 To 31
10YR 2/1 Spodic Material 31 To 36
10YR 5/2 Sandy Clay Loam 36 To 50
10YR 4/2 Sand 50 To 54
SY 5/2 Sandy Clay Loam 54 To 60
5Y 5/2 Sand 60 To 72
OBSERVED WATER TABLE:
OBSERVED WATER TABLE:
INCHES [ABOVE
/BELOW
] EXISTING GRADE
TYPE:
[ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE
ELEVATION:
20
INCHES [ABOVE
/
BELOW
]
EX13TING GRADE
HIGH WATER TABLE VEGETATION:
[ ]YES [
]NO
MOTTLING: [X]YES
[ ]NO
DEPTH: 20,00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
7 REMARKS/ADDITIONAL CRITERIA
iWT determined using USDA WSS and soil borings. 10YR6/1 stripping Ina 10YR511 matrix> 10% with diffuse boundaries starting
20" in 5B1. SB1 8" above BM. S62 3" below BM.
3ITE EVALUATED BY:
DH 4015, 08/09 (Obaoletea previous aditione
INCHES
DATE: 11/02/2021
nmental Specialist I) (Florida Department of Health In S
not be uaed) incorporated: fide-6.001, FAC Page 3 of 4
AP1728216 E102366898 V 1.0.2
3ITE EVALUATED BY:
DH 4015, 08/09 (Obaoletea previous aditione
INCHES
DATE: 11/02/2021
nmental Specialist I) (Florida Department of Health In S
not be uaed) incorporated: fide-6.001, FAC Page 3 of 4
AP1728216 E102366898 V 1.0.2
Property Card
Page I of 1
Michelle Franklin, CFA --Saint Lucie County Property Appraiser --All rights reserved.
Property Identification
Site Address: 8005 BANYAN ST
Sec/Town/Range: 14/34S/39E
Parcel ID: 1301-603-0087-000-1
Jurisdiction: Saint Lucie Counly
Ownership
Bryon Elizabeth Bolinsky
David Michael Bolinsky
6006 hrdrio RD Apt 6
Port Fierce, F[, 34951
Legal Description
LAKEWOOD PARK -UNIT 3- BLK 19 LOT2G (MAP 13/14N)
Current Values
Just/Marke[ Value: $19,G00
Assessed Value: $13,908
Cxemptions: $0
Taxable Value: $13,908
Property taxes are subject to change upon
change of ownership.
• Fflst loxes ore not a reliflble projcctimr of future foxes.
• The sale of a property will prompt the removfll of all
exemptions, nssessment caps, find special
clflsslficfltions.
Taxes for this parcel: SLC Tax Collector's Office
Download TRIM for this parcel: Download PDF
Use Type: 0000
Account #: 704
Map ID: 13/14N
Zoning: RS-4 Count
Total Areas
Finished/Under Air (SF): 0
Gross Sketched Area (SF): 0
Land Size (acres): 0.37
Land Size (SF): 16,159
Building Design Wind
Speed
Occupancy Cntegory 1 II III & IV
Speed 140 I50 160
Sources/links:
All information is believed to be correct a[ this time, but is subject to change and is provided without any warranty.
® Copyright 202I Saint Lucie County Property Appraiser. All rights reserved.
https://www.paslc.gov/RECard/
11/3/2021
REFERENCE POINT: NID NW OF PROPERTY