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HomeMy WebLinkAboutSewage Treatment and Disposal3Z<g 3 T6Z. �,1. ow P--r STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Abandonment APPLICANT: (SAYCO Equity Fund X LLC) PROPERTY ADDRESS: 3219 Duban Ter Fort Pierce, FL 34982 LOT: 27,28.29 BLOCK 9 SUBDIVISION: Silver Lake Park PROPERTY ID # : 2427-603-0124-000-3 PERMIT #:56-SF-2374884 APPLICATION #:AP1733755 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1651578 [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 ] GALLONS / GPD ] GALLONS / GPD ] GALLONS GREASE INTERCEPTOR CAPACITY ] GALLONS DOSING TANK CAPACITY [ D [ ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D F 0 T H E R CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM [ ] FILLED [] MOUND [ ] BED [ ] ][ABOVE/ BELOW ]BENCHMARK /REFERENCE POINT ](ABOVE/ BELOW] BENCHMARK/REFERENCE POINT 'ILL REQUIRED: [ U.UU ] INCHES EXCAVATION REQUIRED: t J 1NL.;hz i Have the tank abandoned in accordance with the following procedures:(a) The tank shall be pumped out.(b) The bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water, and(c) The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered. SPECIFICATIONS Y: TITLE: APPROVED B : Environmental Specialist II Nic e M ntan DATE ISSUED: 10/012021 EXPIRATION DATE DH 4016, 08/09 (Obsoletes all previous a ions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1733755 SE-1 St. Lucie CHD 12/30/2021 Page 1 of 3 A- 0W.- STATE OF FLORIDAPERMIT NO.$f y -Z-5?qDEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:SYSTEMRECEIPT°fi APPLICATION FOR CONSTRUCTION PERMIT 457 APPLICATION FOR: [ j New System [ ] Existing System [ ] Holding Tank [ ) Innovative [ J Repair [r/] Abandonment ( ] Temporary [ ] APPLICANT: SAYCO EQUITY FUND X LLC AGENT: Reliable Septic Treasure Coast Indian River Septic MAILING ADDRESS: P.O. Box 1116. Vero Beach, FL 32961 TELEPHONE: 772-562-4242 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: 27,28,29 BLOCK: 9 SUBDIVISION: SILVER LAKE PARK PLATTED: Pre-72 PROPERTY ID # : 2427-603-0124-000-3 ZONING. RM-11 I /M OR EQUIVALENT: [ Y PROPERTY SIZE: .43 ACRES WATER SUPPLY: [ J PRIVATE PUBLIC [�]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/0 ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 3219 Duban Terrace Ft. Pierce, FL 34982 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 Single Family Residence K 3 [ V RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 1188 Abandon existing tank for Demo of Residence. 4 [ ] Floor/Fcu3Pment Drains [ ] Other (Specify) SIGNATURE: 1/ L;✓ DATE: 9/28/21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 ,je `k �'O r FDOH in St. ucie oun Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OS nS #_5(� SF a3-1 4SV& Well #_ D, te: l0 i s i /I 1 1 --t-- -Z% r q"1 -?"r ff-, - .w Ir 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. Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 3219 Duban TER Parcel 1D: 2427-603-0124-000-3 Account #: 31737 Sec/Ibwn/Rangc: 27/35S/40E Map ID: 24/27N Zoning: RM-I I - Co Use Type: 0100 Jurisdiction: Saint Lucie County Ownership Legal Description SAYCO EQUITY FUND X LLC SILVER LAKE PARK ADDN BLK 9 N 1/2 OF LOT 27 AND ALL LOTS 7257 Mandarin DR 28 AND 29(OR 3977-1644) Boca Raton, FL 33433 Current Values Historical Values 3-year Just/Market: $112,300 Assessed: $95,299 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $95,299 2021 $112,300 $95,299 $0 $95,299 2020 $87,300 $86,636 $0 $86,636 2019 S86,700 $78,760 $0 $78,760 Sale History Date Book/Pagc Sale Code Deed Grantor Price 03-24-2017 3977 / 1644 0001 WD Dolbi USA LLC $69,700 11-08-2016 3931 / 0456 0118 CT Harris Sr David C $48,100 02-01-2005 2150 / 1743 XX01 QC French Lawrence E $70,000 Primary Building Information Finished Area of this building: 1,188 SF Gross Sketched Area: 1,521 SF Exterior Data View: Roof Cover: Roll Comp Roof Structure: Flat/Shed Building Type: HC- Year Built: 1956 Frame: Grade: C- Effective Year: 1956 Primary Wall: CB Stucco Story Height: 1 Story No. Units: I Secondary Wall: Interior Data Bedrooms: 2 A/C %: 0% Electric: MAXIMUM Primary lnt Wall: Full Baths: 1 Heated %: 0% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: N/A% Heat fuel: Primary Floors: Tile -Ceramic Total Areas Finished/Under Air (SF): 1,188 Gross Sketched Area (SF): 1,521 Land Size (acres): 0.43 Land Size (SF): 18,750 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt CHAINLINK 4' 1 543 1999 UTILITY AVG 1 192 1999 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. Reliable Septic aYid �ei-v3�.ces TO: SAINT LUCIE COUNTY HEALTH DEPARTMENT RE: 3219 DUBAN TER. PERMIT: 56-SF-2374884 The above referenced property has been pumped out for Abandonment on October 19, 2021. If you have any questions, please contact our office. Best regards, n, �Y Bruce T. McCullers P.O. BOX 1116 VERO BEACH, FLORIDA 32961 PH: (772) 562-4242 FAX: (772) 567-7183