HomeMy WebLinkAboutAPPROVED SEPTIC PERMITSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Joseph & Angela Hood
PROPERTY ADDRESS: TBD Pine Tree Dr Fort Pierce, FL 34982
LOT 6&7 BLOCK: 5
PROPERTY ID #: 3402-602-0169-000-3
SUBDIVISION: Indian River Estates
PERMIT #: 56-SF-2353065
APPLICATION # : AP 1715636
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1624425
[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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND
I CONFIGURATION: [X1 TRENCH [ j BED [ ]
I
N
F LOCATION OF BENCHMARK: Benchmark Number 2 at elevation: 16.57
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 10.00 ] [ INCHES FT ] [ABOVE BELOW IBENCHMARKC/REFERENCE POINT
L
D ]
0
T
H
E
R
"Ibli REQUIRED: [ 34uu] INCHES EXCAVATION REQUIRED: [ 27.00 ] INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Ian P Moore /'i TITLE: CEHP 19-2072
APPROVED BY: TITLE: Environmental Specialist III
Brian J In �-
DATE ISSUED: 11/01/2021 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v l,l.n AP1715636 SE1581047
St. Lucie CHD
05/01 /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.
� r1aa
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-SF-2353065 BILL DOC #:56-BID-5546174 CONSTRUCTION APPLICATION #: AP1715636
Reliable Septic & Service AMOUNT PAID: $ 430.00
CREDIT CARD 860590 PAYMENT DATE: 08/20/2021
MAIL TO: Joseph & Angela Hood
FACILITY NAME:
PROPERTY LOCATION:
TBD Pine Tree Dr
Fort Pierce, FL 34982
Lot: 6&7
Property ID:
3402-602-0169-000-3
EXPLANATION or DESCRIPTION:
5
Block:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
QUANTITY
FEE
1
$
5.00
1
$
45.00
1
$
100.00
1
$
100.00
1
$
55.00
1
$
75.00
1
$
50.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5171739
Note: Well App from American Drilling to be sent
L
STATE OF FLORIDA PERMIT NO.�
DEPARTMENT
OF HEALTH DATE PAID: v 2.
ONS I TE SEWAGE TREATMENT AND DISPOSAL FEE PAID: P--
y�� m SYSTEM RECEIPT # :� .• {
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[�] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Joseph M Hood & Angela L Hood
AGENT: Reliable Treasure Coast Services Indian River Septic TELEPHONE: (772) 562-4242
MAILING ADDRESS: PO Box 1116, Vero Beach FL 32961
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: 6&7 BLOCK: 5 SUBDIVISION: INDIAN RIVER ESTATES -UNIT 1 PLATTED: Pre-72
PROPERTY ID # : 3402-602-0169-000-3 ZONING: RS-3 I/M OR EQUIVALENT: [(' , v % ]
`.__ .
PROPERTY SIZE: .68 ACRES WATER SUPPLY: [ ] PR TECPU7BLDICV]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ ifs ] DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: (3402-602-0169-000-3) TBD PINE TREE DR Ft. Pierce, FL 34982
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION. [,/] RESIDENTIAL [ ] COMMERCIAL
Unit Type of
No Establishment
�. Single Family Residence
3
4
[ ] Floor/Equit Drains
SIGNATURE:
No. of Building Commercial/Institutional System Design
Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC
4 1978
[ ] Other (Specify)
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC
DATE: 8/17/21
Page 1 of 4
E. STATE OF FLORIDA
DEPARTMENT OF HEALTH
�g ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
y L SITE EVALUATION AND SYSTEM SPECIFICATIONS
W%Z
PERMIT # . I.-o
APPLICANT: Joseph M Hood & Angela L Hood AGENT: Reliable Treasure Coast Services Indian River
LOT: 6&7 BLOCK: 5 SUBDIVISION: INDIAN RIVER ESTATES -UNIT 1
PROPERTY ID # : 3402-602-0169-000-3 Fax ID Number
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: [it] YES [ ]
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS
AUTHORIZED SEWAGE FLOW: - 17C% GALLONS
UNOBSTRUCTED AREA AVAILABLE: 750 SOFT
NO NET USABLE AREA AVAILABLE: .68 ACRES
PER DAY [RESID,ES-TABLE 1 ED]
PER DAY 4 dMACRE l
UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Benchmark Number 2 at elevation: 16.57
ELEVATION OF PROPOSED SYSTEM SITE IS4 [INCHES B [BELOW •►,] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:N/A FT DITCHES/SWALES:N/A FT "ORMALLY WET? [ I YES I ] NO
WELLS: PUBLIC : NN/A FT LIMITED USE: N/A FT PRIVATE, FT NON -POTABLE: NIA FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:112 FT POTABLE WATER LINES:,S�, �FT
SITE SUBJECT TO FREQUENT FLOODING:
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
[ ] YES NO 10 YEAR FLOODING? [ ] YES IV] NO
FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
MUNSELL #/COLOR
TEXTURE
DEPTH
10YR 5/1
Sand
0
TO 15
10YR 6/1
Sand
10
To 15
10YR 2/1
Spodic
15
TO 26
10YR 3/1
Fine Sand
26
TO 37
10YR 3/6
Fine Sand
37
To 45
10YR 5/4
Fine Sand
45
To 57
TO
USDA SOIL
Refusal A, 57 TO
TO
SERIES: Waveland Fine Sand -Like
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR
TEXTURE
DEPTH
10YR 5/1
Sand
0
TO 16
10YR 6/1
Sand
11
TO 16
10YR 2/1
Spodic
16
TO 27
10YR 3/1
Fine Sand
27
To 38
10YR 3/6
Fine Sand
38
To 46
10YR 5/4
Fine Sand
46
To 60
TO
Refusal @ 60 ^—
TO
TO
USDA SOIL SERIES: Waveland Fine Sand -Like
OBSERVED WATER TABLE:39 INCHES [BELOW B1 EXISTING GRADE. TYPE: [APPARENT 31
ESTIMATED WET SEASON WATER TABLE ELEVATION:10 INCHES [.BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [VI NO MOTTLING: [VI YES [ ] NO DEPTH:10 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATION:27 INCHES
DRAINFIELD CONFIGURATION: [V] TRENCH [ ] BED ( ] OTHER (SPECIFY)
REMARKS/ ADDITIONAL CRITERIA: SHS determined by >10% 10YR 6/1 stripping in a 10YR 5/1 matrix at 10 inches in site 1.
Refusal due to saturation in both sites. R&\1z5 ' o }-,n n t� ids .. t �.� °r��1� ,-,� , _ 1 I / j i '-1
BM: 2 ' 11 " S1: 3 ' 3_" _ S2: 3 '3 "
SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072 - —�.. ~ �'r---- -- DATE: 8/17/21
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: PINE TREE Parcel ID: 3402-602-0169- Account #: 36551 Sec/Town/Range: 02/36S/40E
DR 000-3 Map ID: 34/02S Zoning: RS-3 - Cou
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership
Joseph M Hood
Angela L Hood
1115 SW Janette AVE
Port Saint Lucie, FL 34953
Current Values
Just/Market: $49,200 Assessed:
Exemptions: $0 Taxable:
Date
11-22-2019
05-21-2018
07-30-2003
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Book/Page
4353 / 0545
4136 / 0982
1765 / 2396
Type
Roof Cover:
Frame:
Story Height
Legal Description
INDIAN RIVER ESTATES -UNIT 1- BLK 5 S 1/2 OF LOT 6
AND ALL LOT 7 (MAP 34/02S)
Historical Values 3-year
$37,070 Year Just/Market Assessed
Exemptions
Taxable
$37,070 2021 $49,200 $37,070
$0
$37,070
2020 $33,700 $33,700
$0
$33,700
2019 $29,500 $29,500
$0
$29,500
Sale History
Sale Code Deed Grantor
Price
0001 WD Lombardi Timothy
$42,000
0001 WD Forte (TR) Frank P
$36,000
XX02 WD Cullari Angelo
$57,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
Roof Structure:
Building Type:
Grade:
Effective Year: N/A
No. Units: 0
Secondary Wall:
Interior Data
A/C %: 0% Electric: Primary Int Wall:
Heated %: N/A% Heat Type: Avg Hgt/Floor: 0
Sprinkled %: 0% Heat Fuel: Primary Floors:
Total Areas
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 0.68
Land Size (SF): 29,700
Total Building Count: 1
Special Features and Yard Items
Qty Units Year Blt
All infonnation 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.