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HomeMy WebLinkAboutsepticSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: ,Jose Guzman PROPERTY ADDRESS: Ulrich Rd Fort Pierce, FL 34982 LOT: 27 BLOCK: C SUBDIVISION: PROPERTY ID #: 3410-603-0093-000-7 PERMIT # : 56-SF-2369140 APPLICATION # : AP 1729756 DATE PAID: FEE PAID: RECEIPT #: DocumNT #: PR1648564 [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. APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 J GALLONS / GPD Seotic New CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLEPER 2g0 GALLONS] [ ] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS U ]DOSES D [ 500 J SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ J STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Orange painted nail in tree SE of system I ELEVATION OF PROPOSED SYSTEM SITE [ 21.001 INCHES FT J[ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 16.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [23.001 INCHES EXCAVATION REQUIRED: [ J INCHES 0 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of T 300 gpd. H E R SPECIFICATIONS Y: Dianna May TITLE: CEHP t ^^^� LEr,NLironmental Specialist II St. Lucie CHD APPROVED BY:\ / DATE ISSUED: 09/16/2021 EXPIRATION DATE; 03116/2023 DH 4016, 08/09 (Obsoletes all previous ed.-ions which may not be used) Page 1 of 3 Incorporated: 64E-6.003, FAC V 1.1.4 1\P1729756 SE1595116 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 Administrativra 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 rf this r�rder ,Nill constitute a waiver of your right to an administrative hearing, and this order shall berome 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 commenrPd 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. W STATE OF FLORIDA ° DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM �QOp"`�• APPLICATION FOR CONSTRUCTION PERMIT PERMIT NO.5F 2-3 /110 DATE PAID: cj'11V�21 FEE PAID: , y5 D - &y RECEIPT #: Cr,,* �! 3t� APPLICATION FOR: [✓ ] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Jose Guzman / Leta Guzman [ ] Innovative [ ] AGENT -. All Coast Septic Services, Inc. TELEPHONE: 772-353-6884 MAILING ADDRESS: 3106 Mum Dr, Fort Pierce, FL, 34982 / allcoastsepticinc@gmail.com 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 BLOCK: C SUBDIVISION: Legal Description on Property Cards PLATTED: PROPERTY ID #: 3410-603-0093-000-7 ZONING: RS-2 I/M OR EQUIVALENT: [ No 0 ] PROPERTY SIZE: 0.61 ACRES WATER SUPPLY:., PUBLIC [/]<=2000GPD [ ]>2000GPD IS SERER AvAiLABL19 AS PER 381.0065, FS? [ No Ej ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: T.B.A Ulrich Rd, Fort Pierce, FL, 34982 DIRECTIONS TO PROPERTY: From US-1 tun. left (west) onto Ulrich Rd, left (South) side of Melville Rd, follow dirt road, property is empty lot on left (east) side before reaching curve. BUILDING INFORMATION Unit Type of No Establishment S/F Man factored H [✓] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 _ u ome 3 1,493SQFT 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIG ULTURE : - - - VATS : 9 `9-21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 gnSTATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Jose & Leta Guzman AGENT: A11 Ccast Septic LOT: BLOCK: SUBDIVISION: U6[1` PROPERTY ID # : 3110-603-0093-000-? 1 Section Ton•nship Parcel No- or Tax 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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: .61 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDE,\CES-7 B i ED] AUTHORIZED SEWAGE FLOW: 91- GALLONS PER DAY [1i00GPD zkCRE 01 UNOBSTRUCTED AREA AVAILABLE: S00 SQFT UNOBSTRUCTED AREA REQUIRED: 0 SQPT BENCHMARK/REFERENCE POINT LOCATION: Orange painted nail Ln L'-ee SE of sti•stem ELEVATION OF PROPOSED SYSTEM SITE IS 21 [ L�Ciffis Q] [B-5 011' Q] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER:na FT DITCHES/SWALES:na FT NORMALLY WET? [ [ YES [J] NO WELLS: PUBLIC:na FT LIMITED USE:na FT PRIVATE:100- FT NON-POTABLE:na FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES:2_5 FT SITE SUBJECT TO FREQUENT FLOODING: [ I YES [J] NO 10 YEAR FLOODING? [ ] YES [J] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH 10FR d 1 Sand 0 TO 11 101R 5 1 Sand 11 TO 29 10I"R 61 Sand 19 TO 39 101R 31 Spodic 39 TO ;j I01'R. 7 3 Sand• Clay Loam 5 TO 65. 101R Z Sand 65 TO 7-1 TO TO TO USDA SOIL SERIES: Susanna and ;Cauchula sands OBSERVED WATER TABLE:55 I INCHES [BELOW ESTIMATED WET SEASON WATER TABLE ELEVATION:19 HIGH WATER TABLE VEGETATION: [ ] YES [J] NO SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH 10iR 1 1 Sand 0 TO 11 101-R 5 1 Sand 11 TO ;_ 10 R 6 1 Sand _ 0 TO 1S 101R 2 1 Spodic 15 TO `6 10iR 1 3 Loam- Sand 56 TO 6_5 101R , 3 Sand- Clx; Loam 6_ TO TO TO TO USDA SOIL SERIES: Susanna and %Vauchula sands a'] EXISTING GRADE. TYPE: [PERCHEED []] INCHES [BELO'T 0] EXISTING GRADE MOTTLING: [J] YES [ ] NO DEPTH:19 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand .3 DEPTH OF EXCAVATION:na INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [✓] BED [ ] OTHER (SPECIFY) REMARKS/ ADDITIONAL CRITERIA: WS%VT determined using USDA WSS and soil borings. IOYR 6 1 stripping in a 101-R 1 matrix >100% with diffuse boundaries starting at 19" in SB1. S131=21" below BM. SB_'= _3" below B.M. SITE EVALUATED BY: Dianna \fav C.E.H.P. 19-21' DATE: 9 9 ?0 " 1 DR 4015, 08/09 (Obsoletes previous editions which may not be used) lncorpora,S-& 64E-6.001, FAC Page 3 of Michelle Franklin, CFA -- Seini LOOP C(X)n Pr r � r �1' �' �/ p0 ;,rSAr -- All r;q}yt:, roSarrerl Property writincation 5ite.!�tltire^ec V1.AIC 11 Rp P*w Avmw t m" "in-ry'fnaNRtMt�C � r1/'>lr.glMiF ttttn.7,,+ L1K 00fK! AtrMimirm, Otom 1 aerie C"ronty Ownership )"w Cmzmar Lea "Ruzmar, 102e Hhpm AVE T-M Pit M rL 34097 Current Values 3wvNisim., PC, M' OkAxe4ked F-XVIgq 0RX �( 'AXBtiIt Dw 09 4"a-Ml F7�i�-�i f.• BOOOW +1461,1112 4173 ►'2176 319E 1OW ?1ft Legal Description Ui.R1C14 S Soh RUC C LM 27 ANDN 174 7.5 FT rjF w 111 1 r FT Of w 1 %2 Of SW 114 Of SF 1 js OF WN 114 r)F SECT1rjN S n TOv► N"WTP ?F R.A` IF WM FS4 RD- M 61 AC - 16.3" 1 3rr t (yR 46W 1017 W 1.11121 Historical Values 3-rear MAW Yeas ltiwml arket Ametcdi F,xamptwm $39,400 2021 S39,4100 139,4w so 2020 S 13,100 $13.100 so 2019 S 13,100 $13.100 so Sale History Saie CO& DCCcA Grant 0003 AV Gamboa CnmAw 0001 WD McChry (TR) Chartwe P 0311 1% U WClary Chartmc P Total Areas E uiiihcd U nL!cr Az 1 SF. Grose Skxtchc t A= 1s,: Law Stzc tur a): Land Suc (SF): l out BuAding Cuunr Special Features and Yard Items Qt7 l.'nla Yta bIt F.1i � if Gci�tycd iu t10 GEXfOt'1 nt t1a1S Uwc: twt :f >_�+,a.S to .Giu6c and U(x utilr.it:�.1 N�lAuut +uly wiUTiuU'�' 0Copynsw 20:1 Saud Luvw OAMIY hupai} :kw-4140 .kil n$hla ccam'wcQ ?^re iS0,000 S�,J00 S:aa F `11%iCK R7. 11 FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTPS Well D,te:_9 al �bcr�rst �c I -I— Al R�- 08, S7 , FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTnS #S6 SF-A3&9/qO& Well # l� D�- te:_ 9 91 Rc Jewc CGS o fie.. LY• - ��r G � T fr T I l7 rr FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction S i Supersedes All Previous Site Plans for OS T nS #51 SF-A3010& Well # /--' D, te:_ 9 l �( p RL.,iewc (e ' ZG Q.r J I I ~ i i� 1 � I i�r�CrPst <<_ FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for S OS7n#5"F-2301q& Well #_ D, te: 9 11 a 1 Rc.,,ieArcr t&DU CCU. L44 56' 2856H32P01 OPT. 16' DORMER 3 BEDROOM 2 BATH 56'-0" x 26'-8" 1493 Sq. FT. TOTAL 06-16-2020 11011E Wllell;!x `_ I� 5 3 BD 2 BT8" u PLAN RE 11 w' 7 94 9•r F-S Y-r F-S n n" �11IIII� -III' ;-_ i )a Y1117- REF£R ro IMSTALLAAOM MANUAa soa AU LOADS, PIER. PAD & FOOIER ' REOUIREM£MM -l5'-1 IM• 71'-4 lM- .T c _ b -- — ___ ___• _ ,____—i Lri �i AI . I FIL x•r�na"—I�N.r—I•�F.s 4•-II+Tn-3�M-r�1-T� 1 M! fACTURER dSLVWER IlO'ICE' TMS %FTORM ISFM YNfS PROMI^EOON OR AF7ER J:A2 ,SI XXIi) PLUM READ MID VTDERSTAVO THE fOMC4lGIIIFORMATLIILW VANLIACtURER OCES IIDT DO FOV+DAIR"D TA"TICN Of POMrES. FRAME PIEI: II fVRL BF Tlr gp51TI151RlITY OF IMF DFMFRSITF CYWfAACTOR TO NSINF INAT MI SI-FMTIA'V.7.LLORRFLATFPRNTl —I ! �_; ORIRRLD 110WE10IMIE r SIALLI RS-MATOAACILARED NOI.AESPEIGH SEVERAL TORS DIDPOT AT TEMPT IO MlA Off NpIE U4 NIL V,TIIRAIi Ii=Pollll LOAD PIER IIAVI%G OFEFUE-ICE. tNWLtDGE. A.W N+DERSTMDINO OF ALL WSTALIA710RAECVMEMCNTS fMMAIE TO L•EE7 7125E REOV61ELK :15 .—_. /AAY RE547i xl SFRIGIS IVJIIRY O4 BATH TO AN tiFtPFRIEI:GED IIISTµIFR IISTMLFRS'. R FASF RFMI A\TI1}OERSTANO T.•F SFTyP MID UISTALLATUI MASU `SL".ED VAfl1 TIE I'OUL ULI ORL AI IEUPTIIY AVY INSTALLAIIUI V I MIY VMIU ACIORW IOUL. e ; = PFRIME7ER PIER nI TIC NAMMACTLAMAS5WRS W RC5FW/SOUfV FOR ACTUAL 61171.2L G; OIC REY'O'-tML Y OF OQ 511E CU1I(NCfOAl _--• 11,45JNOA71Lh OESGV AM rXSWIMUC'TION. TO VFNFV TNF MCCER IOCATI3'1 OF COLUM SUPPORT ]I ADGf1ANL BLOT9tNG1E REOURE0 At EACH SDE OF EIITERDA IR.0C NG AND TO VE;OFV IME PROPER WIND IRE UTDYlNI OOOrS AND At EAOI SCE OF SIDCYIALL ODEM WS GREATER fHMIA W/GIigV50A,<EDlpo,, ACTUAL SITE CCMGTIO'.S AND FEET1NV,f17N11E PAT'JOOORSNCTLRIFINSDdVS ETC$ RFOUREVWS IDOUIRF PEES La1LVI PLWTMP-NI9W%DA•IONS'JICCAL7.l4 WLLGIIO W:,YS MlD lCLLIAIgVS DI FOR RR REOIAREUEIOS AT E'DV.AL SEE EIGM AIN T/E eI MLOMITATNAlrGLNEFMMAtEUPORO•VTN- AVDCp156L7AnECAS7EREDMOFESStOWr ISTRUC-uRM G✓.r4FR Y.I,EN MTALLATIONI.MIAu AL 71 SEE SETLP MO NSTAuATIO, IUAVAL FOR PERRIETER vOJARE51i1NJ V[rflMpJE CFIAPERIlM1E'1TiDIP.DAll�f1!SUC714S Ail.LL E1 MLOPV. ft U%G'%r rA EIIAPIV ETC, VKV0A011SO11RRNT fROFJUIIL REO:IRFUEI/TS WSCU'_%f CW& SP4CE. OR LOAD UEASIVe DCIEl1ETLNiWNOAigN IUY BE • CR , i'. it • f 285611321`01� jinF .PIER ... PR_ HOME BUILDERS MOPE WILDER FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes All Previous Site Plans for OSTn- #51-SF-9301y&Well #_ D<te: 4 t (.,)- t Rc. view-( i e".o(.c LA4. W DINING 1V-0" x 12'-S" KITCHEV BEDROOM 32 11'-0" x 12'-9" O A-C BEDROOM =3 I1'-2- x 12'-9" 00 _I to raC N 2856H32P01 3 BEDROOM 2 BATH 56'-0" x 26'-6' 1493 SQ. FT. TOTAL 06-16-2020 01 sm _arxaa z_s x : tsQ rra = s -.-- ,.....-- - ---- OPT. 16' DORMER. Jr:l.-n 56' !aT. MASTER BEDROOM 15'-6" x 12'-9" LITERATURE PLAN I'l 1. 7 Nr sc vc er Ac s ffi•71/+• I A �35-0 MY 77 1 _. .__. ._-..I••�_ - ._ _T _�._____ ice...._...__ T• -_—_ _— _ 1Y 1� — - ��-yr t��yT• i��- ; n � ^ RBwA IC INSTALLATION nI.WUAL FOR C. ALL LOADS, PMR, PAD & foorER S REQOIRENEMTS 1 ;77 7-f�Y+P�9'•3•�Fi•�I•�yS ¢-11 �r Y-iN�YT-1-*. SL' I.WI:.TACTURfR O�IfR NOTCE,TOIS PER PRINT l- FLN I.OMES PTIOOU�OON dl AFTER JUNE 1ST ATI6NOICE,Tr.IS PIER PN14T 1' FOR MOMES PIIOMI�OON dl nFTER JJNE IS? 2" Od PLEASE READ AND IAOERSTANO THE FOLIdW.WRRORNATIp1.-IIE VMIUFACTUREILOCES IIOT DO COUNDATOY 1NVALLAT10NOFNONES.FRu•1E IT YALL M T1r RFSPFNSRI W OF TOE OFKER SITE PIE;: NT CONTRACTOR TO "SURF TIAT µL SGE MXM WLt CORRFIATF. LATH TI.F CANT OROERLD .—_. NOT"TONOI.E IrSTALLERS: VNNUFACIL'NEOIIp.E51'.fIGH SEKMt Tp6. DONOT ATTEMPT IOMPSIwLN/YHIMAEI S1TEWIII T ia=POINT HAYM1GD-ENIENM.Q,QtiU E-ASD1.tlDERSTNAWJGCFALLWSTALIATMNRCC.WE1,EMS. FNLURETOL%ETT1fSERECURiCLCUTS LOAD PIER MAY ISSN;T YI6EWOUS NNM OR OEATN'OIW AFIYPEREfi'CED I1LSTµlER NS7MLERS: MCASF RFM AW IRIDERSTANO T E W-,Lr N0 WSTALLA11G1 NANUµ SLIPPED WIN TIE OOVI: BEFORE ATTEMPTING MY NSTµLANO N OF ANY •JNIUFACTMRLD NOl L 0 = PERIMETER PIER N56llTr FdlACi1NL 6'ITWILL BE PE RESPONSIBILITY Or THE SITE CONTRACTOR T'IEV10% ' DFSIF'ERA CONSTRUCTION, TO VFRFY THE PROPER LOCATION OF COLUMN SUPPORT I,l Z ADW NAILSSOCX RE0U1DAT 210.'JOITIpAI BLOGTINGIS IETx.NFD AT EAOISCEa EIllitpR BLOONNR, AND TO VERMY II£ 1R2CPER MAIM U%fi GRWlN F SEC*ALL OKWISSCAEATOl T1WIa DOORS AND AT EADI WC Op1.•CIISIO%S BASED UPON ACTLNLSITE CCNOITIO�S AND FEET rN WIDTH 1lE PATO DOORS NCIIATE%%W SETCI REOUIREVEWIS JRLE ALES MILY1 PLRA•MILNI FOUNI,ATONS' UCCH LOfX WLDYIG COOLS.YC REGLLAIIOV 11 FOR PER IXOWtE`1EHTS AT fNOWA1 SEE FIGURE AIN TIE PI ALLOF1 IT AT NA IPIG L0.'E FOR LATE IV CROW. 1. mT SOISLtTA/Ec.ISTERF.'D PROFESSgw NCR ST.UCY..F URµ E1.EERY.HEIN 4)NlOLwP&L WLULNUµ JI SEE SET41D ALp "STµUTI0NIAAUAI FOR PEvOU ARE SRIrF YO(Jt WOE OIAPERMiVENi FOU•:DA:IOH+SLC1145AFAt .LUI@1\G GAS SUPaLr ETC (Nt4NS4^wE pv (MIEA TROOYNG REO:pp'eVERTs ROIETER MAr�•at•IT. CASEMENT CIAMRSPACE. OR LOAD BEARING PEi:IMETER 1GUN04110n. HOME BUILDERS It PR-101