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HomeMy WebLinkAboutHealth Dept Septic ApprovalSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Adams Homes of Northwest Florida Inc.) PROPERTY ADDRESS: 763 Altura St Port Saint Lucie, FL 34952 PERMIT #:56-SF-2353072 APPLICATION # : AP1715638 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1624424 LOT: 18 BLOCK: 6 SUBDIVISION: River Park PROPERTY ID #: 3419-515-0061-000-1 [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 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 [ 375 ] SQUARE FEE'. R j ] SQUARE FEE'. A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N F LOCATION OF BENCHMARK: Drainfield New SYSTEM N/A SYSTEM STANDARD [ ] FILLED [X] MOUND [ ] TRENCH [ ] BED [ ] Site Benchmark elevation: 11.90 I ELEVATION OF PROPOSED SYSTEM SITE [ 9.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 13.001[ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E 0 T H E R ILL REQUIRED• 122.001 INCHES EXCAVATION REQUIRED: [ 41.UUI INCHES 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 Ift: Ian P Moore TITLE: CEHP 19-2072 APPROVED BY: •I-C-A%- A - — TLA Environmental Specialist II St. Lucie CHD Nico Mon anez DATE ISSUED; 08/24/2021 EXPIRATION DATE: 02/24/2023 DR 4016, 08/09 (Obsoletes all previous edi ions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1715639 SE1521046 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. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2353072 BILL DOG #:56-BID-5546188 CONSTRUCTION APPLICATION #: AP1715638 RECEIVED FROM: Reliable Septic & ServiceAMOUNT PAID: $ 430.00 PAYMENT FORM: CREDIT CARD 860590 PAYMENT DATE; 08/20/2021 MAIL TO: (Adams Homes of Northwest Florida Inc. ) FACILITY NAME: PROPERTY LOCATION: 763 Altura St Port Saint Lucie, FL 34952 18 Lot: Block: 6 Property ID: 3419-515-0061-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5171755 STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT # : `S APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR:• [�] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Adams Homes of Northwest Florida Inc 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: 18 BLOCK: 6 SUBDIVISION: RIVER PARK -UNIT 3 PLATTED: Pre-72 PROPERTY ID # : 3419-515-0061-000-1 ZONING: RS-4 I/M OR EQUIVALENT: [ SO ] PROPERTY SIZE: .2 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [V]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ ��� ] DISTANCE TO SEWER. N/A FT PROPERTY ADDRESS: 763 Altura ST Port Saint Lucie, FL 34952 DIRECTIONS TO PROPERTY: BUILDING INFORMATION [V] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Single Family Residence 3 1918 `; 3 4 [ ] Floor SIGNATURE• t Drains,. [ ] Other (Specify) DATE: 8/11/21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 . 5� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM •, SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT APPLICANT: Adams Homes of Northwest Florida Inc AGENT: Reliable Treasure Coast Services Indian River LOT:18 BLOCK: 6 SUBDIVISION: RIVER PARK -UNIT 3 PROPERTY ID #: 3419-515-0061-000-1 [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: IV] YES [ ] NO NET USABLE AREA AVAILABLE: .2 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY .[RESIDENCES-TABLE1 03 AUTHORIZED SEWAGE FLOW: 500 GALLONS PER DAY 12500 GPD/ACRE M UNOBSTRUCTED AREA AVAILABLE: 612 SQFT UNOBSTRUCTED AREA REQUIRED: 563 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE I Benchmark eleva [INCHES a [ABOVE 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 NORMALLY WET? [ I YES [ ] NO WELLS: PUBLIC:N/A FT LIMITED USE: N/A. FT, PRIVATE: N/A FT NON -POTABLE: N/A FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES:22 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [p] NO 10 YEAR FLOODING? [ ] YES I✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH 10YR 4/2 Sand 0 To 27 10YR 5/2 Sand 20 To 27 10YR 612 Sand 27 To 34 10YR-2/1 Spodic 34 To 40 10YR 316 Fine Sand 40 To 56 TO Refusal ; 56 TO TO USDA SOIL TO SERIES : Samsula Muck -Like SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH 10YR 412 Sand 0 To 29 10YR 5/2 Sand 21 To 29 10YR 6/2 Sand 29 To 35 10YR 2/1 Spodic 35 To 41 1 OYR 316 Fine Sand 41 To 60 TO Refusal Cad 60 TO TO TO USDA SOIL SERIES: Samsula Muck -Like OBSERVED WATER TABLE:49 INCHES [BELOW] EXISTING GRADE. TYPE: APPARENT El] ESTIMATED WET SEASON WATER TABLE ELEVATION:20 INCHES [BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES (VI NO. MOTTLING: [V] YES [ j NO DEPTH:20 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8 DEPTH OF EXCAVATION:41 INCHES DRAINFIELD CONFIGURATION: [V] TRENCH . [ ] BED [ ] OTHER (;SPECIFY) REMARKS/ADDITIONAL CRITERIA: SHS determined by >10% 10YR 5/2 stripping in a 10YR 4/2 matrix at 20 inches in site 1. Refusal due to saturation in both sites. SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072 �' ~V DATE:8/11/21 DR 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: 763 Altura ST Parcel ID: 3419-515-0061- Account #: 187397 Sec/Town/Range: 22/36S/40E 000-1 Map ID: 34/22S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County ownership Legal Description Adams Homes of Northwest Florida Inc RIVER PARK -UNIT 3 BLK 6 LOT 18 (0.20 AC - 8,625 SF) 3000 Gulf Breeze PKWY (MAP 34/22S) (OR 4368-1623) Gulf Breeze, FL 32563 Current Values Historical Values 3-year Just/Market: $22,400 Assessed: $22,400 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $22,400 2021 $22,400 $22,400 $0 $22,400 2020 $21,400 $21,400 $0 $21,400 Sale History Date Book/Page Sale Code Deed Grantor 01-07-2020 4368 / 1623 0001 WD NuView Trust Co 01-07-2020 4368 / 1620 0111 QC NuView Trust Co Type Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): ,Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Blt Price $25,000 $100 0 0 0.2 8,625 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. BOUNDARY SURVEY LEGAL DESCRIPTION: (Supplied by Client) LOT 18 IN BLOCK 6.OF RIVER PARK UNIT THREE; ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 80 OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA. ABBREVIATIONS: SET = SET 5//8 YELLOW CAP MARKED "PS65543 FD = FOUND 5/8 IRON REBAR = RIGHT OF WAY = fyIEASURED P = PLATTED C = CALCULATED i= RADIUS OF CURVE L = LENGTH OF CURVE D= DELTA OF CURVE FFE = FINISHED FLOOR LEyyATION OH-OH-0H- = OVERHEAD �yIRES X-X-X- = CHAINLINK FENCE -0-0-0= PLASTIC FENCE 0-0-0- = WOOD FENCE CONC. = CONCRETE C.P.= CONCRETE PAD Cov.= COVERED DRAINAGE PROPOSED ® CABLE/PHONE OTER POWER BOX ® ETER ® POLE SURVEYORS NOTES: 1. UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE SHOWN HEREON. 2, ALL LOT DIMENSIONS SHOWN ARE PER PLAT UNLESS OTHERWISE SHOWN. 3. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE LOCATED UNLESS 4 THIS SSIT SHOWN S WITHIN FLOOD INSURANCE RATE MAP ZONE X MAP# 12111CO279 K DATED: 2-19-20, 5. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE SURVEYOR AND IS PROVIDED AS A COURTESY. THE FLOOD ZONE SHOULD BE VERIFIED BY A DETERMINATION AGENCY.+ 6, BEARINGS SHOWN HEREON ARE BASED ON THE CENTER LINE OF ALTURA STREET AS BEING N62-22-00"E ACCORDING TO THE PLAT DESCRIBED HEREON. 7. P.U.D.E. DENOTES PUBLIC UTILITIES AND DRAINAGE EASEMENT, U.E. DENOTES UTILITY EASEMENT. 8. THE ACCURACY OF THIS SURVEY IS PREMISED ON THE EXPECTED USE OF THE SURVEY. THE EXPECTED USE/PURPOSE OF THIS SURVEY IS HOME CONSTRUCTION. ACCURACY=1 FOOT IN 7.500 FEET OR BETTER, 9. ADDITIONS OR DELETIONS TO THIS SURVEY MAP BY ANYONE OTHER THAN THE SIGNING. SURVEYOR IS PROHIBITED WITHOUT WRITTEN CONSENT. ALL ELEVATIONS SHOO HEREON ARE BASED ON NORTH AVERICAN VERTICAL DATUM OF 19BB (N.A.V.D.'88) ZONED RS-4 "VERIFY SETBACKS �ITH COUNTY BEFORE PLANNING" FRONT - 25, SIDE 7.5 REAR 15' FDOH in St. Lucie County Environmental Health Se��G Site Plan Approved for Construction upersedes All Previous Site Plans for OSTDS # _ 30 & Well # Date: Sb%A -0-1 / IPROPO,SED PLOT PLAN - (OUBJEdT TO doNTRAWTOR, HEALTH DEPT., AND BUILDINd DEPT. APPROVAL) 763 ALTURA STREET SCALE: 1 "=30' Atlantic Land Designs of the Treasure Coast, LB7468 754 NE Jensen Beach Blvd. Jensen Beach, FL 34957 Mailing Address: P.O. Box 1421 Jensen Beach, FL 34958 ALD5543@gmail.com (772) 398-4290 DATE:12/23/19 DRAWN: JC 2019-1078 DATE: REVISIONS 2 24 21 PLOT PLAN 7/18/21 add septic LAST FIELD DATE:7/1/21 rtitied to: Florida, Inc. I hereby certifythat the survey sho*n hereon is true and correct and is based on actual measurements taken in the field. SIM cEsy r IFJ C.47,eO PSM 5543 D1gM1y signed ey James a ce: ko Jr. - Ja4VA A. esiro Jr. DN:m=lames A. Ce ro Jc,wA =11-EDeslgnsof aTC, In4ou,ema0=ALD5543@gmallmm.�US P i Dale: gOg1A].19 w:1;0S-04w C STATE OF y NOTHOUTANAUTHENTICATED ELECTRONIC F FCORiDP w SIGNATURE AND AUTHENTICATED ELECTRONIC SEAL RFO SURVEYOR