HomeMy WebLinkAboutAPPROVED Health Dept PermitSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Kathy Merritt
PROPERTY ADDRESS: 2205 River Hammock Ln Fort Pierce, FL 34981
LOT: 10 BLOCK: C
PROPERTY ID #: 3404-313-0011-180-5
SUBDIVISION:
PERMIT #:56-SF-2348665
APPLICATION #: AP1712543
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1672791
[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 SenticNeW CAPACITY
A [ ] GALLONS / GPD NIA CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1.250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D [ 462 ] SQUARE FEE!
R [ ] SQUARE FEE'
A TYPE SYSTEM: [ ]
I CONFIGURATION: EX]
N
Drainfeld New SYSTEM
NIA SYSTEM
STANDARD [ ] FILLED Ex]
TRENCH [ ] BED [ ]
MOUND [ ]
F LOCATION OF BENCHMARK: NID EDGE OF RD N OF PROPERTY
I ELEVATION OF PROPOSED SYSTEM SITE [ 13.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ] I INCHES FT ] [ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [32.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
0 300 gpd.
T
H
E
R
SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I
APPROVED BY:
DATE ISSUED:
l TITLE: Environmental Specialist I
Ma hew 9 ajan
10/11/2021 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v I.IA AP1712543 SE1609237
St. Lucie CHD
04/11 /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 X02, 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.
STATE OF FLORIDA APPLICATION # AP1712543
DEPARTMENT OF HEALTH PERMIT # 56-SF-2348665
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1609237
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Kathy Merritt
CONTRACTOR / AGENT: Kristen Montalto
LOT: 10 BLOCK: C
SUBDIVISION: ID#: 3404-313-0011-180-5
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: [X
TOTAL ESTIMATED SEWAGE FLOW: 300
]YES [
GALLONS PER
]NO
DAY [
NET USABLE AREA AVAILABLE: 0.50 ACRES
RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW:
1250,00
GALLONS PER
DAY [
1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE:
1240,00
SQFT
UNOBSTRUCTED AREA REQUIRED: 693,00 SQFT
BENCHMARK/REFERENCE POINT LocATIaN: NID EDGE OF RD N OF
ELEVATION OF PROPOSED SYSTEM SITE 13,00 (1 INCHES /
ET
]
[ABOVE
/
BELOW
I]
BENCHMARK/REFERENCE
POINT
THE MINIMUM SETBACK WHICH CAN
BE MAINTAINED FROM THE PROPOSED SYSTEM
TO THE FOLLOWING FEATURES
SURFACE WATER: FT
DITCHES/SWALES: FT
NORMALLY WET: [ ]YES
[ ]NO
WELLS: PUBLIC: FT
LIMITED USE: FT PRIVATE:
90 FT NON -POTABLE:
FT
BUILDING FOUNDATIONS: 5
FT PROPERTY LINES: 5 FT
POTABLE WATER LINES:
FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
10 YEAR
FLOODING? [
]YES
[X]NO)
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 3/1
Loamy Sand
0 To 14
1 OYR 4/1
Sand
10 To 14
2.5Y 4/1
Loam
14 To 20
2.5Y 4/1
Sandy Loam
20 To 34
5GY 6/1
Sandy Loam
34 To 62
5GY 611
Sandy Clay Loam
62 To 63
REFUSAL
Refusal
63 To 72
VUSDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 3/1
Loamy Sand
0 To 22
10YR 4/1
Loamy Sand
15 To 22
10YR 5/1
Loam
22 To 29
10YR 4/1
Sandy Loam
29 To 36
10Y 6/1
Sandy Loam
36 To 48
5GY 6/1
Sandy Loam
48 To 60
5GY 6/1
Sandy Clay Loam
60 To 61
REFUSAL
Refusal
61 To 72
OBSERVED WATER TABLE: 20,00
INCHES [ABOVE
EXISTING GRADE
TYPE:
[ PERCHED / APPARENT 1
ESTIMATED WET SEASON WATER TABLE
ELEVATION:
10 INCHES [ ABOVE
/
BELOW
]
EXISTING GRADE
HIGH WATER TABLE VEGETATION.
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Loam/0.65 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR411 stripping in a 10YR3/1 matrix> 10% with diffuse boundaries starting
at 10" in SB1. SB1 13" below SM. SB210" below SM.
DATE:
SITE EVALUATED BY:
VaJanyi, Matthew (Title: E1�vi on ental lalist I) (Florida Department of Health In S
DR 40151 08/09 (Obsoletes previous editions wbich Kt y not a used) Incorporated: 64E-6.001, FAC
AP1712543 EID2348665
INCHES
10/07/2021
Page 3 of 4
v 1.0.2
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR411 stripping in a 10YR3/1 matrix> 10% with diffuse boundaries starting
at 10" in SB1. SB1 13" below SM. SB210" below SM.
DATE:
SITE EVALUATED BY:
VaJanyi, Matthew (Title: E1�vi on ental lalist I) (Florida Department of Health In S
DR 40151 08/09 (Obsoletes previous editions wbich Kt y not a used) Incorporated: 64E-6.001, FAC
AP1712543 EID2348665
INCHES
10/07/2021
Page 3 of 4
v 1.0.2
ntR s�
O STATE OF FLORIDA
DEPARTMENT OF HEALTH
u' ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System ( ] Holding Tank
[ ] Repair [ ] Abandonment[ 1 Temporary
APPLICANT: ICrtthy Men•ill
AGENT: li,'ISlOn
MAILING ADDRESS ; 201 S1Y PSL BIVd. pSl, F]. 349s4
PER No SPoj -�"" 1v'e tog
DATE PAID: D
FEE PAID: E7 t5o"
RECEIPT I]: D(ij(_O
[ ] Innovative
TELEPHONE: (772)33G-0050
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: 10
PROPERTY
BLOCK: "C"
SUBDIVISION:
RIVCr[{anm,ock AAA: tlm, (unrewrded) PLATTER:
Y
PROPERTY
ID {]; 3404-313-0011-I80-5
ZONING: RS-2 I/M OR EQUIVALENT:
[ No ]
PROPERTY
SIZE: 0.5 ACRES WATER SUPPLY:
I ] PRIVATE PUBLIC [ ]<=2000GPD IV
I>2000GPD
IS SEWER
AVAILABLE AS PER
381.00651 FS1 [
No ] DISTANCE TO SEWER:
NA FT
ADDRESS: 2205 RIVER HAMMOCK LN, PORT PIERCE, FL
DIRECTIONS TO PROPERTY: FROM THE INTERSECTION OF 25'rli STREET AND RIVER HAMMOCK LANE
IIEAD EAST TO THE PROPERTY JUST TO THE EAST OP 2207 RIVER IIAMMOCK LN,
BUILDING INFORMATION
Unit
Type of
No Establishment
1 SINGLE FAMILY
PAP
[�/] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 10 Chapter 64E-61 FAC
3 2,031
[ ] Floor/Equipment Drains [ ] Other (Speoify) —
DATC :
DH 4015, 08/09 (Obaoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC
Page 1 of 9
Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved
Property Identification
Site Address: 2205 RIVER Parcel ID:3404-313-0011-180- Account#:39643 Sec/Town/Range:04/36S/40E
HAMMOCK LN 5 Map ID: 34/04S Zoning: RS-2 - Con
Use Type: 0000 Jurisdiction: Saint Lucie County
ownership Legal Description
Kathleen A Merritt 04 36 40 (LOT 10 RIVER HAMMOCK ADDN UNREC) E 128.12 FT
Mary J Unkel OF W 1281,20 FT OF PARCEL C RIVER HAMMOCK AS IN PL BK
11115 SW Wyndham WAY 23-2 (0,50 AC)
Port St Lucie, FL 34987
Current Values Historical Values 3-year
Just/Nlarket: $43,200 Assessed: $39,455 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $3%455 2020
$43,200
$39,455
$0
$3%455
2019
$43,100
$35,869
$0
$35,869
2018
$37,200
$32,609
$0
$32,609
Sale History
Date Book/Page Sale Code Deed Grantor
03-22-2021 4580 / 0122 0001 WD Bemazar Jose
09-10-2002 1579 / 2552 XX00 WD O'Neill Kevin D
10-01-1986 0517/0049 XX00 CV
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Exterior Data
View:
Roof Cover:
Roof Structure:
Year Built:
N/A
Frame:
Grade:
Primary Wall:
Story Height:
No. Units: 0
Interior Data
Bedrooms:
0
A/C %: 0%
Electric:
Full Baths:
0
Heated %: N/A%
Heat Type:
Half Baths:
0
Sprinkled W 0%
Heat Fuel:
Type
Price
$56,000
$24,000
$22,500
Building Type:
Effective Year: N/A
Secondary Wall:
Primary in[ Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
Finished/Under Air (SF):
0
Gross Sketched Area
0
(SF):
Land Size (acres):
0.5
Land Size (SF):
21,780
Total Building Count:
1
Special Features and Yard Items
Qty Units Year Blt
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 Propet•ty Appraiser. All rights reserved.
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C
ION
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