The URL can be used to link to this page

Home My WebLink AboutAPPROVED Septic and Well PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Michaal A Rnsaiirn I7awcnn PROPERTY ADDRESS: LOT: 6 PROPERTY ID #: TBD Southern Star Dr Fort Pierce, FL 34945 BLOCK: 2215-700-0008-000-1 SUBDIVISION: PERMIT #:56-SF-2410147 APPLICATION #:AP1757277 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1705138 [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 [ 1,200 ] GALLONS / GPD Seotic 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 [ 767 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [x] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [XI BED [] F LOCATION OF BENCHMARK: NID NW OF PROPERTY EDGE OF RD I ELEVATION OF PROPOSED SYSTEM SITE [ 52.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 47.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D I O T H E R '1LL k(zvutxe ): L l3.UU] INCHES EXCAVATION REQUIRED: [ OZ.UU ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 460 gpd. SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I Matthew S Vajan DATE ISSUED: 12/14/2021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 06/14/2023 Page 1 of 3 v 1.1.4 AP1757277 SE1621390 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. y101 STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL Pemtlt No. 59-32652 El Southwest o Florida Unique ID, PLEASE FILL OUT ALL APPLICABLE FIELDS ❑ Northwest ("Denotes Required Fields Where Applicable) Permit Stipulations Required (See Attached) Johns River Thewaret well contractor is resp onslb)q for[ompleting Guth Florida ddsrormandfomtsmdt;,pfBcpermttcpplrcarlontothc EiSuwannee River pp,ap,laredekywedmnhorirywhereapphrable. ❑ DEP ❑ Delegated Authority (If Applicable) 62-524 Quad No. Delineation No. CUP/WUP Application No. 1 Michael & Rosaura Dawson 170 Scotland Blvd Saint Johns, FI 32259 'Owner, Legal Name if Corporation 'Address 'City 'State ZIP Telephone Number 2, Parcel Id#2215-700-0008-000-1 'Well Location - Address, Road Name or Number, City 3.2215-700-0008-000-1 6 'Parcel ID No. (PIN) or Altemate Key (Circle One) Lot Block Unit 4.15 35S 38E St Lucie Check if 62-524:❑ Yes Q No Section or Land Grant 'Township `Range 'County Subdivision 5, James P. Tyson 11352 954-818-4269 downtheholeC}att.net 'Water Well Contractor 'License Number 'Telephone Number E-mail Address 6. PO BOX 881496 Port St. Lucie FI 34988 nt `Water Well Cor tor's Address City State ZiP 7. 'Type of Work: Construction ❑ Repair ❑ Modification❑ Abandonment 8. 'Number of Proposed Wells 1 Well(s): RoasonforRepalr, Modificali rAl>s tlsnmtnt Slump, �L� LIhU 1 9^' pedfy Intended Use(s) of Ld Domestic F Landscape Irrigation H Agricultural irrigation ❑ Site investigations Bottled Water Supply ❑ Recreation Area Irrigation Livestock Monitoring ❑ Public Water Supply (Limited Use/DOH) ❑ Nursery Irrigation ❑ Test DEC 1 �n Public Water Supply (Community or Non-CcmmunitylDEP)® Commerciaillndustrial Earth -Coupled Geothermal - Class i Injection Golf Course Irrigation ❑ HVAC Supply HVAC Return Class V Injection: ❑ Recharge ❑ Commercfal(industriai Disposal ❑ Aquifer Storage and Recovery ❑ Drainage FDOH in St Lucie Remediation: ❑ Recovery ❑ Air Sparge ❑ Other (oaacnbo) al,Ust A I ❑ Other (ocsccmu) 10.'Distance from Septic System if 5 200 ft. 11. Facility Description Residence 12. Estimated Start Date 13.' Estimated Well Depth 120 ft. 'Estimated Casing Depth 100 ft. Primary Casing Diameter 2 in. Open Hole: From To Q•' ft. 14. Estimated Screen Interval: From 100 To 120 fL � 15."Primary Casing Material Black Steel Galvanized a4?1 Stainless Steel Not Cased Other, 16. Secondary Casing: Telescope Casing Liner Surface Casing Diameter in. 17. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel they 18.-'Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted eta Sonic Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other (Dcacnba) 19, Proposed Grouting Interval for the Primary, Secondary, and Ad 1 ' a ng: From a To 95 Seal Material ( Bentonite a eat Other ) From To Seat Material ( Sentonite Neat Cement Other ) From To Seal Material ( Bentonite Neat Cement Other ) From To Seal Material { Bentonite Neat Cement Other ) 20. Indicate total number of existing wells on site 0 List number of existing unused wells on site 0 21.-Is this well or any existing well or water withd I n the owner's contiguous ppropertyy covered under a ConsumptivelUVater Use Permit (CUP/WUP) or CUP(WUP Application? Yes If yes, complete the following: CWWLIP No. District Well iD No. 22, Latitude Longitude _ _ 23. Data Obtained From: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 I hereby oerbty that I wU complyw'Ahthe applicable Mae of TdIn 40, FkAdo Adninlatmtive Codo, and that awalut I WrVVlhol I am Iho om,t, of Iho property. thatthein!emiaL'on providvd!s accurate, and that I andowaro ofury use porMtor ani5dnl ra rharye pesnit,tf nvodod, hasbran or will bo obtelnad pdor to eorrmencertnnt of wrtl recperWNldlcr. underUmrAer 170.rlarlda Slolu!ea. to mitnloln or prapedyaWndan fHa wdL•or,ItMnly lhall am cen tuctlom IftuthnrwNty that an Information providod In Itch appH Ionia eecumtn and thatl Wa obtoln the aoant for ilia ownef,lhnl rise lnfarnWIon prm!dedto acarnln, nod t11:A1 havo lnfonned tho amarartneff naceunry approval from othn federal. Will. or local pwasrtnonts, Ilapplleible, I agree to provide a wall responslLiSlim as eln!ed hbwo, ownn, eonrerls to o5owlnp pemonhcl of ltia VA!D or DeleOatod Aulh off ,cane M eomp1c11on report to me Dcet within 30 days a1o, 1.11,Aef—of the ecn.w tlan, ropdr, r edMa5on, or to ttw wet to dtd n chudon. rnndr, rrodfcatloo, aLAnd Ott 4LA, Kaad-bgfia oarri1. nbandwroari vuthorizod by thla peril, or the poRtit rx6c rY occurs IN. )Iles, % 11352 `Signature of Contractor 'License No. •Si ty7(ure of Owner or Agent Date Approval Granted Fee Received S_ No. Issue Date 1(-le' I Expiration Data Check No. st Approval lrvl.l, THIS PERMIT IS NOT VAUD UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES. DEP Form: 62-532.9000) Incorporated in 62-532.400(1), F.A.C. Effective Date: October 7, 2010 Page 1 of; Linty ALTH St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HWA PAYING ON: #: 56-SF-2410147 BILL DOC #:56-BID-5655312 CONSTRUCTION APPLICATION #: AP1757277 RECEIVED FROM: Jared Modine AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 0452800945 PAYMENT DATE: 10/15/2021 MAIL TO: Michael & Rosaura Dawson FACILITY NAME: PROPERTY LOCATION: TBD Southern Star Dr Fort Pierce, FL 34945 6 Lot: Block: Property ID: 2215-700-0008-000-1 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 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - 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-5318929 _ - STATE OF FLORIDA DEPARTMENT OF HEALTH 3 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. �� I U I - 1 (+ DATE PAID: " Lri jj y FEE PAID: RECEIPT # : New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Michael and Rosaura Dawson AGENT: Jared Modine MAILING ADDRESS: 170 Scotland Blvd., St Johns, FL 32259 TELE PHONE : 772-519-0558 --------------------- 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 BLOCK: SUBDIVISION: Southern Star Stables PLATTED: PROPERTY ID #: 2215-700-0008-000-1 ZONING: AG I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 11.11 ACRES WATER SUPPLY: [q/] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: TBD Southern Star Dr DIRECTIONS TO PROPERTY: Okeechobee Rd to Sneed Rd. Take Sneed North to Southern Star, turn North. This is the 2nd lot on the BUILDING INFORMATION Unit Type of No Establishment 1 Single Family Residence 2 3 0 [ ,/ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 3377 [ ] Floor/Equipment Drains [ ] Other (Specify) Jared Modine Digitallysigned by Jared Modine S I GNATURE : Date: 20_, 1.10.14 14:21:18-04'00' DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Michael & Rosaura Dawson CONTRACTOR / AGENT: LOT: 6 Jared Modine BLOCK: SUED I VI S ION : ID# : 2215-700-0008-000-1 APPLICATION # A P1757277 PERMIT # 56-SF-2410147 DOCUMENT # SF1621390 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]YES [ ]NO NET USABLE AREA AVAILABLE: 11.11 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 16665.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1150.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: NID NW OF PROPERTY EDGE OF RD ELEVATION OF PROPOSED SYSTEM SITE 52.00 [ INCHES / FT I [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 180 FT DITCHES/SWALES: 110 FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 160 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 30 FT PROPERTY LINES: 95 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [XINO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SATT. PRnFTT.F TNFnRMATTnN STTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 512 Fill - Sand 0 To 28 10YR 5/2 Fill - Sandy Clay Loam 12 To 28 10GY 5/1 Sandy Clay Loam 28 To 44 10YR 5/6 CMN/PRM RF 28 To 44 5Y 5/2 Sandy Clay Loam 28 To 44 10YR 4/1 Sand 40 To 52 10YR 6/1 Coarse Sand 48 To 52 1 OYR 6/2 Sand 52 To 68 1 OYR 7/1 Sand 68 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 8/1 Fill - Sand 0 To 29 10YR 3/1 Fill - Sand 8 To 29 1 OYR 2/2 Sandy Clay Loam 21 To 29 5GY 5/1 Sandy Clay Loam 29 To 40 2.5Y 6/8 CMN/PRM RF 32 To 40 10YR 4/1 Sand 40 To 66 2.5Y 4/2 Sand 66 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW I EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [ ]NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION DRAINFIELD CONFIGURATION: [ ] TRENCH [X I BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. F2 Loamy Gleyed Matrix-5GY 5/1 >60% starting at 29" in SB2. SB1 54" above BM. S132 52" below BM. Excavation depth based on SB1. SITE EVALUATED BY: 52 INCHES DATE: 12/13/2021 Vajanyi, Matthew (TiQ"nv!WAfnental Specialist 1) (Florida Department of Health in S DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP 1757277 EID2410147 v 'i .0.2 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: TBD Parcel ID: 2215-700-0008- Account #: 168609 Sec/Town/Range: 15/35S/38E 000-1 Map ID: 22/15X Zoning: AG-5 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Michael C Dawson SOUTHERN STAR STABLES S/D (PB 53-24) LOT 6 (11.11 AC) Rosaura Dawson (OR 3991-2054) 170 Scotland Yard BLVD Saint Johns, FL 32259 Current Values Historical Values 3-year Just/Market: $166,700 Assessed: $134,431 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $134,431 2021 $166,700 $134,431 $0 $134,431 2020 $166,700 $122,210 $0 $122,210 2019 $111,100 $111,100 $0 $111,100 Sale History Date Book/Page Sale Code Deed Grantor Price 05-01-2017 3991 / 2054 0001 WD Rynard John $130,000 03-05-2012 3368 / 0745 0202 WD Steele Tracy D $330,000 08-12-2004 2044 / 2125 XX00 WD Custom Herbicide Applicators $1,509,200 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 11.11 Land Size (SF): 483,952 Total Building Count: 1 Special Features and Yard Items Type 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. 0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. .. �.� -: ate,. t '