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Home My WebLink AboutHealth Department Septic Approval St. Lucie County Health Department H 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAY I ING ON: #:56-SF-2245379 BILL Doc#:56-BID-5190201 CONSTRUCTION APPLICATION#:AP1633593 RECEIVED FROM: Telese Builders LLC AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 1172 PAYMENT DATE: 02/26/2021 MAIL TO: John &Edith Sztankovits FACILITY NAME : i PROPERTY LOCATION: 8024 Spendthrift Ln Port Saint Lucie, FL 34986 104 Lot: Block: Property ID: 3321-502-0053-000-2 EXPLANATION or DESCRIPTION: QUANTITY FEE 128- OSTDS Construction System Inspection Research Fee 1 $ 5.00 i -1 i-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 -1 -Well Construction 1 $ 115.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4894343 (Note: With Irr well #59-31596 STATE OF FLORIDA PERMIT NO.Sr- DEPARTMENT OF HEALTH DATE PAID: 0z, -7- ONS ITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [x] New system [ ] Existing System [ ] Holding Tank [ ] Innovative j ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: "'_y.LAB.r7t S VA-MKUd( S- AGENT: at $6 U t W C11r) LL� TELEPHONE MAILING ADDRESS: I 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: j BLOCK: SUBDIVISION: � � f��GI� �f j� PLATTED: _ 2 PROPERTY ID #: �� I -'�o - -L'Jd ZONING: ,41C—1 I/M OR EQUIVALENT: [ Y/N- ] PROPERTY SIZE: �r ` ACRES . WATER SUPPLY: [ ] PRIVATE PUBLIC [K]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y t(Ni ] DISTANCE TO SEWER: FT OA PROPERTY ADDRESS: qu n DIRECTIONS TO PROPERTY: l' be,, u' =7 6W6 —7 P6tg 7 QA/ �AA0LORW�� BUILDING INFORMATION [kf] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 GCS.,Si v�ll,�� C � � � ��,� • 2 3 4 j ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: I��. �! `l DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1633593 DEPARTMENT OF HEALTH 56-SF-2245379 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT # ' DOCUMENT # SE1508904 SITE EVALUATION AND SYSTEM SPECIFICATION iy y� �iwe • APPLICANT: John&Edith Sztankovits CONTRACTOR / AGENT: Telese Builders LLC LOT! 104 BLOCK: SUBDIVISION: Sabal Creek 11 ID#: 3321-502-0053-000-2 TO IBE 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: 1.90 ACRES TOTAL ESTIMATED SEWAGE FLOW: 560 GALLONS PER DAY [ RESIDENCES-TABLET / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 4750.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2900.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1400.00 SQFT BENT HMARK/REFERENCE POINT LOCATION: FND MN&D in cut-out, no ID. ELEV 24.36 ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES / FT ] [ ABOVE / BELOW ] 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 [X]NO WELiS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX]NO 10 YEAR FLOODING? [ ]YES [X]N 0] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: USDA SOIL SERIES: Munsell#/Color Texture Depth Munsell#/Color Texture Depth 10YR 3/1 Sandy Loam 0 To 4 1 OYR 3/2 Sandy Loam 0 To 6 10YR 4/1 Loamy Sand 4 To 13 1 OYR 4/1 Sand 6 To 9 1#R 5/2 Sand 13 To 24 1 OYR 5/1 Sand 9 To 16 10YR 5/8 CMN/PRM RF 14 To 24 1 OYR 6/1 Sand 12 To 16 1 O*R 6/6 Sand 24 To 30 1 OYR 5/2 Sand 16 To 30 10yR 4/4 Sand 30 To 35 1 OYR 4/2 Sand 30 To 34 10YR 4/3 Sand 35 To 40 1 OYR 3/2 Sand 34 To 37 HOLE CAVING Refusal 40 To 72 10YR 4/2 Sandy Clay 37 To 48 5GY 6/1 Sandy Clay Loam 48 To 55 HOLE CAVING Refusal 55 To 72 OBSERVED WATER TABLE: 30.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / BELOW ] EXISTING GRADE RICH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 12.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10Y116/1 stripping in 10YR511 matrix>10%with diffuse boundaries starting at 12"in S132. SBI1 and S132 V above BM. Continued On The Following Page. .. AP1633593 EID2245379 v 1.0.2 STATE OF FLORIDA PERMIT #. r- DEPARTMENT OF HEALTH ONS ITE SEWAGE .TREATME NT AND DISPOSAL SYSTEM gF `•; SITE EVALUATION AND SYSTEM SPECIFICATIONS WE APPLICANT: :Ju �N El)-" SZTRNV,0411-5 AGENT: I L�-GS SUI LOT: I JU`-1 BLOCK: SUBDIVISION: SAjLG' LRCC- PROPERTY ID #: 332-/- 502-D 0 53-060--z [Section/Township/Parcel No.or Tax ID Number ] . TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS MUSTIPROVIDE 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: ACRES TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY [RESIDENCES-TABLE VOTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBISTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES/FF ] [ABOVE/BELOW] 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? [ I YES [ ] NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: FT BUILDING FOUNDATIONS: FT PROPERTY LINES: FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES ( ] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: USDA SOIL SERIES: OBSERVED WATER TABLE: INCHES [ABOVE/BELOW '] EXISTING GRADE. TYPE: [PERCHED/APPARENT ] ESTLI1MATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED ] ] OTHER (SPECIFY) RENIARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4 STATE OF FLORIDA APPLICATION # AP1633593 DEPARTMENT OF HEALTH PERMIT # 56-SF-2245379 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM t SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1508904 i 4� SITE EVALUATED BY: DATE: 04/23/2021 Ingram,Brian(Titl nvironmental Specialist III)(ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions wh- may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1633593 EID2245379 v 1.0.2