HomeMy WebLinkAboutHealth Department; Sewage and DisposalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Rudy Rodriquez
PROPERTY ADDRESS: TBD S 22nd St Fort Pierce, FL 34950
LOT: 22 BLOCK: 2 SUBDIVISION:
PROPERTY ID #: 2428-602-0046-000-2
PERMIT # : 56-SF 2294029
APPLICATION #:AP1664940
DATE PAID•
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1594757
[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 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 [ 500 ] SQUARE FEET SYSTEM
R [ ] SQUARE FEET. N/A SYSTEM
A TYPE SYSTEM: [XI STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: Set NID on the southwest corner Of the lot.
I ELEVATION OF PROPOSED SYSTEM SITE [ 11.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 15.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [22.001 INCHES EXCAVATION REQUIRED: [ 68.00]'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.
T
T
E
R
SPECIFICATIONS BY: Nicole Montanez TITLE:
^_-fin Environmental Specialist II
APPROVED BY. At ITLE Environmental Specialist II St. Lucie CHD
Nic le nta ez
DATE ISSUED: 07/0 2021 EXPIRATION DATE: 01/06/2023
DH 4016, 08/09 (Obsoletes all previous a irons may not be used)
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP16699
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-2294029 BILL DOC #:56-BID-5318127 CONSTRUCTION APPLICATION #: AP1664940
RECEIVED FROM: ASHTON SEPTIC TANKS, INC. (Regist AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 057067 PAYMENT DATE: 05/19/2021
MAIL TO: Rudy Rodriquez
FACILITY NAME:
PROPERTY LOCATION:
TBD S 22nd St
Fort Pierce, FL 34950 3
22
Lot:
2
Block:
Property ID: 2428-602-0046-000-2
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-4991096
s� STATE 03A FLORIDA
DEPARThibNT, OF HEALTH
a'.ONSITE 'SEWAGE TREATMENT AND. DISPOSAL
`. SYSTEM
APPLICATION FO;tY CONSTRUCTION .PERMIT
"?3PbICATION FOR:
[V J New System [ ] Existing System [ ] Holding Tank [ ], Innovative
[.VV.] Repair [ ] Abandonment [ ] Temporary [
APPLICANT: L) O N: V
TELEPHONE:
MAILING ADDRESS:. 711-11P C" r Ira y; a (-r,* K'
PERMIT NOD 2n
DATE PAID:
FEE PAID:: �^
RECEIPT # :.. CIC`j¢�itJ 1
TO BE COMPLETED BY APPLICANT' OR APPLICANTS AUTHORIZED AGENT. SYSTEMS MUST BE .CONSTRUCTED
BY A PERSON :LICENSED PURSUANT TO 489.105(3)(m) OR 489..552, FL,ORIDA STATUTES. IT IS THE
APPLICAN,'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: . BLOCK: SUBDIVISION: l.�%�• i D l�Sr6 re en PLATTED:
PROPERTY ID #•: Z yZy -togZ —Lioo "2 ZONING: Rs`I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE. 0•.7 ACRES 'WATER:.SUPPLY: [ ] PRIVATE PUBLIC J><<'_-2000GPD [. ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FSY [ Y&N ] DISTANCE TO SEKER:: FT
PROPERTY ADDRESSz..
S Z-ZJ 5lVee7'
DIRECTIONS TO 'PROPERTY: 22 r► GL.... 5��.eC .1
BUILDING INFORMATION ;>qj RESIDENTIAL [ ] COMMERCIAL
Unit Type cf No. of Building
Cominerc.al./Institutonal S.yatem Design
.t No Esa$13shment S.edtooms Area Sqft Table 1:, "Chapter 64E-6, FAC:
1 G;%Iide F m;) _3
.2
3
4
C. ] Floor/Equipment :Drains t ] other. (Specify)
4
SIGNATURE:
-DATE:
DH 4015., 0.8./00t .(Obsol.•etes previous editions which may not be used)
ineorporated 64E-6.:0.01, PAC Page 1 of.4
STATE OF-FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Rudy Rodriquez
CONTRACTOR / AGENT: ASHTON SEPTIC TANKS. INC.
LOT: 22 BLOCK: 2
SUBDIVISION: ID# : 2428-602-0046-000-2
APPLICATION. # AP1664940
PERMIT # 56-SF-2294029
DOCUMENT # SE1540671
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: 0.30 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 750.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1125.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Set NID On the Southwest Corner Of the lot.
ELEVATION OF PROPOSED SYSTEM SITE 11.00 [ 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 [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 20 FT PROPERTY LINES: 15 FT POTABLE WATER LINES: 80 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX ]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION STTF. 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Fill - Sand
0 To 14
10YR 5/2
Fill - Sand
14 To 22
10YR 2/1
Spodic Material
22 To 32
10YR 3/1
Sandy Clay Loam
32 To 36
10YR 3/1
Sand
36 To 42
10YR 4/1
Sand
42 To 46
10YR 6/1
Sand
46 To 63
10YR 2/1
Spodic Material
63 To 66
10YR 4/2
Sandy Loam
66 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 5/3
Fill - Sand
0 To 14
10YR 3/2
Fill - Sand
14 To 18
10Y 6/2
Sand
15 To 18
1 OYR 3/2
Sand
18 To 24
1 OYR 4/2
Sand
20 To 24
10YR 3/1
Sandy Clay Loam
24 To 28
1 OYR 6/1
Sand
28 To 34
10YR 2/1
Spodic Material
34 To 40
N 4/
Sandy Clay Loam
40 To 52
10YR 4/1
Sand
52 To 58
10YR 6/1
Sand
58 To 60
10YR 2/1
Spodic Material
60 To 68
10YR 6/1
Sand
68 To 74
OBSERVED WATER TABLE: 45.00 INCHES I ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES IX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES
Continued On The Following Page... AP1664940 EID2294029 v 1.0.2
STATE OF FLORIDA APPLICATION # AP1664940
DEPARTMENT OF HEALTH PERMIT # 56-SF-2294029
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
DOCUMENT # SE1540671
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sandy Loath/0.60 DEPTH OF EXCAVATION: 68 INCHES
DRAINFIELD CONFIGURATION: [ ) TRENCH [XI BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USD WSS and soil borings. 10YR4/2 stripping in a 10YR3/2 matrix > 10% with diffuse boundaries starting
at 20" in SB2.
SB1 14" above BM. SB2 I i bove BM.
SITE EVALUATED BY: A A•A \ Al a. 4n K-- �fi DATE: OR/99/9091
Montanez, Nicol (Title: En ironmete
tal Specialist II) a De ment of Health In S
DE 4015, 08/09 (Obsoletes previous editions hich ma not used) Inc rp ated: 64E-6.001, FAC Page 3 of 4
i
AP1664940 EID2294029 v 1.0.2
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: S 22nd ST Parcel ID: 2428-602-0046- Account #: 32413 Sec/Town/Range: 28/35S/40E
000-2 Map ID: 24/28N Zoning: RS-4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Rudy C Rodriguez COL H D GOFORTH S/D BLK 2 N 40 FT OF LOT 21 AND S 40
15 Harbour Isle Dr W Unit 202 FT LOT 22 (0.30 AC) (OR 3873-2944)
Fort Pierce, FL 34949-2767
Current Values Historical Values 3-year
Just/Market:
$21,800 Assessed: $15,950 Year Just/Market Assessed Exemptions
Taxable
Exemptions:
$0 Taxable: $15,950 2020 $21,800 $15,950 $0
$15,950
2019 $14,500 $14,500 $0
$14,500
2018 $13,700 $13,700 $0
$13,700
Sale History
Date
Book/Page Sale Code Deed Grantor
Price
05-27-2016
3873 / 2944 0001 WD Caro Stefan
$25,000
09-15-2006
2659 / 1439 XX00 WD Kreiser Gerald
$15,000
01-16-2004
1883 / 2605 XX00 WD Sawyer John W
$6,000
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
'1
Finished/UnderAir
0
Gross Sketched Area
0
j
f
(SF):
Land Size (acres):
0.3
r a t
Land Size (SF): 13,068
."Q Total Building Count:
1
Type
Special Features and Yard Items
Qty Units Year Bit
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.
27- 2436' N
27° 24'3SN
Custom Soil Resource Report
3
Soil Map 3
b
ry b
O N
m
y
3
N Map Scale: 1:298 if printed on A landscape (11" x 8.5D sheet
Meters
m nN 0 4 8 16 24
/V
0 10 20 40 60
Map projection: Web Mercator ComercDordinates: WGS84 Edge tics: UTM Zone 17N WGS84
6
564W 564594 569601 55M
564615
3
b
m
27° 24' 36' N
27" 24' 3Y N
Custom Soil Resource Report
St. Lucie County, Florida
48—Wabasso sand, 0 to 2 percent slopes
Map Unit Setting
National map unit symbol: 2svyr
Elevation: 0 to 70 feet
Mean annual precipitation: 46 to 55 inches
Mean annual air temperature: 70 to 77 degrees F
Frost -free period: 355 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Wabasso and similar soils: 85 percent
Minor components. 15 percent
Estimates are based on observations, descriptions, and transects of the mapunit.
Description of Wabasso
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tread, talf
Down -slope shape: Linear
Across -slope shape: Linear
Parent material. Sandy and loamy marine deposits
Typical profile
A - 0 to 6 inches: sand
E - 6 to 25 inches: sand
Bh - 25 to 30 inches: sand
Btg - 30 to 58 inches: sandy clay loam
Cg - 58 to 80 inches: loamy sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 9 to 50 inches to strongly contrasting textural
stratification
Drainage class: Poorly drained
Runoff class: Very high
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Calcium carbonate, maximum content. 5 percent
Maximum salinity. Nonsaline to very slightly saline.(0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water capacity. Very low (about 1.4 inches).
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 3w
Hydrologic Soil Group: C/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G155XB141 FL)
W]
Custom Soil Resource Report
Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy
soils on flats of mesic or hydric lowlands (G155XB141 FL)
Hydric soil rating: No
Minor Components
Hallandale
Percent of map unit: 6 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tread, talf
Down -slope shape: Linear
Across -slope shape: Linear
Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy
soils on flats of mesic or hydric lowlands (G155XB141 FL)
Hydric soil rating: Yes
Boca
Percent of map unit: 5 percent
Landform: Drainageways on marine terraces, flats on marine terraces
Landform position (three-dimensional): Tread, dip, talf
Down -slope shape: Linear, convex
Across -slope shape: Linear, concave
Ecological site: R155XY003FL - South Florida Flatwoods
Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy
over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL)
Hydric soil rating: Yes
Pineda
Percent of map unit: 4 percent
Landform: Drainageways on marine terraces, flats on marine terraces
Landform position (three-dimensional): Tread, dip, talf
Down -slope shape: Linear
Across -slope shape: Linear, concave
Other vegetative classification: Slough (R155XY011 FL), Sandy over loamy soils
on flats of hydric or mesic lowlands (G155XB241 FL)
Hydric soil rating: Yes
11