HomeMy WebLinkAboutSeptic Permit PERMIT # : 66-SF=2409041
Ok rtME STATE OF FLORIDA APPLICATION # : AP1756541
DEPARTMENT OF HEALTH DATE PAID :
ti * ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID :
SYSTEM RECEIPT # :
�^t nwel DOCUMENT # : PR1704796
CONSTRUCTION PERMIT FOR : QSTDS New
APPLICANT : (Port St. Lucie Properties)
PROPERTY ADDRESS : 6901 Fort Walton Ave Fort Pierce, FL 34951
LOT : 14 BLOCK : 127 SUBDIVISION : Lakewood Park
[ SECTION, TOWNSHIP , RANGE , PARCEL NUMBER]
PROPERTY ID # : 1301 -612-0195-000-9 [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 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 [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION : [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK : Site BM. FND MAG NUT, E PL extended N
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ] [ INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 12,00 if INCHES FT ] [ ABOVE BELOW ] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED : [ 24,001 INCHES EXCAVATION REQUIRED : E 49.001 INCHES
The system is sized for 3 bedrooms with a maximum occupancy of.6 persons (2 per bedroom), for a total estimated flow of
O 300 gpd.
T
H
E
R
SPECIFICATIONS BY : Brian J 1406m TITLE : Environmental Specialist III
APPROVED BY : TITLE : Environmental Specialist III St. Lucie CHD
Brian J In
DATE ISSUED : 12/13/2021 EXPIRATION DATE : 06/13/2023
DH 4016 , 08/ 09 (Obsoletes all previous editions which may not be used)
Incorporated : 64E- 6 . 003 , FAC Page 1 of 3
V 1 . 1 . 4 A 1756541 SE1621078
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
s u 'tLiaa 5150 NW Milner Dr Port Saint Lucie , FL 34983
HEALTH
PAYING ON : # 56-SF-2409041 BILL DOC #:56-BID-5651428 CONSTRUCTION APPLICATION #: AP1756541
RECEIVED FROM : Shannon Mittler AMOUNT PAID : $ 545 .00
PAYMENT FORM : CREDIT CARD 002470 PAYMENT DATE : 1 0/1 21202 1
MAIL TO: (Port St. Lucie Properties)
FACILITY NAME :
PROPERTY LOCATION :
6901 Fort Walton Ave
Fort Pierce, FL 34951
14 127
Lot: Block:
Property ID : 1301 -612-0195-000-9
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: WhighamJL AUDIT CONTROL NO. 56-PID-5315505 -
r� aj bor
STATE OF FLORIDA PERMIT NO . SIr � 2gO ngy �
DEPARTMENT OF HEALTH DATE PAID :
p ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID : 101 aly
' SYSTEM RECEIPT
`0p APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR :
[ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT : Port St Lucie Properties Inc.
AGENT : Shannon Mittler TELEPHONE ; (7721336-0050 x 5
MAILING ADDRESS : 201 SW PSL Blvd. PSL, Fl. 34984
TO BE COMPLETED BY APPLICANT OR APPLICANT ' S AUTHORIZED AGENT , SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 4891105 ( 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 : 14 BLOCK : 127 SUBDIVISION : LAKEWOOD PARIC UNIT 10 PLATTED : YES
PROPERTY ID # : 1301 -612-0195-000-9 ZONING : RS-4 I /M OR EQUIVALENT : [ No ]
PROPERTY SIZE : 0,34_ ACRES WATER SUPPLY : [ ✓ ] PRIVATE PUBLIC [ ] <=2000GPD [ 1 >2000GPD
IS SEWER AVAILABLE AS PER 381 , 0065 , FS ? [ No ] DISTANCE TO SEWER ; NA FT
PROPERTY ADDRESS : 6901 FORT WALTON AVENUE
DIRECTIONS TO PROPERTY : SOUTHWEST CON ER OF THE INTERSECTION OF FORT WALTON AVENUE AND
DELEON AVENUE
BUILDING INFORMATION [ ✓ ] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No . of Building Commercial / Institutional System Design
No Establishment Bedrooms Area Sqft Table 1 , Chapter 64E- 6 , FAC
1 SINLE FAMILY 3 1878
2
3
4
[ ] Floor/Eq ' pment Drains [ ] Other ( Specify )
S IGNATURE ; I J DATE :
DH 4015 , 08 / 09 (Obsoletes previous editions which may not be used)
Incorporated 64E- 6 . 001 , FAC Page 1 of 4
Pr;H
� STATE OF FLORIDA APPLICATION # AP7756541
DEPARTMENT OF HEALTH PERMIT If 56-SF-2409041
~ ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1621078
u z . SITE EVALUATION AND SYSTEM SPECIFICATION
yfly
APPLICANT : Port St, Lucie Properties
CONTRACTOR / AGENT : Shannon Mittler
LOT : 14 BLOCK : 127
SUBDIVISION : Lakewood Park ID# : 1301 -612-0195-000-9
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 : 0,34 ACRES
TOTAL ESTIMATED SEWAGE FLOW : 300 GALLONS PER DAY [ RESIDENCES -TABLEI / OTHER-TABLE 2 1
AUTHORIZED SEWAGE FLOW : 509.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE : 600.00 SQFT UNOBSTRUCTED AREA REQUIRED : 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION : Site BM, FND MAG N&TT, E Pl. extended N
ELEVATION OF PROPOSED SYSTEM SITE 6,00 [ INCHS / FT ] [ Eil / BELOW ] BENCHMAHK/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
WELLS : PUBLIC : FT LIMITED USE : FT PRIVATE : 90 FT NON-POTABLE : FT
BUILDING FOUNDATIONS : 5 FT PROPERTY LINES : 5 FT POTABLE WATER LINES : 67 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ] YES [ X ] NO 10 YEAR FLOODING? [ ] YES [ X ] NO)
10 YEAR FLOOD ELEVATION FOR SITE : FT [ MSL / NGVD ] SITE ELEVATION : FT I 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 411 Sand 0 To 5 1 OYR 4/1 Sand 0 To 5
10YR 5/1 Sand 5 To 30 1 OYR 5/1 Sand 5 To 30
10YR 6/1 Sand 18 To 36 10YR 6/1 Sand 20 To 35
t OYR 2/1 Spodic Material 36 To 48 1OYR 211 Spodic Material 35 To 49
7.5YR 4/3 Fine Sand 48 To 52 7.5YR 4/3 Fine Sand 49 To 56
10YR 514 Fine Sand 52 To 60 10YR 513 Fine Sand 56 To 60
HOLE CAVING Refusal 60 To 72 HOLE CAVING Refusal 60 To 72
OBSERVED WATER TABLE : 55,00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE : [ PERCHED / APPARENT ]
ESTIMATED NET SEASON WATER TABLE ELEVATION : 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION : [ ] YES [ X ] NO MOTTLING : [ X ] YES [ ] NO DEPTH : 18.00 INCHES
SOIL TEXTURE /LOADING RATE FOR SYSTEM SIZING : Sand/0.60 DEPTH OF EXCAVATION : 49 INCHES
DRAINFIELD CONFIGURATION : [ ] TRENCH [ XI BED [ ] OTHER ( SPECIFY)
REMARKS /ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YRS11 stripping in 10YR611 matrix >10% with diffuse boundaries starting at 18" in SB1.
SB7 6" above BM. SB2 7" ab%q BM.
SITE EVALUATED BY : DATE : 12/10/2021
Ingram, Brian (Titl . Environmental Specialist III) (ENVIRONMENTAL HEALTH)
DH 4015 , 08/09 (Obsoletes Previous editions whi nay not be used) Incorporated: 64E-6 . 0010 PAC Page 3 of 4
AP1756541 EID2409041 v 1.0.2
Custom Soil Resource Report s
Soil MapITT
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Map po)edbn: Web Meroror Qb ODord1Mte5: WGSN Edge tics: UIM Zone 17N WG584
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Custom Soil Resource Report
St. Lucie County, Florida
21-1.awnwood and Myakka sands
Map Unit Setting
National map unit symbol: ljpvg
Elevation: 0 to 200 feet
Mean annual precipitation: 49 to 58 Inches
Mean annual air temperature: 70 to 77 degrees F
Frost-free period: 350 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Lawnwood and similar soils: 41 percent
Myakka and similar soils: 39 percent
Minor components: 20 percent
Estimates are based on observations, descriptions, and transacts of the mapunit.
Description of Lawnwood
Setting
Landform: Marine terraces on flatwoods
Landform position (three-dimensional): Taff
Down-slope shape: Linear
Across-slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 8 inches: sand
E - 8 to 28 inches: sand
Bh f - 28 to 52 inches: sand
Bh2 - 52 to 58 inches: sand
C - 58 to 80 inches: sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 10 to 31 inches to ortstein
Drainage class. Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0,06 to 0,20 inlhr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Maximum salinity., Nonsaline to very slightly saline (0, 0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water supply, 0 to 60 inches,, Very low (about 0,9 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: AID
Forage suitability group: Sandy soils on fiats of mesic or hydrfc lowlands
(G156BC141 FL)
10
Custom Soil Resource Report
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Description of Myakka
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Tali
Down-slope shape: Convex
Across-slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 7 inches: sand
E - 7 to 27Inches: sand
Bh - 27 to 38 inches: sand
C - 38 to 80 inches: sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 Inches
Drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high
(0.57 to 5.95 in/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of ponding: None
Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water supply, 0 to 60 inches: Low (about 4.5 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: AID
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Minor Components
Electra
Percent of map unit: 7 percent
Landform: Knolls on marine terraces, rises on marine terraces
Landform position (three-dimensional): Interfluve
Down-slope shape: Convex
Across-slope shape: Linear
Other vegetative classification: Sandy soils on rises and knolls of mesic uplands
(G156BC131FL)
Hydric soil rating: No
Ankona
Percent of map unit: 7 percent
11
Custom Soil Resource Report
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Taff
Down-slope shape: Convex
Across-slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating. No
Waveland
Percent of map unit: 6 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down-slope shape: Convex
Across-slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
12
Property Card Page 1 of 1
Michelle Franklin , CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 6901 FORT Parcel ID: 1301 -612-0195- Account #: 2943 Sec/Town/Range:
WALTON AVE 000-9 01/34S/39E
Map ID: 13/01S Zoning: RS4 Count Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Joshua Buckingham-Main LAKEWOOD PARK-UNIT 10- BLK 127 LOT 14 (MAP
Kelly Talbot 13/01 S)
1496 40th AVE
Vero Beach, FL 32960
Current Values Historical Values 3-year
Just/Market: $ 18,700 Assessed: $ 12,428 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $ 12,428 2021 $ 18,700 $ 12,428 $0 $ 12,428
2020 $ 12,400 $ 11 ,299 $0 $ 11 ,299
2019 $ 12,400 $ 10,272 $0 $ 10,272
Sale History
Date Book/Page Sale Code Deed Grantor Price
05-24-2021 4619 / 0152 0001 WD AJ Chandler LLC $262000
03- 1 &2021 4585 / 0678 0001 WD B & D Hutchinson Properties $ 18,000
LLC
06-09-2011 3302 / 0530 0001 WD Wheatley Holdings LLC $7,300
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): 0.34
Land Size (SF): 14,960
Total Building Count I
Special Features and Yard Items
Type Qty Units YearBlt
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.
https : //www , paslc . gov/RECard/ 10/ 12/2021