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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 p .f lna ShcB3 599FA 5J�U0 5`fA1a CfO LOT . . 9 a � 0 27 32' S2' N 2A 32' S2' N u*rr f A d: k� 21 g � y rl � f; 1 riILI n ::iv � � • s ( SIL � iE4 q} �Lts+' 6kF � 4 NINE q _ a..'it' �14`3J v S4; N211�'� 4 MIT + 7ne 1 rti+ , yr3^ s .It.. IT I 7 \ 4 L' - N,n9I + +y ( F, +� i jAa 4 } + i \ IT It. i 1 r F {� r�T� Sr ` �x f h 10 i t , i 4r S} } CA d ti3�str-' r-, ;n x SCVIr� r $.,. ' IT 1 sb— — — M F ! it TO vi CIL r d 11, R 1.4rill it r F { ,h ,p'�• e' , de I N t Uir Tirl, IT TIT ii IT, ILL 4 6�YijTT- ,;61 v �• 4 a a F tk TI rtl+p �s ,j R ljLILI All r k ( ; 1� `` %, il,M, w "rk ljr a ttTL Y `rY �f 'e � kF A i y 1 . - A p pa o 1 ,.Fit yS�o + I Map may not be valid zt th sts)cale . , �,R$�: y. u - ]° 32'lN 6W/W 569/fi0 G6R0 Y6180 fi%38'J SYBU 5998106Fk� 3 3 Map sale: 1:563 NpMWd WIN RtraH(8.5" z 11") gMt MebNS N 0 6 10 20 3] A ` Map po)edbn: Web Meroror Qb ODord1Mte5: WGSN Edge tics: UIM Zone 17N WG584 6 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