HomeMy WebLinkAboutSewage New System�- as 3544
9n STATE OF FLORIDA PERMIT NO.
AID:
.. �. DEPARTMENT OF HEALTH DATE P��—
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: St{$,tto
SYSTEM RECEIPT #:
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]/.�
APPLICANT: I,F--r ! �jt /'! _� 2 ��� ��1a1
AGENT: IaA W�k TELEPHONE:
MAILING ADDRESS: z.5�^ d2ZS --'�-� I A60Qf
TO BE COMPLETED .BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO A 89.105(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
PLATTED: �A
LOT: BLOCK: SUBDIVISION:
PROPERTY ID # : 23 U � d 3 4 — 60J ,? 0 Q®P~G® ZONING' I /M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: � ACRES WATER SUPPLY: PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y� DISTANCE TO SEWER: FT
PROPERTY ADDRESS: , _6- /,�� -WO-r 4® b19! f'`929E "
DIRECTIONS TO PROPERTY: wgi : I14W A13 car '174t!�
BUILDING INFORMATION [,4 RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter•64E-6, FAC
153-74 -----------------
2 _
3
4
[ ] Floor/Equipment Drains [ ]1,7 Other (Specify)
DATE;
/ �e
SIGNATURE: /�-L l,sO
DH 4015, 08/09 (Obsoletes previous editions which may not be used) page 1 of 4
Incorporated 64E-6.001, FAC
f
STATE OF FLORIDA APPLICATION # AP1632301
DEPARTMENT OF HEALTH
PERMIT # 56-SF-2243596
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1491797,
APPLICANT: Port St. Lucie Properties
CONTRACTOR / AGENT: Laventure & Associates Inc
LOT: BLOCK:
SUBDIVISION: ID#: 2313-131-0002-000-4
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: 1.65 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 2475.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 19000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: NI
at the CL of the property W side of the road.
ELEVATION OF PROPOSED SYSTEM SITE 10.00 [I INCHES I/ FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT
DITCHES/SWALES: 20 FT
NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE:
80 FT NON -POTABLE:
N/A FT
BUILDING FOUNDATIONS: 16 FT
PROPERTY LINES: 62 FT
POTABLE WATER LINES:
45 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 [ MSL / NGVD
SOIL PROFILE INFORMATION STTP.. 1
QnTT. DWIMTT.r
TWWn12%M'PTnW QTrtm
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 511
Sand
0 To 20
1 OYR 6/1
Sand
20 To 33
1OYR 5/3
Sand
33 To 38
1 OYR 6/2
Sand
38 To 40
1 OYR 3/3
Sand
38 To 40
1 OYR 4/3
Sand
40 To 43
1 OYR 212
Spodic Material
43 To 47
1 OYR 5/2
Sandy Clay Loam
47 To 62
10YR 6/2
Sand
62 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
1 OYR 5/1
Sand
0 To 22
1 OYR 6/1
Sand
10 To 22
1 OYR 5/3
Sand
22 To 38
1 OYR 3/2
Sand
38 To 42
2.5YR 5/3
Sandy Clay Loam
42 To 65
10YR 5/3
Fine Sand
65 To 72
OBSERVED WATER TABLE: 60.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: I PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE,ELEVATION: 10 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [ ]NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED
r REMARKS/ADDITIONAL CRITERIA
Sand/0.60 DEPTH OF EXCAVATION
[ ] OTHER (SPECIFY)
5WT determined using USDA WSS and soil borings. 10YR6/1 stripping In a 10YR5/1 matrix > 10% with diffuse boundaries starting
10" In SB2. SB1 9" below PM. SB210" below BM.
SITE EVALUATED BY:
Montanez, Nic&Ie (TitleiEnvirOmental Speclal� t II) (Florida Department of Health in S
DH 4015, 09/09 (Obaoletes previous editiona\which \may not be used), Incorporated: 64E-6.001, FAC
AP1632301 EID2243596
INCHES
DATE: 03/30/2021
Page 3 of 4
v 1.0.2
i� STATE OF FLORIDA PERMIT 4.s'7l0
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION ,AND SYSTEM SPECIFICATIONS
W%
APPLICANT: _ fter to eriE R&ATD ley AGENT: GA Div e-
LOT: '' BLOCK: p SUBDIVISION: GyC}O
PROPERTY ID #: �l?�3.. ��DP �%��� [Section/Township/Paxoel No, Tax ID Num�x�
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: YES [ ] NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW: ?O0 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2]
AUTHORIZED SEWAGE FLOW: %.q `75 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: /dJ,042 *^ SQFT UNOBSTRUCTED AREA REQUIRED: q6,Z- SQFT
BENCHMARK/REFERENCE POINT LOCATION:/JA(G
ELEVATION OF PROPOSED SYSTEM SITE ISu(1
FERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 1.o-FT DITCHES/SWALES: 15- FT NORMALLY WET? [ ] YES [.4 NO
WELLS: PUBLIC: 2Oh FT LIMITED USE: e00 FT , PRIVATE:07<__ FT NON -POTABLE: St) FT
7
BUILDING FOUNDATIONS: - FT PROPERTY LINES: it FT' POTABLE WATER LINES: /D 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
GOTM PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO -
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
SUlL Y1{Vi''1Lri 1Nr'UttN�Ei'1'lUN S1'1'�
MUNSELL #/COLOR TEXTURE
USDA SOIL SERIES:
n7.Dmu
TO
TO.
TO
TO
TO
TO
TO
TO
TO
OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED / APPARENT]
ESTIMATED 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:
DRAINFIELD CONFIGURATION: [ ] TRENCH I ]
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY:
BED
DEPTH OF EXCAVATION: INCHES
[ ] OTHER (SPECIFY)- - —
DATE: 11
)H 4015, 08/09 (obsoletes previous editions which may not be fused) Incorporated: 64EE-6.001, FAC Page 3 of 4
eBfige1VeV'iewery
�p � STA1'L' OF, FI.ORICA'PBIIMfT/iPPLICATiDN iO:CONS'f81JCYi;
4 REPAIR Kal!JP%Q� ' 9AIVpiONI►WELL.
}{ ,0801JIlWVBiI s (] pt�4Mg�&#SRUqruiureLd F a cSFlgBeiRa. Jhn
:
�• v'� r' UIhFIGdda:"Aml "'�rrwo4vect.,hntvaubritainep�itcro
ct >3vuwanlue Rlyef!.
rgprfau
�Delsgaleil AufhoriW t((MPikebta),
- - -page, l of 1,
F7arGlaUn(gtNID _ 59'31828_,;
Fanni! supuNuaa ttaquked (8u Atlldicdl ; ;
r In
BPERMIYIBNDTV�fiDUNTIL`PROPEALYMGM Or
AUTHORIY�D.OFftCEli Di REPHEBENTA7NEtjF YHS.NMNq;OIt a2CC0A1QUJtUitWAIiY.` TFtG
PER[w11Tt11lALl;BEJ�VARABtRl4T.7HEW8l:L'OtTtCUtUNci�ti.CcjNB!'R "
�S'Fomt: - _ �OTWM,R�'AIHtIdOQ1FICATI0N;0AA8RNDONN&NT _-= ooul «!csa,� hOTIt71Tf1�8: >,
a �IIx 0.;filleGNeD>tl! �?AtQ' :.a s
z
e .6
ttps //s2"ebridge com/ebridge/3 0/webviewerNiewer aspx�re ZlpzYt1My51uF3DAIRDEN1 bPKPsIBrrH 4/21'/2021
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: (Port St. Lucie Properties)
PROPERTY ADDRESS: 1565 Bennett Rd Fort Pierce, FL 34947
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 2313-131-0002-000-4
PERMIT #:56-SF-2243596
APPLICATION #: AP1632301
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1550136
[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 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 [X1 MOUND
I CONFIGURATION: [ ] TRENCH [XI BED [ ]
I
W
F LOCATION OF BENCHMARK: NID(269 orange paint) at the CL of the property W side of the road.
I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
Di
O
T
H
E
R
REQUIRED: [3L.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS Y: Nicole Montanez TITLE: Environmental Specialist II
APPROVED BY: AV ,, 1 .� ^ ov1 ITLE: Environmental Specialist II St. Lucie CHD
Nico e M tan z
DATE ISSUED: 04/21/z021 ` EXPIRATION DATE: 10/21/2022
DH 4016, 08/09 (Obsoletes all previous e•'tions which may not be used)
Incorporated: 64E-6.003, FAC 3
v 1.1.4 AP1632301 SE1491797 00 Gelf
h a St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2243596 BILL DOC #:56-BID-5186931 CONSTRUCTION APPLICATION #: AP1632301
RECEIVED FROM: Laventure & Associates Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CREDIT CARD 000742 PAYMENT DATE: 02/22/2021
MAIL TO: (Port St. Lucie Properties)
FACILITY NAME:
PROPERTY LOCATION:
1565 Bennett Rd
Fort Pierce, FL 34947
Lot: Block:
Property ID: 2313-131-0002-000-4
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: MighamJL AUDIT CONTROL NO. 56-PID-4890730
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.