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Home My WebLink AboutAPPROVED Health Dept Permit SEPTIC WELLSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Port St Lucie Properties) PROPERTY ADDRESS: 8005 Banyan St Fort Pierce, FL 34951 PERMIT #:56SF=2366898 APPLICATION #:AP1728216 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1677748 LOT: 26 HLOCK: 19 suBDlvxsxoN: Lakewood Park PROPERTY ID #: 1301-603-0087-000-1 [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 SBD]IC 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: [ 1 TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: PAINTED NID NW OF PROPERTY I ELEVATION OF PROPOSED SYSTEM SITE [ 8,00 ][ INCHES FT I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 12,0011 INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT of ILL REQUIRED• [L1. UU] INCHES EXCAVATIVN REUUI1lEu: L l + 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. SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I $t. LUCIe CHD Matthew S Vaja DATE ISSUED: 11/03/2021 EXPIRATION DATE: 05/03/2023 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 v 1.1.4 AP1729216 SE161409A 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 850413-8743. 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. 5� - Z3lal� Ff°I8 Opquefir41 STATE Oil FLORIDA PERMITAPPLICnTIONTOCONSTRUCT, k REPAIR, MODIFY, OR ABANDONAWELL pomllNo. 59-32430 ❑Southwest P ensR plL6 auTALLgPAUCnetO FIB 03 Fladdo Unique ID ' P'•':' +. ❑Nadhwest (tDoneas Required Fields9,41, �'a llcable) Pornnl Stipulations Requlmd(9oo Attached) AA�a�ssh Johns River T6olVererwallcunba<IOdrrcrpontlLrc/ormnipinldp oulh Florida ',�w0ut agpJy^• I]Suwannee River rlpP oprf to �pnrMrirOm �Nivly anYirrnuie. the e2-624 pond No, Delineation No. a ❑DEP CUPMNP APPIIcaVan No. 4DelegelodAuthority (I(Applicable)___ Ft Pierce 'well Loaallon-Atltlreoo, Rootl Nanle or NumBe4 Clly 3.1301-603-0087-000-1 26 19 'Parcel ID Nod(PIN)at Alternate Key (Circle One) Lot Olock Unit a, 14 34S 39E St Lucie Chock if62-624:❑ Yes [allo 'Soollon or Lend Grant Tovmshlp `Ranoo 'County Subdivision 6, James Paul Tyson 11362 964-818-4268 downthehole@altmet "Water Well Contractor 'License Number 'Telephone Number E•mall Address 6, PO BOX 881496 Port St. Lucie FI 34988 'Water Well Contra (or's Address City Slate 21P 7. 'Type of Worlc Camonr Ilon ❑ Repair ❑ MudlRcallotl❑ Abandonment R. 'Number of Proposed Wells r 'Aopncnraraapalc IeaelAwcca afnnondonmen a.'Spacify Intended Use(') of Well(o): o ae amp omestta ® Landscape Initiation ® Agricultural Irrigation Site Investigations (, Bottled Water Supply Recreation Area Irrigation Livestock Monitoring Publlo Water Supply (Limited UsoIDCH) Nursery Irdgallon Test Public Water Supply(Community or Non'CommUnRY06P) Commarclelllnduslrlal Earth -Coupled Geothermal NOV — ClasslInjection Golf Course lnlgallon HVAC Supply HVAC Return 'less V Injection: ❑ Recharge ❑ Commarclallim lrlal Disposal ❑ Aquifer Slorage and Recovery ❑ Drainage emedto(lonl❑ Recovery❑ Alr Sparge ❑ Other (oo,cdbo) -1 Other (ooredbo) 'Olslence from Sopilo system If 5 200 R., J+ 71, Faallily C 'Esllmaled W'll DBpIh120 fl, 'Eslmaled Casing DBplh1 Estimated Screen Interval: From 1000 . To120 1t, 'Primary Casing Material: Black Steel Galvanized Not Cased Other: Secondary Caeing: Telescope Casing Liner Surface Casing Diameter In, . Esllmetetl Start Oala r+onr Open Hole: From=To=_n, 17. Secondary Casing Material: a)eck Steel Galvanized PVC Stainless steel Other 10.'Me01ladO(Canelrucllon,Repair,orAUendanmenl: Auger Cable Tool Jollod le Sonic Combination (Two or More Methods) liand Driven (Well Point, Sand Point) Hydrau a Polnl (Olracl Push) Hodzontalotilling Plunged by Approved Method Other(oa,cdboi 19, Proposed Grouling Interval for the Primary, Secondary, and Addlllo eel4g: From_ To 95 Seal MAlerlel( Sentonlhi% me I Other. 1 From_ To _ Seal Material ( Renlonlle mint Other. r From To •Send Material( Dentonite Nest Cement Other 1 Frorq To Seal Malarial ( Dontonite Nast Cement Other 1 20, indicate total number of existing wells on alte_0 List number of existing unused walls on site 0 214'le this wall orgny eaisllnn well or water will Ion the owner'' conllggpin ropedV a�pv� red under a ConsumpllveM/alat Use Penplt (CUPNVUP) or CUPAAlUP Applicallon7 Yes o Ifyae,complelelhefDlIOWng10 PWIPNo, Dlldit Well DNo, 22, Letlludo Lon , 23. Data Ohl elided From: OP6 Map Survey Datum: _NAD 27 __NAD 83 WGS S4 '4lconeo No, '9lnnalu o of Ormer arAn ntnm,. Iesuo Onlo,('./�,•`J�i�� Eaplrnllon Dote��Hydroleglot Approval Foo Recalvsd S Racaipt No. Chock Na, THIS PERMIT 19 NOTVALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER On REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY, THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT AOTIVITIES, County HEALTH �� STATE OF FLORIDA PERMIT NO. SF ;3�p(p�1 /!i DEPARTMENT OF HEALTH DATE PAID: 9 U21 up ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: Pa .s SYSTEM RECEIPT "^=`= APPLICATION FOR CONSTRUCTION PERMIT 5�5 APPLICATION FOR: [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair ( ] Abandonment [ ] Temporary [ ] APPLICANT: Port St Lucie Properties Inc, AGENT: Kristen Montalto TELEPHONE: (772)2814584 MAILING ADDRESS: 201 SW PSL Blvd. PSL, Fir 34984 TO BE COMPLETED BY APPLICANT OR APPLICANTS AUTHORIZED AGENT, SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 469.552, 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: 26 BLOCR: 19 SUHDIVTSTON: LAICEWOODPARICIINITN0.3 PLATTED: Y PROPERTY ID $: 1301-603-0087-000-1 ZONING: RS-4 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.36 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWEA AVAIT,ABLE AS PER 381.0065, FS? [ No ] PROPERTY ADDRESS: 8005 DIRECTIONS TO PROPERTY: South corner of Seminole Roed and street DISTANCE TO SEWER: NA FT BUILDING INFORMATION [✓] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Axea Sqft Table 1, Chapter 64E-6, FAC I Single Family 3 OzIr 153�'b 2 3 4 [ j Floor/Equipment Drains [ ] Other (Specify) 14 SIGNATURE: 1 DH 9015, 06/09 (Obsoletea previous editions which may not be used) Incorporated 69E-6.001, FAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT; Port St LUCIe Properties CONTRACTOR / AGENT: Kristen Montalto LOT: 26 BLocx: 19 SUBniv2sloN: Lakewood Park ID#:1301-603-0087-000-1 APPLICATION # AP1728216 PERMIT # 56-SF-2366898 DOCUMENT # SE1614093 TO BE COMPLETED HY 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: 0.36 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 540.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1600.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750,00 SQFT BENCHMARK/REFERENCE POINT LOCATION: PAINTED NID NW OF PROPERTY ELEVATION OF PROPOSED SYSTEM SITE 8,00 [ INCHES / FT ] [ S / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 65 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES IX]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 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 5/1 Sand 0 To 6 1OYR 5/1 Fine Sand 6 To 27 10YR 6/1 Fine Sand 20 To 27 1 OYR 5/1 Sand 27 To 38 1OYR 6/1 Sand 27 To 38 5YR 4/2 Sand 38 To 42 1OYR 3/1 Sand 42 To 48 10YR 4/2 Sandy Clay Loam 48 To 60 10YR 4/2 Sandy Loam 60 To 72 USDA 80IL SERIES: Munsel[ #/Color Texture Depth 10YR 5/1 Sand 0 To 19 10YR 6/1 Sand 15 TO 19 10YR 7/1 Sand 19 To 28 10YR 4/2 Sand 28 To 31 10YR 2/1 Spodic Material 31 To 36 10YR 5/2 Sandy Clay Loam 36 To 50 10YR 4/2 Sand 50 To 54 SY 5/2 Sandy Clay Loam 54 To 60 5Y 5/2 Sand 60 To 72 OBSERVED WATER TABLE: USDA 80IL SERIES: Munsel[ #/Color Texture Depth 10YR 5/1 Sand 0 To 19 10YR 6/1 Sand 15 TO 19 10YR 7/1 Sand 19 To 28 10YR 4/2 Sand 28 To 31 10YR 2/1 Spodic Material 31 To 36 10YR 5/2 Sandy Clay Loam 36 To 50 10YR 4/2 Sand 50 To 54 SY 5/2 Sandy Clay Loam 54 To 60 5Y 5/2 Sand 60 To 72 OBSERVED WATER TABLE: OBSERVED WATER TABLE: INCHES [ABOVE /BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [ ]NO MOTTLING: [X]YES [ ]NO DEPTH: 20,00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) 7 REMARKS/ADDITIONAL CRITERIA iWT determined using USDA WSS and soil borings. 10YR6/1 stripping in a 10YR511 matrix> 10% with diffuse boundaries starting 20" in 5B1. SB1 8" above BM. S62 3" below BM. SITE EVALUATED BY: DH 4015, 08/09 (Obaoletea previous aditione INCHES DATE: 11/02/2021 nmental Specialist I) (Florida Department of Health In S not be uaed) incorporated: fide-6.001, FAC Page 3 of 4 AP1728216 E102366898 v 1.0.2 SITE EVALUATED BY: DH 4015, 08/09 (Obaoletea previous aditione INCHES DATE: 11/02/2021 nmental Specialist I) (Florida Department of Health In S not be uaed) incorporated: fide-6.001, FAC Page 3 of 4 AP1728216 E102366898 v 1.0.2 Property Card Page 1 of 1 Michelle Franklin, CFA --Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 800G BANYAN ST Sec/I•own/Range: 14134SI39B Parcel ID: 1301-603-0087-000-1 Jurisdiction: Saint Lucie County Ownership Bryon Elizabeth Bolinsky David Michflel Bolinsky 6006 hrdrio RD Apt 6 Port Pierce, FL 34951 Legal Description LAKEWOOD PARK -UNIT 3- BLK 19 LOT2G (MAP 13/14N) Current Values JusVMarket Value: $19,G00 Assessed Value: $13,908 Cxemptions: $0 Taxable Value: $13,908 Property taxes are subject to change upon change of ownership. • Past foxes ore not a reliable projection of future foxes. • The sole of a property will prompt the removal of nll exemptions, assessment cops, and specinl classlficntions. Taxes for this parcel: 5LC Tax Collector's Office Download TRIM for this parcel: Download PDF Use Type; 0000 Account #: 704 Map ID: I3/14N Zoning: RS-4 Count Total Areas FinishedlUnder Air (SF): 0 Gross Sketched Area (SF): 0 Land Size (acres): 0.37 Land Size (SF): l6,1G9 Building Design Wind Speed Occupnncy Cntegory I II III & IV Speed l40 l50 I60 Sources/links: All information is believed to be correct a[ this time, but is subject to change and is provided without any warranty. ® Copyright 202I Saint Lucie County Property Appraiser. All rights reserved. https:flwww.paslc.govfRECard! 1113l2021 REFERENCE POINT: NID NW OF PROPERTY