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HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Port St Lucie Properties, Inc.) PROPERTY ADDRESS: TBD Cassia Dr Fort Pierce, FL 34982 LOT: 6 BLOCK: 86 SUBDIVISION: Indian River Fstates PROPERTY ID #: '14r)2-61 r?-04Fcf3..non_r1 PERMIT #:56-SF-2421120 APPLICATION # : AP 1764958 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1705803 [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, E.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 [ 1,050 ] GALLONS / GPD Sentic CAPACITY A [ ] GALLONS / GPD NIA CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: NID NW OF PROP BY MAILBOX I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D O T H E R L xmQulrtmD: t3U.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES e system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow of 0 gpd. SPECIFICATIONS BY: Matthew S Vajanyi TITLE'Fd Environmental Specialist I APPROVED BY: ITLE: Environmental Specialist I St. Lucie CHD Matthew S Vajanyi DATE ISSUED: 12/16/2021 EXPIRATION DATE: 06/16/2023 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 AP1764958 SE1622104 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 `t as H HEALTH' 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: s:56-SF-2421120 BILL DOCa:56-BID-5701578 CONSTRUCTION APPLICATION N: AP1764958 RECEIVED FROM: Alexander J. Piazza PSM, In_ c PAYMENT FORM: CREDIT CARD 000925 AMOUNT PAID: $ 5 PAYMENT DATE: 11/18/2018/2021 MAIL TO: (Port St Lucie Properties, Inc.) FACILITY NAME : _ PROPERTY LOCATION: TBD Cassia Dr Fort Pierce, FL 34982 6 Lot: Block: 86 Property ID: 3402-610-0466-000-0 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) -1 - OSTDS New Permit Surcharge -1 - OSTDS Construction Application and Plan Review,New 123 - OSTDS Construction Site Evaluation 126 - OSTDS Construction Permit (New or Mod, Amendment) 127 - OSTDS Construction System Inspection 133 - OSTDS Construction Reinspection RECEIVED BY: WhighamJL QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100,00 1 $ 115,00 1 $ 55.00 1 $ 75.00 1 $ 50.00 AUDIT CONTROL NO. 56-PID-5368785 STATE OF FLORIDA DEPARTMENT OF HEALTH t'f1 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. DATE PAID: FEE PAID: 5qr� RECEIPT #: [,/] New System [ ] Existing System [ ] Holdin g an [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Port St Lucie Properties, Inc AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983 772-340-7770 -------------------------------------------------------------- —------------------------------------------- TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT, SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(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 LOT: 6 BLOCK: 86 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1957 PROPERTY ID # 3402-610-0466-000-0 ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [�<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: TBD Cassia Drive, Fort Pierce, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION [�/] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area SgPt Table 1, Chapter 64E-6, FAC 1 RESIDENCE 4 15799 2 3 4 [ ] Floor/Equipment Drains [,i] Other (Specify) GARBAGE GRINDERS/DISPOSALS °Tak,l .1�e,Al=.,� PIMA Alexander J Piazza _ S IGNATURE : DATE: 11-09-21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1764958 DEPARTMENT OF HEALTH PERMIT # 56-SF-2421120 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1622104 APPLICANT: port St Lucie Properties, Inc. CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc LOT: 6 BLOCK: $$ sUBDIv1s1oN: Indian River Estates ID#:3402-610-0466-000-0 TO BE COMPLETED BY ENGINEER, REGISTRATION NUMBER AND SIGN AND HEALTH DEPARTMENT SEAL EACH PAGE OF EMPLOYEE, OR OTHER QUALIFIED PERSON, ENGINEERS MUST PROVIDE SUBMITTAL. COMPLETE ALL ITEMS, PROPERTY SIZE CONFORMS TO SITE PLAN: [X ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575,01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000,00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000,00 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES / FT ] [ABOVE / BELOW ] eENCeMARR/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: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 25 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOJ 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MEL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD Rl1TT. ORr1FTT.F. TNFTIRMATTIIU RTTF. T USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 10 1 OYR 211 Sand 10 To 19 10YR 3/1 Sand 14 To 19 10YR 4/1 Sand 19 To 30 10YR 511 Sand 24 To 30 10YR 6/1 Sand 30 To 36 1 OYR 2/1 Spodic Material 36 To 42 REFUSAL Refusal 42 To 72 / BELOW 7 Rl)TT, DRr1FTT.F. TNFYIRMATT(1N RTTF. 9 VSDA SOIL SERIES: Munsell #/Color / BELOW 7 Rl)TT, DRr1FTT.F. TNFYIRMATT(1N RTTF. 9 VSDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 211 Sand 0 To 10 10YR 3/1 Sand 10 To 24 10YR 411 Sand 15 To 24 10YR 5/1 Sand 24 To 30 10YR 6/1 Sand 24 To 30 10YR 211 Spodic Material 30 To 43 REFUSAL Refusal 43 To 72 OBSERVED WATER TABLE: 30.00 INCHES ['ABOVE EXISTING GRADE TYPE: [ PERCHED / APPARENT ESTIMATED WET SEASON WATER TABLE ELEVATION: 14 INCHES [ABOVE / SELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [XI YES [ ]NO DEPTH: 14,00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 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. 10YR311 stripping in a 10YR211 matrix > 10 % with diffuse boundaries starting 14" in 5B1. SB1 6" below BM. SB2 5" below BM. SITE EVALUATED BY: VaJanyi, Matthew (TtN�ir�d(antal Specialist I) (Florltla Department of Health In S DH 4015, OB/09 (Obeolatae previous editions which may not be uaed) Inoorporaked: 69E-6.001, FAC INCHES DATE: 12/15/2021 Page 3 of 4 AP1784958 EID2421120 INCHES DATE: 12/15/2021 Page 3 of 4 AP1784958 EID2421120 APPLICANT'S NAME: Port St. Lucie Properties, Inc. LEGAL DESCRIPTION: Lot 6, Block 86, Indian River Estates Unit 9 (PB 10, PG 74) 'ItPd,SJD SEFT11�Zll �11�J�'Q:�NJGk; I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation; that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of4ay that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, filled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or wetlands are shown on the applicants lot. The natural grade elevation in the area of the proposed septic system and the benchmark must be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOROR ENGINEER. wyiuirysg�e�eyue.ana.ri>bna Alexander) Piazza ��;�`a„���9�»��a14 CERTIFIED BY: FLORIDA PROFESSIONAL NO.: 0 6330 BATE: 11/09/21 JOB NO.: 21-8211 dots/f'orms/seplics/SepticApppPage207 _ Page 4 of 4 Michelle Franklin, CFA m- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: CASSIA DR Parcel ID:3402-610-0466- Account#: 134091 Sec/Town/Range:l2/36S/40E 000-0 Map ID: 34/12S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Andy M Cordeiro INDIAN RIVER ESTATES -UNIT 09- BLK 86 LOT 6 (MAP 210 Trotter RD Apt 407 34/12S) (OR 2011-1565) South Weymouth, MA 02190 Current Values Historical Values 3-year Just/Market: $20,900 Assessed: $93641 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $%641 2021 $20,900 $%641 $0 $92641 2020 $14,400 $8,765 $0 $8,765 2019 $11,700 $7,969 $0 $7,969 Date 07-02-2004 04-07-2004 06-11-2003 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 2011 / 1565 XX00 WD Adams Carol J 1942 / 2860 XX00 WD Diamonds & Passion Ent Inc I733 / 2227 XX00 WD Hakes Sally J Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Roof Cover: Frame: Story Height: Heated %: N/A% Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Type Qty Units Year Blt All information is believed to be correct a[ this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. Price $36,000 $24,900 $15,000 0] 6: REFERENCE POINT: NID NW OF PROPERTY BY MAILBOX