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HomeMy WebLinkAboutAPPROVED Health Dept PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR. OSTDS New APPLICANT: (Port St. Lucie Properties) PROPERTY ADDRESS: 5702 Hickory Dr Fort Pierce, FL 34982 LOT: 04 BLOCK: 64 PROPERTY ID # : 3402-609-0442-000-2 SUBDIVISION: Indian River Estates PERMIT #:56-SF-2424014 APPLICATION #:AP1766995 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1703252 [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 [ 1,050 ] GALLONS / GPD Septic New 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 1 SQUARE FEE: R [ ] SQUARE FEE' A TYPE SYSTEM: [ ] I CONFIGURATION: [ ] N Drainfield New SYSTEM N/A SYSTEM STANDARD ( ] FILLED [x] MOUND [ ] TRENCH (XI BED [ ] F LOCATION OF BENCHMARK: NAIL IN RED SODA CAN TAB W OF PROP I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ] [ TNCHES FT ] [ABOVE BELOW ]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 19.001 INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D F 0 T H E R 'ILL REQUIRED: [ 3U.UU] INCHES EXCAVATION REQUIRED: L J limukiLb 007 he system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I atthss S Va i. DATE ISSUED: 12/06/2021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 06/06/2023 Page 1 of 3 v 1.1.4 AP1766995 SE1619608 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 2&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. TI1E Fes• STATE OF FLORIDA ,} DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: (,(I New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Port St. Lucie PERMIT DATE PAID: FEE PAID: ..Y' RECEIPT #: [ ] Innovative [ 1 AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770 MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983 ----------------------------------------------------------------------- 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: 4 BLOCK: PROPERTY ID #: 64 SUBDIVISION: Indian River EstatesUnit8 PLATTED: 1956 3402-609-0442-000-2 ZONING: R 2/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 : 5702 Hickory Drive, Fort Pierce, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION [✓] Unit Type of No Establishment 1 RESIDENCE 2 f1 [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sgft Table 1, Chapter 64E-6, FAC 4 1,839 [ ] Floor/Equipment Drains [�/] Other (Specify) GARBAGE GRINDERS/DISPOSALS SIGNATURE, Alexander J Piazza ;m„ e�,a, °"°°°"-"`--`"""°'fi"."T"""°"" DATE: 5-20-21 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 # AP1766995 DEPARTMENT OF HEALTH PERMIT # 56-SF-2424014 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1619608 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Port St. Lucie Properties CONTRACTOR / AGENT: Alexander J Piazza PSM Inc. LOT: 04 BLOCK: 64 SUBDIVISION: Indian River Estates ID#: 3402-609-0442-000-2 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: 0,23 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: NAIL IN R ELEVATION OF PROPOSED SYSTEM SITE 7,00 N TAB W OF PROP SODA CA FT ] [ABOVE I/ BELOW ] HENCHMARK/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: 5 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: 10 YEAR FLOODING? [ ]YES [X]NOj ]YES [X ]NO FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD VUSDA SOIL SERIES: Munsell #/Color Texture VUSDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 6/1 Sand 0 To 33 10YR 6/1 Sand 12 To 33 10YR 211 Spodic Material 33 To 39 REFUSAL Refusal 39 To 72 eUSDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 511 Sand 0 To 31 10YR 6/1 Sand 16 To 31 10YR 2/1 Spodic Material 31 To 38 10YR 2/1 Sand 38 To 47 tOYR 5/3 Sand 47 To 72 OBSERVED WATER TABLE: 32,00 INCHES [ABOVE / BELOW ] EXISTING GRADE TYPE; ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / ] HIGH WATER TABLE VEGETATION: [ ]YES [X INO MOTTLING: [X]YES [ ]NO BELOW [ PERCHED APPARENT / 1 EXISTING GRADE DEPTH: 12,00 INCHES SOIL TEXTURE7LOADING RATE FOR -SYSTEM —SIZING: Sand/0:60 BEPTH—OF—EXCAVATLON• DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR611 stripping in a 10YR511 matrix> 10% with diffuse boundaries starting at 12" In S81. SB1 7" above BM. SB2 8" above BM. SITE EVALUATED BY: 7 Vajanyl, Matthew DH 4015, 0E/09 (Obsoletes previous editions �n�ntal Specialist 0 (Florida Department of Health in S may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 12/02/2021 Page 3 of 9 AP1766995 EID2424014 APPLICANT'S NAME: Port St, Lucie Properties, Inc. LEGAL DESCRIPTION: Lot 4, Block 64, Indian River Estates Unit 8 (PB 101 PG 73) PROPOSED SEP77c ,--dim2`SIT"J�'MFORIM T ON, 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 watei 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-of-way 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 SURVEYOR OR ENGINEER. �n.Mb�a ^A��amivdva CERTIFIED BY: FLORIDA PROFESSIONAL NO,: �6330 DATE: 05/20/21 10B NO.: 21-7170 dot5/Fortes/septics/5epticApppPage207 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address:5702 Parcel ID:3402-609-0442- Account#:37958 Sec/Town/Range:ll/36S/40E HICKORY DR 000-2 Map to: 34/11N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description AGP HOMES LLC INDIAN RIVER ESTATES-UNIT--08- BLK 64 LOT 4 (MAP 4196 Merchant PLZ # 607 34/11N) Woodbridge, VA 22192 Current Values Historical Values 3-year Just/Market: $20,900 Assessed: $20,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $20,900 2021 $20,900 $20,900 $0 $20s900 2020 $149400 $12,870 $0 $12,870 2019 $119700 $11,700 $0 $11,700 Date Book/Page 12-09-2020 4521/1239 05-24-2018 4137/2060 03-22-2018 4113/0227 View: Roof Cover: Year Built: N/A Frame: Primary Wall: Story Height: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Sale Code Deed Grantor Price 0001 WD Springman (TR) Michael E $24,900 0111 QC Springman Michael E $ I00 0001 WD Rodrigues Albano F $20,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Heated %: N/A% Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: aMca.rar rca our ca a��u raw ncru� Type Qty Units Year Blt Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. ® Copyright 2021 Saint Lucie County Property Appraiser. 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