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Home My WebLink AboutAPPR.HEALTH DEP. PERMITSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM RECEIVED PERMIT #:56-SF-2333233 APPLICATION #:AP1698639 DATE PAID: FEE PAID: RECEIPT # DOCUMENT #: PR1623578 St. Lucie County CONSTRUCTION PERMIT FOR: OSTDS New Permitting„,, APPLICANT: (Carr Investment Properties) PROPERTY ADDRESS: 5132 Melissa Ln Fort Pierce, FL 34946 LOT: 01 BLOCK: 07 SUBDIVISION: Green Acres PROPERTY ID #: 1430-702-0049-000-4 [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 T [ 900 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ I 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: [ j STANDARD [ I FILLED [x] MOUND I CONFIGURATION: [ ] TRENCH [x] BED [ j N F LOCATION OF BENCHMARK: Site BM, NiD in W side of Veronica I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R [ 2.00 ][ INCHES FT I [[Agoya BELOW] BENCHMARK/REFERENCE POINT 1 6.00 ][ INCHES FT ]'[ ABOVE BELOW]BENCHMARK/REFERENCE POINT A Wul u; r LL.VVI 1NU: b Z. AVAl'1VN M QulNy: r nV.Vu J 1NU=b system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: Brian J I ,gram TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J gram DATE ISSUED: 08/19/20 1 EXPIRATION DATE: 02/19/2023 DR 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 A 1698639 SE1579637 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 N 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2333233 BILL ooc#:56-BID-5424264 CONSTRUCTION APPLICATIONM AP1698639 RECEIVED FROM: KARNERINC AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 045263 PAYMENT DATE: 07/20/2021 MAIL TO: (Carr Investment Properties) FACILITY NAME: PROPERTY LOCATION: 5132 Melissa Ln Fort Pierce, FL 34946 01 Lot: Property ID: 1430-702-0049-0004 EXPLANATION or DESCRIPTION: Block: 07 128 - 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 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 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5094997 STATE OF FLORIDA DEPARTMENT OF HEALTH gl, ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: ['� ] New System [ ] Existing System [ 7 Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Car., 'a 1?i�r�wi'�sl.�•�St 't�N b;'JCi:'t�.1.G�<^ PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: [ ] Innovative AGENT: KAP—NER SURVEYING INC TELEPHONE(772) 280 7206 MAILING ADDRESS: 2740 STT MARTIN DOWNS IMMVD, 0333, PF.5,m2 CITY, FL. 34990 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: 1 BLOCK: 7 SUBDIVISION: GREEN AC!.reS UNIT 3 PLATTED: February 1972 PROPERTY ID #: 1430-702-0049-000-4 ZONING: RMH-5 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: 0.165 ACRES WATER SUPPLY: [] PRIVATE PUBLIC [q]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / N ] PROPERTY ADDRESS: 5132 Melissa Lane DIRECTIONS TO PROPERTY: SEE ATTACHED BUILDING INFORMATION Unit Type of No Establishment 1 REST_DENC,L' 2 3 [ v] RESIDENTIAL DISTANCE TO SEWER: FT [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC 3 [ 7 Floor/Equipment Drains [ 7 SIGNATURE: 1165 DATE: 0'7/016/2021 DH 4015, 10/97 (Previous Editions May �eiised) ONLINE VERSION Page 1 of 4 APPLICANT: Property owner's full name. AGENT: Property owner's legally authorized representative. STATE OF FLORIDA APPLICATION # AP1698639 DEPARTMENT OF HEALTH PERMIT # 56-SF-2333233 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1579637 APPLICANT: Carr Investment Properties CONTRACTOR / AGENT: KARNERINC LOT: 01 BLOCK: 07 SUBDIVISION: Green Acres ID#:1430-702-0049-000-4 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: I ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.17 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 424.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 850.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM, NiD in W side of Veronica ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 20 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES Ex ]NO 10 YEAR FLOODING? [ ]YES [X]N01 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD 61OTT. RRr1FTT.V. T1cFr1RMATTr1N RTTF. 1 Ar1TT. VUnVTT.F. TM7r1RMATTnM STW.. 9 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 12 1OYR 6/4 Sand 12 To 19 1 OYR 6/2 Sand 19 To 31 10YR 618 CMN/PRM RF 20 To 25 1 OYR 412 Sand 31 To 36 1OYR 2/2 Spodic Material 36 To 56 1OYR 5/2 Sand 56 To 62 HOLE CAVING Refusal 62 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 4/2 Sand 0 To 6 1 OYR 512 Sand 6 To 27 1OYR 6/2 Sand 21 To 34 1 OYR 5/8 CMN/PRM RF 21 To 30 1 OYR 4/2 Sand 34 To 45 1OYR 2/2 Spodic Material 45 To 55 10YR 4/3 Fine Sand 55 To 62 1OYR 5/3 Fine Sand 62 To 66 HOLE CAVING Refusal 66 To 72 OBSERVED WATER TABLE: 39.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 56 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [ X I BED ( ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 CMN PROM RF mottling In 10YR612matrix>2% starting at 20" In SB1. SB1 2" above SM. SB2 1" above 13M. /J SITE EVALUATED BY: ��`� C:�' Ingram, Brian DH 4015, 08/09 (Obsolates previous editions % ye.� DATE: 08/11/2021 Environmental Specialist 111( (ENVIRONMENTAL HEALTH) may not ba used) Incorporated: 64E-6.001, £AC Page 3 of 4 AP1698639 EID2333233 v 1.0.2 oe a STATE OF FLORIDA DEPARTMENT OF HEALTH �6 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM p SITE EVALUATION AND SYSTEM SPECIFICATIONS a� �,sR` PERMIT #. APPLICANT: Carr Investment Properties AGENT: KARNER SURVEYING INC LOT: 1 BLOCK: 7 SUBDIVISION: GREEN ACRES UNIT 3 PROPERTY ID #: 1430-702-0049-000-4 [Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [q] YES [ ] NO NET USABLE AREA AVAILABLE:0.165 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: 1499 -� GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 850 SQFT UNOBSTRUCTED AREA REQUIRED: 750 _SQFT BENCHMARK/REFERENCE POINT LOCATION: N_ag Nail and Disc in Road at E1_21.31 NAVD ELEVATION OF PROPOSED SYSTEM SITE IS 0.56 [INCHES/FT] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75' FT DITCHES/SWALES: 15' FT NORMALLY WET? [ ] YES [x] NO WELLS: PUBLIC: N/A FT LIMITED USE: FT PRIVATE: 751- FT NON -POTABLE: 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 10 FT� SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [4] NO 10 YEAR FLOODING? [ ] YES ['�] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: cy1L Yt Vz lLz 1tVC Vlvlual lvty o MUNSELL #/COLOR TEXTURE USDA SOIL SERIES: DEPTH 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 [ ] BED REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: DH 4015, 10/96 (Replaces HRS-H Form 4015 [page DEPTH OF EXCAVATION: ] OTHER (SPECIFY) may be used) INCHES DATE :.07/�6/202,1__ Page 3 of 4 INSTRUCTIONS: APPLICANT'S NAME: Car ltl "; IISr' it l`„r'itia,a ,a LEGAL DESCRIPTION:.ti' ,' #<fk :3t 7 PROPOSED SEPTIC SYSTEM SITE7NFORMAT10N 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-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. SURVEYOR'S NOTE: All of the above subject to restrictions and specifications noted on the map of survey attached hereto. This certification shall not be valid and complete unless provided together with the map of survey NOTE: MUST BE CERTIFIED BY A FLORIDA CERTIFIED BY: REGISTERED SURVEYOR OR ENGINEER '' FLORIDA PROFESSII N�L NO.: ' 3:i3 DATE: 7/16/ 021 JOB O '910- W docs/forms/septics/SepticApppPage207 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 5132 MELISSA Parcel ID: 1430-702-0049- Account M 10322 Sec/Town/Range: 30/34S/40E LN 000-4 Map ID: 14130S Zoning: RMH-5 - Co Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Carr Investment Properties Inc (TR) GREEN ACRES -UNIT 3- ELK 7 LOT 1 1931 Cordova RD # 306 Fort Lauderdale, FL 33316 Current Values Historical Values 3-year Just/Market: $19,000 Assessed: $19,000 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $19,000 2020 $19,000 $19,000 $0 $19,000 2019 $19,000 $9,183 $0 $9,183 2018 $9,700 $8,349 $0 $8,349 Sale History Date Book/Page Sale Code Deed Grantor Price 07-22-2019 4298 / 1552 0111 TD Lacey (EST) Florence $6,400 12-29-1999 1271 / 1233 XX01 OA Burton Quentin $0 12-16-1988 0619 / 1036 XXOI WD Burton Loren R $100 Type Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Bit 0 0 0.17 7,280 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. All rights reserved. YOUR TRIP TO: 5132 Melissa Ln 17MIN 1 12.411111111 R A.1 Scan this QR code forto directions on your mobiledevice: Est. fuel cost: $1.50 Trip time based on traffic conditions as of 10:49 AM on July 19, Print a futt health report of your car with HUM 2021. Current Traffic: Light vehicle diagnostics (800) 906-2501. ® 1. Start out going north on NW Milner Dr toward NW Corporate Way. Then 0.12 miles 0.12 total miles 2. Take the 2nd left onto Midway Rd/County Hwy-712. Midway Rd is lust past NW Omega Rd. If you reach the end of Midway Rd you've gone about 0.9 miles too far. Then 1.60 miles 1.72 total miles TAT 3. Merge onto 1-95 N toward Daytona Bch. Then 5.14 miles 6.86 total miles E� 4. Take the FL-68 W exit, EXIT 131. Then 0.77 miles 7.63 total miles T,,T 5. Merge onto Orange Ave/County Hwy-68. Then 0.34 miles 7.97 total miles �y 6. Turn right onto N Kings Hwy/FL-611/FL-713. If you reach S Rock Rd you've gone about 0.5 miles too far. Then 1.50 miles 9.47 total miles 7. Turn right onto W Angle Rd/FL-611. If you reach Commercial Cir you've gone about 0.1 miles too far. Then 1.01 miles 10.48 total miles 8. Turn left onto Keen Rd/FL-611. Keen Rd is 0.5 miles past Taylor Dairy Rd. If you are on Angle Rd and reach N 53rd St you've gone about 0.2 miles too far. Then 1.00 miles 11.48 total miles 9. Turn right onto Saint Lucie Blvd/County Hwy-606. Saint Lucie Blvd is 0.5 miles past Canal 1. If you reach the end of Keen Rd you've gone a little too far. Then 0.52 miles 10. Turn left onto Hammond Rd. Hammond Rd is 0.2 miles past Center Rd. If you reach Curtis King Blvd you've gone about 0.4 miles too far. Then 0.25 miles 11. Turn left onto Melissa Ln. Melissa Ln is just past Deanna Ln. If you reach Steel Blvd you've gone about 0.2 miles too far. Then 0.16 miles ?i 12. 5132 Melissa Ln, Fort Pierce, FL 34946-9126, 5132 MELISSA LN is on the right. Your destination is just past Veronica St. If you reach the end of Melissa Ln you've gone a little too far. Ob Save to My Maps 12.00 total miles 12.25 total miles 12.41 total miles Use of directions and maps is subject to our Terms of Use. We don't guarantee accuracy, route conditions or usability. You assume all risk of use. Park ' A1A4� I"w7 L Ann Umog. :s 191 `97,6 `- lc I Q00 ueil( i.,'.I Fort PI crce hynh Coo North Foil Rhine I '?z 70 F'w,, Pler[;r3 Somh j_7Q. 4, "Trait o i. Wf and '.t unni t.rah 4 I nba n War Csratr.s R1R�� Anknna Aii