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HomeMy WebLinkAboutSeptic PermtiSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS NeW
APPLICANT: (Port St. Lucie Properties)
PERMIT #:56-SF-2444595
APPLICATION #:AP1784299
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1736878
PROPERTY ADDRESS: 6109 BBISam Dr Fort Pierce, FL 34982
LOT: 36 BLOCK: 67 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-6100532-0004 [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 SeD[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 Drainfleld new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [XI BED [ ]
N
F LOCATION OF BENCHMARK: FND Nall & DISK "LB 4971"
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES ET ][ABOVE HELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 6.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
D FILL REQUIRED: [27.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), fora total estimated Flow of
D 300 gpd.
T
H
E
R
SPECIFICATIONS
HY: Brian J
Irt am
9F'
TITLE:
Environmental Specialist
III
APPROVED BY:
�O''8s"0""�
TITLE; Environmental Specialist III
Sf. LUCIe CHD
Brian J
Yoram
DATE ISSUED:
02/16/202
EXPIRATION DATE:
08/16/2023
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
A 1784299 SE1653517
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 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-
3000. The Agency Clerk's email is agency_clerk@FloridaDEP.gov.
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
Environmental Protection 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' O IWA 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #:56-SF-2444595 BILLDoc#:56-13ID-5759207 CONSTRUCTION APPLICATION#: AP1784299
RECEIVED FROM: Alexander J Piazza PSM Inc. AMOUNT PAID: $ 545,00
PAYMENT FORM: CREDIT CARD 001872 PAYMENT DATE: 01/06/2022
MAIL TO: (Port St. Lucie Properties)
FACILITY NAME
PROPERTY LOCATION:
6109 Balsam Dr
Fort Pierce, FL 34982
36
Lot:
87
Block:
PropertylD: 3402-6100532-0004
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
QUANTITY FEE
1
$
45,00
1
$
100.o0
1
$
100,00
1
$
115,00
1
$
55,00
1
$
75,00
1
$
50,00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5431167
ar`
STATE OF FLORIDA
DEPARTMENT OF HEALTH
tQ, ONSITE SEWAGE TREATMENT AND DISPOSAL
FEE
[ ] Innovative
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: 36 BLOCK: 87 SUBDIVISION: Indian River Estates Unit 9 PLATTED: 1957
PROPERTY ID #:
3402-610-0532-000-4
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY
SIZE: 0.284
ACRES WATER SUPPLY:
[ PRIVATE
PUBLIC [ ✓]<=2000GPD [ ]>2000GPD
IS SEWER
AVAILABLE AS
PER 381,0065, FS? [
No ]
DISTANCE TO SEWER: FT
PROPERTY
ADDRESS:
6109
BALSAM DRIVE,
Fort Pierce. FL 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
n
[ � ] RESIDENTIAL [ ] COMMERCIAL
No, of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
3 1,769
[ ] Floor/Equipment Drains [,/] Other (Specify) GARBAGE GRINDERS/DISPOSALS
Alexander J Piazza wl,gn41W� J�Afir ea k°
SIGNATURE: DATE: 10-30-21
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, PAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1784299
DEPARTMENT OF HEALTH PERMIT # 56-SF-2444595
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1653517
APPLICANT: Port. Lucie Properties
CONTRACTOR / AGENT: Alexander J Piazza PSM Inc.
LOT: 36 BLOCK: 87
SUBOIVIs2oN:
Indian River
Estates
ID#:
3402-6100532-0004
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: 0,29 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 3OO GALLONS PER DAY [ RESIDENCES -TABLE/ / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 724,98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750,00 SQFT UNOBSTRUCTED AREA REQUIRED: 750,00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE 3.00 [I INCHES �/ FT ] [ABOVE /I BELOW I7 BENCHMARX/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:
FT
DLTCHES/SWALES: 15 FT
NORMALLY WET: [ ]YES
[X]NO
WELLS: PUBLIC:
FT LIMITED
USE: FT PRIVATE:
FT NON -POTABLE:
92 FT
BUILDING FOUNDATIONS:
5 FT
PROPERTY LINES: 11 FT
POTABLE WATER LINES:
56 FT
SITE SUBJECT TO FREQUENT
FLOODING?
[ ]YES [X)NO
10 YEAR FLOODING? [ )YES
[X]NO]
10 YEAR FLOOD ELEVATION
FOR SITE:
FT[ MSL / NGVD 7 SITE
ELEVATION: FT [ MSL
/ NGVD
SnTT, PRr)FTT.F. TNFr)RMATTDN RTTF. 1
USDA SOIL SERIES:
Munsell #/Color Texture Depth
10YR 412 Sand 0 To 6
1 OYR 5/2 Sand 6 To 36
1 OYR 6/1 Sand 15 To 30
1 OYR 211 Spodic Material 36 To 45
7.5YR 4/4 Fine Sand 45 To 50
7.5YR 3/1 Spodic Material 50 To 57
7.5YR 314 Fine Sand 57 To 68
HOLE CAVING Refusal 68 To 72
TF
USDA SOIL SERIES:
Munsell #/Color
TF
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR
3/2
Loamy Sand
0
To
5
10YR
412
Loamy Sand
5 To
12
10YR
512
Sand
12
To
32
10YR
6/2
Sand
17
To
30
10YR
413
Sand
32
To
35
10YR
2/2
Spodic Material
35
To
51
7.5YR 4/3
Fine Sand
51
To
62
10YR
4/3
Fine Sand
62
To
65
HOLE
CAVING
Refusal
65
To
72
OBSERVED WATER TABLE: 38.00 INCHES [ABOVE / BELOW 7 EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 15 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 15.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH I ] BED [ ] OTHER (SPECIFY)
!' REhIARI(S/ADDITIONAL CRITERIA
WSWi determined using USDA WSS and soil bor(ngs.
10YR011 stripping in 10YR6/2 matrix>10% with diffuse boundaries start(ng at 15" In SB1.
SB7 3" below BM, 582 2" below BM. _
9ITE EVALUATED BY:
InBrdm, Brian ((((ef IO :Environmental Specialist III) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions wTich may not be used) Incorporated: 64E-6.001, PAC Page 3 OP 4
AP1784299 EID2444595 v 1.0.2
APPLICANT'S NAME:
Port St. Lucie Properties, Inc.
LEGAL, DESCRIPTION: Lot 36, Block 87, Indian Riyer Estates Unit 9 (PB 10, PG 74)
PROPOSED SFTZ�SS2'EIITIlFOtZNfAI`Q'
1 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.
NOTE: MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOROR ENGINEER.
Alexa nder) Piazza %k .a.,p; a„�,9�,=�a»<
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.: 6330
Li ATE: 10/30/21 102 NO.: 21-8250
dots/t'orms/septics/SepticApppPage207
Page 4 of 4
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Michelle Franklin, CFA-- Saint Lucie County Property Appraiser -- All rights reserved,
Property Identification
Site Address: 6109 BALSAM
Parcel ID: 3402-610-0532-
Account #: 38636
Seefrown/Range: 12/36S/40E
DR
000-4
Map to: 34/12S
Zoning: RS-4 Count
Use Type: 0000
Jurisdiction: Saint Lucie
County
Ownership
Legal
Description
Paul Domenick Cialini Jr
INDIAN
RIVER ESTATES-UNIT-09-
ELK 87 LOT 36 (MAP
Samantha D Cialini
34/12S)
520 SE Maple TER
Port St Lucie, FL 34983
Current Values
Historical
Values IT
Just/Market: Just/Market: $22,200 Assessed: $111999 Year
Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $111999 2021
$222200
$IL999
$0
$119999
2020
$18,000
$100909
$0
$10,909
2019
$14,600
$9,918
$0
$9,918
Date Book/Page
10-27-2021 4715/0508
05-07-2021 4675/0278
02-17-2021 4561/2780
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 Pruitt Robert $59,000
0111 QC Pruitt Janeve Faye $100
0001 WD Bento Carla $31,000
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:
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Total Areas
_. Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
.. ,., . Land Size (acres): 0,29
Land Size (SF): 12,500
Total Building Count: 1
Special Features and Yard Items
Type Qty Units Year Blt
All inforniation is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved.
Special Features and Yard Items
Type Qty Units Year Blt
All inforniation is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved.
4 i 7'd JS f V--IY
Ir
.i y
Custom Soil Resource Report
St. Lucie County, Florida
50—Waveland and Immokalee fine sands
Map Unit Setting
National map unit symbol. ljpwd
Elevation: 0 to 200 feet
Mean annual precipitation: 49 to 58 inches
Mean annual air temperature: 70 to 77 degrees F
Frost -free period: 350 to 365 days
Farmland classification: Not prime farmland
Map Unit Composition
Waveland and similar soils: 45 percent
Immokalee and similar soils: 43 percent
Minor components: 12 percent
Estimates are based on observations, descriptions, and transacts of the mapunit.
Description of Waveland
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 4 inches: fine sand
Eg - 4 to 32 inches: sand
Bhf - 32 to 40 inches: loamy sand
Bh2 - 40 to 53 inches: sand
Cgf - 53 to 66 inches: sand
Cg2 - 66 to 80 inches: sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: 31 to 50 inches to ortstein
Drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat):
Moderately low to
moderately high (0,06 to 0.20 In/hr)
Depth to water table: About 6 to 18 inches
Frequency of flooding: None
Frequency of panding: None
Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0
mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water supply, 0 to 60 inches: Very low (about 0.8
inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (nonirrigated): 4w
Hydrologic Soil Group: C/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
10
Custom Soil Resource Report
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Description of Immokalee
Setting
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Parent material: Sandy marine deposits
Typical profile
A - 0 to 6Inches: fine sand
E - 6 to 35 inches: fine sand
Bh - 35 to 54 inches: fine sand
Cg - 54 to 72 inches: fine sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive feature: More than 80 inches
Drainage class: Poorly drained
Runoff class: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high
(0.57 to 1.98 In/hr)
Depth to water table: About 6 to 18 Inches
Frequency of flooding: None
Frequency of ponding: None
Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm)
Sodium adsorption ratio, maximum: 4.0
Available water supply, 0 to 60 inches: Low (about 5.3 inches)
Interpretive groups
Land capability classification (irrigated): None specified
Land capability classification (now rrigated): 4w
Hydrologic Soil Group: B/D
Forage suitability group: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Minor Components
Salerno
Percent of map unit: 3 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Jonathan
Percent of map unit: 3 percent
to
Custom Soil Resource Report
Landform: Ridges on marine terraces, knolls on marine terraces
Landform position (three-dimensional): Interfluve
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on rises, knolls, and ridges of mesic
uplands (G156BC121FL)
Hydric soil rating: No
Lawnwood
Percent of map unit: 3 percent
Landform: Marine terraces on flatwoods
Landform position (three-dimensional): Talf
Down -slope shape: Linear
Across -slope shape: Linear
Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands
(G156BC141FL)
Hydric soil rating: No
Electra
Percent of map unit: 3 percent
Landform: Knolls on marine terraces, rises on marine terraces
Landform position (three-dimensional): interfluve
Down -slope shape: Convex
Across -slope shape: Linear
Other vegetative classification: Sandy soils on rises and knolls of mesic uplands
(G156BC131FL)
Hydric soil rating: No
12