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HomeMy WebLinkAboutFDOH Septic PermitSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Port St. Lucie Properties) PROPERTY ADDRESS: 5105 Myrtle Or Fort Pierce, FL 34982 LOT: 26 BLOCK: 48 SUBDIVISION: Indian River Estates PROPERTY ID #: 3QO2-603-0282-000-9 PERMIT #, 56=SF-2428260 APPLICATION #:AP1769908 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1736245 [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 Septic 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 [ SOO ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND I CONFIGURATION: [ ] TRENCH [X] BED [ ] F LOCATION OF BENCHMARK: GREEN PAINTED NID NE OF PROP EDGE OF RD IN FRONT OF TP I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ] E BOTTOM OF DRAINFIELD TO BE [ 11.001 L FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT D FILL REQUIRED: [27.00] INCHES _.. EXCAVATION REQUIRED: [ 56.00]INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of D 300 gpd. H E SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist i ' APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHO Matthew 5 Vaja DATE ISSUED: 02/14/2022 EXPIRATION DATE: 08/14/2023 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v l.l... ,131'I6990P sf16�2693 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 g`iN l 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2428260 BILL Doc #:56-BID-5736596 CONSTRUCTION APPLICATION #: AP1769908 RECEIVED FROM: Alexander,) Piazza PSM Inc. AMOUNT PAID: $ 545,00 PAYMENT FORM: CREDIT CARD 000317 _ PAYMENT DATE: 12/13/2021 MAIL TO: (Port St. Lucie Properties) FACILITY NAME PROPERTY LOCATION: I Qy Z10.7 Myrtle Dr Fort Pierce, Fl- 34982 26 Lot: Property ID: 3402-608-0282-000-9 EXPLANATION or DESCRIPTION: Block: 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 :[3 QUANTITY FEE 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-5407626 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: Port St. Lucie Properties, Inc. PERMIT NO.2-�'�`UZt DATE PAID: . '�, FEE PAID: y RECEIPT #:,) r [ ] 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: 26 BLOCK: 48 SUBDIVISION: Indian River Estates Unit 7 PLATTED: 1958 PROPERTY ID #: 3402-608-0282-000-9 ZONING: R I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ 1 PRIVATE PUBLIC EX ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5407 Myrtle Drive, Fort Pierce, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION [%/I RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC I RESIDENCE 3 1,580 2 3 4 [ ] Floor/Equipment Drains [ i] Other (Specify) GARBAGE GRINDERS DISPOSALS Alexander J Piazza S IGNATURE : DATE: 10-29-21 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 If AP1769908 DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT # 56-SF-2428260 SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1652693 AeeLxcANT: Port St. Lucie Properties CONTRACTOR / AGENT: Alexander J Piazza PSM Inc. LOT: 26 BLOCK: 48 SUBDIVISION: Indian River Estates xn#: 3402-608-0282-000-9 TO 8E 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: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1.500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SOFT BENCHMARK/REFERENCE POINT LocamxoN: GREEN PAINTED NID NE OF PROP EDGE OF RD IN FRONT OF TP 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: 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: 32 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: [ ]YES [X]NO SO YEAR FLOODING? [ ]YES [X]NO] _FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 26 10YR 611 Sand 15 To 26 10YR 2/1 Spodic Material 26 To 48 10YR 3/1 Sand 48 To 70 1 OYR 5/3 Loamy Sand 70 To 72 SOIL PROFILE TNFORMATTr1N C USDA SOIL SERIES: Munsell#/Color USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 26 10YR 611 Sand 15 To 26 10YR 2/1 Spodic Material 26 To 48 10YR 3/1 Sand 48 To 70 1 OYR 5/3 Loamy Sand 70 To 72 SOIL PROFILE TNFORMATTr1N C USDA SOIL SERIES: Munsell#/Color SOIL PROFILE TNFORMATTr1N C USDA SOIL SERIES: Munsell#/Color Texture Depth 10YR 5/1 Sand 0 To 24 10YR 6/1 Sand 15 To 24 10YR 2/1 Spodic Material 24 To 56 10YR 412 Loamy Sand 56 To 72 OBSERVED WATER TABLE: 57.00 INCHES [ ABOVE ifBELOW ] 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: SITE EVALUATED BY: va(any�, nmanevirn�e: envcymne ntal SpeGaOst I) (Floritla Department of Health In S DH 9015, 08/09 (Obaole tes previous editions which may not be used) Incorporated: 69E-6.001, FAC 56 INCHES DATE: 02/]]/2022 Page 3 of 4 APi/GJaOII cIDZd�,6%op vi.O.J 56 INCHES DATE: 02/]]/2022 Page 3 of 4 APi/GJaOII cIDZd�,6%op vi.O.J APPLICANT'S NAME: Port St. Lucie Properties, Inc. LEGAL. DESCRIPTION: Lot 26, Block 48, Indian Riyer Estates Unit 7 (PB 10, PG 75) PROPOSED SEPTICSYSTEM SITFINFORMWON 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 natuial 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: NRJST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOROR ENGINEER. Alexander J Piazza �"�_ ��Mt=��"�=s=9E=�e== CERTIFIED BY: FLORIDA PROFESSIONAL NO.: 6330 9 DATE: 10/29/21 JOB NO.: 21-8116 Page dots/forms/septics/SepticAppp Page207 4 of 4 Bedrooms: 0 Full Baths: 0 Half Baths: 0 Michelle Franklin, CFA-- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: TBD Parcel ID: 3402.608-0282- Account #: 37372 Sec/Town/Range: 02/36S/40E 000-9 Map ID: 34/02S Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Paul E Skomal 1NDIAN RIVER ESTATES -UNIT 07- BLK 48 LOT 26 (MAP 1304 Harbor RD 34/02S) (OR 2350-2061) Annapolis, MD 21403 Current Values Historical Values 3-year Just/Market: $20,900 Assessed: $9,641 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $92641 2021 $20,900 $%641 $0 $92641 2020 $143400 $82765 $0 $8,765 2019 $115700 $75969 $0 $7,969 Sale History Date Book/Page Sale Code Deed Grantor Price 08-25-2005 2350 / 2061 XX00 WD Ketter John G $65,000 05-07-2004 1962 / 1405 XX00 WD Lang Renee $233500 10-07-2002 1595 / 0808 XX00 WD Zlinkoff Norman $5,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data A/C %: 0% Electric: I-Ieated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Type Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): .. Land Size (acres): 0.23 Land Size (SF): 10,000 Total Building Count I Special Features and Yard Items Qty Units Year Blt All information is believed to be connect at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. Special Features and Yard Items Qty Units Year Blt All information is believed to be connect at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. All information is believed to be connect at this time, but is subject to change and is provided without any warranty. © Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.