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HomeMy WebLinkAboutOSTDS NewRECEIVED JUL 18 7017 STATE OF FLORIDA DEPARTI,MNT OF HEALTH ONSITE SEWAGE TREATMENT 'AND DISPOSAL, SYSTEM PERMIT #:66-SF-1.772899 APPLICATION #: AP1296699 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1068218 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Keith Taig PROPERTY ADDRESS: 6104 E Seminole Rd Fort Pierce, FL 34951 LOT: BLOCK: 50 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301-605-0260-000-4 [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 SPECIFICATIONS T [ 900 ] GALLONS / GPD SeDtic 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 [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ I— N F LOCATION OF BENCHMARK: orange spot CL of E Seminole Rd extended from N property line. I ELEVATION OF PROPOSED SYSTEM SITE [ 9.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E O T H E R L REQUIRED: [ IS.UU] INCHES EXCAVATION REQUIRED: [ "13.UU J INCHES ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 0 gpd. ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(9, FAC.VAN _ yyTV SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY:Environmental Specialist II St. Lucie CHD Brian J Ingram DATE ISSUED: 07/10/2017 EXPIRATION DATE: 01/10/2019 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 AP1296699 SE1040164 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. ApMaIMM To COMM" cm EmF Td App"M� v 'Ewe ir 111,1�,�illllgd Pam ASK 2. ` le •nr N4MUa4140 li1Da U y . v 4��P�] 4+ t1bK`r��i {-d@ QtLXa - Cued i[!7 `A•�M,�,3a2-1 .. -T70" fir 11i % i1f1� 1C�E1�r(� r FL a. wan -* C" Q $ m per,,; rt - IMn�d t {sl weasx on m,1a� opus a"gip3 J UL , �12 Egjrt�i $lad �- ii 4tncdRu�"K�- y�, o,M, gin. �aaa 'CeliM COP td. �Ffm�3trd �4� fi06rrxi. �is�r� G9 � O — gk B1xk SAo4� �r 7 ra'Ftilrcyt F �* �rac� T�iat _ WV.�l"ts�r�r— rr L� d- Tc18 � --lifter ' Butwe' esa Sr i att�� 'Fi• Saca,��rY {: G f,Yyil�ri� �. =vc —� 54rGG ,M ppA Wp�rvsd �¢ ltx• Esrm �cYd WTiona 9'• r {ta8l�IPOW"— HealGert�i_ — 8r Ftam=—�•—SE(+N r ED¢n44rtu•�rt—{71hCr _tom —_3 TO �mm 4-• 13wiS L� ��rl roanhsa#�e 'o`� cr9 uu +d'■�' a� SOW •t oc c� kip =+cys �yp�*.Mad Lwde; ODAM '�t"e���P9rmit��lR�+ll�'! 20.ln3a�tdel rti�. Apr-+rt nI� �Io the a cp C� ; We& ID WM gI,-r9�i5�v y �Rr�es.cu�(e."`�► f�b_cIi►'1'•1+'71a�� pe CG ih'Lk? 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R � �� � -' ° I :. tit f ' ��. � a • -c+ rt aa trie�•ari�'w ter. •L•WfM - ' 7C 7 owmyltry FM nnic Yll V f• I''_ _ ??1 y y ,v JCpSJG 4.r= wlr ti SN {LINK ti 4Y I fY GJrR_•--'N- ?8EX)tP*f AKL .j j_ r.. L.07. .�i oraexmerr6+��Gq{ooaA�Jvaer�a t •K • �T' IiL '►:�.1 i r_ o lasr .asp s.. �. �v Tssrr�ramu; _, Ch,.JSd, r •rar-J{i.T'CiT ,RY.lLlf.yr 4SOoaa 31 •f •,�q ARJYaSLT1C .,ECJICAMrM Ya�SYi1{C+�SY C72iYTrr:J .Vh'••y ' ,• _. ..:..k 1. ..ti 7: �Ol'• ' . .. 76Y.n1�' . • S!4 • b Nov..- •i J�.}r �: Icvnr. a.x's ... • R, -- • • ?WT,•-WC*f-L SUa- VV LNC WD MhFFilM )V$i2At-Y.. :1-ul= 3aBm= EmIw3m%mn OF %v7'a01elT.Emm lmi; = in d9:3 :''akOO�• {;7'3� �-��?o St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT#:56-SF-1772899 13lLLooc#:56-BID-3456519 CONSTRUCTION APPLICATION #: AP1296699 RECEIVED FROM: Ameron Homes Inc AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 69205 PAYMENT DATE: 06/27/2017 MAIL TO: Keith Taig FACILITY NAME: PROPERTY LOCATION: 6104 E Seminole Rd Fort Pierce, FL 34951 Lot: Block: 50 Property ID: 1301-605-0260-000-4 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $. . 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3286717 E STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: 5 cl • alo (0 3S-- SF 177-Z-ffs q PERMIT NO. DATE PAID: FEE PAID: (030 RECEIPT #: [✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: KEITH TAIG AGENT: AMERON HOMES, INC. MAILING ADDRESS: P.O. BOX 780874, SEBASTIAN, FL 32978 TELEPHONE: 772-589-1299 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: BLOCK: 50 SUBDIVISION: LAKEWOOD PARK PLATTED: PROPERTY ID #: 1301-605-0260-000-4 ZONING: I/M OR EQUIVALENT: [ No 0 ] PROPERTY SIZE: .23 ACRES WATER SUPPLY: [ ✓] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No l ] PROPERTY ADDRESS: 6104 E. SEMINOLE ROAD, FORT PIERCE, FL 34951 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 NEW HOME 2 3 4 r Y `] DISTANCE TO SEWER: FT [ ] RESIDENTIAL [.] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 2039 Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: l/7 i liiC �G , DATE: & L� 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 # AP1296699 DEPARTMENT OF HEALTH PERMIT # 56-SF-1772899 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1040164 APPLICANT: Keith Taig CONTRACTOR / AGENT: Ameron Homes Inc LOT: BLOCK: 50 SUBDIVISION: Lakewood Park ID#: 1301-605-0260-000-4 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: [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: 345.01 GALLONS PER DAY' [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SOFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE orange spot CL of E Seminole Rd extended from N property line. 9.00 [ INCHES / FT ] [ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 95 FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD CnTT. DRnFTT.F. TNFnWWMMT0V S,TTF. 1 ROTL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Arents, 0 - 5 percent slopes Munsell #/Color Texture Depth 10YR 311 Fill - Sand 0 To 4 10YR 5/2 Fill - Sandy Loam 4 To 9 10YR 3/1 Sand 9 To 15 10YR 4/1 Sand 15 To 19 10YR 5/1 Sand 19 To 29 10YR 6/1 Sand 29 To 43 10YR 5/2 Sand 43 To 48 10YR 3/2 Sand 48 To 60 10YR 4/3 Sandy Loam 60 To 63 2.5Y 5/2 Sandy Clay Loam 63 To 72 USDA SOIL SERIES:Arents, 0 - 5 percent slopes Munsell #/Color Texture Depth 1 OYR 3/1 Fill - Sand 0 To 6 10YR 4/2 Fill - Sandy Loam 6 To 13 10YR 3/1 Sand 13 To 17 10YR 4/1 Sand 17 To 26 10YR 5/1 Sand 26 To 29 10YR 611 _ Sand 29 To 45 10YR 5/2 Sand 45 To 51 10YR 3/2 Sand 51 To 60 10YR 4/4 Sandy Clay Loam 60 To 66 2.5Y 5/2 Sandy Clay Loam 66 To 72 OBSERVED WATER TABLE: 46.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 29.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 13 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA VT determined using USDA WSS and soil borings. t6/1 stripping in 10YR5/1 matrix > 10% with diffuse boundaries starting @ 29" In SB1. 9" above BM. SB211" above BM. Continued On The Following Page... AP1296699 EID1772899 v 1.0.2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION SITE EVALUATED BY: APPLICATION # AP1296699 PERMIT # 56-SF-1772899 DOCUMENT # SE1040164 DATE: 07/07/2017 Ingram, Brian (Title: EpOronmental Specialist II) (ENVIRONMENTAL HEALTH) DE 4015, d8/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1296699 EID1772899 v 1.0.2 'roperty Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 6104 E Parcel ID: 1301-605-0260- Account #: 1286 Sec/Town/Range: SEMINOLE RD . .. 000-4 02/34S/39E Map ID: 13/02S Zoning: RS-4 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Keith Taig LAKEWOOD PARK -UNIT 5- BLK 50 N 84 FT OF S 224 FT 6886 61st St OF W 120 FT OFTRACT 8 (MAP 13/02S) (OR 2949-1259) Vero Beach, FL 32967 Page 1 of I Current Values Historical Values 3-year Just/Market: $10,000 Assessed: $6,820 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $6,820 2016 $10,000 $6,820 $0 $6,820 2015 $6,200 $6,200 $0 $6,200 2014 $6,200 $6,200 $0 $6,200 Sale History Date Book/Page Sale Code Deed Grantor Price 03-11-2008 2949 / 1259 XX00 WD Grimes,Timothy K $9,000 02-27-2008 2943 / 1813 XX00 WD Perry III,Charles $10,000 03-20-2003 1682 / 2547 XX00 TR Santos,Edward J $12,900 Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Roof Cover: Frame: Story Height: A/C %: 0% Heated %: N/A% Sprinkled %: 0% Sketch unavc?1Iable for display Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: Building Type: Effective Year: 2014 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Area (SF): 0 Land Size (acres): 0.23 Land Size (SF): 10,080 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. ttp://www.paslc.org/RECard/ 6/27/2017 . EDWIN M. FRY, Jr., CLERK OF THE CIRCUIT COURT — SAINT LUCIE COUNTY F — FILE # 3180730 OR BOOK 2949 PAGE 1259, Recorded 03/14/2008 at 09:21 AM Doc Tax: $63.00 Thin Document Propared By and Raft= tot St. Lucia Title 3torvic©o, Inc. 7430 S. Federal Highwa Port St. Lucia, FL 349N2 PareallDNnmbart 1301-905-0260-000/4 Wsrranty Deed This Yndenture, Made this 11th day of Timothy R. Grimes of the County of St. Lucie Noith Taig ,Fj(Q '05r"-�' 17 7 Z kJ7 Idarch , 2008 A.D., Between Stele of Florida , mentor, and whose address I-: (p?fTl(i UJSt •S L, - "Y-tw7&a-c1,, 9C• 3a 9&7 of the County of'Jx (M,Gif . K' 6UCPL , State of Florida , grantee. W itIQe9seth that the GRANTOR, for andia ccoado clog of the cam of -------------------------- TER DOLLARS ($10) ----------------- DOLLARS. and other good and valuable consideration to GRANTOR in hand paid by GRANTEE, the txeipt whereof is hereby admowledged. has granted, bargained and said to the said GRANTEE and GRANTEES heirs, suaasors and assigns forever, the following dcscribed land, situate, lying and being in the County of St. Lucie State of Florida to wit: The North 84 foot of the South 224 fodt of the West 120 fact of Tract 8, a/k/a Lot ^C", Block SO, LARMW= PARK, UNIT NO. 5, according to the Plat therobf ao recorded in Plat Book 11, page(s) 5, of the Public Records of St. Lucia County, Florida. The property horoin conveyod is vacant and unimproved land and DOES NOT constitute the BOMSTEAD property of the Grantor. and the grantor don hereby fully warmat the title to sold had, and will defend the some apiast lawfW claims of all persons whomsoever. AB Witne9S Whelt'e0f, the gtsmwr has hereaato set his htmd and seal the day cad year first above written. Signed, sealed and delivered in our presence: _0 C"" -r—_ Les PrintedNamca:_ �c V : U ec_ Timothy A, fdri n (seal)Wi OtJ 0 P.O. Addreaa: 2529 N. Indian River Drive, Fort Pierce, FL 34946 Printed Narita: Witness STATE OF Florida COUNTY OF St. Lucia The foregoing instrument was aalmowledmed before me this lath . day of March , 2009 by Timothy R. Grimes he is personally known to me or he has produced his Florida driver' a licanoo as idendficatioa. SANDRA HOHMANN Pxtod Nano: hVeI7/4 My Commission DD 528474 Notary Public ,vu➢.. EXPIRES: March 14.2010 °?oFn