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HomeMy WebLinkAboutSewage Application For Construction Permit111E STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM •,M�b`"` APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. .<-O p DATE PAID: FEE PAID:is RECEIPT #: New System [ ] Existing System [ ] Holding`Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Southern City Development, Inc. 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: 12 BLOCK: 55 SUBDIVISION: Indian River Estates Unit 8 PLATTED: 1957 PROPERTY ID #: 3402-609-0110-000-6 ZONING: R I/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 J PROPERTY ADDRESS: 5508 Myrtle Drive, Fort Pierce, FL 34982 DIRECTIONS TO PROPERTY: SEE MAP BUILDING INFORMATION Unit Type of No Establishment 1 RESIDENCE 2 3 4 [r/] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 3 1.624 [ ] Floor/Equipment Drains [ V ] Other (Specify) GARBAGE GRINDERS / DISPOSALS DDhl.iu=S,rFlada.&Q. —A01910D00000179D39DE7SN001tl2T6 SIGNATURE:AlVxander T Piazza liiP"k"y'";O 1DATEm«9liioz 11-15-21 DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, PAC Page 1 of 4 MYRTLE DRIVE 60' R/W - 20' ASPHALT ROAD SITE BENCHMARK', az ELEV 16.38 NA1ID 19a�8 v >z N00'02'12"W 1715.69' M 171 .00 P 690.28'(C) (CAre 80.03'(C) k 80.00'(P) k 945.38'(C) 690.00'(P) o _ -W945.00'(P) ��• is LW 12' CMP 0.00 P; m> O N00002'12"W 0.03' C ��� RPAIMFlE D DRIVE $ cn n AREA � i . � O � � QQJ a b 21.33 OD ? 1t' t to v OD r .9l'£l•. 13.00' 0 co Cl)0 'r'�� iD CO RE 19 >v VI 0 m 0 1CA c N ENTRY -VP. O II m m LOT 19 BLOCK 55 >-' o_ PROPOSED OCU n m rr* oo CBFSFERESlB 65NE s 0 r1 zo -'o 40 53.67' IV (A N� Ln r� Q 27.3T 1 1 M9 soo002�12"E 80.03' C' 80.00' P xo�.o LOT 33 ` a BLOCK 55 �' ��i' NO WELL I I AN LOT 31 BLOCK 55 z LOT 32 $ Ilia SEPTIC !WELL ONT SE EpnAEa '' SEPBIC N FRONT AREA � NO WELL FDOH in St. Lucie County Supercedes All Previous Site Plans for OSTDS # 64 - SF- a q�S56(S Well # Date: 15�J Revie : ��n� 11 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: (Southern City Development, Inc.) PROPERTY ADDRESS: 5508 Myrtle Dr Fort Pierce, FL 34982. LOT: 12 BLOCK: 55 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-609-0110-000-6 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] PERMIT #:56-SF-2428598 APPLICATION # : AP 1770140 DATE PAID• FEE PAID: RECEIPT #: DOCUMENT #: PR1708139 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 [ 500 ] SQUARE FEET Drainfield New SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Center of rdwy off middle of property, Elev 16.38 I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][ INCHES FT I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 14.00 1 [FI—NCH­19ST FT I ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: 126.001 INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 0 300 gpd. T H E R SPECIFICATIONS B-: APPROVED BY:( DATE ISSUED: Paul C Martin L TITLE: .vel V v—ILw'�� �tiT�I\LE: Environmental Specialist II DH 4016, 08/09 (Obsoletes all previous edi Incorporated: 64E-6.003, FAC which may not be used) St. Lucie CHD EXPIRATION DATE: 07/05/2023 v 1.1.4 AP1770140 SE1624547 Page 1 of 3 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. WA �� St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEAL PAYIN G ON: #: 56-SF-2428598 BILL DOG #:56-BID-5737187 CONSTRUCTION APPLICATION #: AP1770140 RECE ED FROM: Alexander J Piazza PSM. Inc. AMOUNT PAID: $ 545.00 PAYM NT FORM: CREDIT CARD 01474G PAYMENT DATE: 12/14/2021 MAIL TO: (Southern City Development, Inc.) FACILITY NAME: PROPERTY LOCATION: 5508 Myrtle Dr Fort Pierce, FL 34982 Lot: 12 Block: 55 Property ID: 3402-609-0110-000-6 EXPLANATION or DESCRIPTION: QUANTITY FEE 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 RECEIVED BY: Whi4hamJL 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 AUDIT CONTROL NO. 56-PID-5408423 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT #.P -'J7- 2142 599 APPLICANT: Southern City Development, Inc. AGENT: Southern City Development, Inc. LOT: BLOCK: SUBDIVISION: PROPERTY ID 0. 3402-609-0110-000-6 [ Section/Township/Parcel No. ] 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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: 023 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLE I ] AUTHORIZED SEWAGE FLOW: 575 GALLONS PER DAY [2500GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: Center of rdwy off middle of property, Elev 16.38 ELEVATION OF PROPOSED SYSTEM SITE IS 0.53 [FT ] [ABOVE . 7 BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: NA FT DITCHES/SWALES:5 FT NORMALLY WET? [ I YES [✓] NO WELLS: PUBLIC: NA FT LIMITED USE: NA FT PRIVATE: NA FT NON—POTABLE:104 FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:5 FT POTABLE WATER LINES:29 FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES 1✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: NA FT MSL/NGVD SITE ELEVATION:16.91 FT MSL/NGVD SOIL PROFILE INFORMATION SITE 1 Elev 16.91 MUNSELL #/COLOR TEXTURE DEPTH 1 OYR 511 FS 0 TO 6 1 OYR 611 FS 6 TO 21 1 OYR 4/4 FS CMN/DST RF 16 TO 21 10YR 8/1 FS 21 TO 30 10YR 3/1 FS 30 TO 38 1OYR 4/4 FS 38 TO 72 TO TO TO USDA SOIL SERIES: Similar to Lawnwood & Myakka SOlL EXUB 1JA: IA. MUNSELL #/COLOR 1 OYR 6/2 10YR 7/1 IOYR 8/1 1 OYR 3/1 TEXTURE FS FS FS FS 1 OYR 5/2 FS Uey 17.4.1 DEPTH 0 TO 14 14 To 20 20 TO 42 42 TO 60 .60 TO 72 TO TO TO TO USDA SOIL SERIES: Similar to Lawnwood & Myakka OBSERVED WATER TABLE:36 INCHES [BELOW '] EXISTING GRADE. TYPE: [APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION:16 INCHES [.BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [✓] NO MOTTLING: [✓] YES 1 .1 NO DEPTH: 16 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: FS/0.6 DEP;TAOffi ,TTE .• NA INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [✓1 BED [ ] OTHER kArp •••F REMARKS/ADDITIONAL CRITERIA: At Soil Profile Site 1 mottling was encountered ♦ ode" a s@11-mathwas 10YR 6/1 with common, distinct redoximomhic features (10YR 4/4) from 16 to 21 ". This indicates3rWRftson�r table 1 Gi 159Av the existinLy site elevation. : R : &0 SITE EVALUATED BY: Paul C Martin P.E. Florida Regis ion 65051 . /z DA♦W• 8/2021 0� ••• F L �.••� DH 4015, 08/09 (Obsoletes Previous editions which may no, be used) Incorporated: 6�4) E,ib1 �SSI����;�♦, Page 3 Of 4 1 APPLICANT'S NAME: southern City Development, Inc. LEGAL DESCRIPTION: Lot 12, Block 55, Indian Riyer Estates Unit 8 (PB 10, PG 73) 1 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. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. Dlgisallysigned by Alexander) P'waa DN _ S."Flmld Alexander Piazzaa, _ ,di>ndeAOv110a000000179D39DE72C00DIV CERTIFIED BY: D_.W.2021.11.15,o-,3,09-0VCW FLORIDA PROFESSIONAL NO.: 6330 DAzt: 11 /15/21 JOB NO.:' 21-8220 docs/rorms/septics/SepticApppPage207 Page 4 of 4 10/14121, 1:52 PM oo. gle Asps 5508 Myrtle Dr 5508 Myrtle Dr - Google Maps Yrg< e.ay, ', at 4' :Cam'y hY{,` CEO—& TwatHomS-w e pra A: ."€a c F SV '1Kf 'i f .1 > r9'Y"t��` �" Wt'i4 CX,cW!' _4.FP�22^'c`r y y ki"bh �Nil i Fbwytla Ffvws09 x 64t Nvnstl3 lr:.aKIS2 s rr S 4 F i d i 14-35; ®vac almn care.. 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