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r PERMIT #: 56-SF-2367576 STATE OF FLORIDA APPLICATION #:AP1728701 DEPARTMENT OF HEALTH DATE PAID: - ; ONSITE SEWAGE TREATMENT AND DISPOSAL + FEE PAID: SYSTEM RECEIPT #: DOCUMENT #: PR1677663 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: David and Alicia Ingram PROPERTY ADDRESS: TBD Dyer Rd Port Saint Lucie, FL 34952 LOT: 12 BLOCK: 2 SUBDIVISION: St. Lucie Gardens PROPERTY ID #: 341450114121007 [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 [ 1,050 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K I ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] 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: site BM. red capped IR. FD 1/2" RC witness LB6790 set BM I ELEVATION OF PROPOSED SYSTEM SITE [ 5.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 18.00 ] [ INCHES FT ] [ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL REQUIRED: [31.00] INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons(2 per bedroom), for a total estimated flow of 400 gpd. T H E R SPECIFICATIONS BY: Brian J I ram TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J gram DATE ISSUED: 11/03/202 EXPIRATION DATE: 05/03/2023 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 AP1728701 SE1614032 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 i 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #:56-SF-2367576 BILL Doc#:56-BID-5586092 CONSTRUCTION APPLICATION#:AP1728701 RECEIVED FROM: Homecrete Homes AMOUNT PAID: $ 660.00 PAYMENT FORM: CREDIT CARD 7836a PAYMENT DATE: 09/07/2021 MAIL TO: David and Alicia Ingram FACILITY NAME : PROPERTY LOCATION: TBD Dyer Rd Port Saint Lucie, FL 34952 Lot: 12 Block: 2 Property ID: 341450114121007 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 -OSTDS New Permit Surcharge 1 $ 100.00 -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 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 -Well Construction �l/- 3�y( 1 $ 115.00 RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-5224035 E STATE OF FLORIDA PERMIT NO.:57,-Z3G�5 . g DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: .Da SYSTEM RECEIPT #: G(i 4V "0p "==' APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ V ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: INGRAM,DAVID&ALICIA AGENT: ROBERT CENK/HOMECRETE HOMES INC TELEPHONE: 772-873-6707 MAILING ADDRESS: 2162 NW RESERVE PARK TR,PORT ST LUCIE FL 34986 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: 2 SUBDIVISION: ST LUCIE GARDEN PLATTED: Y PROPERTY ID #: 3414-501-1412-100-7 ZONING: RM-5-CO I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 1.31 ACRES WATER SUPPLY: I ,(] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: TBD DYER RD/ST LUCIE GARDENS 25 36 40 BLK 2 S 165 FT OF N 330 FT OF LOT 12 DIRECTIONS TO PROPERTY: TAKE DYER RD EAST ALONG DIRT ROAD.AS DYER RD FORKS,KEEP TO THE LEFT CONTINUING EAST.ROAD VEARS TO THE SOUTH.LOT IS ON THE LEFT.MAP ATTACHED. BUILDING INFORMATION [ v/ ] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 RESIDENTIAL 4 2,266 2 3 4 [ ] Floor/E i m t D a'ns [ ] Other (Specify) SIGNATURE: �" DATE: —�41-1 lzieli DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 �rilr s 8 �n STATE OF FLORIDA APPLICATION # AP1728701 DEPARTMENT OF HEALTH PERMIT # 56-SF-2367576 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 7 ~orb SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1614032 ,y APPLICANT: David and Alicia Ingram CONTRACTOR / AGENT: Homecrete Homes LOT: 12 BLOCK: 2 SUBDIVISION: St. Lucie Gardens ID#: 341450114121007 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: 1.31 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 3275.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM. red capped IR. FD 1/2"RC witness LB6790 set BM ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES / ET ] [ 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 [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON-POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 30 FT POTABLE WATER LINES: 45 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 SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: USDA SOIL SERIES: Munsell#/Color Texture Depth Munsell#/Color Texture Depth 10YR 5/2 Sand 0 To 6 10YR 5/1 Sand 0 To 4 1 OYR 5/1 Sand 6 To 30 1 OYR 5/2 Sand 4 To 25 1 OYR 6/1 Sand 11 To 33 10YR 6/1 Sand 15 To 30 1 OYR 2/1 Spodic Material 33 To 46 1 OYR 7/1 Sand 30 To 35 1 OYR 5/4 Fine Sand 46 To 53 1 OYR 2/1 Spodic Material 35 To 42 1 OYR 6/3 Fine Sand 53 To 65 10YR 5/4 Fine Sand 42 To 57 HOLE CAVING Refusal 65 To 72 10YR 6/4 Loamy Fine Sand 57 To 67 HOLE CAVING Refusal 67 To 72 OBSERVED WATER TABLE: 40.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 11 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [X ]YES [ ]NO MOTTLING: [X ]YES [ ]NO DEPTH: 11.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 stripping in 10YR5/1 matrix>10%with diffuse boundaries starting at 11"in S131. S131 5"above BM. S62 6"abov M. SITE EVALUATED BY: DATE: 10/29/2021 Ingram,Bria Title:Environmental Specialist III)(ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4 AP1728701 EID2367576 v 1.0.2 r ;A? h 71 oal � gg 7 � � a y fSE yl! f i HG'��W s E, CD Pug arl n d I'll C ` C7 3 cam ,� '• CD Dv e `a. 1< CD q e' In u. n 1•. •1. 1•. n n. n I . n I . n ILa I.: n 1 .1' 4 i i£i` '� 'S•�u""?.`Y:CSR�X'�.SY'd`7:Y:dJC`a aXxX• ;fx, �a x � Ir���� •v F �.� �,-' :per 'r ��rj "-e � p ,. a;�7€ a�4.' ' ., � i •.� ...A. tiro Ir � .,,�5 LIVE %;�1f TOM • '�� tit +�"� � ''c<..wN s. 1 '�' pr "+�b��` 4�«A[el��J}�g+�i � • 'Sa t "i�{s � 1..'.I ��m�¢•'4�'+ •i• i ry 1i J .1 �i'.�1 i'h.�, 3'X t.�.. �4F • � �.� w' '� m 4 4.1 1 t 1 ;�.�}-.{'�,.,+ �i�}�t'�rtir` � s�• m-e°wn� *"`,fa'ti � F,��� 5 ` �` r`C*t.a9 g ' ..s Xxx�,f N ,�'1+ ,i' 5.��, 't�� N J� � '*"'e+,=.., ��. �,Iyp"�yt� • y :ell W.?I '�ti ASS '� M f p* 1�,yM•^�{'r 1 a �• / p � �.. s >;�' ��L � y '" a 'i'� ',,�4 � +. �- • RE WATT!, • ids s ` fit' r aOn 11-1 r r r sus X;C s r� r` w�'�.;:ic�ytt"�r�� ++mot r � s ':-� �lr,� r �,�" �w"" �'! r � • ✓n S "' S i9Luy XXiSdX;CY�#d;4iS RX.iXXX""4"'"'R#.`dSL+FSXYXXS:'� .4;2X' '�� +t t.. C :�X'>£ 4':FXXXXXX::�sx3�€x�fsdXXx.;XSSd 2/SS{$sar -h S2:':6 •• I _�s�, 'fir 1 /1 1:. /1 1•• /1 1•. /1 1). /I 1/. /1 1 . // 11. 11 1.: /1 Custom Soil Resource Report St. Lucie County, Florida 50—Waveland and Immokalee fine sands Map Unit Setting National map unit symbol: 1jpwd 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 transects 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 Bhl -32 to 40 inches: loamy sand Bh2-40 to 53 inches: sand Cg1 - 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 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: 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 (G156BC141 FL) 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 6 inches: 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 (nonirrigated): 4w Hydrologic Soil Group: B/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G1 56BC1 41 FL) 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 (G 156 BC 141 FL) Hydric soil rating: No Jonathan Percent of map unit: 3 percent 11 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 (G156BC121 FL) 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 (G156BC141 FL) 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 (G156BC131 FL) Hydric soil rating: No 12 Property Card Page 1 of 1 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:Dyer RD Parcel ID:3414-501-1412- Account#:41201 Sec/Town/Range: 100-7 25/36S/40E Map ID:34/25N Zoning:RM-5-Cou Use Type:0000 Jurisdiction: Saint Lucie County Ownership Legal Description David Ingram ST LUCIE GARDENS 25 36 40 BLK 2 S 165 FT OF N 330 FT Alicia Ingram OF LOT 12(1.31 AC)(MAP 34/25N) 201 Indian Hills DR Fort Pierce,FL 34982 Current Values Historical Values 3-year Just/Market: $70,400 Assessed: $35,271 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $35,271 2021 $70,400 $35,271 $0 $35,271 2020 $51,200 $32,065 $0 $32,065 2019 $53,600 $29,150 $0 $29,150 Sale History Date Book/Page Sale Code Deed Grantor Price 03-26-2021 4581/2347 0001 WD Rodriguez Morine $73,000 04-19-2002 1534/ 1730 XX00 WD King Jr Marvin D $14,000 04-01-1983 0399/1587 XX00 CV $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 Bedrooms:0 A/C%:0% Electric: Primary Int Wall: Full Baths:0 Heated%:N/A% Heat Type: Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:0% Heat Fuel: Primary Floors: EL Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size(acres): 1.31 Land Size(SF): 57,063.6 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt 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. https:Hpaslc.gov/RECard/ 9/7/2021 �u 0 0 CD 0) _,'yT(Ol ON) 4T�(cii ON) CD Z/L alpz/t 81-4 CD q cn CD CD -U D CD — —n C)- W m 0 CD :3 m c') > > -0 = 10 C) r-O -1 :3 1-1� CIA ts" :5. 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