HomeMy WebLinkAboutSewage OSTDS NewSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Geoffrey & Elodie Bacci
PROPERTY ADDRESS: 114 Queen Bess Ct Fort Pierce, FL 34949
LOT: E BLOCK: 23 SUBDIVISION: Queens Cove
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
PERMIT #: 56-SF-1772983
APPLICATION #:AP1296765
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1070155
PROPERTY ID #: 1414-702-0023-000-6
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 DESTGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Septic new CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
X [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS •#Pumps [ ]
D [ 375 l SQUARE FEES
R [ ] SQUARE FEE'.
A TYPE SYSTEM: [ I
I CONFIGURATION: [Xl
N
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [X] MOUND
TRENCH [ I BED I ]
F LOCATION OF BENCHMARK: Project BM #1 Nail in cut out center of cul-de-sac
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][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
0
T
H
E
R
ILL REQUIRED: [ 18.001 INCHES EXCAVATION REQUIRED: [ ;JU.UU J LNL;Hlsb
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
300 gpd.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s. 64E-6.013(3)(0, FAC.
SPECIFICATIONS BY: Brian J Ingram „ TITLE: Environmental Specialist II
APPROVED BY: ^`-"'�'-�Q v� ���"" Environmental Specialist II St. Lucie CHD
Brian J Ingram
DATE ISSUED: 07/25/2017 EXPIRATION DATE: 01/25/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Page 1 of 3
Incorporated: 64E-6.003, FAC
v AP1296765 SE1041960
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
5150 NW Milner Dr Port Saint Lucie, FL 34983
PAYING ON: PERMIT #: 56 SF 1772983 BILL Doc #•56-BID-3456770 CONSTRUCTION APPLICATION #: AP1296765
RECEIVED FROM: Ameron Homes, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 69206 PAYMENT DATE: 06/$/2017
MAIL TO: Geoffrey & Elodie Bacci
FACILITY NAME:
PROPERTY LOCATION:
114 Queen Bess Ct
Fort Pierce, FL 34949
Lot: E Block: 23
Property ID: 1414-702-0023-000-6
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-3287020
STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
PERMIT NO. W'5�- 117 ?% F3
DATE PAID:
FEE PAID:
RECEIPT #: 65q ao (P
[✓] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary L ]
APPLICANT: GEOFFREY & ELODIE BACCI
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. E BLOCK: 23 SUBDIVISION: QUEENS COVE PLATTED:
PROPERTY ID #k: 1414-702-0023-000-6 ZONING: I/M OR EQUIVALENT: [ No �I ]
PROPERTY SIZE: .35 ACRES WATER SUPPLY: [RIVATE PUBLIC [� <=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No E ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 114 QUEEN BESS CT., FORT PIERCE, FL 34949
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 NEW HOME 3 2990
2
3
4
[] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE
DATE:
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Geoffrey & Elodie Bacci
CONTRACTOR / AGENT: Ameron Homes, Inc
LOT: E BLOCK: 23
SUBDIVISION: Queens Cove ID#: 1414-702-0023-000-6
APPLICATION # lAP1296765
PERMIT # 56-SF-1772983
DOCUMENT # SE1041960
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: 0.35 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES—TABLEI / OTHER —TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 875.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 563.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT
BENCHMARK/REFERENCE POINT LOCATxON: Project BM #1 Nail in cut out center of cul-de-sac
ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCHES / FT ] [ ABOVE / BELOL
BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 75 FT DITCHES/$WALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 15 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
�n��w mrnwT ermc+ t
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
�mrnwr ermc� 7
USDA SOIL SERIES:Arents, organic substratum
Munsell #/Color Texture Depth
10YR 4/2
Loamy Sand
0 To 7
10YR 5/2
Loamy Sand
7 To 25
7.5YR 5/8
CMN/PRM RF
24 To 37
10YR 5/1
Sand
25 To 37
10YR 5/1
Fine Sand
37 To 53
1 OYR 5/1
Clay Loam
53 To 58
10YR 4/2
Organic & Mineral
53 To 58
10YR 4/2
Loamy Fine Sand
58 To 72
USDA SOIL SERIES:Arents, organic substratum
Munsell #/Color Texture Depth
10YR 4/2
Loamy Sand
0 To 7
1 OYR 512
Loamy Sand
7 To 27
1 OYR 5/1
Coarse Sand
27 To 30
1 OYR 5/1
Sand
30 To 37
1OYR 5/1
Fine Sand
37 To 56
10YR 5/1
Clay Loam
56 To 59
1 OYR 4/4
Organic & Mineral
56 To 59
10YR 4/3
Loamy Fine Sand
59 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ]
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [X ] TRENCH [
REMARKS/ADDITIONAL CRITERIA
VSWT determined using USDA WSS and soil borings.
.5YR518 CMN PRM RFs mottling >2% starting in 10YR5/2 matrix.
61 and SI32 4" below BM.
SITE EVALUATED BY:
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 24.00 INCHES
Sand/0.80 DEPTH OF EXCAVATION: 30 INCHES
] BED [ ] OTHER (SPECIFY)
Ingram, Brian (TIOSOEnvironmental Specialist Iq (trvviKvnmtN 1 AL ntAL_m)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 07/26/2017
Page 3 of 4
AP1296766 EID1772983 v 1.0.2
v4Yll
FILE # 4292815 OR BOOK 3979 PAGE 935, Recorded 03/31/2017 10:03:29 AM Doc Tax
$1820.00
Prepared by and Return to: /___1j S _ 1 7 -7 0
Veronft Swords, an employee of 1 1
First International Title, Inc.
107 North 2nd Street
Fort Pierce. FL 34950
File No.: 100008-41
�Z�'Z� t I T [1)EFR
This Indenture made on March d, 2017, by Maryann A. Forster and Rudolf R. Forster, husband
and wife, both Individtually and as Cc -Trustees of the Maryann A. Forster FarrruiilV Trust u/a/d
March 3,1999, amended and restated August 12, 2015 whose address is: 32431 Mabel Lane,
Leesburg, FL 34788 hereinafter called the "grantor",
to Geoffrey Bacci and Elodle Saccl, husband and wife whose address is: 5310 Valencia Ln. SW
Vero Beach, FL 32968 hereinafter called the "grantee":
(Which terms "Grantor" and "Grantee shall Include singular or plural, corporation or Individual, and either sex, and shall Include
heirs, legal representatives, successors and assigns of the same)
Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other
valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens,
remises, releases, conveys and confirms unto the grantee, all that certain land situate in St. Lucie
County, Florida, to -wit:
Lot E, Block 23, QUEENS COVE - UNIT TWO, according to the Plat thereof, recorded in Plat Book 20,
Page(s) 6 of the Public Records of St. Lucie County, Florida.
Parcel Identification Number: 1414-702-0023-000/6
Subject to all reservations, covenants, conditions, restrictions and easements of record and to all
applicable zoning ordinances and/or restrictions imposed by governmental authorities, if any.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in any
way appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said
land in fee simple; that the grantor has good right and lawful.authority to sell and convey said
land; that the grantor hereby fully warrants the title to said land and will defend the same against
the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except
taxes accruing subsequent to December 31st of 2016.
56 -W- -171 ? 19.3
In Witness Whereof, the grantor has hereunto set their hand(s) and seal(s) the day and year
first above written. 1
A i-) C-- f d
Maryann A. Forster, Co Trustee Maryann V Fo . r, indviduallly,
Rudolf R. Fors}�f, Co -Trustee
Signed, sealed and delivered In our presence.
�y
es u Witness Signature
Print Name: �� -� Print Name: M�Me-(�44Irk
State of 9-4.gi 4 l
County of Li4?
The Foregoing Instrument Was Acknowledged before me on the )z day of-&4—a&I
20a, by Maryann A. Forster and itudoiff R. Forster, husband and wife, both Individually
and as Co -Trustees of the Maryann er Fami y tea/ajd March 3,1999, amended
and restated August 12, 2015 who ' are personall known to me r who has/have produced the
following as identification:
Q�tLA "
Notary'Ou
Printed Name: (IV M7hil �4 � . tZr l 1-5
My Commission expires:
hIV,AI too,oa ' •CYNTHIA A. KILTS �:
-.'.r
s -s Notary Public - Stata of FtorWt4; u
5� ._ fly Comm. Enpires Oct 9.2
61t'F
%,, Commission 07 FF 1677t�.