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HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL, SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Michael & Robin English PROPERTY ADDRESS: TBD Lewis St Fort Pierce, FL 34981 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 2429-604-0002-000-1 PERMIT #:56-SF-2353016 APPLICATION #: AP1715603 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1721007 [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 [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 667 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: ( ] I CONFIGURATION: [ ] N Drainfield New SYSTEM N/A SYSTEM STANDARD [ ] FILLED [X] MOUND [ ] TRENCH [X] BED ( ] F LOCATION OF BENCHMARK: ORANGE SPOT NW CORNER OF ELECTRICAL PAD S OF PROP I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D ] O T H E R 1LL k(Z%2Uttcr:1j: L 3U.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES [400 he system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of gpd. SPECIFICATIONS BY: Ma thew S Vajanyi TITLE: Environmental Specialist I i APPROVED BY: TITLE: Environmental Specialist I Xatthe S V — DATE ISSUED: 01/20/2022 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1715603 SE163'7479 St. Lucie CHD 07/20/2023 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. F STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, 59-32409 REPAIR, MODIFY, OR ABANDON A WELL Permit No. ,.,... �yo� tz+<sr1rF i i Southwest PLEASE FILL DU1 ALL APPLICABLE FIELDS Florida Unique ID fPst, f i I Northwest ('Denotes Required Fields Where Applicable) Permit Sliputauons Requirr:0 (Soo A1tarhua) 1 St. Johns River C) r Tito waief well runtroutu/ is rrspuuenbte for cunt aunt o o l ,t South Florida In's rorr.. and N—a"r,. the errnlr el i ecubun t. tnv J -� 9 ry l P 62.524 Ouad No. DclinP:elan Nu ._.. _..._.__.... .Suwannee River appropriate rtrregeued aurnnnry where uppLnnDtc COD tYE S'RJS� F1 DEP CUPi'NUP Application Nu.,, 1.7 Delegated Authority (If Applicable) , , ,,, m; YY1, c.!rZ�j- t c r,9I(.s��, -O'Kol u� It '�� + 1�: n rr' .. in s C't. 3,3G� `l?@- `i�-(17��7 'Owner. Legal Name 1i Co rporalion -ACdress 'City Stale 'ZIP 'Telephone Number 'Well Location - Address. Road Name or Number. City 3. a,gc%9 - (o'04-0000a-000- i ► 'Parcel ID No. (PIN) or Alternate Key (Circle One) Lot Block Unit Section or Land Grant Townsh'p 'Ran 'County Subdivision Check if 62-524: Yes No $. mil �i Lr=�•?� 6�-+!)S W::. tt-. _L�..I I.L-1 I!..'Q "^�-r_ SC.�V :C•�'_ .1� C]-~ CCO f C 'Waalgr Well Contract r License Number 'Telephone Number E-rnaii Address 'Water Well Contractor', Address -- '- CI! 5la!e ZIP 7 'Type of Work. A177onstruction _ Repair __...-Modification e, 'Number of Proposed Wells I 'Reason for Repair. t.tuddicntion it, Abandanmcni ' J 9 'Sper:Ify Intended Use(s) of Welt(s). / L1 \ ' i �Domeslic - Landscape Irrigation —Agricultural Irrigation ...__• C Site Investigation U Boilfed Water Supply .,`Recreation Area Irrigation _- LivestoclL _,..._Monitoring Public Water Supply (Limited Use/DOH) Nursery Irrigation Test ? n �� Public Water Supply (Community or Non•COMMLinily/0EP) Comme(cial/InJHdustrial Earth -Coupled Geothermal A N `J 90 CIaSS I Injection Goff Course Irrigation HVAC Supply H AC Return Ctass V Injection __Recharge t'omrnercia1/Industrial Disposal _ „Aquifer Storage and Recovery _ Drainage N• r nCourt F .OH In Jl Ll. dc,' , Remed!a!lon. Recovery . Air Sparge Other foeprrroc; O r L3a rin(2rbyi�Al Other locsua,el �— wit!.• .La AI wpps n' xq L< air t.tierm,upA `,y a r,:.•e" nann8hng ;Luthnrity) 10 'Distance Irom Septic System if 1200 It. ui •��i � 11. Facility Description %-Cj I-C• r� t �� 12. Eslunaled Start Dale 13 -Estimated Well Deplh,I W_ft. 'Estimated Casing Depth,�&Q)h. 'Primary Casrng Diameter . • In. Open Hole. From To ri. 14 Estimated Screen Interval. From To ft. 115 'Primary Casing Material. Black Steel � -Galvanized _ PVC ___,•Stainless Steel Not Cased Other. 16 Secondary Casino: __._,Telescope Casing Liner _ _ Surface Casing { Diameter _ _ In. 17 Seeondary Casing Material: .•. • Black Steel Galvan,zed PVC ..1 Stainless Steel Olher 18 'Method of Construction. Repair, or Abandonment. Auger X Cable Tool Jetted Rotary Sonic Comb!nalion (Two or More Methods) Hand Driven (Well Point. Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other !oasLla,I,•.,-, ,,,,__, 19 Proposed Grouting Interval for the Primary. Secondary, and Additional Casing. From _ _ To Sea! Material (Bentonite Neal Cement O!hel; _ ,_,__•_. , _-.• From Ta Seal Material ( _ _Bentonite Neal Cement Other „.,-_ ,.„-_.) j From • To „ Seal Material ( Bentonite Neat Cement Other . } From To. , • Seal Material ( Bentonite Neat Cement Other ) 20 Indicale total number of exisling wells on site ___— List number of existing unused wells on site 21 'Is this well or any existing well or water withdrawal art the owner's contiguous property covered under a Cons unlpttve/Wailei, Use Permit (CUPMtUP) o, CUP/WUP Appltcalion? Yes X1110 If yes. complele the following CUP/WUP No. District Well 10 No 22 Laldude Longitude....._.. E 23 Data Obtained Front: GPS ---Map —Survey Datum—_____NAD27 .__•._,__.NAD 83 _ _ WGS 84 •�^:r r e;ry.f)• 1•ri,l 1 ...L• CWnJf}.'rrl, V,C J)'4="W O).: /:•')S :rl r��C SU riu/r0.', /.V'r� �•r�Gnl�. V C,un! „nLL _._ ,rUlf..rr.nrn.rpe Pn.nr,I..r.w+nnA,nn.,.nnn nr...V n�nn,.un.,n,U.n/in Gnn,nrq..rnn,nW.)f v.an ♦'<Ir .n.r: i/r+• y:Ww/lf,nU,mu:nly,n�Uu•„>e,,.,W),l.;.At.., r,,;,: irp 11:�:4•UUA.:Jru Al lit) ,.hn,;r,n!..`ny lrWp4lr.;p.!y II1 R!:!IINnIn,Ji-CI1 p0„q:Rp •)ll)•Y pyp'.WM1,:ib Y: l'Ulnlc.u: ilr rn<m•!<):1'J�•!tr0,Cnq(,!WR/.4 ��N,n\$I.11„Ir1<Ip ni.l,n!]ig flr;UAlillly•Ip.l'UIM1•. IM11•M'I. IY, ),rq/U:)•Vu,I 1,U •' v .y)nnr. (v, AYrn: letiq/Ar nlulri, nflM :I:l•,I.fL",,i1111'L`il.�0l)C/. Urili ll,P(,ilpl'11,,1{v:n plu.'MIL•r{,;i JUCY/Vlv ui'rlll.ulln,tvv nAp,r,_�.1 nn•nwn.•r .,•li,n. : MI1':CUp.', !CI), j1 rl 0.}lh[I w,(nn Rn/,v„nr4f. ,! AMUP_,IYn ,,,R,r,n nrn••n•r :. .•n,t •(.<,N•niAU ,t .F {1 tJln1 t,.!.' y��•• 1 np,�nn!i l:, a'1ry,Mnq j1Fl <tUU1p,, nl VUr. 1%\::I IU L)r.•..,i.`:.[.A nir'n(�t j)•1'v •Ins �U OJy! ]hN r.NnpN44" nl trip rnr,t!r_i4n'•. Tripe+lit un.hrgon+. o• :A i+r, nM• r)k I�q�t�up4 l'rrepi r ntoyrrt:al.nn. pr RI�'tupnn:cr): rl,.!•,all: ql'G• :n y p2+nt•: ., P.,," i4M .f.:!n,, An trf i"•}�„ 1 Ilrn pnrnu; n.p,rnl+u' ..1•./nh+ry of E.ni r,e,, iii Sign a of Conlraetor License No. Signature of owner ur Agent pate Approval Grnnled By%/,/✓�!�p � issu'. Cale I /�?C v/�'��Exp,raunn Oate� f��/(!`w' yUrolug!st Approval . . i Foe Rvcravrd S_, _...... ..., rr.clpt No ... Check No. THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFiCFR OR REPRESENTATIVE OF THE W.MO OR DELEGATED AUTHORITY THE. ,___.._,...... ..,_- 1.„,+, „•T,+,,,,,r•nr., nrnn,n a�/?+n,crr�nTrfinl no Gr'TI\/ITIr— St. Lucie County Health Department 5 � 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2353016 BILL DOC #:56-BID-5545996 CONSTRUCTION APPLICATION #: AP1715603 RECEIVED FROM: Homecrete Homes Inc - Robert Cenk AMOUNT PAID: $ 660.00 PAYMENT FORM: CREDIT CARD 06394G PAYMENT DATE: 08/20/2021 MAIL TO: Michael & Robin English FACILITY NAME: PROPERTY LOCATION: TBD Lewis St Fort Pierce, FL 34981 Lot: Block: Property ID: 2429-604-0002-000-1 EXPLANATION or DESCRIPTION: 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 -1 - Well Construction QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 1 $ 115.00 RECEIVED BY: AdamsC_ _ AUDIT CONTROL NO. 56-PID-5171397 Note: Well#59-32409 _ ___ / cx STATE OF FLORIDA PERMIT NO.i'"`'-� (s DEPARTMENT OF HEALTH DATE PAID: �i✓ ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:�> SYSTEM RECEIPT #: CC, C�iv3Cjy(a APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [✓ ] New System [ ] Existing System [ ] Holding Tank[ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: ENGLISH, MICHAEL & ROBIN AGENT: HOMECRETE HOMES INC / ROBERT CENK TELEPHONE: 772-873-6707 MAILING ADDRESS: 8761 SW LOTH ST, PEMBROKE PINES FL 33025 -----------------------------------________ _ - 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: SUBDIVISION: TWISTED OAKS ESTATES PHASE II PROPERTY ID #: 2429-604-0002-000-1 aao5 PLATTED : 04/06/20L ZONING: RM-9 I/M OR EQUIVALENT: [ Y/N ] PROPERTY SIZE: 2.3 ACRES WATER SUPPLY: [V/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y 6) ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: TBD LEWIS ST r+-Pie.rce -FL 3ggpj j DIRECTIONS TO PROPERTY: TAKES JENKINS RD TO EDWARDS RD; GO EAST ON EDWARDS RD; TURN RIGHT ONTO LEWIS ST; PROPERTY ON LEFT SIDE OF RD BUILDING INFORMATION Unit Type of No Establishment 1 RESIDENTIAL 2 3 4 [ ] Floor/Equi, Dri SIGNATURE: [ ✓ ] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 2,051.5 [ ] Other (Specify) DATE: 0 O cqu 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 # AP17.15603 DEPARTMENT OF HEALTH PERMIT # 56-SF-2353016 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1637479 APPLICANT: Michael & Robin English CONTRACTOR / AGENT: Homecrete Homes Inc - Robert Cenk LOT BLOCK: SUBDIVISION: ID#:2429-604-0002-000-1 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: 2.30 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 3450.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: ORANGE SPOT NW CORNER OF ELECTRICAL PAD S OF PROP ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ 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: 80 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 58 FT POTABLE WATER LINES: 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 gOTT. PRf)FTT.F. TNFCIRMATTOM CTTF. 7 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 12 1OYR 6/1 Sand 12 To 18 10YR 7/1 Sand 18 To 32 1OYR 8/1 Sand 18 To 32 1 OYR 4/2 Sand 32 To 35 5YR 3/4 Hardpan 35 To 44 2.5Y 6/3 Sand 44 To 48 10YR 4/2 Loamy Sand 48 To 72 7.5YR 5/8 CMN/PRM RF 48 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 10 1 OYR 6/1 Sand 10 To 28 1 OYR 7/1 Sand 15 To 28 1 OYR 5/1 Sand 28 To 30 5YR 2.5/2 Spodic Material 30 To 38 5YR 3/4 Hardpan 38 To 48 5YR 5/1 Sand 48 To 52 1 OYR 5/2 Loamy Sand 52 To 72 10YR 6/8 CMN/PRM RF 52 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] 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: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED I- REMARKS/ADDITIONAL CRITERIA Sand/0.60 DEPTH OF EXCAVATION [ ] OTHER (SPECIFY) 3WT determined using USDA WSS and soil borings. 10YR7/1 stripping in a 10YR6/1 matrix > 10% with diffuse boundaries starting 15" in S132. SB1 6" below BM. S132 8" below BM. SITE EVALUATED BY: Vajanyi, Matthew (Titl • nv' onmer�pecialist 1) (Florida Department of Health In S DH 4015, 08/09 (Obsoletes previous editions whi y ao a used) Incorporated: 64E-6.001, FAC AP1715603 EID2353016 INCHES DATE: 01/19/2022 Page 3 of 4 v 1.0.2 Property Card Page 1 of I Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: LEWIS ST Parcel ID: 2429-604-0002- Account #: 160106 Sec/Town/Range: 000-1 29/35S/40E Map ID: 24/29N Zoning: RM-9 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Michael A English TWISTED OAK ESTATES PHASE II (PB 46-11) PARCEL 2 Robin B English (2.30 AC) (OR 3731-28) 8761 SW loth ST Pembroke Pines, FL 33025 Current Values Historical Values 3-year Just/Market: $58,900 Assessed: $51,857 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $51,857 2021 $58,900 $51,857 $0 $51,857 2020 $58,900 $47,143 $0 $47,143 2019 $67,000 $42,858 $0 $42,858 Date 02-19-2015 11-20-2014 07-15-2003 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Book/Page 3731/0028 3692 / 1669 1766 / 0024 Type Roof Cover: Frame: Story Height Sale History Sale Code Deed Grantor 0312 SP National City Bank 0312 CT Gorman David L XX02 TR Misik Stephen A Primary Building information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Price $76,700 $4,100 $120,000 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 2.3 Land Size (SF): 100,188 Total Building Count: I Special Features and Yard Items 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://www.pasle.org/RECard/ 8/20/2021