HomeMy WebLinkAboutOSTDS NEWRECEIVED
STATE OF FLORIDA FEB 2 5 2022
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND NgRqjSMj6nty
SYSTEM Permitting
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: William Linden
PROPERTY ADDRESS: 2411 Atlantic Beach Blvd Fort Pierce, FL 34949
LOT: 9 & 10
BLOCK: 4S SUBDIVISION: Fort Pierce Shores
PROPERTY ID #: 1436-601-0071-000-5
PERMIT #: 66-SF-244661 0
APPLICATION #:AP1785605
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1737920
[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 Septic 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 G[ ]DOSES PER 24 HRS #Pumps [
D [ 667 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: GREEN PAINTED NID E OF PROP EDGE OF RD.
I ELEVATION OF PROPOSED SYSTEM SITE [ 0.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D
03
T
H
E
R
REQUIRED: [ 25.UU] INCHES EXCAVATION REQUIRED: [ 3 11 unzZ
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: Matthew S Vajanyi TITLE: Environmental Specialist I
APPROVED BY:� /'i/ - TITLE: Environmental Specialist I St. Lucie CHD
Matthew S a' n i
DATE ISSUED: 02/21/202 EXPIRATION DATE:—0$jZ192--623
■
DH 4016, 08/09 (Obsoletes all previous editions which may not be used) 1L
Incorporated: 64E-6.003, FAC Page 1 of 3
v 1.1.4 AP1785605 SE1654627
STATE OF FLORIDA APPLICATION # AP1785606
DEPARTMENT OF HEALTH PERMIT # 56-SF-2446510
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1654627
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: William Linden
CONTRACTOR / AGENT: Harry Blue Builders, Inc.
LOT: 9 & 10 BLOCK: 4S
SUBDIVISION: Fort Pierce Shores ID#: 1436-601-0071-000-5
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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.31 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 775.02 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: GREEN PAINTED NID E OF PROP EDGE OF RD.
ELEVATION OF PROPOSED SYSTEM SITE 0.00 [ 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: 20 FT NORMALLY WET: [ ]YES [ ]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 85 FT
BUILDING FOUNDATIONS: 6 FT PROPERTY LINES: 13 FT POTABLE WATER LINES: 6 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOI
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
enrT_ nnnc+rT.o T1d6T1oM%MT^" CTTA- 9 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 212
Sand
0 To 8
10YR 4/2
Sand
8 To 12
10YR 3/2
Sand
12 To 21
10YR 3/3
Sand
17 To 21
2.5Y 5/3
Sand
21 To 30
2.5Y 6/2
Sand
30 To 44
10GY 6/1
Sand
43 To 44
REFUSAL
Hard Rock
44 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 7/1
Sand
0 To 9
10YR 3/1
Sand
9 To 11
10YR 4/1
Sand
11 To 18
10YR 511
Sand
15 To 18
10YR 3/2
Sand
18 To 24
10YR 5/3
Sand
24 To 33
2.5Y 6/2
Sand
33 To 43
10YR 7/1
Sand
33 To 43
REFUSAL
Hard Rock
43 To 72
OBSERVED WATER TABLE: 30.00 INCHES [ ABOVE / BEE] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 17 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 17.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED
7 REMARKS/ADDITIONAL CRITERIA
Sand/0.60 DEPTH OF EXCAVATION: INCHES
[ ] OTHER (SPECIFY)
3WT determined using USDA WSS and soil borings. 10YR313 stripping in a 10YR3/2 matrix > 10% with diffuse boundaries starting
17" in SB1. S131 0" below BM. S132 5" below BM.
SITE EVALUATED BY:
,oO"® Vajanyl, Matthe (T tie: vi 6nmental Specialist 1) (Florida Department of Health In S
DE 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 02/18/2022
Page 3 of 4
AP1785605 EID2446510 v 1.0.2
APPLICANT'S NAINIE:
LEGAL DESCRIPTION: L.&'- J02 >Az -1 a .51 N• i' 2 t-t- 1fLZ ` X ShGiG,S
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.
d�ics ti�mi..+-•'septiccScpticAppppagc]D7
CERTIFIED BY: des rmId
FLORIDA QRQF SSIONAL NO.:
DATE: / 10B NO.: �` 3
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 2411 Parcel ID: 1436-601-0071- Account #: 12173 Sec/Town/Range: 36/34S/40E
ATLANTIC BEACH BLVD 000-5 Map ID: 14/36N Zoning: RS-4 Count
Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership Legal Description
William A Linden FORT PIERCE SHORES -UNIT 1- BLK 4S 1/2 OF LOT 9 AND
337 Plymouth AVE ALL LOT 10
Brightwaters, NY 11718
Current Values Historical Values 3-year
Just/Market: $229,100 Assessed: $229,100 Year Just/Market
Assessed
Exemptions
Taxable
Exemptions: $0 Taxable: $229,100 2021 $229,100
$229,100
$0
$229,100
2020 $206,900
$206,900
$0
$206,900
2019 $209,000
$172,706
$50,500
$122,206
Sale History
Date
Book/Page Sale Code Deed Grantor
Price
01-17-2020
4371 / 1287 0111 QC Linden William A
$0
11-10-2010
3244 / 1891 0114 WD Linden Adolf W
$100
01-01-1900
$0
Primary Building Information
Finished Area of this building: 988 SF
Gross Sketched Area: 1,884 SF
Exterior Data
View:
Roof Cover: Dim Shingle Roof Structure: Gable
Building Type: HC-
Year Built: 1957
Frame: Grade: C-
Effective Year: 1957
Primary Wall: CB Stucco
Story Height: 1 Story No. Units: 1
Secondary Wall:
Interior Data
Bedrooms: 2
A/C %: 100% Electric: MAXIMUM
Primary Int Wall:
Full Baths: 1
Heated %: 100% Heat Type: FrcdHotAir
Avg Hgt/Floor: 0
Half Baths: 0
Sprinkled %: 0% Heat Fuel: ELEC
Primary Floors: Carpet
Total Areas
Finished/Under Air
(SF):
Gross Sketched Area
(SF):
Land Size (acres):
Land Size (SF):
Total Building Count:
Special Features and Yard Items
Type Qty Units Year Blt
Driv-Concret 1 800 1957
UTILITY AVG 1 60 1999
VINYLFENCE6' 1 30 2006
988
1,884
0.31
13,678
1
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0 Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved.
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 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-
3000. The Agency Clerk's email is agency_clerk@FloridaDEP.gov.
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
Environmental Protection 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
HEALTH
PAYING ON: #:56-SF-2446510 13ILL DOC #:56-BID-5762822 CONSTRUCTION APPLICATION #: AP1785605
RECEIVED FROM: Harry Blue Builders, Inc. AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 1006 PAYMENT DATE: 01/12/2022
MAIL TO: William Linden
FACILITY NAME:
PROPERTY LOCATION:
2411 Atlantic Beach Blvd
Fort Pierce, FL 34949
9&10
Lot:
Property ID: 1436-61-0071-000-5
45
Block:
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
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5434846
e ' STATE OF FLORIDA PERMIT NO.��'" ( C
DEPARTMENT OF HEALTH DATE PAID
ONSITE SEWAGE TREATDMT AND DISPOSAL FEE PAID:
SYSTEM RECEIPT # : L44- - i
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Folding Tank [ ] Innovative
Repair µ [ I Abandonment [ ] Temporary [ ]
t p s
APPLICANT: w 146. f 1 469/
AGENT: WAY ,�I/LT A,&6.
`'TELEPHONE:
MAILING ADDRESS: )o w. ' nivA/ R4 t" . /�6 t .vim ,
TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MIDST 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 DOCMZNTATION OF THE DATE THE LOT WAS -CREATED OR
PLATTED (ice!/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFOPF ATION
v
LOT:C ' BLOCK: SUBDIVISION: k9 l(W-/!/V PLATTED:
PROPERTY ID # : Q16 -(20 l - 0 0 V !2000 _� ZONING: l - I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: W-L ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [je]<=2000GPD [ ]>2000GPD
IS SEMR AVAILABLE AS PER 381.0065, FS? [ Y/N ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS:
DIRECTIONS TO PROP
BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Soft Table 1, Chapter 64E-6, FAC
1 Abus
3
4
[ ] Floor/Equipment Drains [ ]
SIGNATURE:
Other (Specify)
DATE:
DR 4015, 08/09 (6bsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4