HomeMy WebLinkAboutOSTDS NEWSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: William & Nadine Roe
PROPERTY ADDRESS: 545 Ulrich Rd Fort Pierce, FL 34982
PERMIT #: 56-SF-2426931
APPLICATION #: AP1769020
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1723444
LOT: BLOCK: SUBDIVISION:
PROPERTY ID #: 3410-243-0001-020-8 [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 [ 1,350 ] 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 @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 725 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Temporary benchmark #2
I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 4.00 11 INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [24.00] INCHES EXCAVATION REQUIRED: [ ] INCHES
0 The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow
T of 580 gpd.
H
E
R
r
SPECIFICATION BY: Ian P Moore TITLE: CEHP 19-2072
APPROVED Y: ivy ► TI icon e Ivironmental Specialist II St. Lucie CHO
o anez�
i
DATE ISSUED: 01/31/2022 EXPIRATION DATE: 07/31/2023
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 AP1769020 SE1639556
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
-0f- el. 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-2426931 BILL DOG #:56-BID-5733889 CONSTRUCTION APPLICATION #: AP1769020
RECEIVED FROM: Reliable Septic & Service AMOUNT PAID: $ 430.00
PAYMENT FORM: CREDIT-CARD 076953 _ PAYMENT DATE: 12/08/2021 _
MAIL TO: William & Nadine Roe
FACILITY NAME:
PROPERTY LOCATION:
5LA,5,TW Urich Rd
Fort Pierce, FL 34982
Lot: Block:
Property ID: 3410-243-0001-020-8
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
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
RECEIVED BY: AdamsC
1 $ 75.00
1 $ 50.00
AUDIT CONTROL NO. 56-PID-5402973
e STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
WEj-L
PERMIT NO.��
DATE PAID:
FEE PAID: Li ;
RECEIPT #: f
[�] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: William Gee Roe III & Nadine T Roe
AGENT: Reliable Treasure Coast Services Indian River Septic TELEPHONE: (772) 562-4242
MAILING ADDRESS : PO Box 1116, Vero Beach FL 32961
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: Metes and Bounds PLATTED: Pre-72
PROPERTY ID #: 3410-243-0001-020-8 ZONING: RS-2 I/M OR EQUIVALENT: [
PROPERTY SIZE: 3.32 ACRES WATER SUPPLY' [ ] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ r� ] DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: TBD Urich Rd, Fort Pierce, FL 34982
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 Single Family Residence 5 4946
2
3
4
[ ] Floor/Eq_i�pme Drai [ ] Other (Specify)
SIGNATURE: DATE: 12/7/21
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 SPECIFICATIONS
Will
PERMIT # . �(y��`'
APPLICANT: William Gee Roe III & Nadine T Roe AGENT: Reliable Treasure Coast Services Indian River
LOT: BLOCK: SUBDIVISION: Metes and Bounds
PROPERTY ID # : 3410-243-0001-020-8
[Tax ID Number
7J
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: IV] YES [ ] NO NET USABLE AREA AVAILABLE
TOTAL ESTIMATED SEWAGE FLOW: 580 GALLONS PER DAY [RESIDENCES-TABLE1
AUTHORIZED SEWAGE FLOW: 4980 GALLONS PER DAY (15000PD/ACRE
UNOBSTRUCTED AREA AVAILABLE: 1500(25x60) SQFT UNOBSTRUCTED AREA REQUIRED: —
3.32 ACRES
F-W-1J
ED
1087 SQFT
BENCHMARK/ REFERENCE POINT LOCATION: Temporary Benchmark #2
ELEVATION OF PROPOSED SYSTEM SITE IS2 [INCHES i_ u [BELOW BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:N/A FT DITCHES/SWALES:160 FT NORMALLY WET? [ I YES IV] NO
WELLS: PUBLIC:N/A FT LIMITED USE: N/A FT PRIVATE:127 FT NON -POTABLE: N/A FT
BUILDING FOUNDATIONS:7 FT PROPERTY LINES:70 FT POTABLE WATER LINES:105 FT
SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [r] NO 10 YEAR FLOODING? [ ] YES IV) NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR
1 OYR 4/1
1OYR 5/1
1 OYR 2/2
1 OYR 3/6
TEXTURE
DEPTH
Sand
0 To 31
Sand
18 To 31
Spodic
31 TO 42
Fine Sand
42 To 54
TO
Refusal (a,) 54
TO
TO
TO
TO
USDA SOIL SERIES: Chobee Loamy Sand Mapped
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
1 OYR 4/1 Sand 0 To 34
1 OYR 5/1 Sand 20 To 34
10YR 2/2 Spodic 34 TO 51
1 OYR 3/6 Fine Sand 51 TO 60
mn
Refusal (a) 60 To
mn
TU
TO
USDA SOIL SERIES: Chobee Loamy Sand Mapped
OBSERVED WATER TABLE:49 INCHES [BELOW Ell EXISTING GRADE. TYPE: r.APPARENT F-1]
ESTIMATED WET SEASON WATER TABLE ELEVATION:18 INCHES [.BELOW) EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES IV] NO ssMOTTLING: [�] YES [ ] NO DEPTH:18 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEtd,,SIZ�ING:Sand/.8 DEPTH OF EXCAVATION:51 INCHES
DRAINFIELD CONFIGURATION: [V] TRENCH,, [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA: _SHS determined by >10% 10YR 5/1 stripping in a 10YR 4/1 matrix at 18 inches in site 1.
Refusal due to saturation in both sites.
BM: 3'6" S1:3'8" Ss2:3'8"
SITE EVALUATED BY: Ian Moore C.E.H.P. 21-207
DATE :12/7/21
DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: ULRICH RD Parcel 1D: 3410-243-0001- Account #: 40352 Sec/Town/Range: 10/36S/40E
020-8 Map ID: 34/1 ON Zoning: RS-2 - Cou
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
William Gee Roe 11I 10 36 40 W 1/2 OF SW 1/4 OF SE 1/4 OF NW 1/4-LESS N
Nadine T Roe 206.25 FT AND LESS RD R/W- (3.32 AC)
1836 SE Fallon DR
Port Saint Lucie, FL 34983
Current Values Historical Values 3-year
Just/Market: $119,100 Assessed: $119,I00 Year Just/Market Assessed Exemptions Taxable
Exemptions: $0 Taxable: $119,100 2021 $119,100 $119,100 $0 $119,100
2020 $83,900 $83,900 $0 $83,900
2019 $83,900 $83,900 $0 $83,900
Date
Book/Page
08-28-2020
4477/2644
09-27-2018
4I87/1273
05-10-2010
3198/0082
View: Roof Cover:
Year Built: N/A Frame:
Primary Wall: Story Height:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Sale History
Sale Code Deed Grantor
0001 WD Gamboa Crisanto
0001 WD McClary (TR) Charline P
0311 WD McClary Charline P
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
A/C %: 0%
Heated %: N/A%
Sprinkled %: 0%
Exterior Data
Roof Structure:
Grade:
No. Units: 0
Interior Data
Electric:
Heat Type:
Heat Fuel:
Total Areas
Price
$137,500
$107,000
$100
Building Type:
Effective Year: N/A
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor: 0
Primary Floors:
Finished/Under Air 0
(SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 3.32
Land Size (SF): 144,619.2
Total Building Count: 1
Special Features and Yard Items
Type Qty Units Year Bit
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0 Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved.