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HomeMy WebLinkAboutOSTDS NewSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND RD6ffAL SYSTEM MAR 15 20ZZ St. Lucie County Permitting CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Robert & Roxanne Hall PROPERTY ADDRESS: 12793 W Angle Rd Fort Pierce, FL 34945 PERMIT #:66-SF-2444840 APPLICATION #: AP1784478 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1738183 LOT: 03 BLOCK: A SUBDIVISION: Country Living Estates PROPERTY ID #: 2305-500-0003-000-8 [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, E.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 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: IR CL RD CODY LN AND ANGLE RD I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 18.00][ INCHES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT L D F 0 T H E R 'ILL REUU11iED: L .SU.UUJ INCHES EXCAVATION MQU11iEll: L 1 L vuntib 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. SPECIFICATIONS BY: Matthew S Vajanyi TITLE: Environmental Specialist I APPROVED BY: TITLE: Environmental Specialist I St. Lucie CHD Matthew S Vaj— DATE ISSUED: 02/22/2022 EXPIRATION DATE: 08/22/2023 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 AR1784478 SE1654890 FILE COPY 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. HEALTH PAYING ON: RECEIVED FROM PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-2444840 BILL DOC #:56-BID-5759689 CONSTRUCTION APPLICATION #: AP1784478 James Trefelner AMOUNT PAID: $ 660.00 CHECK 2379 PAYMENT DATE: 01/07/2022 MAIL TO: Robert & Roxanne Hall FACILITY NAME: PROPERTY LOCATION: 12793 W Angle Rd Fort Pierce, FL 34945 4 Lot: 03 Block: A Property ID: 2305-500-0003-000-8 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-5431669 \v''"-v 11-,�LA r-.3 k;U-1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL ,Y SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO.�"-f� DATE PAID: P-)�Z FEE PAID: lL e'i-� RECEIPT #: �', Z��-1CI [,/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Robert and Roxanne Hall AGENT: James Trefelner MAILING ADDRESS: 1760 Copenhaver Road Ft Pierce, F134945 TELEPHONE: 772-201-9833 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: 3 BLOCK: A SUBDIVISION: Country Living Estates PLATTED: PROPERTY ID #: 2305-500-0003-000-8 ZONING: AG-5 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 1.03 ACRES WATER SUPPLY: [V] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 12793 W Angle Road Fort Pierce, F134945 DIRECTIONS TO PROPERTY: see attached BUILDING INFORMATION [%/] RESIDENTIAL [ ] COMMERCIAL Unit Type of No Establishment 1 residence 2 3 4 No. of Building Commercial/Insti.tutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 4 2656 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: I ✓ Tl,'� DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: 1/6/22 Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFIPdiWffR LIAR 15 2022 APPLICANT: Robert & Roxanne Hall St. Lucie Countv CONTRACTOR / AGENT: James Trefelner Permitting LOT: 03 BLOCK: A SUBDIVISION: Country Living Estates ID#: 2305-500-0003-000-8 APPLICATION # AP1784478 PERMIT # 56-SF-2444840 DOCUMENT # SE1654890 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: 1.03 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1545.01 GALLONS PER DAY [ 1500 GP;/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: IR CL RD CODY LN AND ANGLE RD ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ 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: 31 FT NORMALLY WET: [ ]YES [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 98 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 8 FT PROPERTY LINES: 28 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 QnTT. VI)MITTM TVU"TMATTr1V CTTL'. T RIATT. ARAFTT,F. TNFORMATTON SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 14 1 OYR 5/1 Sand 14 To 21 10YR 6/1 Sand 15 To 39 10YR 7/1 Sand 21 To 39 1 OYR 211 Spodic Material 39 To 44 5YR 3/2 Spodic Material 44 To 60 1 OYR 4/4 Sand 60 To 72 1 OYR 4/4 Sandy Clay Loam 65 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 16 10YR 5/1 Sand 12 To 24 10YR 611 Sand 16 To 33 10YR 7/1 Sand 24 To 33 10YR 2/1 Spodic Material 33 To 42 2.5YR 2.5/2 Spodic Material 42 To 72 OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES I ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 12.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED i- REMARKS/ADDITIONAL CRITERIA Sand/0.60 DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) iWT determined using USDA WSS and soil borings.10YR5/1 stripping in a 10YR4/1 matrix > 1.0% with diffuse boundaries starting 12" In SB2. SB1 7" above BM. SB2 6" above BM. SITE EVALUATED BY: Vajanyi, Matthew (Title: Enviy6n entgF9pecialist 1) (Florida Department of Health in S DE 4015, 08/09 (Obsoletes previous editions which may not b used) Incorporated: 64E-6.001, FAC AP1784478 EID2444840 INCHES DATE: 02/18/2022 Page 3 of 4 v 1.0.2 APPLICANT'S NAME: K�{P'� )4,� ! f LEGAL DESCRIPTION: 1,07- PROPDSED SJEPTIC SYSTEI SITE:INF4Rll A.TIQN.' _.._- _... _. w. 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. doe.,; IUntt1'SCj1111S.$C(.tlil:\�7pj7i:1;C:1)7 CERTIFIED BY: c j2_*-Je_e7 A FLORIDANO.:PR DATE:__1 _ JOB NO.: REFERENCE POINT: IR CL RD CODY LN AND ANGLE RD. I Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: 12793 W ANGLE RD Sec/Town/Range: 05/35S/39E Parcel ID: 2305-500-0003-000-8 Jurisdiction: Saint Lucie County Ownership Robert Hall Roxanne Hall PO Box 12225 Fort Pierce, FL 34979 Legal Description COUNTRY LIVING ESTATES S/D BLKA LOT 3 (1.03 AC) Current Values Just/Market Value: $33,200 Assessed Value: $30,250 Exemptions: $0 Taxable Value: $30,250 Property taxes are subject to change upon change of ownership. • Past taxes are not a reliable projection of future taxes. • The sale of a property will prompt the removal of all exemptions, assessment caps, and special classifications. Taxes for this parcel: SLC Tax Collector's Office 12 Download TRIM for this parcel: Download PDF 12 Use Type: 0000 Account #: 12967 Map ID: 23/05N Zoning: AG-5 Count Total Areas Finished/Under Air (SF): 0 Gross Sketched Area (SF): 0 Land Size (acres): 1.03 Land Size (SF): 44,867 Building Design Wind Speed Occupancy Category I II III & IV Speed 140. 150 160 Sources/links: All information is believed to be correct at this time, but is subject to change and is provided without any warranty. © Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved.