HomeMy WebLinkAboutOSTDS NewSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #:56-SF-2470687
APPLICATION #: AP1805793
DATE PAID:
FEE PAID•
RECEIVED RECEIPT #:
DOCUMENT #: PR1739526
A R R 2:7 2022
CONSTRUCTION PERMIT FOR: OSTDS New St. Lucie County
Permitting
APPLICANT: (WJHFL LLC)
PROPERTY ADDRESS: 8505 Fort Walton Ave Fort Pierce, FL 34951
LOT: 03
PROPERTY ID #:
BLOCK: 04 SUBDIVISION: Lakewood Park
1301-609-0037-000-4 [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.
I
'SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] "GALLONS / GPD Seotic new
CAPACITY
A [ ] GALLONS / GPD NIA
CAPACITY
IN [ ] GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK-1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET Dralnfield new
SYSTEM
IR [ ] SQUARE FEET N/A
SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED
[X] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [
]'
N
F LOCATION OF BENCHMARK: N EOP Ft
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
I
L
I
D E
I
O
T
I
H
E
I
R
extension of NE PL elev 20.14
[ 11.00 ] [ INCHES FT ] [ ABOVE BELOW ]BENCHMARK/REFERENCE POINT
[ 23.00 1 [ INCHES FT ] [ABOVE BELOW ] BENCHMARK/REFERENCE POINT
REQUIRED: (JU.UU] INCHES EXCAVATION REQUIRED: [ 7Z.UU] INCHES
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estima ow of
SPECIFICATIONS BY: Alex Gul TITLE: CEHP
APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD
Brian J ram
DATE ISSUED: 02/28/2022 EXPIRATION DATE: 08/28/2023
PH 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 AP1805793 SE1656303
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.
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HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
MAIL TO: (WJHFL LLC)
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
#: 56-S F-2470687 BILL DOC #:56-BID-5789600 CONSTRUCTION APPLICATION #: AP1805793
Harbor Septic AMOUNT PAID: $ 430.00
CREDIT CARD 6579320 PAYMENT DATE: 02/24/2022
FACILITY NAME:
PROPERTY LOCATION:
8505 Fort Walton Ave
Fort Pierce, FL 34951
Lot: 03
04
Block:
Property ID: 1301-60970037-000-4
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
4 - 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
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-5462224
Note: Well#59-33023 - American Drilling
STATE OF FLORIDA PERMIT NO. Zvl1y
DEPARTMENT OF HEALTH
DATE PAID: ZZ
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT RECEIPT
APPLICATION FOR:
[✓] New System [ ] Existing System [ ] Holding -Tank [ a Innovative
I ] Repair I ] Abandonment [ ] Temporary I
APPLICANT: WHTL LLC
j AGENT: Harbor Septic LLC Keith Wessner TELEPHONE: 321-499-3513
MAILING ADDRESS:. 360 Stan Dr Ste E Melboume, FL 32904 KeithW@harborseptic.com
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 489.852, 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: 4 SUBDIVISION: Lakewood Park Unit 8A
PLATTED:
PROPERTY ID #: 1301-609-0037-000-4 ZONING: RES I/M OR EQUZVALENT: [ No ]
PROPERTY SIZE: 0:27 ACRES WATER SUPPLY: [X PRIVATE PUBLIC [f ]<=20QOGPD [ 3>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO. SEWER. >1000 FT
PROPERTY ADDRESS: 8505-Fart Walton Ave, Fort Perce, FL 34951
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION
i
Unit. Type of
No . Establishment
1 SFR
2
3
4
I f ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Are_,Sgf Table 1, Chanter 64E-6, FAC
3 1246
I ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE:
PH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA PERMIT # .
t`' DEPARTMENT OF HEALTH
'�' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.���.
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PPLICANT : WJHFL LLC AGENT: Harbor Septic LLC
?T: 3 BLOCK:4 SUBDIVISION: Lakewood Park Unit8A
ID # : 1301-609-0037-000-4 [ Section/Township/Parcel No.
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: (✓] YES [ ] NO NET USABLE AREA AVAILABLE: 0.27 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLET ]
AUTHORIZED SEWAGE FLOW: 405 GALLONS PER DAY [ 1500 GPD/ACRE 0]
UNOBSTRUCTED AREA AVAILABLE: 7g$_ SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION:, N EOP Ft Walton; extension of NE property line, Elev 20.14 4111
ELEVATION OF PROPOSED SYSTEM SITE IS11 [INCHES ] [ABOVE ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE -FOLLOWING FEATURES
SURFACE WATER: NA FT DITCHES/SWALES: 20 FT NORMALLY WET? [ [ YES IV] NO
WELLS: PUBLIC: NA FT LIMITED USE: NA FT PRIVATE: 99 FT NON -POTABLE: na FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: _la. FT POTABLE WATER LINES:56 FT
SITE SUBJECT TO FREQUENT FLOODING: [ 1 YES [ I NO 10 YEAR FLOODING? I I YES } NO
IOC YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR
TEXTURE
DEPTH
10YR 5/1
Fill LS
0
TO 9
'10 YR 4/1
S
9
To 14
110 YR 511
S
I2
TO 28
110 YR 4/2
S
28;
To 38
i10 YR 5/2
SCL
38
TO 52
110 YR 616
Redox
42
To 52
10 YR 511
CLS
52
TO 72
10 YR 511
LS
72
TO 80
TO.
USDA SOIL SERIES:
Nettles
I
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR
TEXTURE
DEPTH
10 YR 6/2
Fill LS
0
TO 10
l 0 YR 4/ 1
S
10
TO 16
10 YR 5/1
S
12
TO 30
10 YR 5/2
S
30
TO 38
10 YR 5/2
SCL
38
TO 50
10 YR 6/8
Redox
40
TO 50
10 YR 5/2
CLS
50
To 68
10 YR 5/2
LS'
68
TO 70
TO
USDA SOIL SERIES:
Nettles
VED WATER TABLE: 72 INCHES [BELOW F] EXISTING GRADE. TYPE: [APPARENT ]
ATED WET SEASON WATER TABLE ELEVATION:12 INCHES [.BELOW ] EXISTING GRADE
WATER TABLE VEGETATION: [ I YES [✓] NO MOTTLING: [✓] YES [ j NO DEPTH:12 INCHES
TEXTURE/LOADING RATE FOR
FIELD CONFIGURATION: [ I
KS/ADDITIONAL CRITERIA:
T based on 10YR 5/1 striDtiine in 50
SYSTEM SIZING. S/0.6 DEPTH OF EXCAVATION:72 INCHES
TRENCH [✓I BED I 1 OTHER (SPECIFY)
EVALUATED BY: Alexander Gular Gwf�, CEHP 21-2425 DATE: 2/7/2022
DH 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
1
F
GAL DE�rprymrnuT .
LOT 3, BLOCK 4, 0 Its
SURVEY-: LAKEWOODDEDIN PARK, UNIT 8—A,
47
CONS06TANTS
PUBLIC RECORDS OF SAINT PLAT BOOK
E COUNTY, SF ORIDA,
r j j j l 1 INCH = 10 FEE
JOB N MBR
SITE PLAN III, 21FT WALTON AVE
BEARING BASIS
N89-58'40"W
— — --- _ FORT WALTON AVENUE FND N/D FND N/D
�— — �— — LB 6790" FND NAIL 8M `' 60.0' R/W (P) — "LB -:- 0
ELV=20,01' rPQ- 88,35'(M)
•" o
88.00'(P)
p
N89058'40"W(p 1 )
FND IP 8 •00'(p) 12XI7" CMP
"
)>� SQ. FT. _ _ ......_
SE 0,16' S RUCTED ,' SET! IRC
AREA16 0' I
CD it?ra l•�r IF l.r, M o o I
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co 0 _ 7 $ 9'I Z
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(,n ow Lo O 9 I f I 3.7' a I W
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o I I 0 PROPOSED o
o ".1-STORY o I 0
RESIDENCE T
I o 0
FFE: XX,XX y I C)
LOT 2 I I
(VACANT) I I LOT 4
(IMPROVED)
a 34,33'— 34•7' I .� FFE:22.88'
_ - LO I 19100' �I
CD
CIO co
co
I I •-•I
1 I PROP. WELL '� I & WL
I LOT 3
BLOCK 4
._ _ w I
-- -- - --- SET IRC 5/8 10,0' D.U.E.
SET IRC /8" ,
dE 8�8.0 —�L8 . °"T(p) - ..r._.---•- - _------------------- --
o OE
LOT 9 j 1
(IMPROVED)' LOT 8 LOT 7
(IMPROV
FFE:21.63' 7(IMPROVED) ? (VACANT)
FFE: 21.44'
FDOH in St. Lucie County I
SCA�jNE�
1 llEnvironmental Health
Y Site Plan Approved for Construction
Supersedes All Previous Site Plans for
LEGEND de ABBR yAm,,a� ST LUCIE COUNTY OSTDS 456Y760� &Well -
= 33
PSM PROFESSIONAL SURVEYOR dt
LS =LICENSED BUSINESS Date: Z �L�
LS o LICENSED SURVEYOR Reviewer:
FND = FOUND
SET a SET 'LB 7821"
IRC a IRON ROD &CAP R� Y R11FIFn Tn
NLE
= NAIL & DISK EiOIlNDARY SI nr
CMON= CONCRETE MONUMENT CENTURY COMPLETE 1. BASIS OF BEARING THE CENTERLINE OF FORT WALTON AVENUE LAKEWOO7K�M7G
ERTIFY THAT THIS SURVEY IS
DW a DRIVEWAY PARK, UNIT B-A, AS RECORDED IN PLAT BOOK 11, PAGES 47, PUBLIC RECORDS OCORRECT TO THE BEST OF
SW = SIDEWALK SAINT LUGE COUNTY, FIORIDA, AS BEING N89'iB'40'W PER PLAT. STANDAROS OF RgCTISURVEY
CEECONCRETEEP ., PAVEMENT 2 DATEOF FIELD SURVEY: B/19/2021. BY CHAPTER 5JTICS ASR/WRIGHT-OF-WAY PROPERTY AnnRCcc. LAND SURVEYORS PURSUADA
NT
'6ARCONDIT ONER (3.5K3.5' PAD) 3. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN TH472027 FLORIDA STATUTES.
D.E. _' DRAINAGEEASEMEtNJT8505 FORT WALTON AVENUE SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF TH
U.E. m. UTILITY EASEMENT FORT PIERCE, FL 34951 SIGNING SURVEYOR.
WBF e; W000 BOARD FENCE
CLF CHAIN LINK FENCE 4. PROPERTY LINES SHOULD NOT BE ESTABLISHED USING FENCE OR BUILDING TES.
PLAT
((VPIF a VWH17E VINYL FENCE � r��r ����.
(M; _� MEASURED 1 07 17F. 5• NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS, INCLUDING BUT NOT LIMITED
CLEANOUT 11,880 SQ, FT, 70. BURIED UTILITIES, FOUNDATIONS AND FOOTERS WERE LOCATED.
19 =I WATER METER S. BASED UPON MY REVIEW OF THE -FLOOD INSURANCE RATE MAP` OF ST. LUCIE
CM _' CABLE RISER MODE Imo•• COUNTY, UNINCORPORATED AREAS, FLORIDA. COMMUNITY PANEL NO. 12111CO070J,
MM TELEPHONE RISER EFFECTIVE DATE 2/I6/2012, THIS PROPERtt IS LOCATED WTHIN FLOOD ZONE "X",
681 ELECTRIC RISER 1246-A (LH) FLOOOPOI.AIN. AREA DETERMINED TO BE OUTSIDE OF THE 0.2R ANNUAL CHANCE
O7 o POWER POLE X 27.1 7. NO INSTRUMENTS OF RECORD REFLECTING OWNERSHIP OR ENCUMBRANCES WERE
® o WELL =GROUND ELEVATION PROVIDED, EXCEPT AS NOTED, NOR DID THIS SURVEYOR ABSTRACT THESE LANDS.
S® = SANITARY SEWER MANHOLE -a = PROPOSED DRAINAGE DUSTIN W HOLLOWAY, P,S,M, LS 6676
ARROW B. SURVEY FILE NUMBER: 21-03-278- 8505 FT.WALTON AVE Hddl SURVEY CONSULTANTS
OE yl QI 1] PROPOSED ELEVATION 8. ELEVATIONS SHOWN HEREON ARE BASED ON THE NORTH AMERICAN VERTICAL GNA LLC U 78 N
NERHEAD ELECTRIC WATER PIPE m em m DATUM OF 1988 (NAVOBB), AND MORE SPECIFICALLY TO THE FLORIDA PERMANENT NOT VALID WITHOUT THE SIGNATURE A FLORIDAAND
CABLE PROPOSED 12"X19" THE ORIGINAL RAISED SEAL OF A F
CORRUGATED METAL PIPE REFEFFLFRR,RFLIT, & NETWORK (FPRN) CONTINUOUSLY OPERATING REFERENCE STATIONS (COBS) LICENSED
SURVEY: January January 10, 2022
31 W '.Broadway, Suite 1001, Oviedo, FL 32765
-- www.hnhsurvey.com
FDOH in St. Lucie County
Environmental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for
OSTDS #%$�+ o6ff'1 & Well #59- of
Date: eozz
Reviewer:
aI�HOQi%A4FiEV'A'
Li:l'4Arrrl3fur Uf
Ijar4.
ATlI.XD'IAy0V
SCANNED
BY
ST LUCIE COUNTY
DM.ND
!Di
SHEET,
GRP21.1
WSULA7IUN VALUES VOLUME SCNEOUrp
m.vmn
Name VeAimp OF
°"m°�'e 15r FLOOR 92pS CF
G.aq bM B208 CF
wu�uae�v
1
SCANNED
ICY
ST LUCIE COUNTY
GRP2.ELEvw.AREA
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oRP2- LEV i .ARPA
FDOH in St. Lucie county
eeaanwmmaw
environmental Health
Site Plan APProved for construction
SuPersedes All Previous Site Plana for
OSTDS iOj�sF L47or. Pi g Wetl 559- ;oj�
Datl2 str y,
_
Review r.
RFl OE��AW
Dl4MOND
PIAN NAM1NM
AST REVISI
im
SHEEry
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1