HomeMy WebLinkAboutOSTDS NEWOF FLORIDA
MENT OF HEALTH
SEWAGE TREATMENT AND DISPOSAL
i
I
PERMIT # : 56-SF-1804478
APPLICATION #:AP13165.02
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT' #: PR1083954
CONSTRUCTION PERMIT
R: 'OSTDS New
APPLICANT: Michael Peterson
PROPERTY ADDRESs;�5 83
S
Dyer Rd Port Saint Lucie, FL 34952
LOT: 12
BLOCK: 2 SUBDIVISION: St., Lucie Gardens.
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 341
501-1412-350-4
[OR TAX ID NUMBER]
SYSTEM MUST BE
F
t
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 S7
T [ 900 ] GALLC
A ( ] GALLC
N [ ] GALLON
K " j 3 GALLON
D ( 500 ] SQUARE
R [ ] SQUARE
A TYPE SYSTEM:
I CONFIGURATION:
N
F LOCATION OF BENCM
I ELEVATION OF PROP(
E BOTTOM OF DRAINFIF
L
D FILL REQUIRED:
The system is sized fc
0 300 gpd.
T The licensed contrac6
H Is. 64E-6.013(3)(f), FA
E
R
t.:ir tt,riitviva
f
S / GPD Septic new CAPACITY
S / GPD N/A j CAPACITY
.GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK.:1250 GALLONS.]
i
DOSING TANK CAPACITY j ]GALLONS at ]DOSES PER 24 HRS #PtimpS [
i
?EET. Drainfl6ld new 1 SYSTEM
7EET N/A SYSTEM
[ ] STANDARD pc] FILLED [] MOUND. [ ]
[ ] TRENCH [x] BED [ ]
{
SYSTEM SITE
TO BE
SE property corner
[ 3,00j][ INCHES FP ][ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 4.00i][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
[ 17.003 INCHES
3 bedrooms with a maximum
installing the system.
of 6 persons (2 per bedroom), for a total estimated flow of
for installing the minimum category of tank in accordance with
SPECIFICATIONS BY: iBrian J Ingra;r TITLE': Environmental Specialist II
11
APPROVED BY: / ✓-�ib``'T L ,: Environmental Specialist Ii St Lucie CHD
Brian J Ingram ;-
DATE ISSUED: 111/3012017 j EXPIRATION DATE: 05139goig
Q
DH 4016,. 08/09 (Obso etes all previous editions �wYiich may not be used) , @�
Incorpo"rated: 64E-6 003;.FAC ! Page 1 of-3
v 1;1.4 1 321M 6502 SE.1055257
I
NOTICE OF RIGHTS
A party w ose substantial interest is affected by this order may petition for an
administrative I Ling pursuant to sections 120.569 and 120.57, FloridaStatutes. Such
proceedings are dovemed by Rule 28-106, Florida Administrative Code. A petition for
administrative hearing must be in writing and mast be. received by the Agency Clerk for the
Department, withi twenty-one (21) days from the receipt of this order. The address of the
Agency. Clerk is 4 52 Bald Cypress Way, BIN A 102 Tallahassee, Florida 32399. The Agency
Clerk's. facsimile r iumb.er is 860-413-8743. 3
Mediation is. not available as an altemative remedy.
Your failuie to submit;a petition for hearing within 21 days from receipt .of this order will
constitute a waiv r of your right.to an administrative hearing, and this order shall become a'final
order'.
Should thi 3 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 3.0 days of.rendition of .the final order.
i
St. Lucie County Health Department
Yi 5150 NWMilnerDr Port Saint Lucie, FL 34983
HUM
PAYING ON: PERMIT* 56-SF-1804478 13ILL ooc #:56-BID-3632061 CONSTRUCTION APPLICATION V. AP1316502
RECEIVED FROM: Alexander J..Piazza.PSM, Inc AMOUNT PAID: $ 515.00
-PAYMENT FORM: CREDIT CARD PAYMENT DATE: 11/22/2017
MAIL TO! Michael
FACILITY NAME:. I
1
PROPERTY LOCATION
Dyer Rd
PortSaint Lucie, FL.
Lot: 12 i Block: 2
I
Property ID: 3404-501-1412-350-4
EXPLANATION or DESCRIPTION;
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge.(All)
1
$
1-5.00
-1 : OSTDS New Permit Surcharge
1
$
100.00
-1--OSTDS _Construction Application and Plan Review New
1
$
100.00
123 - OSTDS Constru ion Site Evaluation
1
$
115.00
126 - OSTDS Construe lion Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construe ion System Inspection
1
$
75;00
133 - 08TOS Construction Reinspection
i
1
$
50.00
RECEIVED BY:
:AUDIT CONTROL NO..56-PID-3441031 .
ST
f DE
ON
SY
1 �Y
�owcKc� AP
APPLICATION FOR:.
New System
[ 1 Repair
APPLICANT:
f A
�E OF FLORIDA
kRTMENT OF HEALTH
TE SEWAGE TREATMENT AND DISPOSAL
EM i
ICATION FOR CONSTRUCTION PERMIT
57-2 19q
PERMIT W.
DATE PAID:
FEE PAID:
RECEIPT # CC-
[ ] Existing-SyStem [ ] Holding Tank- { ] Innovative
f l Abandonment [ ] Temporary I ]
1
son1';�q
AGENT: Alexander J. Pikzza PSM, Inc:
MAILING ADDRESS: 619 SW Biltmore Street, Port,St. Lucie, Florida 34983
TELEPHONE; 772-340-7770
TO BE COMPLETED B� APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MIDST BE CONSTRUCTED
BY A PERSON LICENgED PURSUANT TO 489.105(3)(m) OR 4B9.552, FLORIDA STATUTES. IT IS THE
APPLICANTS RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR
PLATTED (MM/DD/YYl IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY
LOT: 12
PROPERTY ID #[ :
2 SUBDIVISION:; St. Lucie Gardens PLATTED: 1910
341.4-501-1412-350-4
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 1.18 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
1
IS SEWER AVAILABIM. AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
1 1
PROPERTY ADDRESS : + Dyer Road, Port St. Lucie, FL 34952
DIRECTIONS TO PROPERTY: SEEMAP
i
BUILDING
Un3.t Type of
No Establishment-
i
1 RESIDENCE I
2
{
3
r
f
4
[ ] Floor/Equipinent Drains
SIGNATURE:.
DH.4015, 08/09 (Obsolete(s pi
Incorporated 64E-6-:001, FAC
[ ✓ ] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional-System Design
Bedrooms (Area Sqft Table 1, Chapter 64E-6,.FAC
3 2,119
I
i
Other (Specify) GARBAGE GRINDERS / DISPOSALS
1
which may not be used)
DATE.: 11-14-m ] 7
Page 1 of 4
STAVE OF FLORIDA
DEPRTMENT OF HEALTH
ONS TE SEWAGE TREATMENT AND DISPOSAL, SYSTEM
SI EVALUATI.ON AND SYSTEM°SPECIFICATION
t
APPLICANT: Michael
CONTRACTOR / AGENT:
LOT: 12
{
Piazza P;SM, Inc
BLOCK: 2
APPLICATION # AP1316502
PERMIT # 56-SF-1804478
DOCUMENT # SE1055247
SUBDIVISION: $t Lucie .Gardens ID#: 3414-501-1412-350-4
TO BE COMPLETED BY GINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER ANDI SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORM TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 1.32 ACRES
TOTAL ESTIMATED SEWAG FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1§79.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVA�L LE: 750.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SOFT
I
BENCHMARK/REFERENCE PINT LOCATION: orange capped IR SE property comer
I
ELEVATION OF PROPOSED! SYSTEM. SITE 3.40 ;[ INCHES / FT 'I [ ABOVE / BELOW] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK W�41CH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: _FT DITCHES/ ISWALES: 50 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC:�FT LIMITED USE: FT PRIVATE: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS:I 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT
SITE SUBJECT TO FREQ T FLOODING? [ ]YES, [X wo- 10 YEAR FLOODING? [ ]YES [X]NOJ
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD I SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMAT ON SITE 1 1 SOIL.PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Wavel
Munseil #1Color
d fine sand
Texture
Depth
10YR-4/1
Sand
0 To-5
IOYR 5/1
Sand
5 To 9.
1 OYR 5/2
Sand
9 To 15
10YR 6/2
f Sand
16 To 29 {
1 OYR 7/2
( Sand
24 To 30 1.
10YR 313
,Fine Sand
30 To 45
1 OYR 211
Sdodic
Material
45 To 53
10YR 313
lFine Sand
53 To 61 l
HOLE CAVING
Refusal
61 To 72
OBSERVED WATER TABLE:
ESTIMATED WET SEASON W
HIGH WATER TABLE VEG
SOIL TEXTURE/LOADING
DRAINFIELD CONFIGURATI
28.00 INCHES [ ABOVE /
L TABLE ELEVATION:
PION: [ ]YES [ X ]:
ATE FOR SYSTEM SIZING:
. [ ] TRENCH [ X ]
CRITERIA
WSWT.determined using USE A WSS survey, soil borings, and local
10YR7/2 stripping In 1.OYR6/2 matrix>10% with diffuse boundanes-s
S81 and S82 3" below BM. rz
SITE EVALUATED BY:
USDA SOIL SERIES:Waveland fine sand
Munsell #/Color Texture
Depth
10YR 412
Fine Sand
0 To 4
10YR 512
Sand
4 To 15
1 OYR 6/2
Sand
15 To 30
1 OYR 7/2
Sand
25 To 32
10YR 312
Fine Sand
32 To 45
10YR 2/2
Spodic Material
45 To 55
1OYR 3/3
Fine Sand
55 To 64
HOLE CAVING
Refusal
64 To 72
11 EXISTING GRADE TYPE:
INCHES [ ABOVE / BELOW 1
MOTTLING: [X]YES [ ]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 25.00 INCHES
Sand/0.60 DEPTH OF EXCAVATION.: INCHES
[ ] OTHER (SPECIFY)
t Ingram, Brian (77tie: Environman Spectallst I1)"(ENVIRONMENTALNEALTI�
r
DH 4015, 66/69 (0bso1etea revlous editions which may not belused) Incorporated: 54E-6.001, PAC
DATE: 11/29/2017
Page 3 of 4
j t
AP1316502 EIDIS04478 v I.Al'
{
0
of e
STAT
' s DEPA
ONSI
�.Y SITE
APPLICANT;
LOT: 12 .
OF FLORIDA I PERMIT L) u }i
MEN T OF HEALTH i 's 9 - &,
SEWAGE TREATMENT AND DISPOSAL SYSTEM
VALUATION AND SYSTEM SPECIFICATIONS
Dn j AGENT: Alexander-J. Piazza PSK Inc.
SUBDIVISION: St. Lucie Gardens
PROPERTY ID # : 3414-501-14.12-350-4
[ Tax ID Number
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGIST TION NUMBER AND SIGN :AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: I✓] YE,S [ I NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW : GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AV�AILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION; I
ELEVATION OF PROPOS D SYSTEM SITE IS34 i[INCHES /FI' ] [ ABOVE /BELOW I BENCHMARK/REFERENCE POINT.
� t
THE MINIMUM SETBACKiWHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT DITCHES/SWALES:l5 FT NORMALLY WET? [ I YES IV(] NO
WELLS: PUBLIC:200 FT LIMITED USE:100I FT PRIVATE:75 FT NON—POTABLE:100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: [ 1 YES [✓] NO 10 YEAR FLOODING? I j YES I✓] NO
10 YEAR FLOOD ELEVA ION FOR SITE: 1 FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
MUNSELL #/COLOR
USDA SOIL SERIES:
OBSERVED WATER T.
ESTIMATED WET SE
HIGH WATER TABLE
ATION SITE 1
TO
TO
TO
SOIL PROFILE; INJVORDWX-LULV. a1TZ 4
MUNSELL #/COLOR TEXTURE
DEPTH
TO
TO
TO
TO
TO
TO
TO
TO .
TO
USDA SOIL SERIES:
:40+ INCHES [BELOWW EXISTING GRADE. TYPE.:[PERCHED/ APPARENT ]
WATER TABLE ELEVATION( INCHES [.ABOVE/BELOW I EXISTING GRADE
ETATION: ( ] YES [ ] NO •MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADINq RATE FOR SYSTEM SIZING:. DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGtTP_4TION; j✓]-TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CfRITERIA.:
i
SITE EVALUATED BY: /4 s�',
. F � � �� DATE: 11=1417
DR 4015-, 12/11 (Obsoleted previous editions which may? -not- be- used) incorporated: 64E-6.001, FAG Page, .3 Of
i
i Michael
- ' -�r--WON172.'
Michael 'Peterson 56
APPLICANT'S N -------------
C?
Lot 12, Block St. Lucie Gardens
LEGAL DESCRItTION:'_
PRP
E P 7. 71 C-15� V- V1 R WIT -0 N
TOS D SE �Y
I certify that t iere are no potable privke wells within 75 feet of the available area for the
proposed septic stem, that there are no non -potable wells within 50 feet of the available area
iy
for the proposed septic system, that there are no wells -within 25 feet of a pesticide -treated
I -
building foundai ion, that there are nop lic wells that serve less than 25 people or less than
15 homes or businesses within 100 feet 1of the proposed septic system, that there are no public
wells that serve more than 25 people orlmore than .15 homes or businesses within 200 feet of
the proposed se "tic system, that the water line from the watef meter or well to -the structure is
at least 10 feet
Wom the available area for the proposed septic system unless the plans show
the line to be dolable 'sleeved, that there is not a gravity sewer line, low pressure sewer line or
,Vacuum sewage ifine in a public easement or night -of -way that abuts the property, that there
are no lakes, str6arn8, 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
I
systems and surace 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 si:e 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
n
wetlands -are shown on the applicants 16t.
The natural grade elevation in the arealof 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
y-Lia
NOTE:
BY A FLORIDA
YOR OR ENGINEER
i
4-
CERTIFIED BY:
FLORIDA PROFESSIONAL -0.-..
DATE; 111141
Michelle Franklin, CFA = Saint Lucie ;County Property Appraiser - All rights reserved.
II Property. identification
Site Address: Dyzr Rn
IParcel ID: 34141501.1412 350-4
Account It: 4120
Sec/P6%%WRange: 251BO {10E
Nip ID,34125N 1 Use T. pc: oauo
Zonine hh1-> jurisdiction: Saint Lucie County
ownership
-Michael Peterson
Ericka Fultz
673 SW Kaya1: AVE
Port St Lucie�Fl. 341
Legal
ST LUCIE (j,
12{131 AC)
current Values
i
s
i
S 1651•T OF N 1155 FT OF LOT
1793) i
i
JusWarket Value:
52700
Assessed Value:
�
5'-6;840
Exemptions:
$0
Taxable Value:
$26.840
Taxes for this parcel: SLC'raa'Cottectors Quire fo
Download TIUM for thI9 parcel: Download PDF 19
F
Total Areas
Finis}ied/Under Air (SM 0
Grass Area (SF): 0
Land. Size (acres): 1.31
Land -Size (Sr): 57.0616
information is believed to be correct ut this time; but it is subject to change and is not warranted.
Cop}Tight 2017 Saint Lucic County PcopertyAppmiser. All rights.reserved.
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