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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. r i ............. YEN :1 oil ell -24 E4, .4;,;Ifni.if� zF Golf Rot V KIM IOWA J Owl Mgt A Y-1 VIA Whom WN V Parcel-, 342570400130102� ti Ca-