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HomeMy WebLinkAboutOSTDS NEWiy STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Edward Groenwoldt PROPERTY ADDRESS: GUllotti PI Port Saint Lucie, FL 34952 LOT: BLOCK: PROPERTY ID #: 3414-501-1106-100-9 PERMIT #:56-SF-1732142 APPLICATION #: AP1270782 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1046763 SUBDIVISION: St. Lucie Gardens [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 [ 900 ] GALLONS / GPD Septic 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 [ 375 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [xl MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM mag nail in dick in Rd NE property corner I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT,., E BOTTOM OF DRAINFIELD TO BE [ 2.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT Yt ■ D F O T H E R ILL REQUIRED: [23.UU] INCHES EXCAVATIUN REQU1F4.EU: L J 1NUHEb The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400 gpd. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(f), FAC. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: Z�P, LE: Environmental Specialist II St. Lucie CID . Brian J Ingram DATE ISSUED: 01/18/2017 EXPIRATION DATE: 07/18/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC , v 1,1.4 AP1270782 SE1019783 Page 1 of 3 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 ON, 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT#• 56-SF-1732142 BILL DOC*56-13ID-3331318 CONSTRUCTION APPLICATION#. AP1270782 RECEIVED FROM: Edward Groenwoldt AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 01/12/2017 MAIL TO: Edward Groenwoldt FACILITY NAME: PROPERTY LOCATION: Gullotti PI Port Saint Lucie, FL 34952 Lot: Block: Property ID: 3414-501-1106-100-9 EXPLANATION or DESCRIPTION: -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 128 - OSTDS Construction System Inspection Research Fee 133 - OSTDS Construction Reinspection -1 - Surcharge (All) LI -1 - OSTDS New Permit Surcharge 61wta+ 0- �S t QUANTITY FEE 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 5.00 1 $ 50.00 1 $ 15.00 $ - 100.00 RECEIVED BY: - WhiahamJL --'1L NO. 56-PID-3169703 � STATE OF FLORIDA PERMIT NO. DEPARTMENT OF HEALTH DATE PAID: / Z / �- '� �:� ,,<• ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM FEE PAID: RECEIPT #: "'`, APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment l [ ] /Temporary [ ] APPLICANT: Z_ e i 1.. -'1 A t� � -1- ] l�`i t�liL� L A C(7 (Cl 80 i� ��� AGENT: TELEPHONE: 7 y MAILING ADDRESS: C.i (% �f 6 v ((C`3 Y-/CrCI 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 a _i__ T.n'r- RT,nr..K--grmnTVTGTnW! SA Utk t L PLATTED i (,� C?r PROPERTY ID # : - ! 0 J -14"0 ONIING: I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: : ACRES WATER SUPPLY: [] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 3/81. 0(065 , FS? [ Y / 1V) ] DISTANCE TO SEWER: f FT PROPERTY ADDRESS: .� ("`j i" P LPG i C F C €: 1 r S 'f f� r i-� DIRECTIONS TO PROPERTY: 1 i Yam` ,Arm 11ra' 44-7 -�=c> C2&) e` , 4R,CL._L-1 S��C \-z�liii�� I©�%�C BUILDING INFORMATION [lam] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 2 20/6 3 4 [ ] Floor/Equipment/brains [ ] Other (Specify) SIGNATURE: a�' DATE: 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 SPECIFICATION APPLICANT: Edward Groenwoldt CONTRACTOR / AGENT: LOT: Edward Groenwoldt BLOCK: SUBDIVISION: St. Lucie Gardens ID#: 3414-501-1106-100-9 APPLICATION # AP1270782 PERMIT # 56-SF-1732142 DOCUMENT # SE1019783 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: 1.25 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY' [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 1875.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM mag nail In dick In Rd NE property corner ELEVATION OF PROPOSED SYSTEM SITE 3.00 [FINCHES] / 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: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT _LIMITED USE: FT PRIVATE: 125 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 60 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 SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 5/1 Fine Sand 0 To 24 1 OYR 6/1 Fine Sand 24 To 30 1 OYR 7/1 Fine Sand 30 To 38 1 OYR 2/2 Spodic Material 38 To 55 2.5YR 4/2 Loamy Fine Sand 55 To 67 2.5YR 4/3 Loamy Fine Sand 67 To 72 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 5/1 Fine Sand 0 To 24 1 OYR 6/1 Fine Sand 24 To 30 1 OYR 7/1 Sand 30 To 38 1 OYR 3/3 Sand 38 To 57 1 OYR 4/2 Sand 57 To 72 OBSERVED WATER TABLE: 68.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 19 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 19.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/1 and 10YR7/1 stripping in 10YR511 matrix 10% with diffuse boundaries starting @ 19" In both SBs S131 and SB2 3" below BM. SITE EVALUATED BY: DATE: 01/13/2017 Ingram, Brian (Titl nvironmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 Of 4 AP1270782 EID1732142 v 1.0.2 ?roperty Card' Page 1 of 66-5r=41-7321gI Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address:GULLOTTI Parcel ID:3414-501-1106- Account #: 41027 Sec/Town/Range: PL 100-9 24/36S/40E Map ID: 34/24S Zoning: AR-1 Use Type: 9900 Jurisdiction: Saint Lucie County Ownership Legal Description Edward Groenwoldt ST LUCIE GARDENS 24 36 40 BLK 3 S 165 FT OF N 330 FT Shawna Groenwoldt OF LOT 6 (1.25 AC) (MAP 34/24S) (OR 3941-889) % Merit Title 628 Colorado Ave Stuart, F134994 Current Values Historical Values 3-year Just/Market: $31,900 Assessed: $27,225 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $27,225 2016 $31,900 $27,225 $0 $27,225 2015 $25,000 $24,750 $0 $24,750 2014 $22,500 $22,500 $0 $22,500 Sale History Date Book/Page Sale Code Deed Grantor Price 12-06-2016 3941 / 0889 0001 WD Palm Beach Development And $33,000 Sales Corp 09-03-2013 3567 / 1239 0111 QC Lake Lucie Estates Inc, $100 01-01-1900 $0 Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: 2014 Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: /trio, :, ' ,,r.��7Py Total Areas or rJr' Finished/UnderAir 0 Sketch (SF): ur)(1vah'Cble Gross Area (SF): 0 fOr d5 )ICTY fol..Land Size (acres): 1.25 Land Size (SF): 54,450 Total Building Count: I Special Features and Yard Items Type Qty Units Year Blt This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. 4://www.paslc.org/RECard/ 1/12/2017