The URL can be used to link to this page

Home My WebLink AboutOSTDS NEWRECEI"-D 12 2017 File Copy, ,x STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL, SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Tom Huddleston PROPERTY ADDRESS: 5010 Palmetto Dr Fort Pierce, FL 34982 LOT: 33& 34 BLOCK: 26 SUBDIVISION: PROPERTY ID #: 3402-606-0188-000-4 PERMIT #:56-SF-1767365 APPLICATION #:AP1293320 DATE PAID• FEE PAID: RECEIPT #: DOCUMENT #: PR1064934 Indian River Estates [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 [ 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 [ 500 ) SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/Ai SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ) BED [ ] N F LOCATION OF BENCHMARK: Site BM NiD near center of property, E side of rd I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D 3 O T H E R J. REQUIRED: [ ZZ.UUJ INCHES EXCAVATION REQUIRED: [ 4Z.UU ] INCHES re system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 10 gpd. ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(0, FAC. SPECIFICATIONS BY: Brian J Ingrap TIRO Environmental Specialist II APPROVED BY: OeyTITLE: Environmental, Specialist II St. Lucie CHD Brian J IngraBV DATE ISSUED: 06/09/2017 EXPIRATION DATE: 12/09/2018 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 AP1293320 SE1037088 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. PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PERMIT* 56-SF-1767365 eILL ooc *56-BID-3442333 CONSTRUCTION APPLICATION M AP1293320 Brian Helseth AMOUNT PAID: $ 515.00 CHECK 1593 PAYMENT DATE: 06/02/2017 MAIL TO: Tom Huddleston FACILITY NAME: PROPERTY LOCATION: 5010 Palmetto Dr Fort Pierce, FL 34982 Lot: 33& 34 26 Block: Property ID: 3402-606-0188-000-4 EXPLANATION or DESCRIPTION: -1 - OSTDS Construction Application and Plan Review,New 1 123 - OSTDS Construction Site Evaluation 1 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 127 - OSTDS Construction System Inspection 1 128 - OSTDS Construction System Inspection Research Fee 1 -1 - Sure r -1 - OS" t 1 W&V 17�- 5 a� cot Im, wv �au)tl 6� ►J2 f A RECE QUANTITY FEE $ 100.00 $ 115.00 $ 55.00 $ 75.00 $ 5.00 $ 50.00 $ 15.00 $ 100.00 56-PID-3257336 04� STATE OF FLORIDA PERMIT NO. ,;fv Ap �346 DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAm: . 75. D SYSTEM RECEIPT #: r APPLICATION FOR CONSTRUCTION PERMIT e,K- APPLICATION FOR: [ ] New System [ l Existing System [ l Holding Tank [ ] Innovative [ ] Repair [ 1 �Abandonment / [ ] Temporary [ l APPLICANT: AGENT: /CJ/'!`a of _/ie Ixe,14 ` TELEPHONE: / coyZ /�- /,30 F MAILING ADDRESS: / ✓cJlir:/,� /�/Yi.� �!• / < 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 �/J // J _� LOT:3 E' 39 BLOCK: SUBDIVISION: ii-allee, l,%Pr'' N s��./rS PLATTED: PROPERTY ID #: LJo 6DG -f�f �®OO-AONING: -3 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: • 90 ACRES WATER SUPPLY: [ ] PRIVATE P LIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /�N 1 DISTANCE TO SEWER: ' FT PROPERTY ADDRESS: S®1 D / 414" e /�� /'d%� /,�, J / eeW /�/_ :5 Y / Sol— DIRECTIONS/ TO PROPERTY: BUILDING INFORMATION [X RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design • No Establishment Bedrooms Area Saft Table 1, Chapter 64E-6, FAC 1 S �hc le Aa.�, / 3 .23 01 /�_W 2 3 4 [ ] Floor/Equipment Drains [ ] O her (Specify) SIGNATURE: ` DATE: "/ 2, DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 41 STATE OF FLORIDA APPLICATION # AP1293320 DEPARTMENT OF HEALTH; PERMIT # 56-SF-1767365 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1037088 SITE EVALUATION AND ,SYSTEM SPECIFICATION APPLICANT: Tom Huddleston CONTRACTOR / AGENT: Brian Helseth LOT: 33& 34 BLOCK: 26 SUBDIVISION:, Indian River Estates ID#: 3402-606-0188-000-4 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: 0.90 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2250.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SOFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NiD near center of property, E side of rd ELEVATION OF PROPOSED SYSTEM SITE 4.00 [ INCHES / FT ] [ ABOVE / HELOW ] 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 [ ]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOI 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD anrT_ nvn%nrrw "=v%vuAmrneT ermc 1 S'ATT. DRAFTT.r. TTTFA12MATTr)N STTF. 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 28 10YR 6/1 Sand 28 To 33 10YR 2/1 Spodic Material 33 To 42 10YR 3/3 Sand 42 To 51 10YR 4/2 Sand 51 To 63 HOLE CAVING Refusal 63 To 72 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 25 10YR 6/1 Sand 18 To 33 10YR 2/1 Spodic Material 33 To 42 10YR 3/3 Sand 42 To 51 10YR 4/2 Sand 51 To 66 HOLE CAVING Refusal 66 To 72 OBSERVED WATER TABLE. 30.00 INCHES [ ABOVE / HE] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 42 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) (-- REMARKS/ADDITIONAL CRITERIA IT determined using USDA WSS, soil borings, and local topography. t611 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting ae 20" in SB2. 2" below SM. SB2 4" below BM. /l SITE EVALUATED BY: Ingram, Brian (Title: En ' nmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 09/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 05/08/2017 Page 3 of 4 AP1293320 EID1767366 v 1.0.2 APPLICANT'S NAME: LECAL DESCRIPTION: 5-5� -17 (a77343 x PROPOSED SEPTIC. SYSTEM SITE INFORMATIQ1K 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, tilled 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: MI. :ST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. CERTIFIED B-Y- FLORIDATRDFL•SSIONAL _`0.: __ rroperty Card Page 1 of : 51P-s1--17(073(5 Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5010 Parcel ID: 3402-606-0188- Account #: 36970 Sec/Town/Range: PALMETTO DR 000-4 02/36S/40E Map ID: 34/02S Zoning: RS-3 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Thomas W Huddleston INDIAN RIVER ESTATES -UNIT 05-BLK 26 LOTS 33 AND Catherine I Huddleston 34 (0.90 AC - 39,600 SF) (MAP 34/02S) (OR 3941-2933: 3941- 4706 Sunset BLVD 2936: 3646-2545) Fort Pierce, FL 34982-8504 Current Values Historical Values 3-year Just/Market: $12,900 Assessed: $12,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $12,900 2016 $12,900 $12,900 $0 $12,900 2015 $12,900 $12,760 $0 $12,760 2014 $11,600 $11,600 $0 $11,600 Date 12-08-2016 12-08-2016 12-07-2016 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 3946 / 2545 0111 WD Huddleston Thomas W 3941 / 2936 0003 WD Baez III Humberto 3941 / 2933 0003 WD Baez Miriam Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF Exterior Data Roof Cover: Roof Structure: Frame: Grade: Story Height: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: �iiCfCt? U17C vai'lCabi for dispfoji Total Areas Price $0 $22,500 $22,500 Building Type: Effective Year: 2014 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air (SF): Gross Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Type Qty Units Year Blt 0 0 0.91 39,600 1 This information is believed to be correct at this time but it is subject to change and is not warranted. 0 Copyright 2017 Saint Lucie County Property Appraiser. All rights reserved. ttp://www.paslc.org/RECard/ 6/2/2017 FDOH in St. Lucie County Environmental Health Site Plan Approved for Construction Supersedes Ail Previous Site Plans for 9 Reviewer: �-5F-/7673165 & Well # 7e� ��.nnJ 7S/J.J/lay..mpl:vy _C _op,wrmenmalA Mm9_I! MlOfJ„�sa_e. a m*wwa.0a�uynM.sns¢1K1.1uam.,mWc6B�'l�M1�..sll a Architectonic Inc HUDDLESTON RESIDENCE ST. LUCIE COUNTY, FL A � ., F