HomeMy WebLinkAboutOSTDSSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Matt & Angela Coney
PROPERTY ADDRESS: TBD Trowbridge Rd Fort Pierce, FL 34945
LOT: 6 BLOCK:
SUBDIVISION:
PERMIT #:56-SF-1806363
APPLICATION #:AP1317692
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1086976
PROPERTY ID #: 2212-800-0006-000-5 [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 Septic 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 [ 667 ] SQUARE FEE'.
R [ ] SQUARE FEE'.
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK:
Drainfield new SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [X] MOUND [ ]
TRENCH [x] BED [ ]
Dainted 60d nail in oak S of
I ELEVATION OF PROPOSED SYSTEM SITE [ 18.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE
L
D E
O
T
H
E
R
8.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
ILL REQUIRED: [28.00] INCHES EXCAVATION REQUIRED: [ Ub.UU] INCHES
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)(0, FAC.
SPECIFICATIONS BY: _Brian J Ingraxp TITLE., Environmental Specialist II
APPROVED BY: t TITLE, Environmental Specialist II St. Lucie CHD
Brian J Ingram
DATE ISSUED: 12114/2017 EXPIRATION DATE: 06/14/2019
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 AP1317693 File C®056927
ti -1 i. a-4 C'15 r. a�
PROPERTY ADDRESS: TBD Trowbridge Rd Fort Pierce, FL 34945
LOT: 6 BLOCK: SUBDIVISION:
PROPERTY ID #: 2212-800-0006400-5
PERMIT #:S6-SF-1806363
{SECTION, TOWNSHIP; RANGE, PARCEL NMdBER]
[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 Septic new CAPACITY
A [ ] GALLONS. / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K I ] GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 667 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: I ] STANDARD I l FILLED [X] MOUND [ ] r:
I CONFIGURATION: I ] TRENCH [X] BED I ]
F LOCATION OF BENCHMARK: orange painted 60d nail in oak S -of system
I ELEVATION OF PROPOSED SYSTEM SITE [ 18.00] INCHES FT }[ABOVE BELOW BENCHMARK/REFERENCE POINT
F. BOTTOM OF DRAINFIELD TO BE [ 8.00 ][INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT.
z. AB
D FILL REQUIRED: [28.00] INCHES EXCAVATION UIRED: [ 65.00] INCHES 1i/T-1,
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
O 400 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
H . s. 64E-6.013(3)(0, FAQ.
E
R
SPECIFICATIONS BY: _Brian J ingrAm TITLE' Environmental Specialist I1
APPROVED BY: rJ1 T TLE= Environmenta ci st I=, St Lucie CHD
Brian J Ia9sa�// IV up T
DATE ISSUED: 12/14/2017 V APTEUILTION DATE: 06/14/2019
DR 4016,.08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1317692 SE1056927
x
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
°T 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT #: 56-SF-1806353 BILL HOC #:56-BID-3636980 CONSTRUCTION APPLICATION #: AP1317692
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 515.00
PAYMENT FORM: CHECK 1516 PAYMENT DATE: 12/04/2017
MAIL TO: Matt & Angela Coney �� C. �� S✓.� ��
��Z-Zvi-R�33
FACILITY NAME:
PROPERTY LOCATION:
TBD Trowbridge Rd
Fort Pierce, FL 34945 2814
Lot: 6 Block:
Property ID: 2212-800-0006-000-5
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
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: VanceMH AUDIT CONTROL NO. 56-PID-3446713
i c STATE OF FLORIDA PERMIT NO.Sf
DEPARTMENT OF HEALTH DATE PAID: /a' Y "/..
4 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: & &.00
00
SYSTEM RECEIPT #: CMG �SI�
W"Ie APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary [ ]
APPLICANT: Matt and Angela Coney �GI,rV.�` — ,�7 - ag3j
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE; 772-340-7770
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
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
LOT: 6 BLOCK: - SUBDIVISION: Orange Avenue AG Park PLATTED: 1993
PROPERTY ID # : 2212-800-0006-000-5 ZONING: R I /M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 11.624 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: Trowbridge Road -3�'yq�;-
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[,/] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Soft Table 1, Chapter 64E-6, FAC
3 2,814 S r&
Floor/Equipment Drains [ ,/ j- other (Specify) GARBAGE GRINDERS / DISPOSALS
DATE: 11-15-17
DH 4015, 08/09 (Obsol'etes previous editions which may not be used)
Incorporated 64E-6.001, PAC Page 1 of 4
y
STATE OF FLORIDA APPLICATION # AP1317692
DEPARTMENT OF HEALTH PERMIT # 56-SF-1806353
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1056927
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Matt & Angela Coney
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 6 BLOCK:
SUBDIVISION: ID#:2212-800-0006-000-5
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: 11.62 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400. GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 17429.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Orange pain
ELEVATION OF PROPOSED SYSTEM SITE 18.00 [
60d nail in oak S of
/ FT ] [ ABOVE /I BELOW I] 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: 75 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 50 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
TT]I1L9T T1,TP1D1.lTMynw, QT'In 1
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NOi
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
Tl11, OTms. 7
USDA SOIL SERIES:Winder loamy sand
Munsell #/Color Texture
Depth
10YR 5/3
Loamy Sand
0 To 4
10YR 712
Sand
4 To 8
1 OYR 6/4
Loamy Fine Sand
8 To 24
7.5YR 6/8
CMN/PRM RF
14 To 24
10YR 7/2
Sandy Clay Loam
24 To 31
10YR 6/1
Loamy Sand
31 To 41
5PB 6/1
Sandy Clay Loam
41 To 65
1 OYR 5/1
Loamy Sand
65 To 72
USDA SOIL SERIES:Winder loamy sand
Munsell #/Color Texture
Depth
10YR 5/3
Loamy Sand
0 To 4
10YR 7/2
Sand
4 To 8
10YR 6/4
Loamy Fine Sand
8 To 27
7.5YR 5/8
CMN/PRM RF
14 To 27
10YR 712
Loamy Sand
27 To 35
10YR 6/1
Loamy Sand
35 To 43
50Y 611
Sandy Clay Loam
43 To 65
10YR 6/1
Loamy Sand
65 To 72
OBSERVED WATER TABLE: 27.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 14 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 14.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 65 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
7.5YR518 CMN PROM RFs mottling starting @ 14" in SB1.
SB1 18" below RP. SB216" below P.
SITE EVALUATED BY: ~� �.y....�"� DATE: 12/08/2017
Ingram, Brian (Title: Env!Ko mental Specialist II) (ENVIRONMENTAL HEALTH)
a
DH 4015, 08109 (obsoletes previous editions which mof be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1317692 EID1006353 v 1.0.2
e
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.,, SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT # . 5(o -5F- I ao (P 353
APPLICANT: Matt and Angela Coney AGENT: Alexander J. Piazza PSM, Inc.
LOT: 6 BLOCK: - SUBDIVISION: Orange Avenue AG Park
PROPERTY ID # : 2212-800-0006-000-5 [ Tax ID Number ]
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:
ACRES
TOTAL ESTIMATED SEWAGE FLOW: 667
GALLONS
PER DAY [ RESIDENCES -TABLE 1/OTHER-TABLE 2
1
AUTHORIZED SEWAGE FLOW:
GALLONS
PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE
]
UNOBSTRUCTED AREA AVAILABLE: 1000
SOFT
UNOBSTRUCTED AREA REQUIRED: 1000
SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/FT ] [ABOVE/BELOW'] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT DITCHES/SWALES:15 FT NORMALLY WET? [ [ YES [✓] NO
WELLS: PUBLIC:200 FT LIMITED USE:100 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: [ J YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW q EXISTING GRADE. TYPE: [PERCHED /APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [V(] TRENCH [ ) BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY:
DR 4015, 12/11 (Obsoletes previous
tions which. may not be;used)
11
Incorporated: 64E-6.001, FAC
DATE: 11-1547
Page 3 of
15(0 -sr. 1 �0&353
APPLICANT'S NATNIE:
Matt and Angela Coney
LEGAL DESCRIPTION: Lot 6, Orangie Avenue AG Park
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 watef 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,
filled 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: MUST BE CERTIFIED BY A FLORIDA
REGISTERED SURVEYOR OR ENGINEER.
CERTIFIED BY:
FLORIDA PROFESSION NO.:
DATE: 1 /1 7O NO.: 1 T_ 326
docs/ forms/septics/SepticAppp Page207
5(e —SF - l �O (vS 53
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
Site Address: TROWBRIDGE RD
See/Town/Range: 12/35S/38E
Map ID: 22/1IN
Zoning: IX
Ownership
Angela M Coney
8303 Fort Walton AVE
Fort Pierce, FL 34951-1397
Legal Description
ORANGE AVENUE AV PARK LOT 6 (MAP22/11X) (11.62 AC) (OR
4014-1692)
Current Values
Just/Market Value: $107,430
Assessed Value: $23,240
Exemptions: $0
Taxable Value: $23,240
Taxes for this parcel: SLC Tax Collector's Office 12
Download TRIM for this parcel: Download PDF 12
Parcel ID: 2212-800-0006-000-5
Account #: 135417
Use Type:6900
Jurisdiction: Saint Lucie County
Total Areas
Finished/Under Air (SF): 0
Gross Area (SF): 0
Land Size (acres): 11.62
Land Size (SF): 506,167.2
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.