HomeMy WebLinkAboutOSTDS NEW4\
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STATE OF FLORIDA PCANN5&D
DEPARTMENT OF HEALTH B�®un
ONSITE SEWAGE TREATMENT AND i7
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT: Brvan Smith
OSTDS New
PROPERTY ADDRESS: 5705 Oleander Ave Fort Pierce, FL
LOT: BLOCK:
PROPERTY ID #:
3409-114-0003-000-5
PERMIT #:
APPLICATION #:
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #:
[SECTION, TOWNSHIiP, RANGE, PARCEL
[OR TAX ID NUMBER]
605
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS I 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. ANYJ CHANGE IN MATEAXAL 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 j AND VOID.
COi LIANCE WITH O R FEDERAL,
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. i
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Seotic new CAPACITY i
A [ ] GALLONS / GPD N/A CAPACITY i
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS Pumps ( ]
i
D [ 334 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ]_
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
N
F LOCATION OF BENCHMARK: orange painted nail in fence post S of system.
I ELEVATION OF PROPOSED SYSTEM SITE [ 24.00 ] [1 INCHES V FT ] [ ABOVE
E BOTTOM OF DRAINFIELD TO BE [ 23.00 ] [FINCHES FT ] [ ABOVE
L
D FILL REQUIRED: (19.001 INCHES EXCAVATION REQUIRED: [
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bed
0 200 gpd.
T The licensed contractor installing the system is responsible for installing the minimum ca
H s. 64E-6.013(3)(0, FAC.
Alternate BM = elevation- orange spot on air compressor pad NE of system
E
R
SPECIFICATIONS BY: Brian J Ing6m TITLE: Environmen
APPROVED BY: ITLE: Environmental Specialist
Brian J Ingr
DATE ISSUED: 02/15/2018 EX
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1327674 SE106
for a total estimated
of tank in accordance
DATE:
II
POINT
POINT
CHD
NOTICE OF RIGHTS
A party whose substantial interest is affectedl 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 r
Your failure to submit a petition for hearing v
constitute a waiver of your right to an administrative
order.
Should this order become a final order, a pa
to judicial review pursuant to Section 120.68, Florid:
governed by the Florida Rules of Appellate ProcedL
by filing one copy of a Notice of Appeal with the Agi
second copy, accompanied by the filing fees requin
appropriate District Court. The notice must be filed
21- days from receipt of this order will
ng, and this order shall become a 'final
y who is adversely affected by it is entitled
Statutes. Review proceedings are
Such proceedings may be commenced
icy Clerk of the Department of Health and a
I. by law, with the Court of Appeal in the
rithin 30 days of rendition of the final order.
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
MAIL TO: Bryan Smith
FACILITY NAME:
PROPERTY LOCATION:
5705 Oleander Ave
Fort Pierce, FL 34982
1 nt-
re
I j
St. -Lucie County Health Department
5150 NW Milner! Dr Port Saint Lucie, FL 34983
4 47 I C.f1C. ou i nne 4I tiFi_Rlr)-3668906 CONSTRUCTION APPLICATION t AP1327674
P rt ID' 3409-114-0003-000-5
I
Block:
AMOUNT PAID:
PAYMENT DATE:
I I
EXPLANATION or DESCRIPTION: QUANTITY
128 - OSTDS Construction System Inspection Research Fee 1
-1 - Surcharge (All) 1
-1 - OSTDS New Permit Surcharge 1
-1 - OSTDS Construction Application and Plan Review,New 1
123 - OSTDS Construction Site Evaluation 1
126 - OSTDS Construction Permit (New or Mod, Amendment) 1
I
127 - OSTDS Construction System Inspection 1
133 - OSTDS Construction Reinspection 1
FEE
$1 5.00
$ 15.00
$ 1 100.00
i
$ j 100.00
$ ( 115.00
$ I 55.00
$; 75.00
I
$ f 50.00
I
i
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3478895
Mi
I
i
1
e I
STATE OF FLORIDA
PERMIT NO.
PDEPARTMENT OF HEALTH DATE AAID:�30�
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: i
f RECEIPT #:
SYSTEM i
~`°°° '`�• APPLICATION FOR CONSTRUCTION PERMIT
i
APPLICATION FOR:
[ ] Holding Tank [ 7 Innovaltive:
[✓1 New System [ ] Existing System � i
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT.-•2) C n o s vy\ i
ar.,y irSC, p c1-��` �✓�t 4:+� ).n6��. �-G TELEPHONE: �7 •l •Z•i ,rLti'1 i { ��1 �.1�
AGENT: ss f
MAILING ADDRESS:
ae==e=c===c==c=c=cacaoc=cccocec==a=c=c=c= acc�acccc==cacacoccccnc=ccc=occa=xocc�ccce====c
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. ITJIS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREA ED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
peace=ccc3caCcccc�c=coccCc=c==cc=cvcccccccccc=�=cc_c=cco-oc�c=_coca=mac=c_cccocC�� ���--c=e
PROPERTY INFORMATION i
LOT: BLOCK: SUBDIVISION: PLATTED!
PROPERTY ID /M OR EQUIVALENT YIN N 7 : L
PROPERTY SIZE: ACRES WATER SUPPLY: PRIVATE PUBLIC [ 7<=2000GPD [ 13>2000GPD
IS SEWER AVAILABLE AS PER 381.0065,
PROPERTY ADDRESS: S / 0
DIRECTIONS TO PROPERTY.
BUILDING INFORMATION
Unit Type of
No Establishment
1 M041%-a 1' U,e.:,J
2
3
4
['4 Floor/Equipment Drains
FS? [ Y] DISTANCE TO SEWER: 1 FT
[� RESIDENTIAL
No. of Building
Bedrooms Area Sqft
[ ]
[ ] COMMERCIAL
Commercial/Institutional System Design
Table 1, Chapter 64E-6, PAC
Other (Specify)
DATE: O s
DR 4015, 08/09 (Obsoletes previous editions which may not be used) j
Incorporated 64E-6.001, FAC Page 1 of 4
SIGNATURE:
STATE OF FLORIDA APPLICATION # AP1327674
DEPARTMENT OF HEALTH PERMIT # 56-SF-1821605
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1064725
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Bryan Smith
CONTRACTOR / AGENT: Treasure Coast General Contractors
LOT: BLOCK:
SUBDIVISION: ID#:3409-114-0003-000-5
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: 11.00 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1500.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500'GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 850.00 SQFT UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: orange painted nail in fence post S of system.
ELEVATION OF PROPOSED SYSTEM SITE 24.00 I INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
i .
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE 'PROPOSED SYSTEM TO THE FOLLOWING FEATURES.
SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES IX]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 75 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [-X]NO 10 YEAR FLOODING? [ ]YES IX]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Ankona sand
Munsell #[Color Texture
Depth
10YR 4/2
Sand
0 To 15
10YR 5/2
Fine Sand
15 To 40
10YR 5/8
CMNIPRM RF
23 To 40
10YR 312
Fine Sand
40 To 53
10YR 5/3
Fine Sand
53 To 72
USDA SOIL SERIES:Ankona sand
Munsell #/Color Texture
Depth
10YR 4/3
Sand
0 To 12
10YR 612
Sand
12 To 45
10YR 5/8
CMN/PRM RF
25 To 38
10YR 313
Fine Sand
45 To 55
10YR 5/3
Fine Sand
55 To 72
OBSERVED WATER TABLE: 41.00 INCHES [ ABOVE / FBELOW111 EXISTING GRADE TYPE:
ESTIMATED NET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW 1
HIGH WATER TABLE VEGETATION: [ ]YES (X]NO ,MOTTLING: [X]YES [ ]NO
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED i [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR518 CMN PRM RF mottling >2% starting @ 23" in 10YR512 matrix.
SBI 23" below BM. SB2 21" belsy BM. Alternate BM = elev on- orange spot on air compressor pad NE of
SITE EVALUATED BY:
Ingram, Brian (Tale: Envir mental Specialist 11) (ENVIRONMENTAL HEALTH)
DH 4015, 09109 (Obsoletes previous editions wbich may not be used) Incorporated: 64E-6.001, FAC
INCHES
DATE: 02/13/2018
Page 3 of 4
AP1327674 E101821605 v 1.0.2
.r,.. � . u... uuP.ti W W W.Pabra-urtirt r.I,arw+r/PrvP%-UrrvwU r-
1005
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser — All rights reserved.
Site Address: 5705 OLEANDER AVE
Sec/Town/Range: 09/36S/40E
Map ID: 34/09N
Zoning: AR-1
Ownership
Christine W Campbell
Carin C Smith
Bryan Smith
5705 Oleander AVE
Fort Pierce, FL 34982-4038
Property Identification
Parcel ID: 3409-114-0003-000-5
Account #: 40131
Use Type: 0100
Jurisdiction: Saint Lucie County
Legal Description
9 36 40 W 264 FT OF S 165 FT OF E 297 FT OF S 112 OF SE 1/4 OF NE
1/4 OF NE 1/4 (1.00 AC) (OR 696-1468; 4091-1672)
Current Values
Just/Market Value: $159,700
Assessed Value: $135,660
Exemptions: $50,000
Taxable Value: $85,660
Taxes for this parcel: SLC Tax Collectors Office
Download TRIM for this parcel: Download PDF
Total Areas
Finished/Under Air (SF): 2,142
Gross Area (SF): 6,740
Land Size (acres): I
Land Size (SF): 43,560
Sale History
Date Book/Page
Sale Deed Grantor
Price
Code
Jan 18, 2018 4091 / 1672
0111 QC Campbell Christine W
$2,200
Jun 19, 1990 0696 / 1468
XX00 WD
$87,500
Building Information (1 of 2)
Finished Area: 2,142 SF
Gross Total Area: 5,060 SF
Exterior Data
View:
Roof Cover: Dim Shingle
Roof Structure: Gable
Building Type: HC+
Year Built: 1966
Frame:
Grade: C+
Effective Year:1977
Primary Wall: CB Stucco
Story Height: 1 Story
No. Units: 1
Secondary Wall:
Interior Data
Bedrooms: 3
Electric: MAXIMUM
Primary Int Wall:
Full Baths: 2
Heat Type: FrcdHotAir
Avg Hgt/Floor: 0
Half Baths: 0
Heat Fuel: ELEC
Primary Floors: Carpet
A/C %:100%
Heated %: l00%
Sprinkled %: 0%