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HomeMy WebLinkAboutOSTDS NEW4\ i 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%