The URL can be used to link to this page

Home My WebLink AboutCONDITIONS FOR ISSUANCE OF WATER WELL PERMITi �� PERMIT #:56-SF-1822662 STATE OF FLORIDA I St Odp Ontirift APPLICATION #: AP 1328411 DEPARTMENT OF HEALTH I DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIVED RECEIPT #: MAR 2 0 2018 DOCUMENT #: PR1095181 IST. Lucie County, Pcrmittinil CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Guy Norton PROPERTY ADDRESS: TBD Indian River Dr Fort Pierce, FL 34982 I LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 4509-120-0010-000-6 I [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN1 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,IFOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 900 ] 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 [ 375 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [] MOUND [ ] I CONFIGURATION: [XI TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM NiD CL of Rd center of property I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][INCHES FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 22.00][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L i D F O T H E R ILL REQUIRED: [ u.u0 ] INCHES EXCAVATION REQUIRED: [ J lNutiEs The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300 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. I NO WSWT. NO MORE THAN 30" OF COVER OVER BOTTOM OF DRAINFIELD. SPECIFICATIONS BY: Brian JiIngr TITLE: Environmental Specialist II i APPROVED BY: I TITLE: Environmental Specialist II St. Lucie CHD Brian J Ingram DATE ISSUED: 02/23/2018 EXPIRATION DATE: 08/23/2019 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 AP1328411 SE1065906 ARM% P y Cu I/ i I , 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 28-166, 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) da�s 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 850-413-87,43. Mediation is not available as a T 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 i120.68, 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. HF.AL.TH PAYING ON: RECEIVED FROM: PAYMENT FORM: MAIL TO: Guy Norton FACILITY NAME: PROPERTY LOCATION St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 TBD Indian River Dr Fort Pierce, FL 34982 I Lot: I Block: Property ID: 4509-120-0010-000-6 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -1 - Surcharge (All) I -1 - OSTDS New Permit Surcharge -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 133 - OSTDS Construction Reinspection CONSTRUCTION APPLICATION #: AP1328411 AMOUNT PAID: $ 515.00 PAYMENT DATE: 02/13/2018 QUANTITY FEE 1 $ 5.00 1 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50:00 RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3481205 2/13/2018' 10:42 AM Sales Receipt 417611 Store: 1 I REPRINTED St Lucie County Health Department 5150 NW Milner Drive Port St Lucie, FL 34983 Environmental Health Division 772-873-4931 Item # i City Price Ext Price - -- $75.00 .$75 00 T "Initiall Inspection 3 1 $100.00 $100.00 T "New' Application 30 'i $50.00 $50.00 T 'New Other Inspectic 5 1 1 $55.00 $55.00 T *New Permit 7 1 1 $5 00 $5.00 T "New Research Surc 4 1 1 $115.00 $115.00 T *New Site Evalualion 2 1 $100.00 $100 00 T *New System Count; 1 ' 1 $15.00 $15.00 T 'OSTDS County Sur 68 1 $115.00 $115 00 T Well Construction Subtotal: $630.00 Local Sales Tax 0 % Tax + $0.00 RECEIPT TOTAL: $630.00 Check: $630.00 2688 TBD Indian River Dr Norton Residence Thank You & Have a Good Day! ! IIIIII IIIII IIIII IIIII IIIII IIII IIII STATE OF FLORIDA r f. DEPARTMENT OF HEALT ONSITE SEWAGE TREAT ' SYSTEM I "g` APPLICATION FOR CON APPLICATION FOR: [f ] New System [ l Exis [ ] Repair [ ] Aban APPLICANT: AGENT: kEt MAILING ADDRESS: System nt AND DISPOSAL TION PERMIT [ ] Holding Tank [ ] Temporary PERMIT NO. DATE PAID: FEE PAID: u0 RECEIPT #: [ ] Innovative TELEPHONE: 51, 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 ICONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. -------------------------------------------------------------------------------- ---------------------------------------------------------------------------- PROPERTY INFORMATION I /t / &-110A) 0 LOT: BLOCK: SUBDIVISION: - PLATTED: PROPERTY ID # : �D - L �/ ' 0 0 M - 0 0O -+- ZONING: ��%� I /M OR EQUIVALENT. [ Y / N ] PROPERTY SIZE: 2jr l!f ACRES WATER SUPPLY: [,%/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/6i' ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: ! 0 � � ��'�/ L fc � i`c!J /NQlA7�� -P E)C— Q1Z . DIR: DIRECTIONS TO /PROPERTY%,Q� /C n kru- BUILDING INFORMATION [] RESIDENTIAL Unit Type of No, of Building No Establishment Bedrooms Area Sqft 2 3 4 [ ] COMMERCIAL Commercial/Institutional System Design Table 1, Chapter 64E-6, PAC [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: 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: Guy Norton CONTRACTOR / AGENT: Keith O"Brien LOT: SUBDIVISION: BLOCK: ID# : 4509-120-0010-000-6 APPLICATION # AP1328411 PERMIT # 56-SF-1822662 DOCUMENT # SE1065906 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: 2.78 ACRES TOTAL ESTIMATED SEWAGE FLOW: 30O GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 4170.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1078.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NiD CL of Rd center of property ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ INCHES / 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: 80 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 50 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 GATT. DPnrTT.V. TNVARMLTT0M CTTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:St. Munsell #/Color Lucie sand Texture Depth 1 OYR 3/3 Fine Sand 0 To 21 1 OYR 4/6 Fine Sand 21 To 43 10YR 5/8 Fine Sand 43 To 72 USDA SOIL SERIES:St. Munsell #/Color Lucie sand Texture Depth 1 OYR 3/3 Fine Sand 0 To 25 1 OYR 4/6 Fine Sand 25 To 55 1 OYR 5/8 Fine Sand 55 To 72 OBSERVED WATER TABLE: 72;00 INCHES [ ABOVE /[[BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: 72.00 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. No WSWT Indicators WSWT. > 72" below glade. SB1 12" above BM. SB2 8" above M. SITE EVALUATED BY: DATE: 02/20/2018 Ingram, Brian (Title: Envlron tal Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may no be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1328411 EID1822662 v 1.0.2 Imperty Card Page 1 of Michelle Franklin, CFA -- Saint:Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: TBD Parcel ID: 4509-120-0010- Account #: 122903 Sec/Town/Range: 000-6 09/37S/41E Map ID: 45/09N Zoning: RE-2 i Use Type: 0000 Jurisdiction: Saint Lucie County Ownership tion Legal Description g p Guy Norton I 9 37 41 THAT PART OF SEC MPDAF: BEG AT WATERS EDGE OF IND RIV 1400 FT S OF N LI OF SEC 9 RUN S 67 904 S 34th AVE Hattiesburg, MS 39402 44 07 W 1440 FT M/L TO SAVANNAHS, TH MEANDER NLY ALG SAVANNAHS TO INT OF A LI 101.30 FT N OF S LI OF PARCEL, TH N 67 44 07 E 1250 FT M/L TO MHW LI OF IND RIV, TH MEANDER SLY ALG MHW LI TO POB- LESS FEC RR AND RD R/W OF IND RIV DR AND LESS THAT PART MPDAF: FROM A PT ON WATERS EDGE OF IND RIV 1400 FT S OF N LI OF SEC 9 RUN S 67 44 07 W 55 I FT M/L TO WLY RD R/W LI OF IND RIV DR AND POB: TH I CONT S 67 44 07 W 145 FT, TH N 22 15 53 W 1.30 FT, TH N 67 44 07 E 144.90 FT TO WLY RD R/W LI OF IND RIV DR, TH S 27 03 22 E ALG R/W LI 1.30 FT TO POB- WITH RIP RTS (2.781 AC) (OR 3764-2703) I Current Values Historical Values 3-year Just/Market: $167,900 Assessed: $141,290 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $147,290 2017 $167,900 $147,290 $0 $147,290 2016 $133,900 $133,900 $0 $133,900 2015 $139,000 $139,000 $0 $139,000 Sale History Date Book/Page Sale Code Deed Grantor Price 06-29-2015 3764 / 2703 0001 WD Moyer Robert $185,000 02-22-2002 1496 / 0321 I XX00 WD Espie,Douglas C $172,000 06-25-2001 1410 / 1745 XX02 WD Mooneyham,William L $320,000 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: j 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 %l 0% Heat Fuel: Primary Floors: Type Total Areas Finished/Under Air 0 (SF): Gross Area (SF): 0 Land Size (acres): 2.78 Land Size (SF): 121,140 Total Building Count: 1 Special Features and Yard Items Qty Units Year Blt .ttp://www.paslc.org/RECard/ 2/13/201 F