HomeMy WebLinkAboutOSTDS NEWSTATE ;,()F VLORIDA
DEPARTIMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DI
SYSTEM
CONSTRUCTION PERMIT FOR:.
APPLICANT: Jose E. Del Valle
PROPERTY ADDRESS: 5507 Birch Dr Fort Pierce,
LOT: 31 BLOCK: 56
PROPERTY ID # : 3402-609-0169-000-4
SCANNED
BY
Sftudeftntv
OSTDS New
FL 34982
PERMIT #:56-SF-1844935
APPLICATION # : AP 1343011
DATE PAID•
FEE PAID:
RECEIPT #:
�E TEE 16;DOCUMENT #: PR1116161
JUN 22 2';;
[ 1 MEIr' F�iun>v Permitting
: 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 PEIRIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF T IS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY SULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES . NOT EXEMPT T APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD SeDtic new I CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ I ]GALLONS @[ ]DOSES PER 24 HRS. #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield new S
R [ ] SQUARE FEET N/A Ec
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED
I CONFIGURATION: [ ] TRENCH [X] BED [
N
F LOCATION OF BENCHMARK: site BM painted "x" on CR
I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][
L
D I
O
T
H
E
R
[x] MOUND [ ]
FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
FT ][ABOVE BELOW]BENCHMARK/REFERENCE POINT
?ILL REQUIRED: [ Z1.UU1 INCHES EXCAVATION REQUIRED: [ b"s.UU ] INCHES
The system is sized for 3 bedrooms with a maximum occupan i y of 6 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)(f), FAC.
FILE COPY
SPECIFICATIONS BY: Brian J
APPROVED BY:
DATE ISSUED: 05/09/2018
DR 4016, 08/09 (Obsoletes all previous editions
Incorporated: 64E-6.003, FAC
TITLE. Environmental Specialist II
ental Specialist II St. Lucie CHD
EXPIRATION DATE: 11/09/2019
may not be used)
I
AP1343011
i
Page 1 of 3
SE1082754
. A party whose substantial interest is affected Iby 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 l dministrative 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 v ithin 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 pc,
to judicial review pursuant to Section 120.68, Florid
governed by the Florida Rules of Appellate Procedt
by filing one copy of a Notice of Appeal with the Ag
second copy, accompanied by the filing fees require
appropriate District Court. The notice must be filed
y who is adversely affected by it is entitled
Statutes. Review proceedings are
3. Such proceedings may be commenced
icy Clerk of the Department of Health and a
by law, with the Court of Appeal in the
,ithin 30 days of rendition of the final order.
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: PERMIT #: 56-SF-1844935 BILL Doc #: 6-BID-3795722 CONSTRUCTION APPLICATION #: AP1343011
RECEIVED FROM: Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 140.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 06/11/2018
MAIL TO: Jose E. Del Valle
FACILITY NAME:
PROPERTY LOCATION:
5507 Birch or
Fort Pierce, FL 34982
31
Lot:
Property ID: 3402-609-0169-000-4
EXPLANATION or I
123 - OSTDS Construction Site Evaluation
-1 - OSTDS Revision
56
Block:
Ill1ANTITY FFF
1 $ 115.00
1 $ 25.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3586530
I
P
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
MAIL TO: Jose E. Del Valle
FACILITY NAME:
PROPERTY LOCATION:
5507 Birch Dr
Fort Pierce, FL 34982-
St. Lucie Countyl' Health Department
5150 NW MilnerlDr Port Saint Lucie, FL 34983
J. Piazza
31
Lot:
Property ID: 3402-609-0169-000-4
EXPLANATION or DESCRIPTION
128 - OSTDS Construction System Inspection Research
-1 - Surcharge (All)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,N
123 - OSTDS-Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendi
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
RECEIVED BY:
56
Block:
CONSTRUCTION APPLICATION #: AP1343011
AMOUNT PAID: $ 515.00
PAYMENT DATE: 05/0rr4,/2018
aq9 - 008�0
R LUmp cob sy0s
via
QUANTITY
1
1
1
1
1
1
1
1
AUDIT CONTROL NO. 56-PID-3532246
FFF
5.00
15.00
100.00
100.00
115.00
55.00
75.00
50.00
dF -
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT A
SYSTEM
°p1tli� APPLICATION FOR CONSTRUCT
APPLICATION FOR:
New System [ ] Existing System
[ ] Repair [ ] Abandonment
APPLICANT: Jose E. Del Valle
AGENT: Alexander J. Piazza PSM, Inc.
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie
D DISPOSAL
ON PERMIT
[ ] Holding Tank
[ ] Temporary
Y
Florida 34983
PERMIT NO.
DATE PAID:
FEE PAID:
RECEIPT #:
[ ] Innovative
/w�Y:..'717')_zen_7177n
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: 31 BLOCK: 56 SUBDIVISION: Indian River Estates Unit 8 PLATTED: 1958
PROPERTY ID # : 3402-609-0169-000-4
PROPERTY SIZE: 0.230 ACRES WATER SUPPLY:
IS SEWER AVAILABLE AS PER 381.0065, FS? [
PROPERTY ADDRESS: 5507 Birch Drive, Fort Pierce, Floi
DIRECTIONS TO PROPERTY: SEE MAP
ZONING: R I/M OR EQUIVALENT: [ No ]
PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
No ] DISTANCE TO SEWER: FT
BUILDING INFORMATION [✓] RESIDENTIAL ( ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 RESIDENCE 3 4233
2
3
4
I
[ ] Floor/Equipment Drains [ ✓ ] Other (Specify) GARBAGE GRINDERS / DISPOSALS
SIGNATURE:
DR 4015, 08/09 (Obsol6tes p
Incorporated 64E-6.001, FAC
editions which may not be used)
DATE: 5-03-18
Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT' AND
SITE EVALUATION AND SYSTEM
APPLICANT: Jose E. Del Valle
CONTRACTOR / AGENT:
LOT: 31
Alexander J. Piazza PSM, Inc
SUBDIVISION: Indian River Estates ID#:
DISPOSAL SYSTEM
: 56
APPLICATION # AP1343011
PERMIT # 56-SF-1844935
DOCUMENT # SE1082754
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPIAYEE, 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
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS
AUTHORIZED SEWAGE FLOW: 575.00 GALLONS
UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: site BM
ELEVATION OF PROPOSED SYSTEM SITE 4.00
[ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
PER DAY [ RESIDENCES -TABLET I / OTHER -TABLE 2 ]
PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ]
UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
i"x"onCR
TCHES / FT ] [
/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWAIILES: FT NORMALLY WET: [ ]YES [X]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
10 YEAR FLOOD ELEVATION FOR SITE: FT[
ROTT. PROFILE TNFORMATION SITE 1
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 4/1
Sand
0 To 10
10YR 5/1
Sand
10 To 23
10YR.6/1
Sand
20 To 27
7.5YR 3/2
Sand
27 To 33
1 OYR 6/1
Sand
33 To 37
10YR 2/1
Spodic Material
37 To 53
10YR 3/4
Sand
53 To 65
1 OYR 4/3
Sand
65 To 72
X]NO 10 YEAR FLOODING? [' ]YES [X]NO]
L / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
CnTT. D12nVTT.E TNFA12MATTAN RTTF. 2
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 4/1
Sand
0 To 6
10YR 5/1
Sand
6 To 25
10YR 6/1
Sand
25 To 33
10YR 2/1
Spodic Material
33 To 51
10YR 3/3
Sand
51 To 60
10YR 4/3
Sand
60 To 72
OBSERVED WATER TABLE: 41.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [' ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES
I
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 53 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
i
r REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR6/1 matrix >10% with diffuse boundaries starting at 21" in' SB1.
SB1 4" above BM. SB2 6" aboveM. !,
SITE EVALUATED BY:
DATE: 06/21 /2018
Ingram, Brian (Titr/Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (Obsoletes previous editions which may not be used) /incorporated: 64E-6.001, FAC
AP1343011 EID1844935
Page 3 of 4
V 1.0.2
APPLICANT:
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
Del Valle
LOT: 31 BLOCK: 56 SUBDIVISION:
PROPERTY ID #:
PERMIT #.
AGENT: Alexander J. Piazza PSM, Inc.
Indian River Estates Unit 8
[ 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 I[ ] NO NET USABLE AREA AVAILABLE: ACRES
TOTAL ESTIMATED SEWAGE FLOW: 500 GALLONS PER DAY [RESIDENCES-TABLEI/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS 34 [
/ Fr ] [ ABOVE / BELOW ']
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? [ I YES [%/] NO
WELLS: PUBLIC:200 FT LIMITED USE:100 I FT PRIVATE:75 FT NON—POTABLE:100 FT
BUILDING FOUNDATIONS:5 FT PROPERTYILINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING:
10 YEAR FLOOD ELEVATION FOR SITE:
cnTT. PROFILE INFORMATION SITE 1
[ I YES [✓I NO
FT MSL/NGVD
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW
ESTIMATED. WET SEASON WATER TABLE ELEVATION:_
HIGH WATER TABLE VEGETATION: [ ] YES [_I NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [j/] TRENCH [ ]
REMFiRKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY:
10 YEAR FLOODING? [ ] YES [,/] NO
SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE'INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
►] EXISTING GRADE. TYPE: [PERCHED/ APPARENT ]
_ INCHES ABOVE BELOW ] EXISTING GRADE
MOTTLING: [ ] YES [ I NO DEPTH: INCHES
DEPTH OF EXCAVATION:
[ ] OTHER (SPECIFY)
INCHES
DATE.: 5-03-18
DH 4015, 12/11 (Obsoletes previous edi#r%ns whi, may motel used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICANT'S NAIME: I Jose E. Del Valle
LEGAL DESCRIPTION:
Lot 31,IBlock 56, Indian River Estates Unit 8
►Pxz;.
.. ..... .. _._ , _.... ._ . .
T certifv that there are"no potable privatelwells within 75 feet of the available area for the
proposed septic system; that there are no nc
for the proposed septic system, that there as
building foundation, that there are no.publi
15 homes or businesses within 100-feet of 1
wells that serve more than 25 people or rrio
the proposed septic system, that the water 1
at least 10 feet. from the available area for t
the line to be double sleeved,. that there is r.
vacuum sewage line -in a' -public easement c
are no lakes, streams, wetlands, or'surface
proposed septic system unless the. property
proposed on the side of the lot farthest fror..
systems and surface water on adjacent orcl
n
are showon the. site plan, that all public v
shown on the site plan, and that the locatio
recorded easements, paved. areas or drivew
filled areas, drainage features,. and: surface
wetlands are shown on the applicants lot.
L—potable wells within 50 feet of the available area
no wells within 25 feet of a pesticide -treated
wells that serve less than 25 people or less than
e proposed septic system, that there are no public
than 15 homes or businesses within 200 feet of
to from the- water meter or well to the structure is
proposed septic system unless the plans show
t a gravity sewer line, low pressure sewer line or
right-of-way that abuts the property, that there
ater within 75 feet of the available area for the
vas created,prior to 1912, that the septic system is
surface water, that all private wells, septic
itiguous land within 75 feet of the applicant's lot
.11s within 200 feet of the applicant's lot are
of building or residences, swimming pools,
vs, sidewalks, the general slope of the property,
such as lakes, ponds, streams, canals, or
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:
FL•ORIDAPROFESSI NAL O.:
DATE: 05/03/18 JOB 1V0.: 18-3858
docs/forms/septics/SepticApppPage207
4/30/2018
5507 Birch Dr
ge. Chrysler
ry
FIAT R Pierce
mitumt,4 Of
Si
5507 Birch Dr - Google Maps
16507 Birch Drive
Z-
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Go,,--I,gle
Mason Sig"s. Q
Map data @2018 Google 1000 ft- ____j
JOSEPH E. SMITH, CLERK OF THE
FILE #,4406094 OR BOOK 4102
IT COURT — SAINT LUCIE COUNTY
021, Recorded 02/28/2018 20:41:49 AM
Loan Number: 402100360
NOTICE F COMMENCEMENT
Irl) LFb
Permit No., Tax I.D. No.:
State of Florida
County of St. Lucie
The undersigned hereby gives notice that improvem twill be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is p ovided in this Notice of Commencement.
1. Description of Property: (Legal Description of loperty and Street Address if available.)
A_.P.N.: 3402-609-0169-000/4
I
I
I
I
2. General Description of Improvernen: SINGLE I FAMILY
3. Owner Information;
a. Name and Address: Jose Emilio Del Valle, Ramona Moiica
211 Southland Drive Ant 1, Fortl Pierce, Florida 34982
1
b. Interest in Property: 5507 Birch Dr, FORT PIERCE, FLORIDA 34982
c. Name and Address of Fee Simple Titlebolder (if other than Owner):
I
4. Contractor Information:
a. Name and Address: PORT ST MCI. PROPERTIES
2281 BE MELALEUCAIBLVD
PORT ST LUCIE, FL134952
b. Contractor's Phone Number: 772-626-3176
5. Lender:
a. Name and Address: CenterState Bank, N.A.
1951 eth Street NW, Winter Haven, Florida 33881
I
b. Lender's Phone Number: (863)291-3900 II
6. Expiration of Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date
is specified;
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION
713.13, FLORIDA STATUTES, AND CAN RESULT 0 YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE
THE FIRST INSPECTION. IF YOU INTEND•TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTIC F COMMENCEMENT.
Signature:
Sign re of Owner or Owner's Authorized
Offs /D rector/Partner/Manager
Signatory's Title(Ofiice:
t or 2 www.dpocmapk
OR BOOK 4102 PAGE 822
[Space 8010
STATE -OF FLORIDA
COUNTY OF St. Lucie
The foregoing instrument was acknowledged bi
by
who is personally known to me or who has produced
as identification.
a9 yak HM" PuNir State
SosarDMeltne,
tA, Camm'SPor• Fi
?�' - FafPres OS12sQeta
(Seal)
Verification pursuant to Section 92.525, Florida State
Under penalties of perjury. I declare that I have read
foregoin and that the facts stated in it are true to the 1
of my�owledgp and belief.
Signature
Above
This Una For Acknow1adgment)
— j r
ore me this day o
Lca
crype nrMwificedon)
Signature
Name of Notary
Serial Number, if any
STATE OF FLORIDA
ST. LUCIE COUNTY
THIS IS TO CERTIFY THAT THIS IS A
TRUE AND CORRECT COPY OF THE
ORIGINAL, o
JOSEPH E SMITH, CLERK
Deputy 2 Cle1k t
Date:. �t �rrccot
NOTICE OF COMMENCEMENT
NOCNCBF 09/16/11 Pepe 2 of 2 doenay
STATE OF•FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL'
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT: ,lose E. Del Valle
PROPERTY ADDRESS: 5507 Birch Dr Fort Pierce, FL
OSTDS New
LOT: 31 BLOCK: 56
PROPERTY ID #: 3402-609-0169-000-4
ION: Indian River Estates
PERMIT #:56-SF-1844935
APPLICATION # : AP 1343011
DATE PAID•
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1116161
�4 r§ECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
!R TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN Z. �--CORDANCE +WITH')SPECIFICATIONS AND STANDARDS OF SECTION
P ` y''
381.0065, F.S., AND CHAPTER 64E-6,F.A.�d� 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 HIS 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 DEVELOPMENIT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T
[ 900 j GALLONS./ GPD SeDtic New
CAPACITY
A
[ ] GALLONS / GPD _ €at I ttX-N,
V:rya"V CAPACITY
N
:, r, . I.t.'• Y
[ ] GALLONS GREASE INTERCE 7��CAP ,CITX
Pi p-y^ 1
Lf vGI
"'
1r,1,i X2MUF25 CAPACITY SINGLE TANK:1250 GALLONS]
K
[ ] GALLONS DOSING TANK CAPI ✓ ['a
x i,. l
�to =t }GAL�<NS @ [ ]DOSES PER 24 HRS #Pumps [ ]
I
D
[ 500 ] SQUARE FEET Drainfiel N eW -' ;SYSTEM
R
[ ] SQUARE FEET N/A`?
SYSTEM_
A
TYPE SYSTEM: [ ] STANDARD [ ] FILLED
[K] MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED
N
F LOCATION'OF BENCHMARK: Site Benchmark Painted "X" oq CR
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ] [ INCHI
E BOTTOM OF DRAINFIELD TO BE [ 11.00 ] [INCH]
L
FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT
FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT
D FILL REQUIRED: [22.001 INCHES EXCAVATION REQUIRED: [ 54.001 INCHES
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
O 300 gpd.
T The licensed contractor installing the system is esponsible-for insialli
H s. 64E-6.013(3)(f), FAC.
Z:iArS
i..+,4
E, s4 a ;t i
R
imum category of tank in accordance with
SPECIFICATIONS BY: Dianna S May J TITLE: Environmental
APPROVED BY: 17.�M-.--v- /GtOsj TITLE: Environmental Specialist I
Dianna S May
DATE ISSUED: 05/09/2018
I
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated:. 64E-6.003, FAC
v 1.1.4 AP1343011
I
St. Lucie/ r CHD
EXPIRATION DATE: _ 1409/2019
SE1076489
1 of 3
IGH
A party whose substantial interest is
administrative hearing pursuant to sections 1
proceedings are governed by Rule 28-106, F
administrative hearing must be in writing and
!d by this order may petition for an
B and 120.57, Florida Statutes. Such
Administrative Code. A petition for
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 850-413-87,
Mediation is not available as an
Your failure to submit a petition for hear
constitute a waiver of your right to an administra
order'.
Should this order become a final order, a
to judicial review pursuant to Section 120.68, Flo
governed by the Florida Rules of Appellate Proc(
by filing one copy of a Notice of Appeal with the i
second copy, accompanied by the filing fees regi
appropriate District Court. The notice must be fil
*` ex
ME
it 21da fomlrceipt of this order will
ds;hear'ng anc77 tf�lj! (�/�pf(`i er shall become a 'final
!iT� �•, i t 77
ao_ls adversefy'affected by it is entitled
is Statutes. Review proceedings are
ure. Such proceedings may be commenced
lency Clerk of the Department of Health and a
•ed by law, with the Court of Appeal in the
I within 30 days of rendition of the final order.
tig>
ti
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM.
SITE EVALUATION AND SYSTEM.$PECIFICATION
APPLICANT:. Jose E. Del -Valle
CONTRACTOR / AGENT:
LOT: 31
Alexander J. Piazza PSM, Inc. I
BL8CK : 56
SUBDIVISION: Indian River Estat!
APPLICATION # AP'1343011
PERMIT # 56-SF-1844935
DOCUMENT # SE1076489
TO BE COMPLETED BY ENGINEER, HEALT PAltMEifj PL.: E���OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDF
REGISTRATION NUMBER AND SIGN AND SEAL POF Od S�'Y OMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLOII
AUTHORIZED SEWAGE,FLOW: 575.01 GALL%
UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BenchrrJ,
ELEVATION OF PROPOSED SYSTEM SITE 7.00
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM
SURFACE WATER: FT
DITCHES
WELLS: PUBLIC: FT LIMITED
E:
BUILDING FOUNDATIONS: 5 FT
PR{7Pl
3 'N"
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE::'a
F'
GATT. ARAFTT.F. TNFnRMATTON RTTF. 1
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
1 OYR 4/1
Sand
0 TO 10
10YR 5/1
Sand
-10 To 23
1 OYR 6/1
Sand
20 To 23
7.5R 3/1
Sand
23 To 33
1 OYR 6/1
Sand
33 To 36
1 OYR 2/1
Spodic Material
36 To 54
1 OYR 2/1
Sand
54 To 68
1 OYR 4/3
Loamy Sand
68 To 72
„r ,,2
[ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
PER DAY [ .1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
ark Painted "X" on CR
INCHES / FT ] [ ABOVE] / BELOW ] BENCHMARK/REFERENCE POINT
PROPOSED SYSTEM TO THE FOLLOWING FEATURES
ES: FT NORMALLY WET: [ ]YES [X]NO
T C;= PItTVATE : 100+ FT NON -POTABLE FT
A:ftiS : '?f•$ FT POTABLE WATER LINES: 10 FT
j1X fjl 10 YEAR FLOODING? [ ] YES [ X ] NO]
IST /";44GVp :] SITE ELEVATION: FT [ MSL / NGVD
enTT. DDnWTT.V TWWnIIMnm TAN CTTF. i
USDA SOIL SFRIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 3/1
Sand
0 To 3
1 OYR 4/1
Sand
3 To 25
1 OYR 6/1
Sand
25 To 32
1 OYR 211
Spodic Material
32 To 48
1 OYR 5/1
Sand
48 To 65
1 OYR 4/3
Sand
65 To 72
ti r.k
OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE $FLOW:
? ? (EXI<4SrTIN GRADE
TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET. SEASON WATER TABLE ELEVATION:
t iCi�S t60 ' +'. ABOVE
/ BELOW ]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X] E?�vMU
TLING:~[X�]YES
[ )NO DEPTH:
17.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: I
a Sand/0.60 DEPTH OF EXCAVATION:
54 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ ] OTHER (SPECIFY)
I
1EMARKS/ADDITIONAL CRITERIASWT determined using USDA WSS and soil borings. 10YR6/1 strii ping in a 10YR5/1 matrix >10% with diffused boundaries starting
t 20" in SB7. SB1 7" above BM, SB2 10" above BM.
SITE. EVALUATED BY:
DATE: 05/08/2018
May, Dianna (Title: Envirffimental Specialist 1) (Florida Department of Healtn in st LUC
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
Page 3 of 4
AP1343011 E101844935 v 1.0.2
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Custom Soil Resource Report
MAP LEGEND
Area of Interest (AOI)
r
Spoil Area
Area of Interest (AOI)
Stony Spot
Soils
0
Soil Map Unit Polygons
Very Stony Spot
�Sf
Wet Spot
,W-. r
Soil Map Unit Lines
13
Soil Map Unit Points
Other
Special
Point Features
.�
Special Line Features
(a)
Blowout
Water Features
Borrow Pit
Streams and Canals
Transportation
Clay Spot
+--n--t
Rails
Closed Depression
Interstate Highways
Gravel Pit
<: T
US Routes
4
Gravelly Spot
Major Roads
Landfill
Local Roads
t
Lava Flow
Background
Marsh or swamp
Aerial Photography
s(,c
Mine or Quarry
Miscellaneous Water
Perennial Water
%-f
Rock Outcrop
Saline Spot
°
e`o
Sandy Spot
Severely Eroded Spot
•
Sinkhole
Slide or Slip
oa
Sodic Spot
7
MAP INFORMATION
The soil surveys that comprise your.AOl were mapped at
1:24,000.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
Source of Map: Natural Resources Conservation Service
Coordinate System: Web Mercator (EPSG:3M7)
Maps from the Web Soil Survey are based on the Web Mercator
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: St. Lucie County, Florida
Survey Area Data: Version 10, Oct 6, 2017
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Dec 31, 2009—Mar
20, 2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
i
Custom Solil Resource Report
Map Unit Legend
Map Unit Symbol
Map Unit Name I
Acres in AOI
Percent of AOI
21
Lawnwobd and Myakka sands
1.3
100.0%
Totals for Area of Interest
I
1.3
100.0%
Map Unit Descriptions
The map units delineated on the det piled soil maps in a soil survey represent the
soils or miscellaneous areas in the sTvey area. The map unit descriptions, along
with the maps, can be -used to determine the composition and properties of a unit.
A map unit delineation on a soil map (represents an area dominated by one or more
major kinds of soil or miscellaneous areas. A map unit is identified and named
according to the taxonomic classification of the dominant soils. Within a taxonomic
class there are precisely defined limns for the properties of the soils. On the
landscape, however, the soils are natural phenomena, and they have the
characteristic variability of all natural 1phenomena. Thus, the range of some
observed properties may extend beypnd the limits defined for a taxonomic class.
Areas of soils of a single taxonomic class rarely, if ever, can be mapped without
including areas of other taxonomic classes. Consequently, every map unit is made
up of the soils or miscellaneous areas for which it is named and some minor
components that belong to taxonomic classes other than those of the major soils.
Most minor soils have properties si
map unit, and thus they do not affe,
noncontrasting, or similar, compon(
particular map unit description. Oth
and behavioral characteristics dive)
management. These are called cor
generally are in small areas and co
scale used. Some small areas of st
are identified by a special symbol o
given area, the contrasting minor cc
descriptions along with some chara
components may not have been ob
mentioned in the descriptions, espe
was impractical to make enough ob
miscellaneous areas on the landscc
The presence of minor component,
usefulness or accuracy of the data.
pure taxonomic classes but rather I
landform segments that have similE
delineation of such segments on th
development of resource plans. If ii
onsite investigation is needed to de
areas.
filar to those of the dominant soil or soils in the
t use and management. These are called
its. They may or may not be mentioned in a
r minor components, however, have properties
lent enough to affect use or to require different
rasting, or dissimilar, components. They
Id not be mapped separately because of the
mgly contrasting soils or miscellaneous areas
the maps. If included in the database for a
nponents are identified in the map unit
teristics of each. A few areas of minor
erved, and consequently they are not
:ially where the pattern was so complex that it
ervations to identify all the soils and,
in a map unit in no way diminishes the
the objective of mapping is not to delineate
separate the landscape into landforms or
use and management requirements. The
map provides sufficient information for the
:ensive use of small areas is planned, however,
ne and locate the soils and miscellaneous
Custom
Resource Report
An identifying symbol precedes the ma
Each description includes general fact,
properties and qualities.
Soils that have profiles that are almost
differences in texture of the surface lay
horizons that are similar in compositior
Soils of one series can differ in texture
salinity, degree of erosion, and other c
basis of such differences, a soil series
shown on the detailed soil maps are p
commonly indicates a feature that affe
silt loam, 0 to 2 percent slopes, is a pF
Some map units are made up of two
These map units are complexes, as;
A complex consists of two or more s
pattern or in such small areas that th
The pattern and proportion of the soi
in all areas. Alpha -Beta complex, 0 t,
An association is made up of two or
miscellaneous areas that are shown
or anticipated uses of the map units
practical or necessary to map the so
pattern and relative proportion of the
similar. Alpha -Beta association, 0-to
An undifferentiated group is made uK
that could be mapped individually bu
interpretations can be made for use;
of the soils or miscellaneous areas it
be made up of only one of the major
up of all of them. Alpha and Beta soil
Some surveys include miscellaneow
material and support little or no vege,'
; unit name in the map unit descriptions.
about the unit and gives important soil
alike make up a soil series. Except for
Dr, all the soils of a series have major
, thickness, and arrangement.
)f the surface layer, slope, stoniness,
aracteristics that affect their use. On the
s divided into soil phases. Most of the areas
ases of soil series. The name of a soil phase
is use or management. For example, Alpha
se of the Alpha series.
more major soils or miscellaneous areas.
ations, or undifferentiated groups.
��Is or miscellaneous areas in such an intricate
cannot be shown separately on the maps.
or miscellaneous areas are somewhat similar
I6 percent slopes, is an example.
ore geographically associated soils or
is one unit on the maps. Because of present
i the survey area, it was not considered
s or miscellaneous areas separately. The
Soils or miscellaneous areas are somewhat
percent slopes; is an example.
of two or more soils or miscellaneous areas
are mapped as one unit because similar
nd management. The pattern and proportion
a mapped area are not uniform. An area can
;oils or miscellaneous areas, or it can be made
0 to 2 percent slopes, is an example.
areas. Such areas have little or no soil
ation. Rock outcrop is an example.
�01
Custom Soil
Resource Report
St. Lucie County, Florida
21—Lawnwood and Myakka lsands
Map Unit Setting
National map unit symbol.
Elevation: 20 to 200 feet
Mean annual precipitation:
Mean annual air temperate
Frost -free period. 350 to 3
Farmland classification: F,
Map Unit Composition
Lawnwood and similar sc
Myakka and similar soils:
Minor components: 20 p,
Estimates are based on c
Description of Lawnwood
Setting
Landform: Marine to
Landform position (tl
Down -slope shape:
Across -slope shape:
Parent material., Sai
Typical profile
A - 0 to 8 inches: sand
E - 8 to 28 inches: san
Bh1- 28 to 52 inches:
Bh2 - 52 to 58 inches:
C - 58 to 80 inches: sa
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive fei
Natural drainage class
Runoff class: High
Capacity of the most i
moderately higli (I
Depth to water table:
Frequency of flooding
Frequency of ponding
Salinity, maximum in F
mmhos/cm)
Sodium adsorption rat
Available water storag
Interpretive groups
Land capability c/assifc,
Land capability classific+
Hydrologic Soil Group:
Forage suitability group.
(G156BC141 FL)
jpvg
i to 58 inches
70 to 77 degrees F
days
of unique importance
40 percent
percent
descriptions, and transects of the mapunit.
on flatwoods
nensiona/l: Talf
marine deposits
re: 10 to 31 inches to ortstein
Poorly drained
Wing layer to transmit water (Ksat): Moderately low to
06 to 0.20 in/hr)
bout 6 to 18 inches
None
None
)file: Nonsaline to very slightly saline (0.0 to 2.0
,'maximum in profile: 4.0
in profile: Very low.(about 0.9 inches)
(irrigated): None specified
(nonirrigated): 4w
A/D
Sandy soils on flats of mesic or hydric lowlands
10
Custom Soil i Resource Report
Hydric soil rating: No
Description of Myakka
Setting
Landform: Flatwoods on
Landform position (three -
Down -slope shape: Con,
Across -slope shape: Lin,
Parent material: Sandy r
Typical profile
A - 0 to 7 inches: sand
E - 7 to 27 inches: sand
Bh - 27 to 38 inches. san
C - 38 to 80 inches. sand
Properties and qualities
Slope: 0 to 2 percent
Depth to restrictive featti
Natural drainage class:
Runoff class. High
Capacity of the'most Jim,
high (0.57 to 5.95 inj
Depth to water table: At
Frequency of flooding: I'
Frequency of ponding. P
Salinity, maximum in pro
mmhos/cm)
Sodium adsorption ratio,
Available water storage i
Interpretive groups
Land capability c/assific,
Land capability classific,
Hydrologic Soil Group: ,
Forage suitability group:
(G156BC141FL)
Hydric soil rating: No
Minor Components
Ankona
Percent of map unit. 7
Landform: Flatwoods c
Landform position (thre
Down -slope shape: Co
Across -slope shape: Li
Hydric soil rating. No
Electra
Percent of map unit: 7
Landform: Knolls on rr
Landform position (thm
Down -slope shape: Cc
Across -slope shape: L
.Hydric soil rating. No
terraces
onal): Talf
deposits
More than 80 inches
rlv drained
layer to transmit water (Ksat): Moderately high to
r)
ut 6 to 18 inches
me
: Nonsaline to very slightly saline (0.0 to 2.0
7aximum in profile: 4.0
profile: Low (about 4.5 inches)
(irrigated): None specified
(nonirrigated): 4w
soils on flats of mesic or hydric lowlands
marine terraces
dimensional): Talf
ne terraces, rises on marine terraces
iimensional): Interfluve
Custom Soil Resource Report
Waveland
Percent of map unit: 6 percent
Landform: Flatwoods on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating: No