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HomeMy WebLinkAboutOSTDS NEWY s0-77 v STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND D SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Jeffrey Hammer PROPERTY ADDRESS: 18503 Mach One Dr Port Saint LOT: 21 BLOCK: PROPERTY ID #: 3215-801-0028-000-0 VNED PERMIT #: 56-SF-1 854231 By WW�� APPLICATION #: AP 1349281 DATE PAID Its �V/ FEE PAID: RECEIPT #: DOCUMENT #: P R1123939 34987 . A-- A --- [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE IT" SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. D PARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY 'PERFORMANCE FOR ANY SPECIFIC PE OD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF TH S PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RE ULT 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 F THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 ] GALLONS / GPD Seotic new A [ ] GALLONS / GPD N/A N [ ] GALLONS GREASE INTERCEPTOR CAPACITY K [ ] GALLONS DOSING TANK CAPACITY [ CAPACITY CAPACITY KIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 667 ] SQUARE FEET Drainfleld 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: Site BM NiD unreadable elev 23.49 I ELEVATION OF PROPOSED SYSTEM SITE [ 4.00 ][ INCHES FT ][ABOVE BELOW BENCHM]ARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 5.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT L D FILL.REQUIRED: [27.001 INCHES EXCAVATION REQUIRED: [ ] INCHES R 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. The licensed contractor installing t is onsible,i taitlg,the: m tegory of to k 04EIVom REV H s. 64E-6.013(3)(f), FAC. E �� _" JUL I0 2018 R. I SPECIFICATIONS BY: Brian J 7 APPROVED BY: DATE ISSUED: 07/03/2018 DE 4016, 08/09 (Obsoletes all previous editions Incorporated: 64E-6.003, FAC v 1.1.4 CC nt TITLE: Environmental S ecs�yuje County, FL II St. Lucie CHD EXPIRATION DATE: 01/03/2020 may not be used) 9281 SE1084119 Page 1 of 3 A party whose substantial interest is affected t administrative hearing pursuant to sections 120.569 a proceedings are governed by Rule 28-106, Florida Ad administrative hearing must be in writing and must be Department, within twenty-one (21) days from the rec( Agency Clerk is 4052 Bald Cypress Way, BIN A-02, T Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative rer Your failure to submit a petition for hearing wit constitute a waiver of your right to an administrative hi order. this order may petition for an d 120.57, Florida Statutes.' Such iinistrative Code. A petition for 3ce,1ved by the Agency Clerk for the pt of this order. The address of the Ilahassee, Florida 32399. The Agency . in 21 days from receipt of this order will aring, and this order shall become a'final 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 tatutes. Review proceedings are governed by the Florida Rules of Appellate Procedur . Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agen y Clerk of the Department of Health and a second copy, accompanied by the filing fees requiredlby 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. . ;' ;7:z ' ,mot Lg HEALTH PAYING ON: PERMIT#: 5 RECEIVED FROM: Paradise PAYMENT FORM: CHECK MAIL TO: Jeffrey Hammer FACILITY NAME: St. Lucie County ealth Department 5150 NW Milner r Port Saint Lucie, FL 34983 1854231 BILL Doc #:56-BID-3796328 CONSTRUCTION APPLICATION #: AP1349281 ies Group AMOUNT PAID: $ 515.00 2 PAYMENT DATE: 06/12/2018 PROPERTY LOCATION: 18503 Mach One Dr Port Saint Lucie, FL 34987 21 Lot: Property ID: 3215-801-0028-000-0 EXPLANATION or DESCRIPTION 1 Block: 128 - OSTDS Construction System Inspection Research ee -1 - Surcharge (All) -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 J RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3588131 a.UU 15.00 100.00 100.00 115.00 55.00 75.00 50.00 " qk STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT SYSTEM •,t `°O WEE APPLICATION FOR CONSTRUC APPLICATION FOR: New System [ ] Existing System [ ] Repair [ ] Abandonment APPLICANT: Jeffrey R. Hammer and Lynda Hammer AGENT: Paradise Homes Group MAILING ADDRESS: 575 NW Mercantile Place, Suite 109 TO BE COMPLETED BY APPLICANT OR APPLICANT'S BY A PERSON LICENSED PURSUANT TO 489.105(3) APPLICANT'S RESPONSIBILITY TO PROVIDE DOC M PLATTED (MM/DD/YY) IF REQUESTING CONSIDERAT PROPERTY INFORMATION LOT: 21 BLOCK: 1 SUBDIVISION: PROPERTY ID #: 3215-801-0028-000-0 PERMIT NO. DATE PAID: DISPOSAL FEE PAID: RECEIPT #: N PERMIT Y',Y I [ ] Holding Tank [ ] Innovative [ ] Temporary L ] TELEPHONE: 772-621-4663 St Lucie, Florida 34986 HORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED OR 489.552, FLORIDA STATUTES. IT IS THE .TION OF THE DATE THE LOT WAS CREATED OR OF STATUTORY GRANDFATHER PROVISIONS. Acres PLATTED: AG-5 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE: 2.089 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? L No ] DISTANCE TO SEWER: 5000 FT PROPERTY ADDRESS: 18503 Mach One Drive, Fort Pierce, F orida DIRECTIONS TO PROPERTY: Go west on Okeechobee Roa to Ideal Holding Road. Go south on Ideal Holding Road to Mach One Road. Go West on Mach One to property. BUILDING INFORMATION ['v/] RESIDEN Unit Type of No. of Bi No Establishment Bedrooms A . 1 New SFR 3 3: 2 3 4 [ ] Floor/Equipment Drains [ ] Other SIGNATURE: V DH 4015, 08/09 (Obsoletes p Incorporated 64E-6.001, PAC [ ] C0b=RCIAL Commercial/Institutional System Design Table 1, Chapter 64E-6, PAC tions1which may not be used) DATE: Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND SITE EVALUATION AND SYSTEM APPLICANT: Jeffrey Hammer .CONTRACTOR / AGENT: LOT: 21 Paradise Homes Grou SUBDIVISION: Aero Acres ID#: TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF APPLICATION # AP1349281 PERMIT # 56-SF-1854231 OSAL SYSTEM DOCUMENT # SE1084119 FICATION BLOCK: I 1 PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS AUTHORIZED SEWAGE FLOW: 3134.99 GALLONS UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site BM NiDii ELEVATION OF PROPOSED SYSTEM SITE 4.00 IF THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE SURFACE WATER: FT DITCHES/SWA WELLS: PUBLIC: FT LIMITED USE: BUILDING FOUNDATIONS: 5 FT PROPERTY OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE COMPLETE ALL ITEMS. [ ]NO NET USABLE AREA AVAILABLE: 2.09 ACRES 'E DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] M DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT r adable elev 23.49 / FT ] [ ABOVE /I BELOW11 BENCHMARK/REFERENCE POINT SED SYSTEM TO THE FOLLOWING FEATURES FT NORMALLY WET: [ ]YES [X]NO PRIVATE: 75 FT NON -POTABLE: FT 5 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [ ]NO 10 YEAR FLOODING? [ ]YES [X]NO) 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MS / NGVD]'SITE ELEVATION: FT [ MSL / NGVD enrT. DDnT. TT.L TMVn4M1TTnM CTTF. 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth 10YR 412 Sand 0 TO 5 10YR 5/2 Sand 5 To 21 10YR 6/2 Sand 15 To 25 10YR 6/6 Sand 25 To 49 HOLE CAVING Refusal 49 To 72 OBSERVED WATER TABLE: 6.00 INCHES [ ABOVE / BELOW ESTIMATED WET SEASON WATER TABLE ELEVATION: 15 HIGH WATER TABLE VEGETATION: [ ]YES [X]NO SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: BRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR6/2 stripping in 10YR5/2 matrix >10% with diffuse boundaries starting SB1 and SB2 4" below BM. "I 1--p SITE EVALUATED BY., USDA SOIL SERIES:Pineda sand -Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 5 10YR 512 Sand 5 To 25 10YR 6/2 Sand 17 To 31 10YR 6/4 Sand 31 To 48 HOLE CAVING Refusal 48 To 72 ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] INCHES [ ABOVE / BELOW ] EXISTING GRADE MOTTLING: [X]YES [ ]NO DEPTH: 15.00 INCHES Sand/0.60 DEPTH OF EXCAVATION: INCHES [ ] OTHER (SPECIFY) at 15" in SB1. Ingram, Brian (yids: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (obsoletes previous editions ch may not be used Incorporated: 64E-6.001, FAC AP13 9281 EID1854231 DATE: 06/15/2018 Page 3 of 4 v 1.0.2 'roperty Card i aB%� i vi i Michelle Franklin, CFA -- Saint Lucie Cour Property Id Site Address: 18503 MACH Parcel ID: 3215-801-0028- ONE DR 000-0 Map ID: 32/15X Zoning: AG-5' Property Appraiser -- All rights reserved. Account #: 127316 Sec/Town/Range: 15/36S/38E Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Jeffrey R Hammer (TR) AERO ACRES BLK 1 LOT 21 (2.089 AC)(OR 4057-967) Lynda L Hammer (TR) 1100 Crystal DR Princeton, MN 55371 Current Values Historical Values 3-year Just/Market: $99,200 Assessed: $99,200 Year Ju?t/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $99,200 2017 $9 ,200 $99,200 $0 $99,200 2016 $9;,200 $99,200 $0 $99,200 2015 $9 ,200 $99,200 $0 $99,200 Sale History Date Book/Page Sale Code Deed Grantor Price 10-19-2017 4057 / 0967 0001 ' WD Sonntag Franklin T $158,500 08-12-1993 0855 / 2191 XX01 ' WD $20,900 Primary Buildi g Information Finished Area of his building: 0 SF Gross Area of tt is building: 0 SF Exteri r Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: 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 %: 0% Heat Fuel: Primary Floors: ��F. .. Total Areas Special Featu Type Qty Finished/Under Air (SF): Gross Area (SF): Land Size (acres): Land Size (SF): Total Building Count: ind Yard Items Units Year Bit 0 0 2.09 90,996.84 1 This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. http://www.paslc.org/RECard/ 6/12/201 APPLICANT'S NAME: : 3".= f-Fromm LEGAL DESCRIPTION: �-®Z 1 �c� a� dZ� Ac- ro= �' PRUPDSEl3 SETl'ST'L1Sl.' -�11iFUA.?T041�a..a;: 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.t potable wells within 50 feet of the available area for the proposed septic system, that there are wells within 25 feet of a pesticide -treated building foundation, that there are no public+ells that serve less than 25 people or less than 15 homes or businesses within 100 feet of th 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 lin from the water 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 orfight-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 ��as 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 co �tiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wels within 200 feet of the applicant's lot are shown on the site plan, and that the location f 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 th, be shown on the site plan. Please locate the system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. proposed septic system and the benchmark must Benchmark within 200 feet of the proposed septic -v CERTIFIED BY: FLORIDA P OFE SION- h' l NO.: -4e?- 7 d n,arE: �' � I J0B Na-. € �- �: MAP LEGEND Area of Interest (AOQ u Area of Interest (AOI) Soils Soil Map Unit Polygons Soil Map Unit Lines 0 Soil Map Unit Points Special Point Features ve Blowout Borrow Pit Clay Spot Closed Depression Gravel Pit a� Gravelly Spot Lava Flow Marsh or swamp Mine or Quarry Miscellaneous Water Perennial Water .`,g Rock Outcrop Saline Spot 4'a Sandy Spot Severely Eroded Spot Sinkhole Slide or Slip Sodic Spot Custom Soil Resource Report Spoil Area Stony Spot Very Stony Spot h Wet Spot Other r� Special Line Features Water Features Streams and Canals Transportation *44 Rails eR.I Interstate Highways 9--L,lc US Routes Major Roads Local Roads Background Aerial Photography MAP INFORMATION The soil surveys that comprise your AOI 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 Web Soil Survey URL: Coordinate System: Web Mercator (EPSG:3857) maps from the wen sou survey are oasea on the vveo mercaior- 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—Dec 15, 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. 7 Custom Soil Resource Report Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI 25 Nettles and Oldsmar sands 1.5 53.5% 32 Pineda sand, 0 to 2 percent slopes 1.3 46.5% Totals for Area of Interest 2.8 100.0% Map Unit Descriptions The map units delineated on the detailed s I it maps in a soil survey represent the soils or miscellaneous areas in the survey �rea. 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 repre major kinds of soil or miscellaneous areas according to the taxonomic classification c class there are precisely defined limits for landscape, however, the soils are natural characteristic variability of all natural phen observed properties may extend beyond tl Areas of soils of a single taxonomic class including areas of other taxonomic classes up of the soils or miscellaneous areas for components that belong to taxonomic claE Most minor soils have properties similar to map unit, and thus they do not affect use e noncontrasting, or similar, components. Th particular map unit description. Other mina and behavioral characteristics divergent er management. These are called contrastinc generally are in small areas and could not scale used. Some small areas of strongly are identified by a special symbol on the rr given area, the contrasting minor compone descriptions along with some characteristic components may not have been observed, mentioned in the descriptions, especially v was impractical to make enough observatii miscellaneous areas on the landscape. The presence of minor components in a m usefulness or accuracy of the data. The of pure taxonomic classes but rather to sepal landform segments that have similar use a delineation of such segments on the map I development of resource plans. If intensive, ents an area dominated by one or more A map unit is identified and named the dominant soils. Within a taxonomic ie properties of the soils. On the ienomena, and they have the mena. Thus, the range of some limits defined for a taxonomic class: irely, if ever, can be mapped without Consequently, every map unit is made hich it is named and some minor es other than those of the major soils. ,hose of the dominant soil or soils in the id management. These are called :y may or may not be mentioned in a components, however, have properties )ugh to affect use or to require different or dissimilar, components. They ie mapped separately because of the mtrasting soils or miscellaneous areas ips. If included in the database for a its are identified in the map unit s of each. A few areas of minor and consequently they are not sere the pattern was so. complex that it ns to identify all the soils and p unit in no way diminishes the -ctive of mapping is not to delineate ite the landscape into landforms or d management requirements. The •ovides sufficient information for the use of small areas is planned, however, Custom Soil Report onsite investigation is needed to define ai areas. An identifying symbol precedes the map i Each description includes general facts a properties and qualities. Soils that have profiles that are almost ali differences in texture of the surface layer, horizons that are similar in composition, t Soils of one series can differ in texture of t salinity, degree of erosion, and other chars basis of such differences, a soil series is d shown on the detailed soil maps are phase commonly indicates a feature that affects i silt loam, 0 to 2 percent slopes, is a phase Some map units are made up of two or me These map units are complexes, associatii A complex consists of two or more soils or pattern or in such small areas that they cai The pattern and proportion of the soils or n in all areas. Alpha -Beta complex, 0 to 6 pe An association is made up of two or more miscellaneous areas that are shown as or or anticipated uses of the map units in the practical or necessary to map the soils or pattern and relative proportion of the soils similar. Alpha -Beta association, 0 to 2 per An undifferentiated group is made up of tv that could be mapped individually but are interpretations can be made for use and n of the soils or miscellaneous areas in a m; be made up of only one of the major soils up of all of them. Alpha and Beta soils, 0 t Some surveys include miscellaneous area: material and support little or no vegetation. locate the soils and miscellaneous name in the map unit descriptions. t the unit and gives important soil make up a soil series. Except for the soils of a series have major kness, and arrangement. surface layer, slope, stoniness, eristics that affect their use. On the ded into soil phases. Most of the areas of soil series. The name of a soil phase or management. For example, Alpha ' the Alpha series. e major soils or miscellaneous areas. ns, or undifferentiated groups. miscellaneous areas in such an intricate not be shown separately on the maps. iscellaneous areas are somewhat similar cent slopes, is an example. eographically associated soils or unit on the maps. Because of present urvey area, it was not considered iscellaneous areas separately. The r miscellaneous areas are somewhat ,nt slopes, is an example. or more soils or miscellaneous areas apped as one unit because similar inagement. The pattern and proportion >ped area are not uniform. An area can r miscellaneous areas, or it can be made 2 percent slopes, is an example. Such areas have little or no soil Rock outcrop is an example. A • Custom Soil Resource Report St. Lucie County, Florida 25—Nettles and Oldsmar sands Map. Unit Setting National map unit symbol. 1 jpvl Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period. 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Nettles and similar soils: 40 percent Oldsmar and similar soils: 40 percent Minor components. 20 percent Estimates are based on observa jons, descriptions, and transects of the mapunit. Description of Nettles Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 8 inches: sand E - 8 to 33 inches. sand Bh1- 33 to 39 inches. sand Bh2 - 39 to 55 inches: sand Btg - 55 to 80 inches: fine sar dy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 3 to 50 inches to ortstein Natural drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0�.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Very low (about 1.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated). 4w Hydrologic Soil Group: C/D Forage suitability group: Sandy soils .on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating. No 10 Custom Soil Description of Oldsmar Setting Landform: Flatwoods on mar! Landform position (three -dime Down -slope shape: Convex Across -slope shape: Linear Parent material., Sandy and log Typical profile A - 0 to 5 inches: sand E - 5 to 32 inches: sand Bh - 32 to 42 inches: sand Big - 42 to 80 inches: fine sa i Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: M Natural drainage class: Poorl� Runoff class: High Capacity of the most limiting 1 moderately high (0.06 to 0 Depth to water table: About 6 Frequency of flooding: None Frequency of ponding: None Salinity, maximum in profile: mmhos/cm) Sodium adsorption ratio, maxi►l Available water storage in profi Interpretive groups Land capability classification (l Land capability classification Hydrologic Soil Group: A/D Forage suitability group: Sand (G156BC141 FL) Hydric soil rating: No Report terraces onah Talf marine deposits loam re than 80 inches drained r to transmit water (Ksat): Moderately low to i in/hr) 18 inches onsaline to very slightly saline (0.0 to 2.0 Minor Components Pineda Percent of map unit. 4 percent Landform: Drainageways on rr Landform position (three-dimen Down -slope shape: Linear Across -slope shape: Concave Hydric soil rating: Yes Pepper Percent of map unit. 4 percent Landform: Flatwoods on marin, Landform position (three-dimen Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating. No i in profile: 4.0 Low (about 4.9 inches) None specified d): 4w soils on flats of mesic or hydric lowlands terraces, flats on marine terraces f): Dip terraces sionah: Talf 11 Custom Soil Report Wabasso Percent of map unit: 4 percei Landform: Flatwoods on mar Landform position (three -dim( Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Oldsmar Percent of map unit: 4 percei Landform: Depressions on m Landform position (three -dim( Down -slope shape: Concave Across -slope shape: Concav Hydric soil rating: Yes Ankona Percent of map unit: 4 percei Landform: Flatwoods on mar Landform position (three -dim( Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No terraces onal): Talf terraces al): Dip e terraces isional): Talf 32—Pineda sand, 0 to 2 percent lopes Map Unit Setting National map unit symbol: 2x1 nb Elevation: 0 to 100 feet Mean annual precipitation: 47 to �8 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 355 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Pineda and similar soils: 85 perc nt Minor components: 15 percent I • Estimates are based on observations; descriptions, and transects of the mapunit. Description of Pineda • Setting - • ' Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, talf • Down -slope shape: Linear Across -slope shape: Linear, coPcave Parent material: Sandy and loamy marine deposits 12 Custom Soil Report Typical profile A - 0 to 5 inches: sand E.- 5 to 19 inches: sand Bw - 19 to 35 inches: sand Btg/E - 35 to 38 inches: sane Btg - 38 to 60 inches: sandy Cg - 60 to 80 inches: loamy Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: h Natural drainage class: Poor Runoff class: Very high Capacity of the most limiting I moderately high (0.06 to i Depth to water table: About ( Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximun Salinity, maximum in profile: mmhos/cm) Sodium adsorption ratio, may Available water storage in prc Interpretive groups Land capability classification ( Land capability classification ( Hydrologic Soil Group: C/D Forage suitability group: San( .lowlands (G155XB241FL) Other vegetative classification Hydric soil rating: Yes Minor Components Malabar Percent of map unit: 6 perce Landform: — error in exists Landform position (three -dire Down -slope shape: Linear, c Across -slope shape: Linear, Ecological site: Slough (131Ir Other vegetative classificatib Hyddc soil rating: Yes Wabasso Percent of map unit. 5 perci Landform: Flatwoods on mz Landform position (three -din Down -slope shape: Linear Across -slope shape: Linear Other vegetative classificatic Hydric soil rating. No Valkaria Percent of map unit: 2 perc( loam ore than 80 inches F drained yer to transmit water (Ksat): Moderately low.to ,20 in/hr) to 12 inches in profile: 4 percent lonsaline to very slightly saline (0.0 to 2.0 i in profrle: 4.0 Low (about 4.6 inches) None specified d): 3w over loamy soils on flats of hydric or mesic Slough (R155XY011 FL) : Tread, dip, talf Y011 FL) Slough (R155XY011 FL) terraces onal): Tread, talf South Florida Flatwoods (R155XY003FL) 13 Custom Soil R6source Report Landform: Drainageways on flatwoods on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -slope shape: Linear, concave Other vegetative classification: Slough (11155XY011 FL) Hydric soil rating: Yes - Hallandale Percent of map unit: 2 percerint Landform: Flatwoods on mat ne erraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification, : South Florida Flatwoods (R155XY003FL) Hydric soil rating: Yes 14 .ti Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation Rick Scott Governor Celeste Philip, MDR MPH State Surgeon General and Secretary Florida Department of Helalth in St. Lucie County Conditions for Issuance of Water Well Permits Effective Jul 24 2017 • Contact the Florida Department of Health il, Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning' any we�l. a. Call the FDOH — St. Lucie Well Linelat 772-873-4936 or email SLCDOH-WELLS(a)-FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required bp'fore constructing any public water supply wells. Please call our main office at 772-873-4931 ands peak with Environmental Health Staff or provide notification by emaillto SLCDOH-WELLS(a)-FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St. Lucie County • Division of Disease Control and Health Protection Bureau of Environmental Health 5150 NW Milner Drive Port St. Lucie, FL 34983 PHONE: 7721873-4931 • FAX: 772/595-1306 FlorldaHealth.gov Accredited Health Department Public Health Accreditation Board I t+ Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation Rick Scott Governor Celeste Philip, MDR MPH State Surgeon General and Secretary Florida Department of Helalth in St. Lucie County Conditions for Issuance of Water Well Permits Effective Jul 24 2017 • Contact the Florida Department of Health il, Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning' any we�l. a. Call the FDOH — St. Lucie Well Linelat 772-873-4936 or email SLCDOH-WELLS(a)-FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required bp'fore constructing any public water supply wells. Please call our main office at 772-873-4931 ands peak with Environmental Health Staff or provide notification by emaillto SLCDOH-WELLS(a)-FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St. Lucie County • Division of Disease Control and Health Protection Bureau of Environmental Health 5150 NW Milner Drive Port St. Lucie, FL 34983 PHONE: 7721873-4931 • FAX: 772/595-1306 FlorldaHealth.gov Accredited Health Department Public Health Accreditation Board I t+ STATE OF FLORIDA PERMIT AMICAT(ON TO _ REPAIR, MODIFY, OR ABANDON A WELL 0 Southwest p E Fi OUTALL i ❑Northwest t` notes RepA ESL Johns River mewdrer wellddnrrddarlire. mouth Florida this lomandlowurdlnydie; ❑Suwannee River appWidreddhgaudduthot -400DEP 0Delegated Authority (If Applicable) & Lvnda Hammer (TrA 1100 Crystal Drive 2. =1SbU3RaCn Vw vedLiocation•Au dress. Road Name or 55371 I. 3" .rr•t.niew •ParFcel IDnNou. (PIN)c.0or Ai-utemate Key (Circle One) 4.16 36S 38E St Lucie -Section or Land Grant 'Township 'Range 'County S, Jame,]~Paul Tyson 11352 854•f#1 •Waisr1Neti Contractor 'License Number 'Tole 6. PO BOX 881496 Port .Sti 'Water'. -Well Contractor's Address 7, 'Type of Work: 2 Construction ❑ Repair ❑ Modification❑ Abandon 8. 'Number of proposed Wells 1 B. 'Specify Intended Use(s) of Welt(s): 8 Dome'stic Landscape Irrigation [I Agricultural I Bellied Water Supply 8 Recreation Area Irrigation ❑ Livestock Pubft',Watar Supply (Limped UsefDOH) Nursery Irriga Public Water Supply (Community or Non•Community)OEP) CommerciaUl Class,] Injection Golf Course IF Class V Injection: ❑ Recharge ❑ Commerclaiflndustrial Disposal ❑ Ant, Remadlation: ❑ Recovery ❑ Air Sparge ❑ Other (oe-0e1 ❑ Other icesube) lo.•Dlstance from Septic System If S 200 8. 11. Facility Description FFC 13.'Estirnated Well Depth 100 R. •Estimated Casing Depth 80 ft. Primary 14. Estimated Screen Interval: From 80 To 100 ft. �^ 15.'Prlmary Casing Material: Black Steel Galvanized" Not Cased Other: 16. Secondary Casing: Telescope Casing Liner Surface Casing 17. Secondary Casing Material: oleo% Steel Galvanized PVC 18.'Method,of Construction, Repair, or Abandonment: Auger Cable T Combination (rwo or More Methods) Hand Driven (Vhrll Point. Horizontal Drilling Plugged by Approved Method Other 1e. Proposed Grouting Interval for the Primary, Secondary, and Additio sing: From o To 75 Seal Material ( Bentanite_04Jgco,1 From To Seal Material ( Sentonite Neat Cement From To Seal Material ( Bentonite Neat Cement From To Seal Material ( Bentonite Neal Cement 20. Indicate total number of existing wells on site List number 21 'Is this well or any exislin well or water wilhdra at on the ownee s contiguous F orCUPAWPApplication,$ Yes tr�o Ifyes,completethefollowu 22. Latitude Longitude 23. Data Obtained From; GPS Map Survey DP twr�trranryri+uwladVrrr+n„..cos' •cot..era.do.Fu.i.Adm*wr..•.e.s....iut.. W rw u...,.Mo.tuO,vd.srml.tin.a,dhi.ymuww.e+�al.dygtacamn.r.e.gv_m.tw .u; u unloueln__� — PF56 Stipulations Required (See Attached) Quad No, Delineation No, UP App)rcatiai No. Telephone 21 1 Lot Btock Unit o Acres Check if 62-5240 Yes Q No Subdivision Q65 downthehole@att,net ne Number E-mail Address ale Ft 34988 City State ZIP i •Roesonfor Ropau. D Ion ®Site Investigations Monitoring Teat J U L 3 2018 (trial Earth -Coupled Geothermal lion HVAC Supply HVAC Return storage and Recovery ❑ Drainagef OH in St LUde CO my )Osed Residence 12, Estimated Start Date r QP%r- Casing Diameter 2 . In. Open Hole: From To =R, Stainless Steel Diameter in. Stainless Steel Other of Jetted Rota Sonic ind Point) 1c olnt (Direct Push) Other i Other 1 Other 1 Other ) existing unused wells on site cover No ndera CbnsumptiveD�alcelrtNell ID Noll (CUPIMP) 27 __,NAD $3 WGS 84 ra 11362 • I�nawrsW Contractor *License No. •aiphaturn or Owner or Agent Dale Approval Gttintad By hwe Oate 7 jT Expirauan Data % HydralogistApprov�l �.�. Fee Received, li Recelpt No. Check No, THIS PERMITIS NOT VALID UNTIL PROPERLY SIGNED By AN AUTHORIZED OFFICER OR EPRESENTATIVE OF THE VYMO OR DELEGATED AVTHORiTY, THE PERMIT SHALL BE AVAILABLEAT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTMTIES. .,co e...,.,•.w�:aw ennnr lnMFWrMT A 1n6V53?.4Dltf1). F.A.C. Erfcabre'Ddte:Odobar 7, 2010 Pepe 1 or2 BOUNDARY & TOPOGRAPHIC SURVEY LYING IN SAINT LUCIE COUNTY, FLORIDA ��: -- ----- - --- -- -- o.�.-- -- ----- — -- - - ~ a'� i7T� - � � � � /�L� �� �� ��TL��Z3S9•y��- Yl9] �� � ,L. r�_ ua:ou- :ss• J r+D.R� _�-6_ __ asi�. 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