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HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL APPLICATION 11:AP1260435 PERMIT t1:56-SF-1715442 DOCUMENT #:Fill19810 DATE PAID:10/21/2016 FEE PAID:515.00 RECEIPT u:56-PID-3127756 APPLICANT: Mathew Caliandro AGENT:' MICHAEL STUHR (ASHTON SEPTIC TANKS, INC.) PROPERTY ADDRESS: 18002 Bridle Way Port Saint Lucie FL 34987 Qn n BLOCK: •• •• • ... LOT:15 BY SUBDIVISION: Carlton Country Estates ID#: 3211-701-0017.000-1 St Lucie County j CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. I TANK INSTALLATION SETBACKS I 7i [01] TANK SIZE [1] 1090.00 [21 [ 1 [271 SURFACE WATER FT [ I; [021 TANK MATERIAL Polyethylene [ 1 [281 DITCHES FT [ 1 [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 82 FT [ ] [041 MULTI -CHAMBERED [ Y N 1 [ 1 1301 PUBLIC WELLS FT [ ] 1051 OUTLET FILTER Polylok PL-68 [ 1 [311 IRRIGATION WELLS FT [ 1 [061 LEGEND 1. 70-143-11DC3 2. [ ] 1321 POTABLE WATER 10 FT [ 1 [071 WATERTIGHT [ 1 [331 BUILDING FOUNDATIONS 10 FT I 1 1081 LEVEL I ] [341 PROPERTY LINES 75 FT [ ] [09] DEPTH TO LID [ 1 [351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ 1 [101 AREA [1] 679 121 SQFT [ 1 1361 DRAINFIELD COVER ( i] [111 DISTRIBUTION BOX _ HEADER X I 1 1371 SHOULDERS [ ] [121 NUMBER OF DRAINLINES 1. 6.00 2. [ 1 [3B] SLOPES [ ] 1131 DRAINLINE SEPARATION [ ] (391 STABILIZATION 06/19/2017 [ 1 (141 DRAINLINE SLOPE I 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION [� 1 [161 ELEVATION [ -ABOVE / BELOW ]BM 19.00 [ 1 [401 UNOBSTRUCTED AREA [ ] [171 SYSTEM LOCATION [ 1 [411 STORMWATER RUNOFF [; 1 [181 DOSING PUMPS I 1 [421 ALARMS [I 1 [191 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT [i 1 [201 AGGREGATE EXCESSIVE FINES ( 1 [441 BUILDING AREA [,, ) [211 AGGREGATE DEPTH I 1 (451 LOCATION CONFORMS WITH SITE PLAN I ] [46] FINAL SITE GRADING FILL / EXCAVATION MATERIAL [ ] [471 CONTRACTOR MICHAEL W STUHR(ASHTO 1 [221 FILL AMOUNT [ ' ] [48) OTHER INFILTRATOR Quick4 Plus E036 LP [ 1 [231 FILL TEXTURE 1[ ] [24] EXCAVATION DEPTH `1 ABANDONMENT [ 1 [251 AREA REPLACED [ ] [49) TANK PUMPED '( 1 [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED 6 FILLED Comments: Comments are on page 2. CONSTRUCTION I APPROVED / S� ~ SL Lucie CEO DATE: 06/01/2017 DISAPPROVED ]' Envlr mental Spa tl DlannaS May (Florida Departrnentot Health FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 06/012017 Envlmnmental Sp Ilat II Brian J Ingram (ENVIRONMENTAL HEALTH) (Ezplanation of Violations on following page) ADS 4016, 08/09 (Obsoletes all previous editions which may not be used) Page 2 of 3 Incorporated: 64E-6.003, PAC ��a� EH Database v 1.0.1 AP1260435 EIDI�IpeE I V E D JUN' (�n 12017 APPLICATION fl:AP1260435 STATE OF FLORIDA PERMIT #:56-SF-1.715442 DEPARTMENT OF HEALTH DOCUMENT x:FI1119810 . ONSITE SENAGE TREATMENT AND DISPOSAL SYSTEM 10/21/2016 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: ��'°m•+Q4`• Fee pAm:515.00 RECEIPT a:56-PID-3127756 Violation Number Comment The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 No violations observed at time of Inspection. Drainfield Installed 6x10 chambers long. System ok to cover. Contractor notified by phone. Final Inspection required for mound stabilization and well setback. Final system approved. Contractor and building department emailed final approval. DR 403.6, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC ,Page 2 of 3 EH Dafabass v1.0.1 AP1260436 EID1716442 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Mathew Caliandro PROPERTY ADDRESS: 18002 Bridle Way Port Saint Lucie, FL 34987 LOT: 15 PROPERTY ID #: BLOCK: 3211-701-0017-000-1 SUBDIVISION: PERMIT #:56-SF-1715442 APPLICATION #:AP1260435 DATE PAID: FEE PAID: RECEIPT #: DocumENT #: PR1036890 Carlton Country 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 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 FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,050 1 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 SHE #Pumps [ ] D [ 667 ] SQUARE FEET Drainfield new SYSTEM RI[ ] SQUARE FEET N/A SYSTEM AI TYPE SYSTEM: [ ] STANDARD [ ] FILLED bc] MOUND ] [ ] I CONFIGURATION: [ TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: Yellow capped BM IR SW corner of lot I ELEVATION OF PROPOSED SYSTEM SITE [ 8.00 ][INCHES FT IABOVE BELOW] BENCHMARK/REFERENCE POINT BOTTOM OF DRAINFIELD TO BE [ 16.00][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D 0 T H IE L REQUIRED: L25.OU] INCHES EXCAVA'1'1VN R VUIM U: L I iNunr.b to system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated Flow 400 gpd. ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(0, FAC. ,R I SPECIFICATIONS BY: Brian J In ram TITLE: Environmental Specialist II APPROVED BY: DATE ISSUED: DH_4016, 08/09 Incorporated: ITLE: Environmental Specialist II Brian J Ing 10/27/2016 EXPIRATION DATE: (Obsoletes all previous editions which may not be used) 64E-16.003, PAC v 1.1.4 A 1260435 SE1011855 St Lucie CHU 04/27/2018 Page 1 of 3 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 28-106, 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 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 120.68, 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, Iwith the Court of Appeal in the appropriate District Court. The notice must be filed within 30 Idays of rendition of the final order. STATE OF FLORI A PERMIT APPLICATION TO CONSTRUCT, ��ryJ REPAIR, MODIFY, OR ABANDON A WELL Pe milNo. 7�rlly 1,I ' OSouthwezt O Northwest PLFA52 FILL OIrrALLAPPLICABLE FIELDS (•Denotes Required Fields Where Applicable) Flpdda UnigVe lD 1F— 'I I l`Y'I�,( Perms Stipulations Required (See Attached) OSI. Johns River 0South Florida no water»vpwntr¢Rorrs respons!61a larmmpierrng ,S ❑Suwannee River Mrs fom, andrpmam^mg thepermN ap ca6ps fo me apPmpdafa defegafedauthadlywhers applicable. 62S24 Quad No. Delineation No. ' O DEP ODslegatedAuthod (If Applicable) CUFtWUPApplicallon No. �Mj E�Nj / 5� � h 'w+tier. Leya!+,'arre I '010oradon 2. �� / ; dree2- ss / City State ZIP 'Te!ephone Number l�.—.'-- Address, Reed N N Z��-F�— mbe Farce :0 or kbernate Kay (CirG Ono) LotIdclf -' Urll .5� �a,✓ Cn 7/% rant township L• nCG— .�i,7/•Q�i s *county Subdivision n �-- —�— Check if 62.524: _ Yes _ No �� r (' •License Number 'Taisphcno Number E-mail Addrays • Ccntracrpr � L.: : 2. =ram,- W. "NatsWe li Lon:rad ,Add , Ctt� Slate ZIP [.'Type of Worx: _ Construction �Re air MOdirrcaden _ AbzndOnrhent 6.'Number of Proposed'/!ells 9.'S IiY:ntanded Use(s) of Well(s): mpaaanr rRopaq MwldcicpaxAbem/c�rmw '-- /A\ DIMYS)MIW !_JLuomesic - Landsea s Irrigation _ Agriegltunil Irrigation SiEo Investigation yi " u uv rl _uditled !r/aJer Supply --Recreiatio , Area Irrigation _Livestock ^Monitoring ';public Vvater Soppiy (Limited Use/DOH) __,Nursery Irrigation = Taet _ Public Water Supply (G'Jmrnunity Or Non ommunity10EP)-—•CommordaUlnduStrfel __Earth -Coupled Geothermal OCT 2 7 21 __Golf Counts Irrgadorr, HVAC Supply Class r Infection _ HVAC Return Class V h,iecdon: _Recharge __,Cons del/Inpustrial Disposal Aquifer Storage and Recovery _Drainage I Ramadialion: __ Recovery Sparge _Other(oearnbel- DOHIll.StLucia _ Other lo..vioul — —E JVIRUNMEWAL t — _(Nxe MI all ypxs of.rcAs are PCmNILd by a 9rven DerMnlnO aulnxiryl 10.'7lstance from Septic Syslem if 4200 A. "y 11. Facility Description, v.0/1/,Fi 12. Estimated Start Dale 1 J.'Eslimared WellDepth.�dr 'Estimated Casing Depth ft 'Prmary Casing Diamatar�in. Open Hale; Rcm"Tp fI. 14. Estimated Screen interval: Fromi-LTo -5 fL 55.'Primary Gasfng tl.ptor;a!; -- Black S eel ✓Ga(veniz¢d PVC _Stainless Steel Not Ca, ad I& secondary Casing: _ TBlescoPe Casin _,_,_ Liner __ Surface Casing Diameter in, 17. Secondary Casing MaleriaC -Slack S del _ _C-elvanlzed __PVC _—Stainless Steel _other__, is ,Method of CCnslmclicn. Repair, or Abande ment:Y�Aug¢r __Cable Tool ^_Jetted _Rolory _Sonic Combination (Two of More Methods land Driven (Wall Point. Sand Point) Hydraulic Point (UIraU Push) _HorizOntat Frilling _—Plugged yApproved Memod __Other(bucrb.t _ 19, proposed Grouting Interval for the Primary, ecendory, and�ffdltional Casing: from Td Seai hr!alenal ( Be itonitm Neat Cement Other From To_, Seal lAelanol (_ BpntOnits�r Neat Cement_Othef ) I From,"--' T1`_ =Seal M,ubariai Sentonit6=Neat Cement Other ) From To Seat Material Bmntonite Neat Camant _other ) 20.;rd;wle total number of ryxl.ling wells on sitw ^_ List number of existing unused wells on site 21;'ts this weer or any existing well or wa:erwithd- alonmeowner'scontiguguspropertywyeredundera CDnsumpUvwWater Use Permlt(CUP/WUP) rir CUPMvUP Application? _, Yes .. No If y(Is, ownplete the following: CUPM UP No.District Well ID No, 22; Lalilude LO giludo 25iDpla07ainadFrom' OPS --map Survey Vatum:^N 27 NAt787 WGS84 m.•x.a.,ny,mu.ea c�nv^N nr umnrana naryruo,v. narUa rmwa uee,am mateavm. Ierprxalt,m xs r rneumwm.m.twu.acvramm�.aaa o,mv.a. stmnlw..c.n or.. acu ,Iv a! Grswed ey_i, „_, _ issue Gate !O 27 G Expiration Dale-( �7 r� Hyamtoglsl Approval__ Rgnaipl No. i_ Check No. PERMIT IS NOT VALID UNT;L PROPERLY SIGN O BYAN AUTHORIZED OFFICER OR REPRESENTATIVE OF THF, Y'/MG OR DELEGATED AUTHORITY, THE 'erT SKALL BE AVAILADL E ATmiS vgF,LL SITEG RING ALL CONSTRUCTICN,REPAIR, PA601FICATION, DR ABANDONMF.NTACTIVITIE5. Form, 6'; 53 900(I) incorporated in 62-532.400( 1. F,A.C. BffsdHe Ogle: Odobx i, 2070 St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT#: 56-SF-1715442 BILL DOC#:56-BID-3292187 CONSTRUCTION APPLICATION#.AP1260435 RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 24130 PAYMENT DATE: 10/21/2016 MAIL TO: Mathew Caliandro FACILITY NAME: PROPERTY LOCATION: 18002 Bridle Way Port Saint Lucie, FL 34987 Lot: 15 Block: Property ID: 3211-701-0017-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - 0STDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - i STDS Construction System Inspection 1 $ 75.00 128 - QSTDS Construction System Inspection Research Fee 1 $ 5.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 RECEIVED BY: WhiohamJL AUDIT CONTROL NO. STAu OF • - ■• DEPARTMENT OF HEALTH ONSIT�'SMMGE TREATMENT AM --_ SYSTM4 DISPOSAL APPLICATION•- cONSTRLTCTION pMMIIX • AuPLICATION FOR: New System C 7 -Repair APPLICANT: AC -ENT: ADDRESS: C I Existing system C I Abandonment 1P_ur Cvkf: rave. I I Holding Tank I I Tempo=axy PERMIT TE -DATE PP M AID: l 0 2r l4 FEE PAID: RECEIPT m: C I Innor2tive [ I TELEPHONE: `1'7Z -al (P-,? z7 TO BE PERSON LIC NS APPLICANT OR APPLICANT'S AUTHIR'= AGENT_ SYSTEMS -MOSTBE CONSTRIICTED BY A PERSON LICENSED PORSDANT TO 489_105(3)(m) OR 489.552, EZORIDA STATUTES' APPLICANT'S RESPONSIBILITY TO PROVIDE DOCOM NTAT O_ IT. IS THE PLATTED ION OF THE DATE THE LOT WAS C%tkATED OR (D41/DD/YY) IF REQilEST7NG CONSIDERATION OF STATUTORY GRANDFATHER _ PROVISIONS_ YROPF ur XNFORM1iTI0N LOT: 1_ BLOCK; SUBDIVISION: CIi1"ITUh �OvhiM k5-�k��t�a�D: PROPERTY m a: '�211- ? d - bo �'1-Ol'J!S -1 ZONING- Pc, -GO2/W OR EQUIVALENT: ' C Y PROPERTY SIZE: .I ACRES RATER SOPP£,Y: j} PRZ4ATE PIIHLIC-C IG=2000GPD ( j>2000g9b IS StZER Ayarranrr AS PER 381_0065, FS? [ Y Am __FT TO SERER: ryay FT oROPERTY ADDRESS: f a (spa, Zk,; j I`o w /�.N I INHOMMMON 04,j RESIDENTIAL C I CObMERC2Mz IIait Type or NO. Of Bui:ldiag Commercial/Institutional _ Establishment Bedrooms Area Soft Table 1, Chapter 64E-6 S�s•Eem Design FAC ,/ _ y(D9 2 3 4 C I Floor/Equipment Druns C I Other (Sperm.) SIGNA7.'ORE: DATE DE 4015, 081019 (Obsolete, p on5 eclitzons which may not be used) . 6a�-6.001, PAC - 'a'+-- Page 1 oP 4 I STATE OF FLORIDA APPLICATION # AP1260435 DEPARTMENT OF HEALTH PERMIT # 56-SF-1715442 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT If SE1011855 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Mathew Caliandro CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC. LOT: 15 BLOCK: SUBDIVISION: Carlton Country Estates ID#: 3211-701-0017-000-1 PERSON. ENGINEERS MUS7 PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS PROPERTY SIZE CONFORMS TO SITE PLAN: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 5.19 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 7784.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 4000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Yelloi I — ELEVATION OF PROPOSED SYSTEM SITE 8.00 BM IR SW corner of ICHES I/ FT ] II ABOVE I/ 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: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 75 FT POTABLE WATER LINES: 50 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X INO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOILIPROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Wabaeao sand Munsell#/Color Texture Depth IOYR 4/2 Sand 0 To 9 10YR!6/6 Sand 9 To 11 2.5Y �/4 Sand 11 To 21 10YR 6/8 CMNIPRM RF 16 To 21 7.5YR 5/8 Sand 21 To 30 1 OYR 6/3 Sand 30 To 37 1OYR 412 Sandy Clay Loam 37 To 55 10YR 4/2 Loamy Sand 55 To 60 HOLE CAVING Refusal 60 To 72 USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 1 OYR 4/2 Sand 0 To 9 10YR 6/6 Sand 9 To 11 2.5Y 7/4 Sand 11 To 21 10YR 618 CMNIPRM RF 16 To 21 7.5YR 5/8 Sand 21 To 30 1 OYR 6/3 Sand 30 To 37 10YR 4/2 Sandy Clay Loam 37 To 55 10YR 412 Loamy Sand 55 To 61 HOLE CAVING Refusal 61 To 72 OBSERVED WATER TABLE: 24.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ) ESTIMATED WET SEASON WATER TABLE ELEVATION: 16 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES I ]NO MOTTLING: [X]YES [ ]NO DEPTH: 16.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR618 cmn prom RFs In 2.SY714 matrix. >2% starting at 16" In SB2 SB1IS" above BM. SB2 9" above BM SITJ EVALUATED BY: '�- DATE: 10/26/2016 Ingram, Brian (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obeoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 1 AP1260435 EID1715442 v1.0.2 STATE OF FLORIDA PERMIT , DEPAPMM,7T OF HEALTH ONSITE SEWAGE TREPTNJE T AM DISPOSAL SYSTEM r� SITE EVALUATION, AND SYSTEM SPECIFICATIONS APPLICANT: ( ' I } T1 t w' rP' i A nj r-o LOT:_ 5 BLOCK: SUBDIVISION: PROPERTY ID 4: 32� l ' / Qf "061 �% —0w - [Section/Township/Parcel No. Or Tax ID Neer] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGnu!ERS MOST PROVIDE REGISTRATION NUNBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS PROPERTY SIZE CONFORMS TO SITE PLAN: ,P< YES [ ] NO NET USABLE AMAL AVAIIA LE: 5, 1 ACRES TOTAL ESTIMATED SEWAr_e FLOW: GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE23 AUTHORIZED SEWAGE FLOW: oumoNS PER MY - [150D GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA P_VA ARIE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHbgIIPK/R EMXRENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS [INCHES/FT] [ABOVE/BELOW] BENCMP.RK/REFERENCE P03NT THE MINIMUM smmHA= WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FE_aSDRES SURFACE!WATER: FT DITCHES/SWAMES:. FT NORMASLLY WET? [ ] YES [ ] NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDAYTONS: FT PROPERTY LIlQES: PT POTABLE RACER LINES: FT SITE SUB.SECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] NO 10 YEAR,FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FTMSL/NGVD SOIL PROFILE INFORMATION SITE 1 MUNSELS, a/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: SOIL PROFILE INFORMATION SITE 2 MUNSELL n/COLOR TF:zmrmF: DEPTH TO TO TO TO TO TO TO TO TO USDA. SOIL SERIES; ' OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE_ TYPE:[PERCHED / APPARENT] .ESTn-iATEn WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] .EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TF:x'=/LOADING RASE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES DRAIIgTELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY) SITE EVALUATED BY: INN4 DE 401S, 08/09 (obsoletes previous editions which may not be used) Incorpmted: 64E-6.001,FAC Page 3 of 4 PsopertyXiird ' Site Address: 18002 Bridle Parcel ID: 3211-701-0017- Account #: 160774 Sec/Town/Range: WAY 000-1 1 I/36S/38E Map ID: 32/1 IX Zoning: PUD - CO Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Katherine 1 Maden CARLTON COUNTRY ESTATES (PB 46-29) LOT 15 (5.188 Matthew R Caliandro AC) (OR 3918-531) 5850 NW Ethel CT Port St Lucie, FL 34986 Page 1 of 1 Current Values Historical Values 3-year lust/Market: $76,800 Assessed: $76,800 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $76,800 2016 $76,800 $76,800 $0 $76,800 2015 $72,800 $72,800 $0 $72,800 Sale History Date Book/Page Sale Code Deed Grantor Price 09-23-2016 3918 / 0531 0001 WD PSL Forclosures LLC $99,900 04-15-2016 3858 / 0946 0312 CT Almel Real Estate Holding LLC $222,000 12-28-2007 2926 / 1242 XX00 WD Royal Professional Builders, $115,500 Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF Exterior Data View: Roof Cover: Roof Structure: Year' Built: N/A Frame: Grade: Priiary Wall: Story Height: No. Units: 0 Interior Data Bediooms: 0 A/C %: 0% Electric: FulllBaths: 0 Heated %: N/A% Heat Type: Half Baths: 0 Sprinkled %: 0% Heat Fuel: lrrxi e p7" .Sltetch twavaileble for display Building Type: Effective Year: 2014 Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas Finished/Under Air 0 (SF): Gross Area (SF): 0 Land Size (acres): 5.19 Land Size (SF): 225,989 Total Building Count: I Special Features and Yard Items Type Qty Units Year Bit This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2016 Saint Lucie County Property Appraiser. All rights reserved. http://www.pasle.org/RECard/ 10/21 /2016