Loading...
HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSA,L// SYSTEM /r%/iJ, /i..3 & FILE COPY PERMIT #:66-SF-1888068 APPLICATION #:AP1370875 DATE PAID: FEE PAID: RECEIPT #' DOCUMENT #: PR1181608 CONSTRUCTION PERMIT FOR: OSTDS New, SCANNED APPLICANT: Matthew Caliandro �Y PROPERTY ADDRESS: 18102 Rridle Wav Pnrt Saint Lucie. FL 34987 St_ )_11raA (ni Inhi LOT: 14 BLOCK: SUBDIVISION: Carlton Country Estates PROPERTY ID #: 3211-701-0016-000-4 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MOST 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 ] 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 RRS #Pumps D [ 500 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [X] N Drainfield new SYSTEM N/A SYSTEM STANDARD [ ] FILLED [X] MOUND [ ] TRENCH [ ] BED [ ] F LOCATION OF BENCHMARK: Site BM V IR no ID elev 23.11 I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 3.00 ][INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D E 0 T H E R ie system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of )0 gpd. Ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(f), FAC. SPECIFICATIONS BY: Brian J Ingram^ TITLE: Environmental Specialist II APPROVED BY: LE: Environmental Specialist II St. Lucie CED Brian J Ingra DATE ISSUED: 11/19/2018 EXPIRATION DATE: 05/19/2020 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 M1370875 SE1131403 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, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. nY MCA HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PERMIT 56-SF-1888068 BILL Doc 6:56-13ID-4006358 CONSTRUCTION APPLICATIONM AP1370875 Dave Golden Homes AMOUNT PAID: $ 515.00 CHECK 25957 PAYMENT DATE: 10/29/2018 MAILTO: Matthew Caliandro FACILITY NAME: PROPERTY LOCATION: 18102 Bridle Way Port Saint Lucie, FL 34987 4 14 Lot: Block: Property ID: 3211-701-0016-000-4 EXPLANATION or DESCRIPTION: 128 - OSTDS Construction System Inspection Research Fee -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 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: MontanezNM AUDIT CONTROL NO. 56-PID-3781461 C STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [}CJ New System [ ] Repair APPLICANT: AGENT: I MAILING ADDRESS: [ ] Existing System [ ] Holding Tank [ ] Abandonment [. ] Temporary PERMIT No. bF- DATE PAID: 10�� FEE PAID: ^`FU q-G5:r1 RECEIPT #: -U61 2 [ ] Innovative TELEPHONE: 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 �/y�} ,L/p1 LOT: BLOCK: SUBDIVISION: &UrON `OUA,1& `s��/ vTTED PROPERTY ID #: J (/Il (O/- 00/ & "DDd-7ZONING: PROPERTY SIZE: 5� ACRES WATER SUPPLY:. PRIVATE IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /© ] PROPERTY ADDRESS: / 9/1) Z/ TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment I 5,4-le 2 3 4 - I-P r 0-1. /�;?k ( [ ] RESIDENTIAL I/M OR EQUIVALENT: [ Y / N ] PUBLIC [ ]<=2000GPD [ 1>2000GPD DISTANCE TO SEWER: t/ FT /P --de ` r/ 5Y67 F IL [ ] COMMERCIAL O.C.. ./ /NOAL- N No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equipmeni{pirains [ ] Other (Specify) / SIGNATURE: %%�jJy�� a DATE: 06, hz DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 0/ STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Matthew CONTRACTOR / AGENT: LOT: 14 BLOCK: SUBDIVISION: Carlton Country Estates ID#: 3211-701-0016-0004 APPLICATION # AP1370876 PERMIT # 56-SF-1888068 DOCUMENT # SE1131403 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: 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: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM 1" IR no ID elev 23.11 ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCHES]/ FT 1 L ABOVE / BELOW 1 BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 100 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: $ FT PROPERTY LINES: 100 FT POTABLE WATER LINES: 70 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MEL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE I SOTT. PRnVTT.E TNFr1RMATTr)N STTR 9 USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 4 1 OYR 5/1 Sand 4 To 13 1 OYR 6/2 Sand 13 To 21 10YR 5/8 CMN/PRM RF 15 To 21 10YR 713 Sand 21 To 32 1 OYR 52 Sand 32 To 44 1 OYR 52 Sandy Clay Loam 44 To 64 HOLE CAVING Refusal 64 To 72 USDA SOIL SERIES:Wabasso sand Munsell #/Color Texture Depth 10YR 4/2 Sand 0 To 5 10YR 5/1 Sand 5 To 15 1OYR 6/2 Sand 15 To 24 10YR 5/8 CMN/PRM RF 16 To 24 10YR 7/3 Sand 24 To 36 10YR 5/2 Sand 36 To 56 10GY 5/1 Sand 56 To 62 HOLE CAVING Refusal 62 To 72 OBSERVED WATER TABLE: 46.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: L PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 15 INCHES [ ABOVE / BELO]1 EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES -[X NO MOTTLING: [X]YES [ ]NO DEPTH: 15.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 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. 10YR518 CMN PROM RF mottling >2% in a 110YR6/2 matrix starting at 15" in SB1. SB1 and SB2 6" below BM. SITE EVALUATED BY: Ingram, Brian (Title: Envi' nmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 11/07/2018 Page 3 of 4 AP1370875 EID1888068 v 1.0.2 56, SF- IMO(oy APPLICANT'S NAME: V., (0, IdGh LEGAL DESCRIPTION: 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 -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the 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 line 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 or right -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 was 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 contiguous land within 75 feet of the applicant's lot are shown on the site plan; that all public wells within 200 feet of the applicant's lot are shown on the site plan; and that the location of 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 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. d,ma- L,mmiepl iec.5eptieApppPage_1)7 CERTIFIED BY: FLORIDA PROFS. SIONAL NO.: -q# DATE: /U—ZZ'"' - ►MO(av ' STATE OF FLORIDA PERMIT APPLICATION TO Comma,%-5F- or'rs3- REPAIR, MODIFY, ORABANDONA WELL rm PeltNo. 5�. ���'—i Florida Unique ID 's#t°f ❑Southwest PLEASE FILL OUT ALL APPDCABLEFIELDS ❑Northwest ('Denotes Required Fields Where Applicable) Permit Stipulations Required (See AttaOed) OSL Johns River i - South Florida The wmerwearunnarmrtirespanflWePo[mmpfeNng 62=524 Quad No. Delineation Na, Suwannee River apl�llirme3elego edouM"�whemappltmbler 17 DEP CUPANUP Applimfion.No. ❑ Delegated Authority (If Applicable) 1. Matthew Cariandro 18JI02 Bridle Way Port St -Wee LOCalion- Aaaress, Hoar Name or NUMDar, City 3.3211-701-0016-000-4 14 'Parcel ID No. (PIN) or Alternate Key (Clrcie.One) Lot Block Unit 4.11 36S 38E St Lucie Carlton Country Estates Check if e2-524 ❑ Yes I] No 'Section or Land Grant 'Township 'Range 'County Subdivision 5. James Paul Tyson 11352 954-8184269 downthehoie@att.net `Water Well Contractor •Dcense Number 'Telephone Number E-mall Address S. PO BOX 881496 Port St. Lucie FI 34988 'Water Well Conlracters Address City State ZIP 7. 'Type of Work: ❑✓ Construction ❑ Repair ❑ Modificafion❑ Abandonment 8. 'Number of Proposed Wags 1 •Reasenrarf?"air, Moth avon,aAtannorvnem 9. 'Specify, Intended Use(s) of Wallis): Domes ic BottledtWater Supply ® Recreation Area Irrigation ® Livestock pe Irrigation Agriculturallrngation B MonitorinSite g gallons u v1 Public Water Supply (limited Use1DOHj I] Nursery Irrigation ❑ Test Public Water Supply (Community or Non-Community/DEP) CommerciaYIndustdal Earth -Coupled Geothermal NOV 1 9 2018 Class 1 Injection ® Golf Course lirigagon HVAC Supply HVAC Return :lass V Injection: ❑ Recharge ❑ Commerctaltindustdal Disposal ❑ Aquifer Storage and Recovery ❑ Drainage 9 temediation:❑ Recovery[]AirSparge ❑ Other IDesmbe) OH U ICou Other rccwtbe) VDistance from Septic System if 5 200 ft. + 11. Facgity Description Residence 12. Estimated Start Date 3,'Estimated Wag Depth 110 ft, 'Estimated casing Depth 90 ft. Primary Casing Diameter 2 in. Open.Hole: From=c-' To tt 4. Estimated Screen Interval: From 90 To 110 ft, 5.'Primary Casing Material: Black Steel Galvanized Stainless Steel Not Cased Other. Secondary Casing: Telescope Casing Liner Surface Casing Diameter In. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel 18'Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted � Ra Sonic Combination (Two or More Methods) Hand Driven (Well Point, Sand Point) Hydrau is Point (Direct Push) Hodzontaf Drilling Plugged by Approved Method Othertoesume) 19. Proposed Grouting Interval for the Primary, Secondary, and A ImnahE en - From o To 85 Seal Material ( Sentonit ent Other ) From To Seal Material ( BemoNte Neat Cement Other 1 From To Seal Material ( Bentonite Neat Cement Other i From To Seat Material ( Bwtonite Neal Cement Other ) 20. Indicate total number of existing wells on site List number of existing unused wells an site 21.13 this wail or any existior water withdra the owners contiguous propecovered under a ConsumpConsumptive/Water Use Permit (CUPTANP) or COPPNUP Appgealk;ng well Yes does, complete the following: C&ANLIP No. District Wall ID No. 22. Latitude Longitude 23. Data Obtained From: GPS Approval Granted Fee Received S Map Survey RecOipt No. 27 _NAO 83 WGS 84 Iawe.Date IV I'l//3 Expiration 3/ Hydrologist Approval WM4 THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED. OFFICER OR REPRESENTATIVE OF THE UVMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BEAVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ASANDONMENTACTMTIES. of " A . 75.0' PROPOSED WELL --------- 9.42L�- 21.00 26.00' PROPOSED PROPOSED 22.7 SEPTIC a e PORCH _ _ AREA 'al 66.00' 1 PROPOSED ------- 23i7 TANK x 24. n a PROPOSED 7� c 1 STORY CBS RE DEN MINIMUM FFE 24.80' 1 -•.I" + IPROPOSED:•, I ` ICONCRETE ' — 17.33' PROPOSED ___-- I — aRn ncF '� 22.7 v � A�O c co - 'SET 1" IR NO ID BENCHMARK ELEV. = 23.11 N 89'52'33" E 416.00' -==---------------------- x x aa.9 x 22,7 173.93' I I rn o mo r to 00 x 22,8 4' PLASTIC FENCE 22.73 ��� 22.t PROPOSED _ Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.. Property Identification Site Address: 18102 Bridle Parcel ID: 3211-701-0016- Account #: 160773 SectTown/Range: WAY 000-4 11/36S/38E Map ID: 32/11X Zoning: PUD - CO Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Matthew Caliandro CARLTON COUNTRY ESTATES (PB 46-29) LOT 14 (5.19 Katherine Maden AC) (OR 4015-2607) 18002 Bridle WAY Port Saint Lucie, FL 34987 Current Values Historical Values 3-year Just/Market: $89,300 Assessed: $89,300 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $89,300 2018 $89,300 $89,300 $0 $89,300 2017 $89,300 $89,300 $0 $89,300 2016 $76,800 $76,800 $0 $76,800 Sale History Date Book/Page Sale Code Deed Grantor Price 06-23-2017 4015 /2607 0112 WD PSL Forclosures LLC $109,900 04-15-2016 3858 / 0946 0318 CT Almel Real Estate Holding LLC $222,000 12-28-2007 2926 / I240 XX02 WD Royal Professional Builders $338,300 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: Grade: Effective Year: 2014 Primary Wall: Story Height: No. Units: 0, Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Tot Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: n� Total Areas Finished/UnderAir 0 Gross Area (SF): 0 Land Size (acres): 5.19 Land Size (SF): 226,076 Total Building Count: 1 Type Special Features and Yard Items 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 2018 Saint Lucie County Property Appraiser. All rights reserved. ttps://www.pasic.org/RECard/ 10/29/2018 APPLICANT'S NA3LE: V.", Cgo We-ri LEGAL. 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 -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the 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 line 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 or right-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 was 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 contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of 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 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. d,xs. G.rmcscplia. ScPIic:1PPPP.1Sc-D7 CERTIFIED BY: FLORIDA PROFE ZONAL NQ