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HomeMy WebLinkAboutD O H PAPERWORK;Bridge Web Viewer Page 1 of' thission: To proled. promote $ improve the health of all people In Florida bough integrated state, county d community efforts. p�u�ipi5" p��cy a C7EAL H Vision: To be the Healthiest State in the Nation Florida Department of Health in St. Lucie County Conditions for Issuance of Water Well Permits Effective July 24, 2017 Ron DoSantis Governor FILE COPY • Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. SCANNED a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email BY SLCDOH-WELLS().FLHEALTH.GOV St. Lucie County 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 before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLSg)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 SL Lucie County • Division of Disease control and Health Prolecdon Bureau of Environmental Health 5150 MN h1ilner Drive Port St. Lucie, FL34983 PHONE: 772/873-4931 • FAX: 7721595-1305 FloridaHealth.gov .0 Accredited Health Department Public Health Accreditation Board ittps://s1.ebridge.com/ebridge/3.0/webviewer/Viewer.aspx?ref=jgGE%2bHKLLJOIV I1"7mUAKL1Wgd... 4/25/201S ;Bridge Web Viewer Char' �t� d fit l her a m0c( I-1 uual 5 t ze F'oFzut.rtt rt'C& STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL ❑southwest ❑ Northwest PLEASE FILL OUTALL APPLICABLE FIELDS (•Denotes Required Fields Where Appli ❑ St. Johns River ©South Florida 7Mkmenvrdrerurnnuturrpm,kJJ�lrvromry'rMa rM1erameMfomnrluyiheyamraPpL¢Honra the OSmvanpeo River ury,ryrfmrtldrgulninuthwRyxiwrWp9mWc ❑DEP ❑ Delegated Authority (II Applicable) 5i— IMir 79ye, o IAp&cnui* 55 No. 59--ary-a Uniquo ID Attached) 62-524 Quad No. _DeUnestlen No. CUPAVUP Application No. 1. Kings Properties, LLC 3595 N. Kings Highway, Fort Pierce, FL 34951 904-540-9533 '(Tamer. Legal Name dCorpombon -Address •Gty 'Stale •ZIP Telephone Number 2. 3595 N Kings Highway Fort Pierce, FL 34951 •Well Location -Address, Road Name or Number, City 3.1326-111-0002-000-9 'Forest ID No. (PIN) orAflemate Key (Circle One) Lot Biark Unit 4.26 34S 39E ST LUCIE Check if 62424:❑ Yes ❑ No 'Section or Land Grant *Township 'Range 'County Subdivision 5. Scotrs Drilling, Inc. 11213 772.489-6117 scottsdrillind@beilsoulh.net 'Water Well Contractor 'Llmnse Number 'Telephone Number E-mail Address 6.5014 Palm Drive Fort Pierce FL 34982 'Water Well Contractor's Address City Slate Zip 7. *Type of Work: ❑ Construction ❑ Repair ❑ Modificatien❑ Abandonment 8.'Numb" of Proposed Wells ONE •Re.,.cnrc,Rr np, R. *Specify Intended Use(s) of Well(s): JJ Domestic ® Landscape Imgadon Agricultural Irrigation Site Investigations Bellied Water Supply Recreatlan Area Irrigation Livestock U Monitoring Public Water Supply (Limited UsetDOH) Nursery Initiation ❑ Test FEB 20 2019 PdbllcWater Supply (Community or Non-bommunilylDEP)® CommercialAndusbial� Earth -Coupled Geothermal /Xy, Class I In)ection Golf Course Irrigation HVAC Supply f/ HVAC Retu w�,,.r, 'lass V Injection: ❑ Recharge ❑ Commemiaglndusbial Disposal ❑ Aquifer Storage and Recovery DraM 1ph��L `!'r�'!'I,� temediation:❑ Recovary❑ Alr Sparge ❑ Other (D=a a) j htD,N HOnENAh Other faavta) se I U.'Distance from Septic System If 5 2001L 1000 11. Faelity Description 12. Estimated Start Date 13.•Estimaled Well Depth 120 ft. -Estimated Cnsfng Depth 100 ft. Primary Casing Diameter 2 in. Open Hole: From__To 14. Estimated Screen interval: From 100 To 120 ft. 15. •Pdrnary Casing Material: Black Steel Galvanized ,/ PVC SlaWess Steel Not Cased Other. 16. Secondary Casing: Telescope Casing Liner SurfaceCasino Diameter_ in. 17, Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other le.•Method ofConstruction. Repair, OrAbandonment: Auger Cable Tool Jetted ;/ Rotary Sonic Combination (two or More Methods) Hand Driven (Well Point, Sand Point) nt (Direct Push) Horizontal Drilling Plugged.by Approved Method Other fors.%.) 19. Proposed Grouting Interval for the Primary, Secondary, and Add-' ' From a To 100 Seal Malarial ( Ben%',Ile Neat Cem Other 1 From To _ Seal Material ( Bentanite o .ream Oilier ) From, To _ Seal Material ( Bontmite Neat Cement Other - ) From. To _ Seal 4lalerial { Berdonile Neat Cement Other ) 20. Indicate total number of existing wells on site 1 6° IRRIG List number of existing unused wells on site 21.'Is this well or any existing wall or waterwilhdrawal on the ovmees comigUcus property covered under a ConsumpliveNValer Use Permit (CUP/WUP) or CUPAVUP Application$ Yes No If yes, complete the foliating: CUPMIUP No. District Well lD No. 22. Latitude Longitude 23. Data Obtained From: GPS Map Survey Datum: _NAD 27 _NAD 83 _WGS 64 Fee Re Nod 11213 'Licanse No. Receipt No. Expiration Cheek Na 4 -Date THIS PERVJT IS NOT VAUD UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OFTHE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL EEAVAILABLE AT THE WELL slrE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENTACTIATIES. Page 2 of- ittps://s l .ebridge.com/ebridge/3.0/webviewer/Viewer.aspx?ref�—jgGE%2bHKLLJOIWMV7mUAKL1 Wqd... 4/25/201 S ;Bridge Web Viewer Page 3 of OLD GROVE (FURROWS) PROPOSED RESIDENCE 7P OF BANK _. —._._._.—.-I 30' DITCH . _....._ . _ . _ O.N.W. JI. O GROVE IRROWS ) LpOD FEB 2 0 2019 MOH In St Lucie County ENVIRONMENTAL HEALTH -�3ScS v '^ EXN REQ'D 75' SETBACK FROM SEPTIC SYSTEM REO'D WELL / (LOCATION TO BE DETERMINED ' IN FIELD BY OWNER) W REO'D 900 GALLON SEPTIC TANK WITH 375 S.F. DRAINFIELD EX. OVERHEAD POWER LINES FEI ittps:Hs 1.ebridge.con/ebridge/3.0/webviewerNiewer.aspx?ref=jgGE%2bHKLLJOIWMV 7mUAKL1 Wqd... 4/25/201 S ;Bridge Web Viewer Page 4 of Michelle Franklin, CFA--Saint Lucie County Property Appraiser -- All rights reserved. situ Address: Parcel ID: Account;:: Map ID: use Type: zoning: City/County: ownership Kings Properties LLC 13051vyhedge AVE SLAugustlne, FL 32092 Property Identification 3595 N KINGS HWY 1326-II1.0002-rAO.9 r 5279 V,V eoaD AG-1 /v"' Saint Lucie County Legal Description 26 34 39 E 12 OF NE 114-1,11SS E 85 FT FOR CANAL (78.37AC) (OR4113- 416) Current Values )lisUMarkaf Value: $582,908 Assessed Value: S21,552 Exemptions: So Taxable Value: S21,552 Taxes for this parcel: SLC'I"ax Coll rotors Oniccej Download TRIM for this parcel: Davmload PDF® 2119C019 8,25 Ahl Sales Receipt 821192 Slone; I REPRINTED St Lucie County Health Department 5150 MIN Milner Drive Part St Lucie, FL 34983 EWronmenlal Heath Division 772.87 3.4931 Item tl city Price ext Price 60 , '1 5115.00 5115.00 T We0 Construction 67 1 $50.00 S50.00 T Charlie of Driller 81 1 $25.00 S25.00 T Revisions Sublolul: 5190.00 Local Sales Ta: 0 ON Tax- « SO 00 RECEIPTTOTAL: $190.00 Credit Card S100 00 Visa 59-292403500 Whlteumy Dairy Rd 59-28472 3595 N Kings Nay ,r{L Thank You it Have a Goad Dayl V 1111111111111111111 21192 Total Areas Finished/undcr Air (SF): 0 Gross Area (SF): 1,500 Land Size (acres): 78.37 Land Sizo (SF): 3,413,797 s time but it is subject to change and is not warranted. try Property Appraiser. All rights reserved. ittps://sl.ebridge.com/ebridge/3.0/webviewerNiewer.aspx?ref=jgGE%2bHKLLJOIWMV7mUAKL1 Wqd... 4/25/201S ,Bridge Web Viewer Page 5 of _ STATE OFFLORIDA PERMWAPPLICATIONTO.CONSTRUCT,Lpt REPAIR, MODIFY, OR ABANDONA WELL ❑SBU1hwaSt PLEASE FILL OUTALLAPPUCABLE FIELDS❑Northwest (•Denotes Required Fields Where Applicable)❑St Johns River Fiortdz.❑Suwannee'R(ver OWa:Lt^isai''6rvi8r1.r.SlAFarnsrard,�.:a:oNe ❑DEP PP+PNlse ddogsfd auftegwhem apPacaNe. ❑ Delegated Authority (if Applicable) L (PIN) or Altemato Key (Ciro ?a r_ l 4. . n *' r � .J i v ,? I:ot Block - Unit t n 'Section or Lard Grant `T wn'hip Ran o� Counly �., ty 'Subdivision-"-;� / / Check if 62.524:� Yes.=Pto &'We e� ell cart vac or��• � �r t ._.piuJUullL�,�,rTr/CGu�G�"//t'a, l.�ff �1 j +' `License Number Telephpp7a Number - 6mafl,Addies —C 6. 1 X h . Y19 CA �(Q.l i+ Y1 �4,t.C.Q C Water Well Contractor s Andress Cit ].'Type of work:_ Construction r hoditicUort.'. n„n• State ZIP - 'S:1Vumherofl. Opdsed:`h'ells ) .. Raa,,.n rcnaalr.: :'«mc�:sn, us,:vxwcrr 9. 'Spy mostifonded Use(s) of Wallis), omesGc Landscape Irrigation Agricultural Irrigation _ Site Investigation _Bo(lfed Water Supply- _Recreation_ Area Irrigation _Livestock ManitorirtgPublic Water Supply (Limited UseiDOH) _Nursery Irrigation _Test Public Water Supply or Non-Communily/DEP)—Commere(aVlndushial _Ea _rth Coupled Geothermal Class (Injection Golf Caarae lydgahon _HVAC Supply JUN 6 2018 �HVAG Return Class Vln)ecUan:_Racharge_Commerrlaflindusldal Dispgsal. Aquiter Storage and Recovery_DrJnage Remedimiont Recovery Alr Sparge __Otherja-u )- F - ON rn 9F l firm Cn. ,Order (oesuTo). (Nws: ec;aa We;-rw%aza Pe tom bye6iren PemYtung aNttlMY, 10.•Dislance from Septic System if s200 B.-k7r 7L Facility Description ~- I:. 12fEstimaled SWd Date' 13: Es6mated Well Depth 'Estimated Casing Depfh-� V Off. 'Primary Casing Diameter in. Open Hole::Fram�To ft. 14. Estimated Screen InlervaCFrom N U To LK ft. 15rPdmaty.Casing Material: Black Steel __Galvanized -xZPVC SWinless.Steel _NolCased _Other. ' 16. Secondary Casing: Telasccpa Cirdrg. Liner_SurLca Casing, piameter_irc,. IT Secondary Casing .Marar'a:; _g)eck Stec __Gatvan�:d _pyC _SfainfesSSteel __Other iS.:ldelhodof CcnstrucUon,Repeir,orAbandonmenL Auger, _Cable Toof Jettod _1�oWry _SoNc Combination ('M'oor More Methods) Hand Driven (Well`.Point..Santl,Pdtnt) _.Hytlrau,UC Point (Direct Push) _Horizontal Grilling __Plugged by Approved Method _Ord, Sand Poird>elftj _ 19. Proposed Graugnfl'Interval for the Pnmarv. Secondary and Addor rs l . 20. Indicate total numberefexistingvra7lsonsiW Cstnumbarofexisting unused wogs on site 21 I s this Weil orany axislingwell or waterwithdrawalen the ownor'3 contiguous proper covered undera ConsumplivelWater Use Permit (CUPANUP) or CUP/WUPApplication? ✓ Yes NO If yes, winplefe me following:.CUPi4YUP No. District Well ID No. 22 Lalifudo • Longitude' - 23.Data Obtained From: _GPS ^Map _Survey Datum:_NAD27NAD83 __WG7384 IhrtMm41/L'ullwam,` yty�NPe,nn[at4. kfNh611 f1-xi ruin... �.w..w ., _ .. .. _ Appnrval Granted ByZC.y)' v'_", -(� 1 I� •, Issuo ato Ezplmtion Dale 7.;i+ \ +; 1 H}brologiztAPPioval Fee Revived-S i! ' ReceipfNa iCheck No. - :e-. �- `INIS PERMIT IS NOT VALID UNTIL HE WELL BYAN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATEDAL6011ITY.. THE PFJiM1tIT SHALL BEAVAILA9LEATTHE WELL SITE DURINGALL CONSTRUCTIO., REPAIR,,M-0O:FdCAT10N, OeM.--O\MEN7ACTMTES. DEP Form 52•.2.9JOf?j In�rporaw�d ii d2-$,92pNj(i�.FAC. ECerJve Oa:o:0ao5en7;2m0 -- t Page iof 2 ittps://s l .ebridge.com/ebridge/3.0/webviewer/Viewer.aspx?ref=jgGE%2bHKLLJOIWMV7mUAKL1 Wqd... 4/25/2015 STATE OF FLORI PERM TAOPtuPLICATION TO CO STRUCT, REPAIR, MODIFY, �89ti0 �i1rELL , u��i. wI Pe1TnitElfl tY r a� 0SOOth%WSl �" �' n n : PLF15E FhLOU(A eELCS Ap Uhonhwes: ('Denotes ROQuired Fields Where Applicable £1 SL Johns River %south r7a'C2 7ro:vanuc:xr/rx:ttrsras?^neIlb ramv'F''eSnJ .:'.1 :hr l_: rt, Saf::rcvsrg:ra.^dn_t_:la:u. m:re 14.,sy-. tnvannee River `�'.tiS ''•% n:q.opns'f Ce!ngated e�NCfv w.�nra crept±a0.'a. �ti\9tap,a�r GDCP t� ❑ Delegated Authority (if Applicable) 5Sll-Uux 'Scctianor La dGranl 1T�vn hip 'Range 'County Cuj( 'Wa let ee Con rector 'License Numb'Tile er 6. V.q.0 (SGOAtlachcdl cvzd No. �C:neaBal Na. �7C 3z6%Z 'ZIP LOE bIOCk Unut i Check if 62526: _ Yes `.Qo '" JIJIO 1. Typo of Was _ ConssuCJon WipeZIP _Vgcilptloa rV.andcnmert a. 'Number cf Proposed V.wis i na �,n ban:aw,. rJc.�i;ay� nA�a%•m::.:: 9. 'S�pciy intended Use of Well(s): _-rmmem'c Landscape litigation Agricultural Irrigation _Site Investigation W LJ UUV {:J Bottled Water Supply , _Recfeation Area Im3ahon _Livestccx _Uonitonng _Public Water Supply(LIM*.Od Use/DOH) _Nursery Irrigation _Test ,Public Water Supply (Community or Nan-Commur itylDEP)—CommerclaVlrxfustrial _EnrtMCoupled Geothermal Class l Infection _Golf Course Irrigation HVAC Supply JUN 0 2018 _HVAC Return VInjection: _Rechan4_Commercatrindu,Vj21 Disposal Aquifer St, go and RerAvr.y _D21^age Remediation: _Recovery Av Soargo _O'; :c: ;oe:oc*,;^—_—EF90" I St L „Droll __Other!Carcr.wl n:�rr:r.:,olgn.X.,.aa.ve y,u.s:ca 4y.:6^�i*+�+aay WMn:t) rAtL�7tP 10.'Distanee from Septic System if 1200 ft. f K 1 t. Facilfy Doscription -�11 12. Estimated Start Date 13.'Estirt:aled Well Depth JZ4ajt. 'Estimated Casing Depth 1 O� Oft. 'Primary Casing Diameter n. Open Hole: From Tc_R. 14, Estimated Screen Interval: From $ —o To 1?. U IL i 15.'Primary Casing ,later ial: _Black Steel _Gatvanized PVC _Nol Cased _Other. -� _Stainless Steel 16. Secondary Casing: _Tetesecpo Casing _ Liner _ Surac•: Casng DlamaW, m. t7. Secondary Carina Ma:nrat ^B+oca r,,t,.,y _GSPrcr.¢cd _PVC _S lfn:ess Steel Other _ 16. !.lathed of ConsVUCUOn. Repair, o. Aoandonmenh `Auger _Cable Tool _JOCad Lfllotary _Sonic —Comtsnatfon (Two or Atore f.lothods) Hand Driven (Wen Point. Sand Point) _F:y'draulic Po-'-nt (Direct Push) _Hcr¢ontal Ontliag ,_pluggod by Approved Method _Other (Oswne) 19. Proposed Grouting Interval for the Primary. Secondary, and Additional Casing: From To Seal Malorial (Bentamle__Neat Cement Other 1 Fram To Seal Material ( Bentonite_Neat Celnem_OLher From Tc Seal Material (__Benlonite_Neat Comen�_Ocher 1 From To Sea: R2ptaria! L_Cerbrile4Neat Cement__Olher ) 2A indicmetotal number0,e-istmg V.ails on si;o__O_ Ustaumbor ofo)6si.rg unused webs en sire (l 21.11s (hs u• iel! ar any dxishrg veil or water v:Ahdra'nat on Lhe aumu's contiguous property covered under a Consume WeAYator Use Permit (CUPM7UP) or CUPANUPApplicationP ✓ Yes __NO If yes, complete the following: CUPAVUP No. District Well ID No. 22. Latitude Longitude App coal Granted By Fee R".-.d S THIS PERMIT IS NV PERMITSHAdl RFa _Map __Survey Rece!pl No. I== Datum: NAD 27 _NAD83 _--_WGS84 E.036w CrwcL No. VE OF TR tyaoio,:stApprwat rnta DELEGATED AUTHORITY, THE C�Fr=.n fi23i29uOlt} Incryoa»c yr �.;,,^2,:;gl7a pA,C. E¢ec.•:y Daro: Oco�.•7, 2gt0 Page 1 0l ! i PP I t OLD GROVE FURROWS) PROPOSED RESIDENCE )P OF BANK I 30' DITCH ...... _._._._.-._._1I 7 GROVE IRROWS ) co m EX. 4' BARB WIRE FEI � REQ'D 75' SETBACK FROM SEPTIC SYSTEM — / REQ'D WELL (LOCATION TO BE DETERMINED W l IN FIELD BY OWNER) REO'D 900 GALLON SEPTIC TANK WITH 375 S.F. DRAINFIELD j_ EX. OVERHEAD POWER LINES a STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTOS New APPLICANT: (kings Properties LLC) PROPERTY ADDRESS: 3595 N Kings Hwy Fort Pierce, FL 34951 E2MI BLOCK: SUBDIVISION: PERMIT all. 56-SF-1847946 APPLICATION #:AP1345053 DATE PAID: FEE PAID: RECEIPT 9: DOCUMENT #: PR1120143 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID A: 1326.111-0002-000-9 [OR TAX ID HUMBER] 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 ] GALLONS / GPO Seotic new CAPACITY A [ ] GALLONS / GPD NIA CAPACITY N [ ) GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @( ]DOSES PER 24 HRS #Pumps [ D [ 667 ] SQUARE FEET Drainfield nett/ SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ) I CONFIGURATION: [ ] TRENCH [X] BED N F LOCATION OF BENCHMARK: Orange painted nail In PP E Of systarr I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 1 0 T H E R ILL MOUND [ ] [ 47.00 ] [I INCHES ' FT ] [ A50VE [ 74.00 ] [ INCHES ' FT ] [ABOVE BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT is system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 10 gpd. to 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 Ingra 71 LE: Environmental Specialist II APPROVED BY: •�� 1�/`�TITLE: Environmental Specialist II St. Lucie CHD Brian J Ingra� DATE ISSUED: 06106/2018 EXPIRATION DATE: 12/06/2019 DR 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC Page 1 of 3 v 1 1.4 A71345053 SEL090342 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. St. Lucie County Health Department HEALTH 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PEaMTd:56-SF-1847946 RRrooce56-BID-3765860 CONSTRUCTION APPLiCATIONN.AP1345053 RECEIVED FROM: SEPTIC ENVIRONMENTAL SERVICES AMOUNT PAID: S 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 05/16/2018 MAIL TO: (kings Properties LLC) FACILITY NAME: PROPERTY LOCATION: 3595 N Kings Hwy Fort Pierce, Ft. 34951 Lot: Block: Property ID: 1326-111-0002-000.9 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 S 115.00 1 S 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3547200 STATE OF FLORIDA ' DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT PERMIT NO. S,',r DATE PAID: FEE PAID: (00 RECEIPT N: s� APPLICATION FOR: .�7, I� New System C2 Existing System Holding Tank CD Repair IE3 Abandonment Temporary to Innovative C2 APPLICANT: Kings Properties LLC. .....,Septic Environmental Services Inc. TELEPHONE:772-201-8079 M-k=XNG ADDRESS: 4738 Selvitz Rd Fort Pierce, Florida 34981 TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489. 005(3)�—OR--499.55Z-FLORIDN 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: BLOCK: SUBDIVISION: PLATTED: N A PROPERTY ID 0: 1326-111-0002-0009 ZONING: A "-I I/M OR EQUIVALENT: [ Y® NQ PROPERTY SIZE: 1%31 ACRES WATER SUPPLY: 0 PRIVATE PUBLIC C3<=2000GPD 1=1>>200000GPD IS SEWER AVAII-ABIa AS PER 381.0065, FS? t YO NER DISTANCE TO -SEWER-, !% 74-FT PROPERTY ADDRESS: 3595 N Kings Hwy Fort pierce, Florida 34951 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 Modular Home 2 3 21 [Ell RESIDENTIAL RESIDENTIAL [0) COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, .PAC 4 2400 400 GPD [Q] Floor/E ipmen Drains [Q] Other (Specify) SIGNATURE:�1/ / DRTE: May % ,.2018 DH 4015, 08/09 (Obsoletes previous editions w. tnh may not be used) incorporated 64E-6.001, FAC Page 1 of 4 Y STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: kings Properties LLC CONTRACTOR / AGENT: SEPTIC ENVIRONMENTAL SERVICES LOT: - BLOCK: SUBDIVISION: IDII:1326-111-0002-000-9 APPLICATION 9 AP1345053 PERMIT # 56-SF-1847946 DOCUMENT 4 SE1080342 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDF REGISTRATION ULMER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: IX]YES [ )NO NET USABLE AREA AVAILABLE: 78.37 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ) AUTHORIZED SEWAGE FLOW: 117554.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCRIKARK/REFEPENCE POINT LOCATION: Orange painted nail In PP E Of System ELEVATION OF PROPOSED SYSTEM SITE 47,00 I I1tCHES / E-T ) I ABOVE / DELOW ] BENCHM=(/REFERENCE POINT. THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 75 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: 100 FT POTABLE WATER LINES: 75 FT SITE SUBJECT TO FREQUENT FLOODING? I )YES [X)NO 10 YEAR FLOODING? I ]YES (X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / 1:GVD ] SITE ELEVATION: FT ( MSL / NGVD snTT. PROPTT.0 7NPr1RMATTTIN RTTE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERLES:Pincda sand Alunsell P/Color Texture Depth 2.5Y 513 Fill - Sand 0 To 35 2.5Y 513 Fill - Sandy Clay Loam 0 To 35 10YR 7/2 Fill - Fire Sand 35 To 48 10YR 411 Sand 48 To 72 10YR 518 CMNIPRM RF 51 To 72 USDA SOIL SERIES:Pineda sand Munsel[ p/Color Texture Depth 2.5Y 512 Fill - Fine Sand 0 To 49 2.5Y 513 Fill - Clay Loam 0 To 49 10YR 713 Fill - Fine Sand 49 To 55 10YR 411 Sand 55 To 72 10YR 518 CNINIPR1.1 RF 61 To 72 OBSERVED WATER TABLE: 61.00 INCHES [ ABOVE / HEI EXISTING GRADE TYPE: [ PERCHED / APPARENT [ ESTIMATED WET SEASON BOATER TABLE ELEVATION: 51 INCHES [ ABOVE / HEII EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [X)YES I )NO DEPTH: 51.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand10.60 DEPTH OF EXCAVATION: 35 INCHES DRAINFIELD CONFIGURATION: 1 ] TRENCH EX] BED I ] OTHER (SPECIFY) REMXRKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR518 CMN PRLt RF mottling In 10YR411 matrix>2% starting at 51" in SB1. SBt 47" below BM. SE12 35" bo/low_BM. SITE EVALUATED BY: / ��� G's�-�..�..,`��� DATE: 05/16/2018 Ingram, Drian (Title: Env onmental Specialist 11) (ENVIRONMENTAL HEALTH) DN 4015, 00/09 (Obsolotos precious editions vales nay/not bo used) incorporated: 64E-6.001, FAC Page 3 of 4 AP1745050 EID1847946 v1.e? Michelle Franklin, CFA -- Saint Lucie County Property Appraiser —All rights reserved. Property Identification Site Address: KINGS HWY Sccfrown/Range: 26+345 ;9E Map ID:13R6N Zoning: AG-1 Ownership Kings Properties LLC 1305 Ivyhedge AVE St Augustine. FL 32092 Legal Description 26 34 39 U IQ Of NF. Jfd-LESS E 85 Fr FOR CANrV-- (78_37 Act (OR 4113-ri6) Current Values JusUMarket Value: SI d10.660 Assessed Vuluc: 521,552 Exemptions: so Taxable Value: 521.552 Tares for this parcel: SLC Tar Collectors Office 19 Download TRIM for this parcel: Download PDF O Parcel ID: 13 26-11 1.0002-000-9 Account p: 5279 Use Type: 6000 Jurisdiction: Saint Lucie County Total Areas FinishcdfUnder Air (SF): 0 Gross Area (SF): 0 Land Size (acres): 79.37 Land Size (SF): 3.413.797 This information is believed t6 be correct at this time but it is subject to change and is not %N-.Mntcd. V Copyright 2013 Saint Lucic County Property Apprsiscc All rights resmcd. Michelle Franklin, CFA- Saint Lucie County Property Appraiser May 24, 2018 1:18.056 0 0,15 0.3 0.6 mi �-5 4 5 -1—•— ,-4—� 0 0.25 0.5 1 km Sa Ts Cm, IMF Gwmn. USGS. Wnno,% MCREt£eR P. NRCm. Em J.. 1R AETI, Eve Cnne OI.M Img), Evi Kaet, Exn (i1nlhN) b =t00 ocmm owlt(c MY= Mfv " w1acC OD"WC M[ . =IIQ " OOOMO 0001ta Custom Soil Resource Report Map Unit Legend Map Unit Symbol Map Unit Name Acres in AOI I Percent of A01 32 i Pineda sand. 0 to 2 percent 12.51 13.8% slopes 38 I Riviera fine sand, 0 to 2 percent . 62.9 i 69.1% slopos i 55 !Winder loamy sand 15.51 17.1 % Totals for Area. of lntorest � 91.0f _ 100.0% Map Unit Descriptions The map units delineated on the detailed soil maps in a soil survey represent the soils or miscellaneous areas in the survey 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 limits for the properties of the soils. On the landscape, however, the soils are natural phenomena, and they have the characteristic variability of all natural phenomena. Thus, the range of some observed properties may extend beyond 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 similar to those of the dominant soil or soils in the map unit, and thus they do not affect use and management. These are called noncontrasting, or similar, components. They may or may not be: mentioned in a particular map unit description. Other minor components, however, have properties and behavioral characteristics divergent enough to affect use or to require different management. These are called contrasting, or dissimilar, components. They generally are in small areas and could not be mapped separately because of the scale used. Some small areas of strongly contrasting soils or miscellaneous areas are identified by a special symbol on the maps. If included in the database for a given area, the contrasting minor components are identified in the map unit descriptions along with some characteristics of each. A few areas of minor components may not have been observed, and consequently they are not mentioned in the descriptions, especially where the pattern was so complex that it was impractical to make enough observations to identify all the soils and miscellaneous areas on the landscape. The presence of minor components in a map unit in no way diminishes the usefulness or accuracy of the data. The objective of mapping is not to delineate pure taxonomic classes but rather to separate the landscape into landforms or landform segments that have similar use and management requirements. The Custom Soil Resource Report delineation of such segments on the map provides sufficient information for the development of resource plans. If intensive use of small areas is planned, however, onsile investigation is needed to define and locate the soils and miscellaneous areas. An identifying symbol precedes the map unit name in the map unit descriptions. Each description includes general facts about the unit and gives important soil properties and qualities. Soils that have profiles that are almost alike make up a soil series. Except for differences in texture of the surface layer, all the soils of a series have major horizons that are similar in composition, thickness, and arrangement. Soils of one series can differ in texture of the surface layer, slope, stoniness, salinity, degree of erosion, and other characteristics that affect their use. On the basis of such differences, a soil series Is divided into soil phases. Most of the areas shown on the detailed soil maps are phases of soil series. The name of a soil phase commonly indicates a feature that affects use or management. For example, Alpha silt loam, 0 to 2 percent slopes, is a phase of the Alpha series. Some map units are made up of two or more major soils or miscellaneous areas. These map units are complexes, associations, or undifferentiated groups. A complex consists of two or more soils or miscellaneous areas in such an intricate pattern or in such small areas that they cannot be shown separately on the maps. The pattern and proportion of the soils or miscellaneous areas are somewhat similar in all areas. Alpha -Bela complex, 0 to 6 percent slopes, is an example: An association is made up of two or more geographically associated soils or miscellaneous areas that are shown as one unit on the maps. Because of present or anticipated uses of the map units in the survey area, it was not considered practical or necessary to map the soils or miscellaneous areas separately. The pattern and relative'proportion of the soils or miscellaneous areas are somewhat similar. Alpha -Beta association, 0 to 2 percent slopes, is an example. An undifferentiated group is made up of two or more soils or miscellaneous areas that could be mapped individually but are mapped as one unit because similar interpretations can be made for use and management. The pattern and proportion of the soils or miscellaneous areas in a mapped area are not uniform. An area can be made up of only one of the major soils or miscellaneous areas, or it can be made up of all of them. Alpha and Beta soils, 0 to 2 percent slopes, is an examplo. Some surveys include miscellaneous areas. Such areas have little or no soil material and support little or no vegetation. Rock outcrop is an example. U Custom Soil Resource Report St. Lucie County, Florida 32—Pineda sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 2x1 nb Elevation: 0 to 100 feet Mean annual precipitation: 47 to 58 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 percent Minor components: 15 percent 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, talc Down -slope shape: Linear Across -slope shape: Linear, concave Parent material., Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 19 inches: sand Bw - 19 to 35 inches: sand BtgfE - 35 to 38 inches: sandy loam Btg - 38 to 60 inches: sandy loam Cg - 60 to 80 inches: loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 inlhr) Depth to water table: About 0 to 12 inches Frequency of flooding: None Frequency ofponding: None Calcium carbonate, maximum in profile: 4 percent Salinity, maximum in profile: Nonsaline to very slightly saline (0.0 to 2.0 mmhoslcm) Sodium adsorption ratio, maximum in profile: 4.0 Available water storage in profile: Low (about 4.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigaied): 3w Hydrologic Soil Group: CID 10 Custom Soil Resource Report Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Other vegetative classification: Slough (R155XY011 FL) Hydric soil rating: Yes Minor Components Malabar Percent of map unit: 6 percent Landform: — error in exists on — Landform position (three-dimensional): Tread, dip, talc Down -slope shape: Linear, concave Across -slope shape: Linear, concave Ecologicalsite: Slough(R155XY011FL) Othervegetative classification: Slough (R155XY011FL) Hydric soil rating: Yes Wabasso Percent of map unit: 5 percent Landform: Flahoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (RI55XY003FL) Hydric soil rating: No Valkaria Percent of map unit: 2 percent Landform: Drainageways on flatwoods on marine terraces Landform position (three-dimensional): Tread, dip, talf Down-slopo shape: Linear Across -slope shape: Linear, concave Other vegetative classification: Slough (R155XY011 FL) Hydric soil rating: Yes Hallandale Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: Yes 38—Riviera fine sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol: 2tzw2 Elevation: 0 to 80 feet Mean annual precipitation: 44 to 59 Inches Mean annual air temperature: 68 to 77 degrees F 11 Custom Soil Resource Report Frost -free period., 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Riviera and similar soils; 80 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Riviera Setting Landform: Drainageways on marine terraces, flatwoods on marine terraces Landform position (three-dimensional): Tread, dip, tall Down -Slope shape: Linear Across -slope shape: Linear, concave `Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: fine sand E - 6 to 28 inches: fine sand BVE - 28 to 36 inches: fine sandy loam Btg - 36 to 42 inches: sandy clay loam C - 42 to 80 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 6.00 in/hr) Depth to water table: About 0 to 12 inches Frequency of flooding. None Frequency of pending: 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: Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: A/D Ecological site: Slough (R155XY011FL) Forage suitability group: Sandy over loamy soils on flats ofhydric or mesic lowlands(G155XB241FL) I Other vegetative classification: Slough(R155XY011FL) Hydric soil rating. Yes Minor Components Wabasso Percent ofmap unit: 8 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Linear, convex Across -slope shape: Linear 12 Custom Soil Resource Report Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: No Pinellas Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear, convex Across -slope shapo: Linear Ecological site: Cabbage Palm Flatwoods (R155XY005FL) Other vegetative classification: Cabbage Palm Flatwoods (R155XY005FL) Hydric soil rating: No Hallandale Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tali Down -slope shape: Linear Across-slopo shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: Yes Oldsmar Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear, convex Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: No Floridana Percent of map unit: 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric soil rating: Yes 55—Winder loamy sand Map Unit Setting National map unit symbol: ljpwk Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -tree period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Winder, drained and bedded, and similar soils: 67 percent 13 Custom Soil Resource Report Winder. hydric, and similar soils: 15 percent Minor components: 18 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Winder, Drained And Bedded Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Concave, convex Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 Inches: loamy sand E - 6 to 12 inches: sand Btgi - 12 to 33 inches: sandy clay loam Btg2 - 33 to 49 inches: sandy loam Cg1 - 49 to 61 inches: loamy sand Cg2 - 61 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class: High Capacity or the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 inlhr) Depth to water table: About 12 to 18 inches Frequencyoffiooding. None Frequency of pending: None Calcium carbonate, maximum in profile: 5 percent 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 prorrle: Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrlgated):- 3w Hydrologic Soil Group: C/D Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G1 56BC341 FL) Hydric soil rating: No Description of Winder, Hydric Setting Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Concave, linear Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: loamy sand E - 6 to 12 inches: sand 14 Custom Soil Resource Report Btgl - 12 to 33 inches: sandy clay loam Blg2 - 33 to 49 inches: sandy loam Cgl - 49 to 61 inches: loamy sand Cg2 - 61 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksal): Moderately low to moderately high (0.06 to 0.20 inlhr) Depth to wafer table: About 0 to 12 inches Frequency of flooding: None Frequency of pending: None Calcium carbonate, maximum in profile: 5 percent 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. Low (about 5.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: CID Forage suitability group: Loamy and clayey soils on flats of hydric or mesic lowlands (G156BC341FL) Hydric soil rating: Yes Minor Components Riviera Percent of map unit., 3 percent Landform: Fiats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Hydric soil rating: Yes Hallandale Percent of map unit: 3 percent Landform: Flats on marine terraces Landform position (three-dimensional): Interfluve, tall Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Pineda Percent of map unit: 3 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Linear Across -slope shape: Concave Hydric soil rating: Yes Floridana Percent of map unit: 3 percent 15 Custom Soil Resource Report Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Hydric soil rating: Yes Wabasso, gravelly substratum Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Wabasso Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape:, Convex Across -slope shape. Linear Hydric soil rating: No Winder, shell substratum, hdric Percent of map unit: 2 percent Landform: Flats on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Concave, linear Across -slope shape: Linear Hydric soil rating: Yes ill Mission: To proleeL pronote d cVrmo the heats of a7 people in Florida Wocgh integrated state, county& cenraurAl oHorts. HEALTH Vision: To be the Healthiest State in be Na5on Rick Scott Governor Celeste Philip, PAD, MPH State Surgeon Goaeral and Secretary Florida Department of Health in St. -Lucie County Conditions for Issuance of Water Well Permits Effective July 24, 2017 • Contact the Florida Department of Health in Saint Lucie County (FDOH —St. Lucie) prior to constructing or abandoning any well. a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email SLC DOH-WELLS(&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 isrequired before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS(oFLHEALTH.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. Ludo County • Divlslon of Disease Control and Roane, Pmlovion Bureau of Environmental Health 5150 NW NJrcer DMe Pon SL Lucie, FL34983 PHONE: 7721873-4931 • FAX: 7721595-1306 FlorldaHoalth.gov Accredited Health Department Public Health Accreditation Board