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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE,SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Vincent Marciellino PROPERTY ADDRESS: 8015 Plantation Lakes Dr Port Saint Lucie, FL 34986 LOT: 48 BLOCK: SUBDIVISION: Reserve Plantation PERMIT #:66-SF-1697405 APPLICATION #:AP1249596 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1029216 SCANNED' BY St. Lucie County PROPERTY ID #: 3321-803-0052-000-9 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.00651 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 8� T [ 1,350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD WA CAPACITY F1 N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE 50 mau K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS e[ ]DOSES PER 24 SHE #Pumps [ ] D [ 867 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [ ] N F LOCATION OF BENCHMARK: STANDARD TRENCH SYSTEM VA SYSTEM [ ] FILLED [XI MOUND [x] BED [ ] Site BM Nail in Disk in rd LB6504 NW corner of lot I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D H 0 T H E R I [ 9.00 7I INCHES ET ][ ABCVE BELOW]BENCHMARK/REFERENCE POINT [ 19.001E INCHES ET ] ABOVE BELOW]BENCHMARK/REFERENCE POINT K.Yu+uu: LLO.UUI +NUnL'A N VA'1'1UN HEWUTANU: H J INCHEB The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of520gpd. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0, FAC. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: `TITLE: Environmental Specialist II St. Lucia CHID Brian J Invam DATE ISSUED: 08/15/2016 EXPIRATION DATE: 02/15/2018 DE 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 AP1249596 SE1004916 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 # A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. 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. ,STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, C R ABANDON A WELL Permit No. Florida Unique lD /�� ❑Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS p}.� ,. Cl Northwest ('Denotes Required Fields Where Applicable) Permit Stipulations Required (See Attached) El St. Johns River South Florida rilstorni ivellcanrrding hepermil Opplirromplering _ ❑Suwannee River rhlsrornlandylegmdinwheparmh,p.ppltlon rp Hie dpploprimedelegmedamhcairytvherenpplimble. 62-524 Quad No. Delineation No. D DEP CUPIWUP Application No. ❑ Delegated Authori y (If Applicable) 1. Vi^'ceN 1 �larCe 1rw S2 1- m !!. w --C-r. Is.t. (-,d 3 6 9yf9/y-r�9c "Owner, Legal Name if Corporation "Address 'City - `State 'ZIP Telephone Number 2.8015 Plantation Lakes Drive Port St Lucie FL 34986 'Well Location - Address, Road Name or umber, City 3.3321-803-0052-000-9 48 'Parcel ID No. (PIN) or Alternate Key (Circ a One) Lot Block Unit 4.28 36S ME St Lucie Reserve Plantation PH IIA Check if 62-524:0 Yes ❑ No "Section or Land Grant 'Township ange 'County Subdivision 5. Scottrs Drilling, Inc. 11213 772-489-6117 scottsddlling@bellsouth.net 'Water Well Contractor "License Number 'Telephone Number E-mail Address 6.5014 Palm Drive Fort Pierce FL 34982 "Water Well Contractor's Address City State ZIP 7. 'Type of Work: Q Construction ❑ Repair ❑ Modification❑ Abandonment . 8. 'Number of Proposed Wells ONE 'Reason for RepaT. Illodificetim. or Abandonment 9. 'Specify Intended Use(s) of Well(s): P[ Dame HIl'�'I Domestic ,i Landscape rrigation ® Agricultural Irrigation ❑ Site Investigations PROW Bottled Water Supply 8 Recreation ea Irrigation Livestock ❑ Monitoring ❑ Public Water Supply (Limited Use/DOH) ❑ Nursery Irrigation ❑ Test ❑ Public Water Supply (Community or No ommunitylDEP)❑ CommercialAndustrial Earth -Coupled Geothermal AUG 15 201 ❑ Class I Injection ❑ Golf Course Irrigation HVAC Supply HVAC Return Class V Injection: ❑ Recharge ❑ Comi nerciallindustrial Disposal Aquifer Storage and Recovery ❑ Drainage FDOH In St Luds CC Remediation: ❑ Recovery ❑ Air Sparge Other (Deambe) '❑ Other (Desamel 10.'Distance from Septic System if 5 200 ft. 11. Facility Description 6ingle aml y Residenoe 12. Estimated Start Date 1VEstimated Well Depth 120 ft. "Estima ed Casing Depth 100 fL Primary Casing Diameter 2 in. Open Hole: From-To-ft. 14. Estimated Screen Intelval: From 100 To 120 ft. 15'Primary Casing Material: Black Stee I Galvanized ✓ PVC Stainless Steel Not Cased Other: 16. Secondary Casing: Telescope Casin Liner Surface Casing Diameter in. 17. Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other 18.'Method of Construction, Repair, or Abandonment, Auger Cable Tool Jetted y/ Rota - Sonic Combination (Two or More Methotl) Hand Driven (Well Point, Sand Point) Hy rau to irect Push) Horizontal Drilling Plugged Approved Method Other (Desbnbei 19. Proposed Grouting Interval for the Primary Secondary, and From o To 100 Seal Mated 1 ( Benton = Neal Cementt Other 1 From To Seal Metter I ( Bentonite eat ement Other ) From To Seal Mated at ( Bentonite Neat Cement Other ) From To Seal Mated at ( Bentonite Neat Cement Other 1 20. Indicate total number of existing wells on its List number of existing unused wells on site 21 `Is this well or any existing well or water wi tacawoalzut the owner's contiguous properrtlyy covered under a ConsumptiveNVater Use Permit (CUPANUP) or CUPNVUP Application. Yes No 1 es, complete the following: CUPANUP No. District Well ID No. 22. Latitude L ngitude 23. Data Obtained Front: GPS M p Survey Datum: _NAD 27 _NAD 83 _WGS 84 I berebyb ly tatl W11cmadyvnih We app4rnaa rules ofTala ad. Flo alinin511a4veeWe.noevenavalu IsvlMmallamme onnetorme prepenY lna: me mfafmstan pblWWisawva:e. amhaillama,r.Yepamy ,ux perr,aleradifidalrMupe penrR. i(needh,nasMen or ]be otla .M prorlpwmmneevemalpeA respoeneflestomer Chanter 373. F1wica satmos. he oneoem ar WWIy abnkonitvs sx<I: rc.l comr, Oat tam ma9ruclwn.IfnNlerallh mat 0 aliferat= Wonted In On apatealie in activate and motet obiain Iln anent tort¢ou ner. pmllae Ntomulien M1NCAbd is aCcnaL•,aN malibaw intmmNm¢mneraf taev neamet,y appuvN bnn umar federal. Slate. on Innigo,naereals. Vitriol uVi, iameem pmticavred fetponsLlares as staled above �tmS VJNpnpekgaledrmhor9yao-s3s carlm@lian repai home GSNot,,can 30 day tin,, canuftat time Can J.ohoa. refee. rome T,iM,ar to the fveY 511a -1111 n51NR'(� rain �and?Cau,n,era6aN'anln¢ FWIMii¢d lrylNS pnnY1. ebandominat aumonzel by On peOok n the pnum!axpvalian.vNitlm ecars Ant. 11213 7 -4 1& ure of Contractor -License No. nature of wAgent -Dale Approval Granted By IS A9 Expiration Date 2 is 1J" Hydrologist Approval Fee Received S Receipt No. Check No. rvLab THIS PERMITIS NOT VADD UNTIL PROPERLY SI 3NED-BY AN AUTHORIZEDOFFICER OR REPRESENTATIVE OF THE VIbr1D OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SIT _DURINGALL-CONSTRUCTION,- REPAIR. MODIFICATION. OR ABANDONMENT ACTIVITIES. i; As X 3 N .16TOA HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PERMITu:56-SF-1697405 BILL DOCtt:56-BID-3163466 CONSTRUCTION APPLICATION * AP1249596 Hawk Builders AMOUNT PAID: $ 515.00 CHECK 6502 PAYMENT DATE: 07/25/2016 MAIL TO: Vincent Marciellino FACILITY NAME: PROPERTY LOCATION: 8015 Plantation Lakes or Port Saint Lucie, FL 34986 Lot: 48 Property ID: 3321-803-0052-000-9 EXPLANATION or DESCRIPTION: Block: -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 128 - OSTDS Construction System Inspection Research Fee 133 - OSTDS Construction Reinspection -1 - Surcharge (All) -1 - OSTDS New Permit Surcharg� i QUANTITY FEE 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 5.00 1 $ 50.00 1 $ 15.00 1 $ 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3010272 r� STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APP ION FOR: [ System [ 7 .x stang System C 7 Holding Tank C 7 Repair [ I Abandonment I I Temporary APPLICANT: MAILING ADDRESS: SS WSJ` 2 7 PERMIT NO. DATE PAID: FEE PAID: RECEIPT C ] Innovative L 7 TELEPHONE: 7%a'913 -OOS5- P Ze4C S/ 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 TEE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: " BLOCK: SUBDIVISION: /1 p5 efw Ey7q I ! o �� / mAT: PROPERTY ID #: 3 �- 8O� -�O 7 a. 'ooO' ZONING: 65. I/M OR EQUIVALENT: [ YIN ] PROPERTY SIZE: 89-41 ACRES WATER SUPPLY: [ ] PRIVATE SEWER AVAILABLE AS PER 381.0065, FS? [ IN - IS I QQ 9 PROPERTY ADDRESS: ;Is (` / c) /�I.-�.'Ys ^. .'a. / /4 2 to n DIRECTIONS TO PROPERTY: PUBLIC [ ]<=2000GPD [, I>2000GPD DISTANCE TO SEWER: PT BUILDING INFORMATION [7 RESIDENTIAL I ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional S� Desig dn No 8stabliahment Berooms Area Soft Table 1, Chapter 64E-6 FAC n 1 2 3 4 [ I PlOcr/Equipment Drains r peei ' SIGNATURE: DR 4015, OB/09 (Obsoletes previous editions Which may not be used) Incorporated 64E-6.001, FAC DATE: Page 1 of 4 AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Vincent Marciellino CONTRACTOR / AGENT: Hawk Builders LOT: 48 BLOCK: APPLICATION # AP1249596 PERMIT # 56-SF-1697405 DOCUMENT # SE1004916 SUBDIVISION: Reserve Plantation ID#: 3321-803-0052-000-9 TO BE COMPLETED BY ENGINEER, REACTS 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: TOTAL EST119tTED SEWAGE FLOW: 520 2000.00 173d nn [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.80 ACRES GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] -GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] SQFT UNOBSTRUCTED AREA REQUIRED: 1300.00 SOFT Site BM Nail in Disk in rd LB6504 NW comer of lot 9.00 [ IIiCHES / FT I [[ABOVE/ BELOW ] BENCHI9M /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOIJ40WWG FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 90 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES Ex ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 211 Loamy Sand 0 To 4 1 OYR 4/1 Sand 4 To 20 10YR 5/1 Sand 20 To 39 1 OYR 2/2 Spodic Material 39 To 45 I OYR 3/3 Sand 45 TO 52 HOLE CAVING Refusal 52 To 72 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth I OYR 211 Sand 0 To 4 1 OY 4/1 Sand 4 To 24 10Y 5/1 Sand .24 To 48 1 OYR 2/2 Spodic Material 48 To 54 1 OYR 3/2 Sand 54 To 61 HOLE CAVING Refusal 61 To 72 OBSERVED WATER TABLE: 5.00 INCHES [ ABOVE / FLOW 1 EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 14 INCHES [ ABOVE / FELON ] EXISTING GRADE HIGH,WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: IX]YES [ ]NO DEPTH: 14.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA SIJBI SWT determined using USDA WSS and soil borings. 0YR4/1 and 10YR511 stripping In 10YR4f1 matrix 10%at 14" in SBI 11" above BM. SB214" above SITE EVALUATED BY: INCHES DATE: 08/12/2016 De 4015. DS/09 (Obsoletee previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1249596 EID1697405 v 1.0.2 Property Card Page 1 of 1 Site Address: Parcel ID: 3321-803-0052- Account #: 35973 See/Town/Range: PLANTATION LAKES DR 000-9 28/36S/39E Map ID: 3328N Zoning: PUD Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Vincent Marcellino RESERVE PLANTATION -PHASE IIA- LOT 48 AND THAT 5625 NW Wawan CT PARCEL MPDAF 8 36 39 BEG AT NE COR OF LOT 48- Port St Lucie, FL 34986 RESERVE PLANTATION PHASE IlA(PB 26-13) SD PT BEING PC CURVE CONC SE, CA OF 00 DEG 45 MIN 39 SEC, R OF 7360.40 FT, TH SWLY ALG ARC AND N LI OF SD LOT 48 97.74 FT, TH S 62 DEG 56 MIN 15 SEC W 77.55 FT, TH N 27 DEG 03 MIN 45 DEC W 50 FT, TH N 62 DEG 56 MIN 15 SEC E 77.55 FT TO PC CURVE CONC SE, CA OF 00 DEG 45 MIN 21 SEC, R OF 7410.40 FT, TH NELY ALG ARC 97.75 FT TO PC NON -TANG CURVE CONC SW, CA OF 00 DEG 49 MIN 27 SEC, R OF 3476.52 FT, TH SELY ALG ARC 50 FT TO POB (MAP 3328N) (0.80 AC- 34,715 SF) (OR 3723-1204: 3739-2243) Current Values Historical Values 3-year Just/Market: $83,600 Assessed: $80,060 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $80,060 2015 $83,600 $80,060 $0 $80,060 2014 $66,600 $66,600 $0 $66,600 2013 $68,900 $68,900 $0 $68,900 Sale History Date Book/Page Sale Code Deed Grantor Price 04-24-2015 3739 / 2243 0003 WD PGA Village POA Inc $2,000 02-19-2015 3723 / 1204 0003 WD Hill Craig $91,000 12-30-2011 3354 / 1676 0001 WD Giordano,Patrick $40,000 Primary Building Information Finished Area of this building: 0 SF Gross Area of this building: 0 SF View: Year -Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type Roof Cover: Frame: Story Height: A/C %: 0% Heated %: N/A% Sprinkled %: 0% 11YICGic 0' Skl'i+: i7 iin-.-vch'able far dispiali Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Heat Fuel: 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): 0.8 Land Size (SF): 34,715 Total Building Count: 1 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 2016 Saint Lucie County Property Appraiser. 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