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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH FILE ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-1902579 APPLICATION #:AP1383627 E RECEIPT #: DOCUMENT #: PR1194391 CONSTRIICTION PERMIT FOR: OSTDS New SCANNEDBY - APPLICANT: (Jaar Enterprizes LLC) 4f I i irio r` fi - PROPERTY ADDRESS: 5809 Spruce Dr Fort Pierce, FL 34982 LOT.: 36 BLOCK:. 77 SUBDIVISION: Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3402�10-0221-000-1 [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 T [ 900 ] GALLONS / GPD Septic new CAPACITY A f ] 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 HRS #Pumps [ D [ 375 ] SQUARE FEET Drainfleld new SYSTEM R [. ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: Site BM NID CL of Rd N Prope I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE 1 D E O T H E R line extended East [ 8.00 it INCHES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 4.00 ][ INCNES FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT ILL REQUIRED: [ 14.001 INCHES EXCAVATION REQUIRED: L ZO.uu l IN+� b The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 gpd. 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-:---Bri:an J-In am - - - - TITLE: Environmental Specialist- II - - -- APPROVED BY: TITLE: Environmental Specialist II St. Lucie CED Brian J In am � � - DATE ISSUED: 12/12/2018 EXPIRATION DATE: 06/12/2020 DR 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 69E-6.003, FAC Page 1 of 3 v 1.1.4 A91383627 SE1144209 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 850413-8743. 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 FORM 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT#56-SF-1902579 BILL DOC#•56-BID-4029368 CONSTRUCTION APPLICATION#:AP1383627 RECEIVED FROM: Culpepper & Terpening, Inc AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 1074 PAYMENT DATE: 11/16/2018 MAIL TO: (Jaar Enterprizes, LLC) FACILITY NAME: PROPERTY LOCATION: 5809 Spruce or Fort Pierce, FL 34982 36 Lot: 77 Block: Property ID: 3402-610-0221-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 T1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3804215 qa STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO.,5W ;SF-19d X DATE PAID: FEE PAID: 0 RECEIPT #: [X] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Jaar Enterprizes, LLC AGENT: Culpepper & Terpening, Inc TELEPHONE: 772-464-3537 MAILING ADDRESS: 2980 South 25th Street, Ft. Pierce, FL 34981 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 LOT: 36 BLOCK: 77 SUBDIVISION: Indian River Estates,Unit 9PLATTED: Jan. 1957 PROPERTY ID #: 340261002210001 ZONING: Res I/M OR EQUIVALENT: [ Y /O] PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [X] PRIVATE PUBLIC [X]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / ON ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 5809 Spruce Drive Ft. Pierce FL 34982 DIRECTIONS TO PROPERTY: East On Easy Street North On Spruce to 5809 BUILDING INFORMATION Unit Type of No Establishment 1 single family res �j 3 4 [0 ] Floor/Equipment Drains SIGNATURE: DH 4015, 08/09 (Obsoletes p. Incorporated 64E-6.001, FAC (X] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC 3 1781 N may not be used) DATE: Page 1 of 4 of STATE OF FLORIDA APPLICATION # AP1383627 DEPARTMENT OF HEALTH PERMIT # 56-SF-1902579 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1144209 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Jaar_Enterprizes, LLC CONTRACTOR / AGENT: Culpepper&Terpening Inc LOT: 36 BLOCK: 77 SUBDIVISION: Indian River Estates ID#:3402-610-0221-000-1 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: IX]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK./REFERENCE POINT LOCATION: Site BM NID CL of Rd N Property line ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ INCHES / FT ] [[ABOv / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 16 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: N/A FT NON -POTABLE: 54 FT BUILDING FOUNDATIONS: 11 FT PROPERTY LINES: 8 FT POTABLE WATER LINES: 30 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES:Waveland fine sand Munseil#/Color Texture Depth 1 OYR 6/1 Sand 0 To 33 1 OYR 7/2 Sand 28 To 48 10YR 2/1 Spodic Material 4B To 66 10YR 5/3 Sand 66 To 72 orrc rucnnwnmrnN RrmE � USDA SOIL SERIES:Waveland fine Sand Munsell #/Color Texture Depth 10YR 6/1 Sand 0 To 33 IOYR 712 Sand 28 To 48 10YR 2/1 Spodic Material 48 To 66 ' 10YR 5/3 Sand 66 To 72 OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE ESTIMATED WET SEASON WATER TABLE ELEVATION: / BELOW ] EXISTING GRADE TYPE: 28 INCHES [ ABOVE / BELOW ] [ PERCHED / APPARENT ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [XIYES [ ]NO DEPTH: 28.00 .INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 66 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ .] BED [ ] OTHER (SPECIFY) VT determined using USDA WSS and soil borings. ( 712 stripping in 10YR 6/1 matrix> 10% with diffuse boundaries starting at 28" in SB1. 8" above BM. SB2 8" above BM. /% SITE EVALUATED BY: Ingram, Brian DH 401S, 08/09 (Obsoletes previous editions w DATE: 12/07/2018 /Environmental Specialist II) (ENVIRONMENTAL HEALTH) may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1383627 EID1902579 v 1.0.2 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS ,ry • 4bK�• PERMIT ri zpj APPLICANT: Saar Enterprizes, LLC AGENT: Culpepper & Terpenin4, Inc LOT: 36 BLOCK: 77 SUBDIVISION: Indian River Estates, Unit Nine PROPERTY ID #: 340261002210001 [Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: ❑[] YES [ ] NO NET USABLE AREA AVAILABLE: 0.23 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: 575 GALLONS. PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: 563 SQFT UNOBSTRUCTED AREA REQUIRED: 563 SQFT BENCHMARK/REFERENCE POINT LOCATION: Northeast Property corner (EleV 16.66 NAVD 1988) ELEVATION OF PROPOSED SYSTEM SITE IS 1" [INCHES/FT] CABCVEXJELOW BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: N A FT DITCHES/SWALES: 16' FT NORMALLY WET? [ ] YES [X] NO WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: N A FT NON -POTABLE: 54' FT BUILDING FOUNDATIONS: 11' FT PROPERTY LINES: 8' FT POTABLE WATER LINES: 30' FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES (X] NO 10 YEAR FLOODING? [ ] YES 11d NO 10 YEAR FLOOD ELEVATION FOR SITE: N/A FT MSL/NGVD SITE ELEVATION: 16.6 FT MSL/NGVD NAVD SOIL PROFILE INFORMATION SITE 1 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO USDA SOIL SERIES: YK6] OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE:[PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 0.8 DRAINFIELD CONFIGURATION: [X] TRENCH [ ] HED [ •REMARKS/ADDITIONAL CRITERIA: SITE EVALUATED BY: DH 4015, 08/09 (Obsoletes previous editions _ DEPTH OF EXCAVATION: OTHER (SPECIFY) ^� STATE OF Q' 0 �p :ki �Sy',nat be vaed),/10�I ssio ., F�ORIDP•' �C�� aI�� 64E-6.001, FAC DATE: // INCHES i Page 3 of 4