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HomeMy WebLinkAboutD O H PAPERWORK" I y I UY tit I
STATE OF FtORIDA
DEPARTf=T OF, 11EALTH
ONSITE SEWAGE. TREAT== AND DIAPOM SYSTEM
cwsmumw ixspEcT:roN AND FINAL APPRovi.m.
SGANED
APPLIZ2
AGENT,
PROPERTY ADDRESS) 980 TrowbridgeRd Fodpfercia, FL34945
LOT`7
'tURDIVISZON:
I
Park:
BLOCK:
33)#: 22124800-0007400m2
RLICATION •9:'
PERiuT #-56-SF-1951233
DOCUMENT #,JF(1387U0
DAM -PAID'D5/21/201 9
FEE PAID�515.00 -
RECEIPT' *.56-PID-3952W
iNei WITH STATUTE OR RULE AND MUST B
TANK INSTALLATION I -
E611 TANK SIZE, [1] 109.0.00 L21
L021, TANK MATERIAL - Polyethylene:
1031 OUTLET DEVICE
[041 MULTI -CHAMBERED N I
LO * 51 OUTLET FILTER r6lylok K-68
.11061 LkOgm 1. 70-143-11DC4 2.
f071 WATERTIGHT
[081 LEVEL
[09] DEPTH TO LID
DRAINFIELD ;INSTALLATION,
E191 AREA L:Ll 60.4 [2] SQFT
[13.]-DISTRIBUTION BOX HEADER x
C121 NUMBER OF DRAINLINES 1. 4.00 2,
V31 -DwaNtINEz 'SEPARATION
L141 DR=NDINE: SLOPE
E151 DEPTH OF COVER
['161 MINVAT10H E ABOVE / FEDWIllk 27.00
971 SYSTEM. LOCATION
LIST DOSING PUMPS
I I
fin
AGGREGATE SIZE;
[201
AGGREGATE! EXCESSIVE PINES
[111
AGGREGATE DEPTH
I
SETBACKS
[213
SURFACE WATER
[281
DITCHES
16
["]
PRIVATE WELLS
95
FT
[301
PUBLIC WELLS
[311
IBRIGATIW NELMS
[321
POTABLE WATER
59
[331
BUILDING FOUNDATIONS
PT
[341
PROPERTY LINES
65,
Fr
[4351
OTHER
'IT
FILLED / MOUND SYSTEM.
[361
DRAIN?IXLD COVER
[371
SHOULDERS,
E383
SLOPES'
[391
STABILIZATION 1:210612019
ADDITIONAL INFORMATION
[401 UNOBSTRUCTED AREA
['411 STORMWATER RUNOFF
[421 ALARMS,
E,431 MAINTENANCE AGREEMENT
[44] BUILDING AREA
[451 LOCATIONCONFORMS)WITB SITE PLAN
[461 FINAL ,SITE GRADING
FILL I EXCAVATION MATERIAL
1171
CONTRACTOR MICHAEL W STUHR.(ASHTO-
I I
M23
rxa, AMOUNT
081
OTHER INFILTRATOR Quick4 PlutL EQ36 LP
1 1
1211
FILL TEXTURX.
1 1
(241
EXCAVATION DEPTH
ABANDONMENT
1, 3
-[251
AREA REPLACED
C,
l
(491
TANK. PUMPED
[ 1
126]
REPLACEMENT MATERIAL
t
I
Escq
TANK CRUSHED a FILLED
Comments:
Comments arw on page 2.
CONSTRUCTION I AP4RovEn DISAPPROVED. 11 Envir6nin66tilspec.rallse!tltFartir-afzSt.
Lu
cie
CHO DATE. 1110IY2019
m(ENVIRONMENTALHE�,LTtiI
St LUC16 - CHU DATE.: 1210612019
FINAL SYSTEM; E DISAPPROVED 1: SupervisorEmiroamentai npa S May (Florida Departmentof Heal'
(Explanation of Violations on following page)
DH 40 , i6, 09/09 (Obsoletes Zia previous �ditions which may not a used)
Incorporated: 64 1 k-6.663f, PAC Pa:ge 2 of 3
r� V
Violation Number
STATES OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE'TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION' -AND FINAL APPROVAL
Commen
,Fir CATION It _. __
PEPmxT k 5(-SF 1951233
rocummT #,F11357740
DATE PAID_05/21/2A19_..
FEE PAio-515.00
ReczrvT #;56=PID-3952044
The system, is sizedfor3 bedrooms -with a maximum occupancy of fi persons (2. per bedroom): for a total estimated flovy'of 360
:vST, filter, and 3x19+1x12 BED DF.installed' No violations, system ok 6 cover. Contractormotified. by phone. Welf inspected
construction inspection. Needs final inspection for mound system and final site grading.
ial'system approved. No Walations.observed. Final approval emailed to contractor and building department _
.DE 4016, 08/09 (0$scletes all previous editions which, may not be used)
incozporated_ 64E-6_003, FIX Page 2 of 3
C'LC ��P� pgg�QT #;56-SF-1951233
STATE OF FLORIDA
FILE APPLICATION #:AP1415393
DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND' DIS RECEIVED FEE PAID:
SYSTEM CEIPT #:
JUN 2 4 2019 D DMENT #: PR1241133
ST. Lucie County, Permitting ED
BY
CONSTRUCTION PERMIT -FOR: OSTDS New SQ. Lucie
ucieT/Rou
APPLICANT: Lisa Leatherwood vv�� L is l�
PROPERTY ADDRESS: TBD Trowbridge Rd Fort Pierce FL34945
LOT: 7 BLOCK: SUBDIVISION: Orange Park
PROPERTY ID #: 2212-800-0007-000-2 [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 [
900 ]
GALLONS / GPD Septic 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 [ 375 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X1 MOUND
I CONFIGURATION: EXI TRENCH [ ] RED [ ]
N
F LOCATION OF BENCHMARK: Site BM, Nall In PP
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D. I
0
T
H
E
R
I"
[ 42.00 ] [ INCHES FT ] [ ABOVE
[ 29.00 ] [ INCHES FT ] [ ABOVE
BENCHMARK/REFERENCE POINT
BENCHMARK/REFERENCE POINT
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd.
SPECIFICATIONS BY: _ Brian J Ingr9mr—) TITLE: Environmental Specialist II
APPROVED BY: TIE: Environmental Specialist II St. Lucie CHD
Brian J Ing
DATE ISSUED: O6/19/2019 EXPIRATION DATE: 12/19/2020
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 AP1415393 SE1190452
'TW
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.
:< oi'B"tea
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
0:56-SF-1951233 BILL DOC #:56-BID-4200733 CONSTRUCTION APPLICATION#:AP1415393
Alexander J. Piazza PSM, Inc AMOUNT PAID: $ 515.00
CHECK 26425 PAYMENT DATE: 05/21/2019
MAIL TO: Lisa Leatherwood
FACILITY NAME:
PROPERTY LOCATION:
TBD Trowbridge Rd
Fort Pierce, FL 34945
7
Lot:
Property ID: 2212-800-0007-000-2
EXPLANATION or DESCRIPTION:
Block:
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
1
1
1
1
1
1
1
1
QUANTITY FEE
$ 5.00
$ 15.00
$ 100.00
$ 100.00
$ 115.00
$ 55.00
$ 75.00
$ 50.00
RECEIVED BY: WhighamJL AUDIT CONTROL NO. 56-PID-3952044
6 sxe s�
STATE OF FLORIDA
1 _ DEPARTMENT OF HEALTH
g ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: Lisa M. Leatherwood
IJCLL 1.10. 59- ag5c10
PERMIT NO. -rF- 3
: Ig5i'A
DATE PAID:
FEE PAID: ULIC-0
RECEIPT #:
[ ] Innovative
[ l
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770
MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983
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: 7
BLOCK:
na SUBDIVISION:
Orange Avenue AG Park PLATTED: 1993
PROPERTY
ID #:
2212-800-0007-000-2
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 11.625 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: Trowbridge Road, Fort Pierce, FL 34945
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION [,(] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC
1 RESIDENCE 3 1,742
2
3
4
[ ] Floor/Equipment Drains I, (I Other (Specify) GARBAGE GRINDERS/DISPOSALS
Alexander J Piazza os:cu, udmim m. a -noun[ pmissemn vao iaei. ni ,mm,
SIGNATURE: owm.m u:xS:51. DATE: 5-16-19
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA APPLICATION # AP1415393
DEPARTMENT OF HEALTH PERMIT # 56-SF-1951233
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1190452
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Lisa Leatherwood
CONTRACTOR / AGENT: Alexander J. Piazza PSK Inc
LOT: 7 BLOCK:
SUBDIVISION: Orange Park ID#:2212-800-0007-000-2
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: 11.63 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
.AUTHORIZED SEWAGE FLOW: 17445.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 3000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE 42.00 [I INCHES I/ FT ] [ ABOVE /I BELOW II 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:
80 FT NON -POTABLE:
100 FT
BUILDING FOUNDATIONS:
5 FT PROPERTY LINES: 65 FT
POTABLE WATER LINES:
35 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION STTF. t
]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:Winder loamy sand
Munsell#/Color Texture
Depth
1 OYR 3/2
Sandy Loam
0 To 9
1 OYR 4/2
Sandy Loam
9 To 19
7.5YR 5/8
CMN/PRM RF
11 To 19
1 OYR 5/1
Sandy Clay Loam
19 To 28
10YR 5/2
Loamy Sand
28 To 35
1OG 6/1
Sandy Clay Loam
35 To 65
10G 6/1
Loamy Sand
65 To 72
SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Winder loamy sand
Munsell#/Color Texture
Depth
1 OYR 312
Sandy Loam
0 To 10
tOYR 4/2
Loamy Sand
10 To 20
7.5YR 518
CMN/PRM RF
11 To 20
1 OYR 511
Sandy Clay Loam
20 To 31
10YR 5/2
Sandy Loam
31 To 36
1OG 611
Sandy Clay Loam
36 To 61
1OG 6/1
Sandy Loam
61 To 72
OBSERVED WATER TABLE: 37.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE
TYPE:
[ PERCAED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 11
INCHES [ ABOVE /
BELOW ]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO
MOTTLING: [XIYES [
]NO
DEPTH: 11.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
Sand/0.80 DEPTH
OF EXCAVATION: 65 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED
[ 1 OTHER (SPECIFY)
_
r REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
S5. Sandy Redox-7.5YR518 CMN PROM RF mottling In 10YR4/2 matrix >2% with diffuse boundaries starting at 11" In SB2
SB1 43" below SM. SB2 42" below SM. /]
SITE EVALUATED BY: DATE: 06/05/2019
Ingmm, Brian (TI . Environmental Specialist 11) (ENVIRONMENTAL HEALTH)
DR 4015, 08/09 (obsoletes previous editions vhi h may not be used) Incorporated: 64E-6. 001, SAC Page 3 of 4
AP1415393 EID1951233 v 1.0.2
0�,xs
o� STATE OF FLORIDA
`'t DEPARTMENT OF HEALTH
up ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
�o ae,as`
PERMIT #.56-SF /9S/Z3.3
APPLICANT:—
Lisa M. Leatherwood
AGENT:
Alexander J. Piazza PSM, Inc.
LOT: 7 BLOCK:
na SUBDIVISION:
Orange Avenue AG Park
PROPERTY ID # :
2212-800-0007-000-2
[ Tax ID Number
l
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: J✓J
YES [ ]
NO NET USABLE AREA AVAILABLE: 11.625
ACRES
TOTAL ESTIMATED SEWAGE FLOW:
500
GALLONS
PER DAY [RESIDENCES -TABLE I/OTHER-TABLE2
]
AUTHORIZED SEWAGE FLOW:
GALLONS
PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE
]
UNOBSTRUCTED AREA AVAILABLE:
750
SQFT
UNOBSTRUCTED AREA REQUIRED: 750
SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE IS34 [INCHES/FT ] [ABOVE/BELOW'] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:100 FT DITCHES/SWALES: 15 FT NORMALLY WET? [ J YES J✓] NO
WELLS: PUBLIC: 200 FT LIMITED USE:100 FT PRIVATE: 75 FT NON —POTABLE: 100 FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT
SITE SUBJECT TO FREQUENT FLOODING: J ] YES [✓] NO 10 YEAR FLOODING? J ] YES J✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
JV1L CLlVl 1LG 11YC VL,1•Yf11VlY J11G
MUNSELL #/COLOR TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
OBSERVED WATER TABLE:40+ INCHES [BELOW EXISTING GRADE. TYPE: [PERCHED/ APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ J YES [ ] NO MOTTLING: [ J YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [✓] TRENCH [ ]
REMARKS/ADDITIONAL CRITERIA:
BED
DEPTH OF EXCAVATION: INCHES
J ] OTHER (SPECIFY)
w anw ,
Alexander Piazza °w�x°°Nmry'�°°°""�°°'�°"- �°°°'N`�°-°
SITE EVALUATED BY: w.mivns�a �•��+,a+od DATE: 5-16-19
DH 4015, 12/11 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
APPLICAI'NT'S NAME:
LEGAL DESCRIPTION:
Lisa M. Leatherwood 0-5F-/9S4?
Lot 7, Orange Avenye AG Park (PB 33, PG 11)
PtSM VONY9TE1i1 J 'J 1NYf0RT-!QN_
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 theproposed 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.
ul°'�oM�4rcaEyPbunMlwm
Alexander Piazza
PNI]][mN]I°SBI EEIIX/YA119B1.
mllbeMnlfleaa
CERTIFIED BY:
FLORIDA PROFESSIONAL NO.: 6330
DATE: 05/16/19 JOB NO.: 19-4582
dots! Forms/septics/SepticApppPage207
,1 1. Saint Lucie County Property Appraiser
14t�UCIE�OG
,' , :; (https://www.pasl(..org/) Saint Lucie County Property Appraiser
A� Michelle' Franklin CFA
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Click here for Legal Disclaimer
1/2
Property Card
Page 1 of 1
5G -sF- /9s�23�
59-L9571 0
Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: Parcel ID: 2212-800-0007- Account #: 135418 Sec/Town/Range:
TROWBRIDGERD 000-2 12/35S/38E
Map ID: 22/1 IX Zoning: IX Use Type: 6900 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Lisa M Leatherwood ORANGE AVENUE AG PARK LOT 7 (MAP22/11 X) (11.63
Gregory M Leatherwood AC)
6305 Drawdy PKWY
Fort Pierce, FL 34951-1301
Current Values
Historical Values 3-year
Just/Market:
$178,323 Assessed:
$38,460 Year Just/Market Assessed
Exemptions
Taxable
Exemptions:
$0 Taxable:
$38,460 2018 $178,323 $38,460
$0
$38,460
2017 $134,336 $23,260
$0
$23,260
2016 $116,300 $23,260
$0
$23,260
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
04-02-2019
4250 / 1270
0111 QC Leatherwood Lisa M
$100
06-30-20I7
40I4 / 1690
0111 QC Lange[ Donald J
$100
04-20-1994
0897 / 0885
XX02 WD Beale Jr Joseph E
$112,500
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 2,400 SF
Exterior Data
View:
Roof Cover:
Roof Structure:
Building Type: FarmPole
Year Built: 1990
Frame:
Grade: 21
Effective Year: 1990
Primary Wall:
Story Height:
l Story No. Units: 0
Secondary Wall:
Interior Data
Bedrooms: 0
A/C %: 0%
Electric:
Primary Int Wall:
Full Baths: 0
Heated %: N/A% Heat Type:
Avg Hgt/Floor: 0
Half Baths: 0
Sprinkled %: 0% Heat Fuel:
Primary Floors:
Type
Total Areas
Finished/Under Air
0
(SF):
Gross Sketched Area
2,400
(SF):
Land Size (acres):
11.63
Land Size (SF):
506,602.8
Total Building Count:
1
Special Features and Yard Items
Qty Units Year Blt
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
© Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
.ttps://paslc-dev.org/RECard/ 5/22/2019
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Custom Soil Resource Report
St. Lucie County, Florida
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 -free period. 350 to 365 days
Farmland classification: Farmland of unique importance
Map Unit Composition
Winder, drained and bedded, and similar soils: 67 percent
Winder, hydric, and similar soils: 15 percent
Minor components: 18 percent
Estimates are based on observations, descriptions, and transacts of the mapunit.
Description of Winder, Drained And Bedded
Setting
Landform: Flats on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Convex, concave
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
Btgl - 12 to 33 inches: sandy clay loam
Btg2 - 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: High
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to watertable: About 12 to 18 inches
Frequency of flooding: None
--Frequency of ponding. 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: C/D
10
Custom Soil Resource Report
Forage suitability group: Loamy and clayey soils on flats of hydric or mesic
lowlands (G156BC341 FL)
Hydric soil rating. No
Description of Winder, Hydric
Setting
Landform: Flats on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Linear, concave
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
Btg1- 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: Very high
Capacity of the most limiting layer to transmit water (Ksat): Moderately low to
moderately high (0.06 to 0.20 in/hr)
Depth to water table: About 0 to 12 inches
Frequency of flooding., None
Frequency of ponding., 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: C/D
Forage suitability group: Loamy and clayey soils on flats of hydric or mesic
lowlands (G156BC341 FL)
Hydric soil rating: Yes
Minor Components
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
Riviera
Percent of map unit. 3 percent
11
Custom Soil Resource Report
Landform: Flats on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Linear
Across -slope shape: Linear
Hydric soil rating: Yes
Floridana
Percent of map unit: 3 percent
Landform: Depressions on marine terraces
Landform position (three-dimensional): Dip
Down -slope shape: Concave
Across -slope shape: Concave
Hydric soil rating: Yes
Hallandale
Percent of map unit: 3 percent
Landform: Flats on marine terraces
Landform position (three-dimensional): Interfluve, talf
Down -slope shape: Convex
Across -slope shape: Linear
Hydric soil rating: No
Winder, shell substratum, hydric
Percent of map unit: 2 percent
Landform: Flats on marine terraces
Landform position (three-dimensional): Talf
Down -slope shape: Linear, concave
Across -slope shape: Linear
Hydric soil rating: Yes
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
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
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Search Results
Street Names
1:9,028
0 370 740 1,480ft
0 112.5 225 450 m
Sources: Esri, HERE, Gamin, USGS, Intermap, INCREMENT P. NRCm.
Eui Japan, METI, Esd China (Hong Kong), Esd Korea, End (Thailand),
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT;
REPAIR, MODIFY, OR ABANDON A VVELL
t_iSOuthWCst PLE?SEFILL Our'dL APPLICABLE FIELD'$
GNtirrh:vost (-Oeno;ps Requited Fields "ore Applicable)
-'c ,��St. Johns Rrvar
yw�,nnr ro,rpq.
.outh Florida rlvnnr:r.-cLrrv,naranp+:r Nr,vq
diltmur nud:nrv: o+i:p:q rpyvsn]ir noAlimrin,W b:r
.i Su::'ahnee River+,n�er:iacerb•:ominvli+,m;rtrl:rreuyuiirs]a4•.
_, DEP
U31r-gated Aulho-i!y (If ApPlirahtzl '
NC). 54 lass ass
No. 59-29590
Uniqur,IG -
Sriponow5 P,egwred (Sda P.Itn;hr3,11.
32.524 O-,radr1b, `Dclinnnlion t+o.
GUFrv4UP Appucption ;.la.
1, Lisa Leatherwood . 6305 DrawdyPark"yay Ft. Pierce, FI 34951
'Owner. Legal Name df Corporation 'Addis 'City -State 'ZiP Telaptiore Number
z. TBA/Trowbridoe Road _
'Well Location - Address, Road Name or. rlumber. Ci:.y
I ov Land
P. Tvsc
St Lucie
'County
_ , 11352 954-818-4269 _ do`xnthehole@att.net
Liceme Number -Telephone Number E-mall Addfea5
Block DWI
Coe& If 52-524:0 Yf s Q No
B. PO BOX 881496 Port St Lucie_ Ft 34988
"vValer!Nell Contractor's 4%0dr2s5 Cfly Stale _Ir'.
7. "Type or Work: 91Caostruccop �r Repnir L� ;v;cdllieafpn� Abandonment
S. -Number of Proposed bYeIL r
9. 'Specify Intended.Usels) of V-10(s);
..wv,n err R+:pnt
Domestic
Bottled Wafer Supply
Lands -cape litigation []
Recreation Area IrrigolWp []
Agricultival Irrigation
L(vas(nek
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Site Investigations ifl- 1
Mc rN,oring
U�W`
Puolic Psalter Supply (L.imfed
Use/DOH) F1
Nursery Irrigation
n
Test
J Public Watar Supply (Community
or l`loi
Commarcialllnduslrlal
Ind
Earlh-Coupled Geothermal
1 9
1 class ;injection
C
Golf Course Irrigation
HVAC Supply
JUN
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HVAC Return
Gass V Injection: ❑ Recharge
❑ Commerciairindustral Disposal. C Aquifer Storage and Recovery I] Drainage
ediaiioa: ❑ ReCovery ❑ Air Sparye u Other !G1aA n:_
Other I
10.'Disland.frorn Septic System if 5 200 !t. ,j ) V 11. Facility Description p'roP0
5eQ Re5ldenge 12. Estimated 8rm
1ar1 Date no,-
M.-Eslirnated Ole!! OPPlh,'23 C) 3, ��--1Efilimated Casing Depth �0 ft. Primary —
Casinq Diameter in. Open F,ole. From __To ^ R:
14, Eslimated Screen interwar Prom ID Ta (90_ ii:'
15.1Bnmary Casing Material: Black Steel ' Galvanized C 9v Stainless Steel
Not Cased Other
16. Secondary Casing: Telescope Casing Liner Surface Casing Cllameter� In.
17. Secondary Casing IA'alerlac Black Sleet GaRani.ad PVC Stainless Steel Other
16.'Methad or Construction. RepaE:, or ASsndorni+.er,i: ;auyer Cable Tool Jelled . Ref' iJ Sonic
Combination l7lvo or More ble(flods) Hard Driven (Udell Point, Sand Point) Hydraulic Point (Obcci Push)
Hoazonlai Drilling
Plugged by A.ppnrr d rot-lnod Otnef fOnsrncrl
13. Proposed $Sroullrq interval fx
the Primary„Senongary; and A rill ling:
From To ,�%r
Seal (.Aeiarial (
Benre:;ae !eat Ca nl Other i
From_ Ta
Seal Malarial (
Brnlonite aTCement Other _
Fro:r To
Seal Ma;eriai (
2ertmute Neat Cement Other
Front_ To
Seal Material!
Bentonite. Neel Cement Other _' )
20. Indilale total number cf existing:velha
on site.
List number of existing unused wells or. silt
21 'Is tills wall or any exisdrr will or water v6lhd' ! nr Bla rrnr:er's contiguous. property covered under a COnSumptivelVitiler Use Permit (3UPAMUP)
of CUPNvUP Application, Yes 10 -If w",.. complete Iha following: CUPMDP PW._ District bWell !C No.
22. Latitude Longitude
23. Data Obtained From:
AppMvnl Gnplstl sy
Fen RLCOI,ad 5
GPS 1,19P Survey
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27
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cemc• No.
+µeh issaa Data
Datum: _ NA.O 27
Exp!ratlo- Data
Cheex N.
83 N1GS 84
THIS PERIAIT IS NOT VALID UNTIL PROPERLY b'IGNEO F'i A.AI /.ITHORi2ED OFFICER OR REPRESENTATIVE OF THE `AND OR OELEGATEO AUTHORT:'v.
PERMIT SHAL BE AVAILASLE ATTHE :9HLL SITE WRING A_L CONSTRUCTION: REPAIR. NODIFIOATION. OR t9ANDONUIENT ACTIVITIES.