HomeMy WebLinkAboutD O H PAPERWORK0Well 0o. 59-aq5 )19
STATE OF FLORIDA SCANNED PERMIT NO. �j�-SF-1g4�4� I
' DEPARTMENT OF HEALTH f3Y DATE PAID
: �G
`�% ONSITE SEWAGE TREATMENT AND DIS���C1eCQuntz PAID: '51 S oCi
SYSTEM `RECEIPT #:
"b"`Ofi APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[>c New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
[ ] Innovative
APPLICANT: / F��^^ PjVJriwi�/D 646eLI7/(�lii.2,14
AGENT: !�i-)uiL/`� /Ld% $ �SSaGIId�GSi /�V(-� TELEPHONE:
MAILING ADDRESS: f F-0. swlo� ® Foe-,- 19/AW,54--. J?G�g(iJS
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: JIq - BLOCK: — SUBDIVISION: l�N�{iLNc S(.cBDIv/J/y!"/ PLATTED:_ DO�
PROPERTY ID #: 31109-s0S--6'Of /-0000 ZONING: P((j/ -e0 I/M OR EQUIVALENT: [ Y / N ]
PROPERTY SIZE: O• ACRES WATER SUPPLY: [�]�PPRIVATE PUBLIC [ ]<=2000GPD [./J>2000GPD
IS SEWER AVAILABLE AS PER 382.0065, FS? [ Y 9 ,NC 7/rF/� DISTANCE TO SEWER: i 3000 FT
d
PROPERTY ADDRESS: / `l / / L-owr P!/` e ,-wc-
DIRECTIONS TO PROPERTY: 60 SbuTM 614 A )J� (4-': !A/Y)
LO,^l prN6: ftk/F s 60 kle59-' oN 46jhG p/wC- .D)eUi� q� S1C�
MILDING INFORMATION
r
Mt Type of
old Establishment
3
4
[ A] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64Ec6, FAC
[ ] Floor/Equipment Drains [ ]�other (Specify) •� /
SIGNATURE: �i�(/r G / i/1, /
DH 4015, 08/09 ( bsoletes previous editions hich may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
PERMIT #:56-SF-1947479
APPLICATION #:AP1412902
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1228326
SC"N
v
CONSTRUCTION PERMIT FOR: OSTDS_New Q} 1 ,1^v 11
APPLICANT: (Ron Raymond Construction) St. `ude CountV
PROPERTY ADDRESS: 1417 Lone Pine Dr Port Saint Lucie, FL 34983
LOT: BLOCK: SUBDIVISION: Lone Pine
PROPERTY xD #: 3409-505-0004-000-2
[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 _[ 1,050 ] GALLONS / GPD Septic new CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS V ]DOSES PER 24 HRS #Pumps
D [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM, NiD, S side of median, N of system
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ]
E BOTTOM OF DRAINFIELD TO BE 14.00 ][ INCHES FT ]
L
D
O
T
H
E
R
BELOW] BENCHMARK/REFERENCE POINT
BELOW] BENCHMARK/REFERENCE POINT
REQUIRED: [21.001 INCHES EXCAVATION REQUIMRU: L 1 iwi.nco
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 Ingram TITLE: Environmental Specialist II
APPROVED BY: a.w+4YTLE: Environmental Specialist II St. Lucie CHD
Bri. J Ingr
DATE ISSUED: 05/29/2019 EXPIRATION DATE: 11/29/2020
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Page 1 of 3
Incorporated: 64E-6.003, FAC
v 1.1.4 "1412902 SE11777LO
STATE OF FLORIDA APPLICATION If AP1412902
DEPARTMENT OF HEALTH PERMIT # 56-SF-1947479
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT # SE1177710
SITE EVALUATION AND SYSTEM SPECIFICATION
SCANNED
BY
APPLICANT: Ron Raymond Construction Qb 1 rAPhl
CONTRACTOR / AGENT: Laventure & Associates Inc
LOT:
BLOCK:
SUBDIVISION: Lone Pine ID#: 3409-505-0004-000-2
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: 0.28 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 700.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 2200.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
of median. N of
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 75 FT
BUILDING FOUNDATIONS: 5 FT
SITE SUBJECT TO FREQUENT FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:
SnTT. PROFILE INFORMATION SITE 1
PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT
[ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO]
FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
10YR 411
Fine Sand
O TO 14
10YR 5/1
Fine Sand
14 To 31
10YR 6/1
Fine Sand
21 To 41
10YR 4/1
Fine Sand
41 To 51
1 OYR 413
Fine Sandy Loam
51 To 56
1 OYR 313
Fine Sand
56 To 62
1 OYR 413
Fine Sand
62 To 72
rvonuvammu RImE 'J
USDA SOIL SERIES:Nettles sand
Munsell#/Color Texture
Depth
10YR 412
Fine Sand
0 To 15
10YR 511
Fine Sand
15 To 33
1 OYR 6/1
Fine Sand
23 To 42
1 OYR 4/2
Fine Sand
42 To 52
10YR 413
Fine Sandy Loam
52 To 58
10YR 4/3
Fine Sand
58 To 72
OBSERVED WATER TABLE: 56.00 INCHES [ ABOVE / HE] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 21.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR611 stripping in IOYR611 matrix >10% with diffuse boundarie starting at 21" In S131.
S131 1" above SM. SB2 1" below B
SITE EVALUATED BY:DATE: 05/15/2019
Ingram, Brian (TiUe: Envi "mental Specialist Il)(ENVIRONMENTAL HEALTH)
DE 4015, 08/09 (Obsoletes previous editions xhieh ma not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP14129OZ EID1947479 v 1.0.2
SGAMED
(t16BY
STATE OF FLORIDA S�•Lu ��OQ'f
DEPARTMENT OF HEALTH •�
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
PERMIT #. X.S�&f/7Y75
APPLICAN`T:� Po.-4 Rv4 Y1PW%J.0 4W3Mk4�%j/�AGENT: /AP��111e-
l
LOT: f % BLOCK: SUBDIVISION:
PROPERTY ID #: 3q0`l_ SDS-ood-CWO [Section/Township/Parcel No. - r Tax ID Number
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: [✓I YES [ I NO NET USABLE AREA AVAIIABLE:_4C7.Zg ACRES
TOTAL ESTIMATED SEWAGE FLOW: 30�) GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2I
AUTHORIZED SEWAGE FLOW: % O'O GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: LZO 0 + SQFT UNOBSTRUCTED AREA REQUIRED: /" t2 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
ELEVATION OF PROPOSED SYSTEM SITE I
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: �/3 FT DITCHES/SWALES: /� FT NORMALLY WET? [ I YES [4 NO
WELLS: PUBLIC: Wq& FT LIMITED USE: (OO FT PRIVATE: %5' FT NON -POTABLE: _�_b FT
BUILDING FOUNDATIONS: % FT PROPERTY LINES: (/ FT' POTABLE WATER LINES: j! it FT
SITE SUBJECT TO FREQUENT FLOODING: [ ]YES E)IL NO 10 YEAR FLOODING? [ ] YES NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL GVD
l�Y�lt
TEXTURE DEPTH
TO
TO
TO
TO
TO
TO
TO
USDA SOIL SERIES:
JV1L
USDA SOIL SERIES:
Z.
TEXTURE DEPTH
TO
mn
1"V
TO
TO
TO
TO
TO
TO
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: DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ I TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA:
SITE EVALUATED BY: DATE:
(GHaP9 C,UG41 Tt�i7� plA t0L•S• SR
DE 4015, 08/09 (Obsolete. revlous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4
OF&OF
Property Card Page 1 of 1
5G-5f 174 7 q 7cl 5y-2JfZ J
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: 1417 Lone Parcel ID: 3409-505-0004- Account #: 166404 See/Town/Range:
Pine DR 000-2 09/36S/40E
Map ID: 34/09N Zoning: PUD - CO Use Type: 9600 Jurisdiction: Saint Lucie
County
Ownership Legal Description SCANNED
Lone Pine PDA Inc LONE PINE SUBDIVISION (PB 51-21) COMMON AREA BY
1321 Lone Pine Dr (4.26 AC) (PER PLAT DEDICATION DATED 11.30-2
Fort Pierce, FL 34982 (OR 3481-285) 8f Lucie County
Current Values
Just/Market: $0
Exemptions: $0
Date
11-10.2012
05-14-2003
View:
Year Built: N/A
Primary Wall:
Bedrooms: 0
Full Baths: 0
Half Baths: 0
Historical Values 3-year
Assessed:
$0 Year Just/Marker Assessed
Exemptions
Taxable
Taxable:
$0 2018 $0 $0
$0
$0
2017 $0 $0
$0
$0
2016 $0 $0
$0
$0
Sale History
Book/Page
Sale Code Deed Grantor
Price
3481 / 0285
0311 QC Lone Pine POA Inc
$100
1714 / 2681
XX00 WD Taylor Eleanor R
$240,000
Primary Building Information
Finished Area of this building: 0 SF
Gross Sketched Area: 0 SF
Roof Cover:
Frame:
Story Height:
A/C %: 0%
Heated %: N/A%
Sprinkled %: 0%
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 Sketched Area
0
(SF):
Land Size (acres):
4.26
Land Size (SF):
185,566
Total Building Count:
I
Special Features and Yard Items
Type 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.
Q Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
ttps://pasle-dev.org/RECard/ 5/8/2019
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