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HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND SYSTEM CONSTRUCTION PERMIT FOR: Sf%A NED GAN BY OSTDS New st-Lucilecoupty APPLICANT: Matthew CAllahan PROPERTY ADDRESS: 504 E Midway Rd Fort Pierce, FL 34982 LOT: 6 & 7 BLOCK: 37 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-605-0096-000-9 f n U 0- 01 -;7'1 PERMIT #: 56-SF-I 981011 APPLICATION #:AP1427639 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #:PR1250240 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM 14UST 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 E 900 1 GALLONS GPD Septic new CAPACITY A E I GALLONS GPD N/A CAPACITY N I I GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K E I GALLONS DOSING TANK CAPACITY I ]GALLONS @[ ]DOSES PER 24 HRS #P=ps E D 500 1 SQUARE FEET Drainfield new SYSTEM R I SQUARE FEET N/A SYSTEM A TYPE SYSTEM: STANDARD [ I FILLED DC1 MOUND I CONFIGURATION: TRENCH [x] BED I I N F LOCATION OF BENCHMARK: Site HIM FD NiD in Rd. W pi I ELEVATION OF PROPOSED SYSTEM SITE E 14.00 1 E BOTTOM OF DRAINFIELD TO BE L D I 0 T H E R r 1.00 1 line extended S. FT I I ABOVE /LBELOWJ BENCHMARK/REFERENCE POINT FT I [� BELOW I BENCHMARX/REFERENCE POINT I�L �Wul�: L 5,5.UVI INCHES EXCAVATION Rzqul�v: L I Lv��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. SPECIFICATIONS BY: Brian J Ing3;al� TITLE: Environmental Specialist II 'APPROVED BY: ITLE: Environmental Specialist II St. Lucie CHI) Bria� J Ir DATE ISSUED: 08127/2019 EXPIRATION DATE: 02/27/2021 DH 4016, 08/09 (Obsoletes all previous editions which �y not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 � 1.1.4 AP1427639 SEli99441 54 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 Departme ' nt, 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 ClerWs 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 f7al order. St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: #:56-SF-1981011 BILL Doc #:56-BID-4308653 CONSTRUCTION APPLICATION 4; AP1427639 RECEIVED FROM: Steven Marshall PSM AMOUNT PAID: $545.00 PAYMENT FORM: CREDIT CARD 025664 PAYMENT DATE: 08/07/2019 MAIL TO: Matthew CAIIahan FACILITY NAME: PROPERTY LOCATION: 504 E Midway Rd Fort Pierce, FL 34982 6&7 Lot: Property ID: 3402-605-0096-000-9 EXPLANATION or DESCRIPTION: 37 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 I QUANTITY FEE $ 5.00 $ 45.00 $ 100.00 $ 100.00 $ 115.00 $ 55.00 $ 75.00 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. .56-PID-4033738 STATE OF FLORIDA PEP141T NO DEPARTMENT OF HEALTH DATE PAID; ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: L4 SYSTEM RECEIPT APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: New system Existing System Holding Tank Innovative Repair Abandonment Temporary APPLICANT: Matthew Callahan D 71 , '516 - 1 0 09 AGENT: Steven Marshall PSM TELEPHONE: 772-940-1382 MAILING ADDRESS: 2062 SE Triumph Road, Port Saint Lucie, Fl, 34952 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 INFOP14ATION LOT: 6 & 7 BLOCK: 37 SUBDIVISION: Indian River Estates Unit 4 PLATTED: 1956 PROPERTY ID #: 3420-590-1797-000-3 ZONING: RES I/M OR EQUIVALENT: [ No I PROPERTY SIZE: 1.01 ACRES WATER SUPPLY: I ] PRIVATE PUBLIC [,/ ]<=2000GPD [ ]>2000GPD IS SEWER AVAII-A LE AS PER 381.0065, FS? [ No I DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 504 E. MIDWAY RD, FORT PIERCE, FLORIDA. DIRECTIONS TO PROPERTY: EAST FROM USI ON MIDWAY ROAD BUILDING INFORMATION [v(j RESIDENTIAL [ I COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC I Single Farnily Residence 3 .2,119 2 3 4 Floor/Equipment Drains Other (Specify) SIGNATURE: DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page I of 4 STATE OF FLORIDA APPLICATION 0 AP1427639 DEPARTMENT OF HEALTH PERMIT # 56-SF-1981011 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT #.SE1199441 APPLICANT: Matthew CAllahan CONTRACTOR / AGENT: Steven Marshall PSM LOT: 6 & 7 BLOCK: 37 SUBDIVISION: Indian River Estates ID#: 3402-605-0096-000-9 TO BE COMPLETED BY ENGINEER, HEALTH DEPART148NT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEM. PROPERTY SIZE CONFORMS TO SITE PLAN: Ex ]YES I ]NO TOTAL ESTIMATED SEWAGE FLOW: AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK/REFERENCE POINT LOCATION: 300 GALLONS PER DAY 2525.02 GALLONS PER DAY NET USABLE AREA AVAILABLE: 1.01 ACRES [I RESIDENCES -TAB / OTHER -TABLE 2 1 1500 GPD/ACRE OR 1170.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT ELEVATION OF PROPOSED SYSTEM SITE 14.00 [LEE!T�jj/ FT I E ABOVE /L!!��] BENCHMARK/REFERENCF POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE POLLOW114G FEATURES SURFACE WATER: FT DITCHES/SWALES: 25 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100+ FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 30 XT POTABLE WATER LINES: 90 FT SITE SUBJECT TO FREQUENT FLOODING? ]YES rX 3NO 10 YEAR FLOODING? E ]YES EXIN03 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD I SITE ELEVATION: FT E MSL / NGVD SOIL PROFILE INFORMATION SITE 1 9nTT. PRnVTT.V. TWVnR�MTnN ATMR 7 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 3/1 Organic Soil 0 To 3 1 OYR 5/1 Fine Sand 3 To 17 1 OYR 6/1 FineSand 9 To 17 1 OYR 5/2 Fine Sand 17 To 34 10YR 3/1 Spodic Material 34 To 38 HOLE CAVING Refusal 38 To 72 USDA SOIL SERIES:Waveland fine send Munsell #/Color Texture Depth I OYR 4/1 Sand 0 To 5 10YR 5/1 Fine Sand 5 To 22 10YR 6/1 Fine Sand 11 To 27 1 OYR 5/2 Fine Sand 27 To 36 1 OYR 2/2 Spodic Material 36 To 39 HOLE CAVING Refusal 39 To 72 OBSERVED WATER TABLE: 6.00 INCHES C ABOVE / HE] EXISTING GRADE TYPE: C PERCHED / I ESTIMATED WET SEASON WATER TABLE ELEVATION: 9 INCHES [ ABOVE EEI EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES Ex ]NO MOTTLING: [XIYES I ]NO DEPTH: 9.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ I TRENCH rX3 BED E I OTHER (SPECIFY) - REMARKS/ADDITIONAL CRITERIA WSWT determined using IJSDA WSS and soil borings. 10YR611 stripping In 10YRS/I >10% with diffuse boundaries starting @ 9" In S131. SE11 14" below BM. S132 13" below SM. SITE EVALUATED BY: DATE: 08/14/2019 Ingram, Brian (Title: Ironmental Specialist 11) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous editions whicH my not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1427639 EID1981011 v 1.0.2 Property Card Page I of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 504 E Parcel ID: 3402-605-0096- Account#: 139425 See/Town/Range: MIDWAY RD 000-9 02/36S/40E Map ID: 34/02N Zoning: RS-2 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Mathew I Callahan INDIAN RIVER ESTATES -UNIT 04- BLK 37 LOTS 6 AND 7 551 SW Sanctuary DR (MAP 34/02N) (OR 4015-2590) Port St Lucie, FL 34986-2043 Current Values Historical Values 3-year JustfMarket: $29,900 Assessed: $29,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $29,900 ' 2018 $29,900 $29,900 $0 $29,900 2017 $22,300 $22,300 $0 $22,300 Sale History Date Book/Page Sale Code Deed Grantor Price 06-29-2017 4015/2590 0001 WD Swinskey Ryan $35,000 06-20-2008 298712137 XX00 WD Caruso Steven P $20,000 05-23-2003 1751/1782 XX00 WD Close Tassilo A $40,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Structure: BuildingType: Year Built: N/A Frame: -Roof Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type A/C %: 0% �lectric: Primary Int Wall: Heated %: N/A% Heat Type: Avg HgL/Floor: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: TotalAreas Finished/Under Air 0 (SF); Gross Sketched Area 0 (SF): Land Size (acres): 1.01 Land Size (SF): 44,000 Total Building Count: I Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. hftps://www.pasle.org/RECard/ 8/7/2019 I 34�r- I , 44, - 51IN �1�11 OCY YQ AA k' N%'L A IF; 76 7L L�R� Custom Soil Resource Report St. Lucie County, Florida 21—Lawnwood and Myakka sands Map Unit Setting National map unit symbol: 1jpvg Elevation: 20 to 200 feet 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 Lawnwood and similar soils: 40 percent Myakka and similar soils: 40 percent Minor components., 20 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Lawnwood Setting Landform: Marine terraces on flatwoods Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Parent material. Sandy marine deposits Typical profile A - 0 to 8 inches: sand E - 8 to 28 inches: sand Bh I - 28 to 52 inches: sand Bh2 - 52 to 58 inches: sand C - 58 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 10 to 31 inches to ortstein Natural drainage class. Poorlydrained 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 water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponaing: 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: Very low (about 0.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigrated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 10 Custom Soil Resource Report Hydric soil rating: No Description of Myakka Setting Landform: Flatwoods on marine terraces Landfoun position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material.- Sandy marine deposits Typical profile A - 0 to 7 inches: sand E - 7 to 27 inches: sand Bh - 27 to 38 inches: sand C - 38 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 high to high (0.57 to 5.95 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding. None Frequency ofponding: 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 4.5 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w HYdrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating. No Minor Components Ankona Percent of map unit.- 7 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating. No Electra Percent of map unit. 7 percent Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating. No 11 Custom Soil Resource Report Waveland Percent of map unit.- 6 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No 50—Waveland and Inannolkalee fine sands Map Unit $etting National map unit symbol: 1jpwd Elevation: 20 to 200 feet 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: Not prime farmland Map Unit Composition Waveland and similar soils: 44 percent Immokalee and similar soils.- 44 percent Minor components: 12 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Waveland Setting Landform: Flatwoods on madne terraces Landform position (three-dimensional): Talf Do�(n-slope shape: Convex Across -slope shape: Linear Parent material., Sandy marine deposits Typical profile A - 0 to 4 inches: fine sand Eg - 4 to 32 inches: sand Bh I - 32 to 40 inches: loamy sand Bh2 - 40 to 53 inches: sand CgI - 53 to 66 inches: sand Cg2 - 66 to 80 inches: sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 31 to 50 inches to ortstein 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 water table: About 6 to 18 inches 12 Custom Soil Resource Report Frequency of flooding: None Frequency of ponding: 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: Very low (about 0.8 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: C/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Description of Immolkalee Setting Landform: Flatwoods on marine terraces Landforin position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material: Sandy marine deposits Typical profile A - 0 to 6 inches: fine sand E - 6 to 35 inches: fine sand Bh - 35 to 54 inches: fine sand Cg - 54 to 72 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. High Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.57 to 1.98 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency ofponding: 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 5.3 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: B/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Minor Components Jonathan Percent of map unit. 3 percent 13 Custom Soil Resource Report Landform: Knolls on marine terraces, ridges on marine terraces Landform position (three-dimensional): Internuve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No - Salerno Percent of map unit: 3 percent Landform: Flatwoods on marine terraces — Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Lawnwood Percent of map unit. 3 percent Landform: Marine terraces on flatwoods Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear H�dric soil rating: No Electra Percent of map unit. 3 percent Landform: Rises on marine terraces, knolls on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No 14