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
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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