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Home My WebLink AboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM RECEIPT #: RECEIVED nocDMENT #: PR1250300 AUG 2 8 ?019 SCANNFZ CONSTRUCTION PERMIT FOR: OSTDS New — �p cle County, Permltting �$ �u�1Q(,a APPLICANT: (Adams Homes of Northwest Florida, Inc) 111.0011 PROPERTY ADDRESS: 5609 Palm Dr Fort Pierce. FL 34982 LOT: 40 BLOCK: 55 SUBDIVISION: Indian River Estates PROPERTY xD #: 3402-609-0138-000-8 PERMIT #:56-SF-1980993 APPLICATION #: AP1427632 DATE PAID: FEE PAID: [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:I250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 Has #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 N F LOCATION OF BENCHMARK: site BM of x ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D ] 0 T H E R ] BED [ ] "X" center of intersection 8.00 ] [FINCHES FT ] [ ABOVE 7.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT "1 x Wu.lH v: L IB.UU] INCHES EXCAVATION REQUIRED: [ b5.UU ] INCHES The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400 gpd. SPECIFICATIONS BY: Brian J Ingra i TITLE: Environmental Specialist II APPROVED BY: y1ZTIE: Environmental Specialist II CBp Brian J Ingr AV#� DATE ISSUED: 08/26/2019 lu1NUC EXPIRATIO,D6: 02/28/2021 DE 4016, 08/09 (Obsoletes all previous editions which may not be used) !`I"`VVV"' Incorporated: 64E-6.003, FAC 1 of 3 v 1.1.4 AP1427632 SE1199492 Of� ®Y lv,_ %T*e 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. r'-iv Jrp H� St. Lucie County Health Department OO51da 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: a:56-SF-1980993 BILLDOCN56-BID-4308610 CONSTRUCTION APPLICATION 9: AP1427632 RECEIVED FROM: Benjamin Drew"s Plumbing & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 172875 PAYMENT DATE: 08/07/2019 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5609 Palm Dr Fort Pierce, FL 34982 Lot: 40 Block: 55 Property ID: 3402-609-0138-000-8 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 • $ 100.00 -1 - 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-4033646 Note: Ck#172875 for $515, CW782 included the $30 diff STATE OF FLORIDA PERMIT NO.6I -5F-Mo q3 DEPARTMENT OF HEALTH DATE PAID: I 1 ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT 4SOF W APPLICATION FOR: [Y(] New System [ ] Existing System [ ] Bolding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICA/NNT: ndckrnS I-f>rreS (24 %0 F I OY \f' a my-r- AGENT: DY (1 i(�([`C/l�j'1 t6 OAS ,/fielIA-h-)ID J �/� TELEPHONE: ,1-),L-/TrWI- 2QL02 MAILING ADDRESS: '(i I n h�l � &\jcC • �T Y 1 �YC-e , [� � 7'-/ 0 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: t4 y BLOCK: SS SUBDIVISION: PROPERTY ID # : 3402- IDOL) - D! 38- DCn ZONING PROPERTY SIZE: (IS ACRES WATER SUPPLY: [ ] PR7 IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y PROPERTY ADDRESS: 4�lc�Ic DIRECTIONS TO PROPERTY: senC ( BUILDING INFORMATION [XI RESIDENTIAL I AAAacz- _ L J COMMERCIAL ?D T Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 4I)me- L_ nueo LD(t )QDC'a z JR 3 4 [ ] Floor/Equipment Drains SIGNATURE: [ ] Other (Specify) q DATE: 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 # AP1427632 DEPARTMENT OF HEALTH PEST # 56-SF-1980993 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1199492 APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 40 BLOCK: 55 SUBDIVISION: Indian River Estates ID#: 3402-609-0138-000-8 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: 0.30 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 750.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM Orange paint 'X" center of intersec ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ INCHES / FT ] [ ABOVE / 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: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES. [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFTLF. TNFORMATTON STTE 9 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth 1 OYR 5/2 Sand 0To 12 1 OYR 5/1 Sand 12 To 36 1 OYR 6/1 Sand 23 To 36 I OYR 311 Sand 36 To 39 1 OYR 2/1 Spodic Material 39 To 43 10YR 3/2 Spodic Material 43 To 51 1 OYR 4/4 Sand 51 To 72 USDA SOIL 3ERIES:Lawnwood sand Munsell #/Color Texture Depth 10YR 5/2 Sand 0 To 15 1 OYR 5/1 Sand 15 To 33 1OYR 6/1 Sand 24 To 37 1 OYR 5/2 Sand 37 To 41 10YR 313 Sand 41 To 44 1 OYR 2/1 Spodic Material 44 To 53 1 OYR 3/2 Spodic Material 53 To 58 1OYk 4/3 Sand 58 To 72 OBSERVED WATER TABLE: 35.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT 1. ESTIMATED WET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 23.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 58 INCHES DRAINFIELD CONFIGURATION: I ] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMAKES/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 1 OYR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 23" In SB1. SB1 6" below BM. SB2 7" below BM SITE EVALUATED BY: Ingram, Brian (Title: E onmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions wtuch y not be used) Incorporated: 64E-6.001, FAC DATE: 08/14/2019 Page 3 of 4 AP1427632 EID1980993 v 1.0.2 5609 Palm Dr- Google Maps G(i;; gle Maps 5609 Palm Dr ,Sunnsu Pord lfr c 4 a F S u.c Cam -FOO P,C". ReToal ls!-s� raps tdaa i:.ddmn q q Sun Gm.rs� nrms�hvJ`< POU HO, :IE CLOGS tGGOti ANUGF�,CM® G nge E,Nl dQ o POVSfCO y UO,, Sm,In{4aQ - ,1 . vxa Ncks Pr.Is� SI:C0.1 456O3 Parm 0r ve 4 .. AFiary '9 Rdbs Reel 6a:,0 .r �s,u N C' ... ,Ac �Caplsn Mbxic Cirarlers Nem'Y And hlom � x o IFFondiny® L 3 Rc113 Mdrtgase a a y z v y 0er@an Church �PI�� 5<lode dlGW'S Fiats Flahir:y� i Arl.gd OOdee CNYslere E la]=a IlrvEeie • - Jc@PRamFLPRrce � cro'+e Community CdndoMmum� y /q Oanny'n Smmp!one As:wnation Of �N `"yY/ a 4 ACPo1r 5;zwrd ist . Nations Church C2suy Fumbnq pg EM.v.Il � Palm GrdvFAsscciandn � eXeS ^ � 6 A ero. o x VINrhGETNRIF P Y I 3 P g 3. 3 q S '• ^ 4 y 2 �. .vnrRlFl 6 -v v F air S., Art Pius Q Y 5 q s v UY'JCyG 1IN:da) WIYen Y/dW-hY 0(ASe d J&J Aum GafesQ T(uChft Van <w.,:morr vanm+m cvau l'7 Encouniat GW R+t Nusch Mmme n Supttldr Sluds� V Muo:art:Ols.dum BIM. s}uay r.., ^+ r.a oes,n eE.:.v _ma.0 E-u-nss < E—au to wc:@ Golf Rddye - • - _Y ' Gddgle Map data @2019 500 ft k Vi I -11 0 https:ilwww.google.com/maps/place/5609+Palm+Dr,+Fort+Pierce,+FL+34982/@27.3577657,-80.3148286,16z/data=!4m5!3m4!1 sOx88deefa4d4c769cf:Ox6a5b6eb6e66dfa65!8m2!3d27.3623824!4d-80.... 1/1 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser�All rights reserved. 9 $ 3 Property Identification Site Address: 5609 PALM Parcel ID: 3402-609-0138- Account H: 183063 Sec/Town/Range: DR 000-8 11/36S/40E Map ID: 34/11N Zoning: RS-4 Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Adams Homes of Northwest Florida Inc INDIAN RIVER ESTATES-UNIT-08- BLK 55 LOT 40 (0.30 3000 Gulf Breeze PKWY AC - 13,125 SF) (MAP 34/11N) (OR 4129-2226) Gulf Breeze, FL 32563 Current Values Historical Values 3-year Just/Market: $13,100 Assessed: $13,100 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $13,100 2018 $13,100 $13,100 $0 $13,100 Date 05-02-2018 12-20-2014 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Book/Page 4129/2226 4075/0636 Sale History Sale Code Deed Grantor 0001 WD Ciampa Jennifer 0111 QC Ciampa Joseph Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Roof Cover: Frame: Story Height Price $20,000 $100 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas ta J - 9 Finished/Under Air 0 . , Gross Sketched Area 0 . ,oG (SF): r. r�a•,� R, : ) Land Size (acres): 0.3 Land Size (SF): 13,125 Total Building Count: I Special Features and Yard Items Type 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. https://pasle-dev.org/RECard/ 8/7/2019 r'S. Fk� 5 [ r _ j j�„� + . — •`d l af. M �' y>Y wpi r ' M aA Lb s n ,7V. — •, ' -y�p�'.1 rat k , 'r _ ,� ,1 j �-i . 55 i 9 {�' > • t i16 TA a w t g �' t, �' J� h• r t iJv.'S.i. S rr ri -(��' ( .b-1J. ®Q.. d]s �✓sIOBCa ®CS p��3 4iG9�o`:'-° 1 r ` • _ ' . • f � �W�-j ' Custom Soil Resource Report 15�•Stf- - 1130113 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 transects 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 Bh1- 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: 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 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 0.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: AID 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 Landform 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 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: Low (about 4.5 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonfrrigated): 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 sofl 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 12 191 %C`