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HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM h11 • C01v3TRUCTION PERMIT FOR: APPLICANT: Civ(1a I PROPERTY ADDRESS: OSTDS New JR 3552 Avenue S Fort Pierce. FL 34947 PERMIT #:56-SF-1985487 4 � APPLICATION #:AP1430523 DATE PAID: SCANNED BY at. Lucie County FEE PAID: RECEIPT #: DOCUMENT #: PR1252892 LOT: 18 & 19 BLOCK: 3 SUBDIVISION: Sunland Gardens PROPERTY ID #: 2405-601-0060-000-2 [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 1 GALLONS / GPD Septic new CAPACITY A [ 1 GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 ERS #Pumps [ 7 D [ 500 ] SQUARE FEET . Dra[nfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [X] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: Nail In tab I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D I O T H E R [x] BED [ ] CL of rd, SW property corner '[ 8.00 11 INCHES FT I ABOVE BELOW BENCHMARK/REFERENCE POINT [ 16.001E INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT REQUIRED: I7u.uu) INCHES EXCAVATION REQUIRED:'[ 03.uuJ 1NGREb 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 Ingr TITLE: Environmental Specialist II APPROVED BY: �T`ITLE: Environmental Specialist II St. Lucie CHU c S�t�j� BrianIngraxd D. ',ISSUED: 09/18/2019 1 EXPIRATION DATE: 03/18/2021 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 AP1430523 SE1201960 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 a 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. Ir St. Lucie County Health Department ' 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: #:56-SF-1985487 BILL DOC#:56-BID-4371534 CONSTRUCTION APPLICATION#: AP1430523 RECEIVED FROM: George and Associates AMOUNT PAID: $ 545.00 PAYMENT FORM: CREDIT CARD 134728 PAYMENT DATE: - 08/26/2019 MAIL TO: Clyde Mitchell, JR FACILITY NAME: PROPERTY LOCATION: 3552 Avenue S Fart Pierce, FL 34947 3 18 & 19 Lot: Property ID: 2405-601-0060-000-2 EXPLANATION or DESCRIPTION: 3 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 4A, QUANTITY FEE 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1' $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4074982 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL nr.r�i SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [�] New System [ ] Existing System [ ] Holding Tank [ ] Repair �} [ ]] Abandonment [ ] Temporary APPLICANT: C n I J., I' 1 e •�i 1. � �I �'C AGENT: MAILING ADDRESS: LCC PERMIT NO. vl - � 15 a 1 DATE PAID: lL( FEE PAID: C- RECEIPT #: $lid- q3o 153� _[ ] Innovative TELEPHONE: 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 Q LOT: I d OLI qBLOCK: SUBDIVISION: �[l VI I a 11 �.-�'(1-S PLATTED: PROPERTY ID #: �•iDS�I DI�fXJ�sP�-p�(�� ZONING: PROPERTY SIZE: ACRES WATER SUPPLY: [ ] PRIVATE IS SEWER AVAILABLE AS PER 381.000165, FS7 [ YIN PROPERTY ADDRESS: I r IVP, M] I/M OR EQUIVALENT: [ YoN ] PUBLIC []<=2000GPD [ 1>2000GPD DISTANCE TO SEWER: FT BUILDING INFORMATION [ ] RESIDENTIAL [ ] COMMERCIAL _ Unit Type of No. of Building Commercial/Ins ti tutibnal System Design No Establishment Bedrooms Area Sqft Table 1,. Chapter 64E-6, FAC 1elf 5 eedLedj'a 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIG,NTURE: DATE: 2a / DH 4015, 08/09 (Obsoletes previous editions which 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 SITE EVALUATION AND SYSTEM SPECIFICATION w APPLICANT: Clyde M CONTRACTOR / AGENT: LOT1' 18 & 19 SUBDIVISION: JR and Associates Sunland Gardens ID#: BLOCK: 3 APPLICATION # AP1430523 PERMIT # 56-SF-1985487 DOCUMENT # SE1201960 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 EX ]NO NET USABLE AREA AVAILABLE: 0.38 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 1 AUTHORIZED SEWAGE FLOW: 950.01 GALLONS PER DAY I 1500 GPD/ACRE OR 2500 GPD/ACRE 1 UNOBSTRUCTED AREA AVAILABLE: 1100.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Nail in tab, CL of rd, SW property comer ELEVATION OF PROPOSED SYSTEM SITE 8.00 [ INCHES / FT 1 I ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM, SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: I ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 45 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES IXINO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MEL / NGVD I SITE ELEVATION: FT I MSL / NGVD AOIT. PROPTT.E INPORMATTON ATTF. 1 SOTL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Tantile sand Munsell #/Color Texture Depth 1 OYR 5/1 Fine Sand 0 To 11 1 OYR 6/1 Fine Sand 11 To 45 1 OYR 7/1 Fine Sand 32 To 45 1 OYR 2/1 Spodic Material 45 To 49 7.5YR 3/3 Spodic Material 49 To 52 1 OYR 4/1 Sand 52 To 65 7.5YR 3/2 Spodic Material 65 To 72 USDA SOIL SERIES:Tantile sand Munsell #/Color Texture Depth 10YR 5/1 Sand 0 To 12 10YR 6/1 Sand 12 To 42 1 OYR 7/1 Sand 32 To 50 1 OYR 2/1 Spodic Material 50 To 53 10YR 4/2 Sand 53 To 66 7.5YR 3/3 Spodic Material 66 To 72 OBSERVED WATER TABLE: 72.00 INCHES I ABOVE / BELOW ] EXISTING GRADE TYPE: I PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 32 INCHES I ABOVE / BELOW 1 EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 32.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: 53 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X] BED [ 1 OTHER (SPECIFY) ' REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR7/1 stripping In 10YR6/1 matrix >10% with diffuse boundaries starting at 32" In both SIBS. SBI and S82 8" below BM. 11 SITE EVALUATED BY: DATE: 09/13/2019 Ingram, Brian (Title: Env nmental Specialist II) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous editions which ma not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1430523 EID1985487 v 1.0.2 Property Card Page 1 of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --AII rights reserved. Property Identification Site Address: Avenue S Parcel ID: 2405-601-0060- Account #: 18404 Sec/Town/Range: 000-2 05/35S/40E Map ID: 24/05N Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description _ Clyde W Mitchell Jr SUNLAND GARDENS BLK 3 LOTS 18 AND 19 (0.38 AC) 2314 OKALANI ST Palm Shores, FL 32940 Current Values Historical Values 3-year Just/Market: $8,700 Assessed: $8,700 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $8,700 2019 $8,700 $8,700 $0 $8,700 2018 $7,000 $4,977 $0 $4,977 2017 $7,000 $4,525 $0 $4,525 Sale History Date Book/Page Sale Code Deed Grantor Price 08-07-2018 4166 / 1497 0111 QC Bradley Angela Y $17,000 05-28-2008 2978 / 0085 XX01 QC Cosme Alisia $16,000 07-08-2004 2010/2058 XX01 QC Byrd Deloris $8,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Type Roof Cover: Roof Structure: Frame: Grade: Story Height: No. Units: 0 Interior Data A/C %: 0% Electric: Heated %: N/A% Heat Type: Sprinkled %: 0% Heat Fuel: Building Type: Effective Year: NIA, Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Total Areas c; Finished/UnderAir 0 (SF): Gross Sketched Area (SF): 0 iU; •.,l';';'>1,,;' Land Size (acres): 0.38 Land Size (SF): 16,552.8 Total Building Count: I Special Features and Yard Items Qty Units Year Bit All information is believed to be correct at this time, but is subject to change and is provided without any warranty. ® Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved. https://paslc-dev.org/RECard/ 8/26/2019 Y �,•� -it^ �Y1Ci r r �a t':; .ter '� �. ,.�f;F$ . 3i` b't�'-'•,�,�t I.I. q dT ..,=i °4 i ly 1'f •_'j� t Y { J4 s�$-Sp '1'• i {Rises Wwr C� iay .,,�_yr of yy #. ,.�+ � :n F+ F�a �ro ray_ � a � •(s �.� •. ,01 ,+ h 5'� a i e . ^q�[ ,��.., lClt • } e f "fr - yJ ,<_• r ri . .q�'• r Ik tY ti' F K qq It � +e '�GS+�•4i1-VI^'_� L 11 1 x . ,". 5 F sALI ' y • '� ,• v i y .% J t � l' 't »'-d '' r � � `T•i. 'T Y.y ! a'ti! � Ir r a � 1 k' }"a r '` i � r s s � � qr :. ♦ �i �FIs.. } « �0 GgMp Pab:m n@01d O4ti7uS� 0m,', Custom Soil Resource Report St. Lucie County, Florida 44—Tantile and Pomona sands Map Unit Setting National map unit symbol. 1jpw6 Elevation: 20 to 120 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 Tantile and similar soils: 44 percent Pomona and similar soils: 44 percent Minor components: 12 percent Estimates are based on observations, descriptions, and transacts of the mapunit. Description of Tantile Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand Eg - 5 to 26 inches: sand Bh - 26 to 34 inches: sand Bt - 34 to 49 inches: loamy sand E'g - 49 to 69 inches: sand Btg - 69 to 80 inches: fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 18 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 1.2 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: A/D lL Custom Soil Resource Report Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Description of Pomona Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 26 inches: sand Bh - 26 to 39 inches: sand E' - 39 to 51 inches: sand Btg - 51 to 72 inches: sandy loam 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 0.57 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: Moderate (about 6.0 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 Nettles Percent of map unit. 3 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Hydric soil rating: No Pepper Percent of map unit. 3 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf 11 Custom Soil Resource Report Down -slope shape: Convex Across -slope shape: Linear Hydric soil rating: No Ankona 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 Hydric soil rating: No 12 - tit- V. v1T� 1�r . � ail, i a1 F,_ � � - .+ , , e_. - . 4> _ ,-r-in,�., •_gym• a,.- . '*�p�Pa+' 'sa r-_"',^ - .,,.ems f....�' o: _=•Fr. : sue••.. an Saint Lucie County Property Appraiser G September 16, 2019 1:9 028 0 370 740 1,480 ft 112.5 225 450 m Sowcas: Esri, HERE, Gamin, USGS, Intermap, INCREMENT R Nil Esrl Japan, MET[, Earl China (Hong Kong), Emi Korea, E6d (Thailand),