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
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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
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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),