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HomeMy WebLinkAboutD.O.H. PAPPERWORKY-m 1 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM PERMIT #:56-SF-2008516 APPLICATION #:AP1448325 DATE PAID: FEE PAID: RECEIPT #: bile Copy DOCUMENT #: PR1279634 SCANNED BY CONSTRUCTION PERMIT FOR: OSTDS New St. Lucie County APPLICANT: (Adams Homes of Northwest Florida Inc) PROPERTY ADDRESS: 5609 Birch Dr Fort Pierce, FL 34982 LOT: 40 BLOCK: 56 SUBDIVISION: Indian River Estates PROPERTY ID #: 3402-60M178-000-0 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAR 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 THISPERMIT 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:1250 GALLONS] K [ ] GALLONS DOSING 'TANK CAPACITY [ .]GALLONS 8[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET Drainfield new SYSTEM R [ 1 SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIGURATION: [X] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: FND IR in cut -Out, Center Of intersection I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 1 [1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 6.00 ][INCHES FT ][ AEOVE BELOW] BENCHMARK/REFERENCE POINT L F7 Z1 T H. E R system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: rian J Ingr TITLE: Environmental Specialist II APPROVED 13y;42 TITLE: Environmental Specialist II St. Lucie CED Brian J InAn DATE ISSviaD: 11/04/2019 EXPIRATION DATE: 05/04/2021 DH 4016. 08/09 (Obsoletes all previous editions which may not be used) InCO*03ceLted: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1448325 SE1228447 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. Forl" HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 a 56-SF-2008516 BILL ooc o.56-BID-4460215 CONSTRUCTION APPLICATION N: AP148325 Beniamin Drew"s Plumbinq & Drain Ser AMOUNT PAID: $ 545.00 CHECK 181783 PAYMENT DATE: 10/15/2019 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5609 Birch or Fort Pierce, FL 34982 40 Lot: Property ID: 3402-609-0178-000-0 EXPLANATION or DESCRIPTION:' 56 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 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-4199308 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [�(] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary PERMIT N0.5 - �W V.71� DATE PAID: S FEE PAID: UC- RECEIPT #: [ ] Innovative APPLICANT: �d0.mS �[Y1PC d�' �(�Y)PS•% �L AGENT: j� \nI Yec.U�S RIAM10 )00 TELEPHONE:IIZ- MAILING ADDRESS: 4I1�JGYY�\ .� c�lvG�.._ JJ'Fi-. Pierce , FL -Wt r l TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MOST 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: 40_ BLOCK: GAY SUBDIVISION: jnlnat�,afi Cvet T�S+CC�CSPLATTED: �y�w u-ht t 8 PROPERTY ID n:3�E02 - �Q(�-(71'1$•DDU-D ZONING: PS-_ I/M OR EQUIVALENT: [ Y / NO PROPERTY SIZE: D.3 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [✓J<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /a DISTANCE TO SEWER: _AFT PROPERTY ADDRESS: oct CJ\yGi-, DY -yc- 1F+P l -e,Ycrc DIRECTIONS TO PROPERTY: S-e-e a4+Ci(C-yYP(1 rf�OXQ BUILDING INFORMATION [XI RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sq£t Table 1, Chanter 64E-6, FAC 1 QE5� ol�tn'�0.0 O D A W q 2 3 4 [ ] Floor SIGNATURE: ] Other (Specify) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC. DATE: jo--) Iq Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1448325 DEPARTMENT OF HEALTH PERMIT # 56-SF-2008516 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DocuMENT # SE1228447 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 40 BLOCK: 56 SUBDIVISION: Indian River Estates ID#: 3402-609-0178-000-0 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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.30 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY IF 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: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATxON: FNDIRin ELEVATION OF PROPOSED SYSTEM SITE ann FT ] [ ABOVE / BELOW ] BENCHMAHK/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: 100 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 30 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [XINO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD I SITE ELEVATION: FT [ MSL / NGVD B07T. 9Rl1FTT.0 USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 4 1 OYR 511 Sand 4 To 15 1 OYR 6/1 Sand 15 To 30 10YR 7/1 Sand 21 To 41 IOYR 2/1 Spod[c Material 41 To 63 10YR 4/3 Sand 63 To 72 vnm Tnla CTTF. 2 VUSDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand O To 6 IOYR 511 Sand 6 To 16 1 OYR 611 Sand 16 To 43 1 OYR 711 Sand 24 To 43 I OYR 2/1 Spodic Material 43 To 61 1 OYR 313 Sand 61 To 68 10YR 4/3 Sand 68 To 72 OBSERVED WATER TABLE: 36.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 21 INCHES ( ABOVE / EELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: ( ]YES EX ]NO MOTTLING: IX]YES ( ]NO DEPTH: 21.00 INCHES SOIL TEXTURE/LOAbING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [XI TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADOZTIONAL CRITERIA WSWT determ[ned Vs]ng USDA WSS and soil borings- 10YR7/1 stripping ih 10YR611 matrix >16% with diffuse boundaries starting at 21" in SB7 SB7 3" abOveaM, SB24" above BM. i? SITE EVAL%171lj BY: / DATE: 10/28/2019 Ingram, Brian (TI : Environmental Specialist II) (ENVIRONMENTAL HEALTH) DR d015, Oa/09 (Obsolutea Page 3 of 4 previous erHtiona w cT may not be used) Incorporated: 6dE-6.001, FAC 4 APJ448325 EID2008516 v 1.0.2 rroperty vara Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 5609 BIRCH Parcel ID: 3402-609-0178- Account #: 37732 SecrFown/Range: DR 000-0 11/36S/40E Map ID: 34/1 IN Zoning: RS-4 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Adams Homes of Northwest Florida Inc INDIAN RIVER ESTATES-UNIT-08- BLK 56 LOT 40 (MAP 3000 Gulf Breeze PKWY 34/1IN) Gulf Breeze, FL 32563 Current Values Historical Values 3-year Just/Market: $15,400 Assessed: $10,450 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $10,450 2019 $15,400 $10,450 $0 $0 $10,450 $9,500 2018 $13,100 $9,500 2017 $12,300 $8,637 $0 $8,637 Sale History Date Book/Page Sale Code Deed Grantor - Price 04-23-2019 4260 / 2804 0001 WD Rodriguez -Ricardo $27,000 $33,000 04-28-2004 1963 / 1627 XX00 WD Thomas Diane $19,500 10-29-2003 1835/2183 XX00 WD Becker Alexander Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas Finished/UnderAir 0 (SF): Gross Sketched Area 0 (SF): . Land Size (acres): 0.3 f * Land Size (SF): 13,125 5. Total Building Count: 1 Type Special Features and Yard Items Qty Units Year Blt 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://www.pasle.org/RECard/ 10/15/2019 9/8/2019 5609 Birch Dr - Google Maps Go,,..gle Maps 5609 Birch Dr CWD W"Me e t'n,,.hww E.OW VkJanS.Lvrosftkf P.11 9A 560 em D. :an DodUaCWOI�n Jmmr.f,P.11CI Go rile Map data @2019 1000 ft- htLps:liw .google.corrdmapstplace/5609+Birch+Dr,+Fort+Pierce,+FL+349M@27.3696O99,-80.309023,15z/data=!4m5l3m4llsOx88deafa4ee252bdb:OxdaceBcb7e6bcd9gel8m2!3d27.3622745!4d-80.3... 112/ rit. �t Al t �f �1n a H r y¢i 'G" i • {l 8 " '• r t`K° iUL' r ` • T I!�yYti <S'" . Ft.ri,- ° %`� Y n_ as s +Aria +' --rut t sF f•'�,: t•LLry {Sr R �. .a ' * ai ! i4d. 1447 a, Custom Soil Resource Report St. Lucie County, Florida 21—Lawnwood and Myakka sands Map Unit Setting National map unit symbol., ljpvg 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 1 - 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: 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 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 13h - 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 mmhoslcm) 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: 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 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 M., atca�-.{ 1 h -` '0 ++a��� .. +•:, •/ ta,,+.. ., � ;,ti 'j"Yx rT-..�Ni �,7"sv44 _:.t Nrr '' � I �' p ,,; `{� ♦ Yob � °' � � Yi• iy '� ���'S ;x 2i1i.��.• a '� ��4F x�A: yttSs��-'iv f4 o 1,17y r i )al.• : ra 1,n .. � z SJ,ySr .t,t 4 � � � 'r x_ -T�2L a` h 1s . 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