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HomeMy WebLinkAboutD.O.H. PAPPERWORKSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED BY St. Lucie Count7, CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Adams Homes of Northwest Florida, Inc PROPERTY ADDRESS: 5607 Palm Dr Fort Pierce, F 34982 LOT: 39 BLOCK: 55 PROPERTY ID #: SYSTEM MUST BE CONSTRUCTED IN ACLU 381.0065, F.S., AND CHAPTER 64E-6, F.A SATISFACTORY PERFORMANCE FOR ANY SPECI WHICH SERVED AS A BASIS FOR ISSUANCE PERMIT APPLICATION. SUCH MODIFICATIONS ISSUANCE OF THIS PERMIT DOES NOT ERE STATE, OR LOCAL PERMITTING REQUIRED FOR DEVI SYSTEM DESIGN AND SPECIFICATIONS 900 ] GALLONS / GPD 5 ] GALLONS / GPD ] GALLONS GREASE INTERCEPTOR C. ] GALLONS DOSING TANK CAPACITY D [ 375 ] SQUARE FEET Ural R [ ] SQUARE FEET A TYPE SYSTEM: ( ] STANDARD I CONFIGURATION: IX] TRENCH N F LOCATION OF BENCHMARK: Orange pE I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L [ ] FI [• ] BED I PERMIT 0:66-SF-2010887 APPLICATION #:AP1449781 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1268614 Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMEER] WITH SPECIFICATIONS AND STANDARDS OF SECTION + DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE PERIOD OF TIME. ANY -CHANGE IN MATERIAL FACTS, THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE RESULT IN THIS PERMIT BEINGMADE NULL AND VOID. THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, NT OF THIS PROPERTY. CAPACITY CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] ]GALLONS @[ ,]DOSES PER 24 HRS #Pumps [ SYSTEM SYSTEM [X] MOUND [ ] "X", CL o rd, center of [ 3 00 ] [ ME [ o0 ][ INCH. D FILL REQUIRED: I18.00] INCHES The system is sized for 3 bedrooms with a maximum 0 300 gpd. T H E R FT ][ ABOVE BELOW BENCHMARE/REFERENCE POINT FT ][ABOVE BELOA BENCHMARK/REFERENCE POINT of 6 persons (2 per bedroom), for a total estimated flow of BY: TITLE: Environmental Specialist II SPECIFICATIONS xian J Ing ITLE: Environmental Specialist II St. Lucie CHD APPROVED BY: Brian S Ingr EXPIRATION DATE: 04/29/2021 DATE ISSUED: 10/29/2019 ,. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Page 1 of 3 Incorporated: 64E-6.003, FAC v 1.1.4 h[1449761 SE1217563 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. =`s> St. Lucie County Health Department {� 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: :56-SF-2010887 BILL ooctt•56-BID-4465229 CONSTRUCTION APPLICATION N: AP1449781 RECEIVED FROM: Benlamin Drew"s Plumbing & Drain Ser AMOUNT PAID: $ 545.00 PAYMENT FORM: CHECK 189312 PAYMENT DATE: 10/23120 19 MAIL TO: (Adams Homes of Northwest Florida, Inc) FACILITY NAME: PROPERTY LOCATION: 5607 Palm or Fort Pierce, FL 34982 39 Lot: 55 Block: _ Property ID: 3402-609-0137-000-1 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -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 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. 66-PID-4206523 nxe PERMIT NO.;}W'zCtO 1 STATE OF FLORIDA DATE PAID: ¢ DEPARTMENT OF HEALTH FEE PAID: a ONSITE SEWAGE TREATMENT AND DISPOSAL RECEIPT #: SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: Holding Tank [ ] Innovative [X] New System [ ] Existing System [ ] g C ] Repair [ 1 Abandonment I ] Temporary [ 1 �— APPLICANT: 4109 ' - J —1 p� M W VIA i.i�,YJTELEPHONE: 112-- Ann Z�1�1' AGENT: )e n v I wMq \ 1 Xd" M s MAILING ADDRESS: 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 CC LOT: BLOCK: tJ-J SUBDIVISION: lY1�V - PLATTED: LA."s'•1-•C-, PROPERTY ID #: [5L l '1-� n-(5bn-1 ZONING: _ I/M OR EQUIVALENT: ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [K]<-2000GPD [ ]>2000GPD PROPERTY SIZE: .Z N IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y ,�� /( A DISTANCE TO SEWER: _ 14 FT T PROPERTY ADDRESS: V 1 Yw DIRECTIONS TO PROPERTY: iii�-e BUILDING INFORMATION [y] RESIDENTIAL [. ] COMMERCIAL Building Commercial/Institutional System Design Unit Type of Establishment No. of Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC No 1 P�i('aPf�1 Ct — 2bEb 4(b c=''rl , 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) DATE: �V SIGNATURE: DR 4015, 08/09 (Obsoletes previous editions which may not be used) Page 1 of 4 Incorporated 64E-6.001, FAC APPLICATION # AP1449781 STATE OF FLORIDA 56-SF-2010887 DEPARTMENT OF HEALTH PERMIT #�— ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1217�_ SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Adams Homes of Northwest Florida, Inc CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services LOT: 39 BLOCK: 55 SUBDIVISION: Indian River Estates ID#:3402-609-0137-000-1 '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. NET USABLE AREA AVAILABLE: 0.23 ACRES PROPERTY SIZE CONFORMS TO SITE PLAN: IXIYES [ ]NO / OTHER -TABLE 2 1 TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI AUTHORIZED SEWAGE FLOW: 575.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 563.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange paint'W' CL Ot rtl Cemer of piupe ELEVATION OF PROPOSED SYSTEM SITE 3.00 C INCHES / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED PROM THE PROPOSED SYSTEM TO THE SURFACE WATER: FT DITCHES/SWALES: 15 FT WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 1OO BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 PT FOLLOWING FEATURES NORMALLY WET: I ]YES FT NON -POTABLE: POTABLE WATER LINES: IR]NO FT 30 FT SITE SUBJECT TO FREQUENT FLOODING? [ 10 YEAR FLOOD ELEVATION FOR SITE: 10 YEAR FLOODING? [ ]YES IxINO] ]YES [X ]NO FT [ MSL /NGVD FT [ MSL / NGVD I SITE ELEVATION: SulL- USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 511 Sand 0 To 32 10YR 6/1 Sand 26 To 32 1 OYR 5/6 Sand 32 To 39 10YR 212 Spodic Material 39 To 45 1OYR 314 Sand 45 To 48 1 OYR 6/3 Sand 48 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 411 Sand 0 To 7 I OYR 5/1 Sand 7 To 32 10YR 6/1 Sand 24 To 35 1 OYR 5/4 Sand 35 To 42 1 DYR 2/1 Spodic Material 42 To 51 10YR 4/3 Sand 51 To 56 1 OYR 613 Sand 56 To 72 OBSERVED WATER TABLE: 35.00 INCHES [ABOVE / EELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: IX]YES I ]NO [ PERCHED / APPARENT ] EXISTING GRADE DEPTH:. 24.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 51 DRAINFIELD CONFIGURATION: IX] TRENCH [ ] BED [ ] OTHER (SPECIFY) r- REMAEKS/ADDITIONAL CRITERIA /T determined using USDA WSS and soil borings. t611 stripping in 10YR511 matrix, a10 % with diffuse boundaries starting at 24" in SB2. A'- tinln. RM_ S82 3" below SM. -7 SITE EVALUATED BY: `' Ingram, Brian DH 4015, 08/09 (Obsoletea previous editions v vironmental Specialist][) (ENVIRONMENTAL HEALIH) may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 10/25/2019 Page 3 of 4 AP1449781 EID2010887 v 1.0.2 'roperty Card gage I of 1 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification A ountti•37704 See/Town/Range: Site Address: 5607 PALM Parcel ID: 3402-609-0137- cc 11/36S/40E DR 000-1 Jurisdiction: Saint Lucie Map ID: 34/IIN zoning: RS-4 Count Use Type:0000 County ownership Adams Homes of Northwest Florida Inc 3000 Gulf Breeze PKWY Gulf Breeze, FL 32563-5623 Legal Description INDIAN RIVEAC - 10,000 SF)1 (MAP 34 1N) (OR 4 29 2225) LOT 39 {0.23 Historical Values 3-year Current Values Just/Market: $11,700 Assessed: $11,700 Year JustlMarket Assessed Exemptions $0 Taxable $11,700 Exemptions: $0 Taxable: $11,700 2018 2018 $11,000 $24,500 $6,506 $o $15,43 $6,506 2017 $24,500 $15,439 $0 $15,439 Sale History Date Book/Page Price Sale Code Deed Grantor $20,000 05-02-2018 4129/2225 0001 WD Ciampa Jennifer $100 0111 QC Ciampa Joseph 12-20-2014 4075 / 0636 3491 / 0729 0001 WD Eames John T $12,000 02-27-2013 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Grade: Effective Year: N/A Year Built: N/A Frame: No. Units: 0 Secondary Wall: Primary Wall: Story Height: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0"/o Heat Fuel: Primary Floors: P -_ Total Areas Finished/Under Air 0 (SF): ' Gross Sketched Area 0 (SF): Land Size (acres): 0.23 Land Size (SF): 10,000 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Blt All information is © Copyright correct at this time, but is subject to Lucie County Property Appraiser. llis provided without any warranty. r. All rights reserved. naelr. nra/RF.Card1 10/23/201S � c'°�$, x d afil lrllar�ilw�j rye a ....� f f2,i>a k Y k { lep}s s�,xF 'S.E x.ftle "ys l 4 Ir^ t x n t v� 4 c 3 }+G� v .w.ax ,q ; f ia,r v u v o q iyv rr xa ox o "? vv rFs iy >( ik f'0` W�f r 75 a i Y� e. t '�s '� x .r�.i x. ky art H'S..a°3yf r✓y a - {(. •a'� Ya+.v� i r ,, �s ..,�d� t�xs g�i�v�ix ,z,x ` '" }'t yra3" a"�'.F �yj. 31� ya>�¢� ��'� rz y ua r �° .,.. aFC .. vav x'�r x-`k"M e'�� C+�+-av� i�wF � ✓�s iv": ' f r�Ta fxF la' 'ly ° � °fit � � ,,,� �E Y�s�':` �' �` ¢ jq � " •. nr y"c�� "e� i � A m*e x'asxi'r�B}�� s{sr � [ ♦MR'.y'}�R>h r t* . � 1 � 'o. 7 -'s+, �. S • +, . r >a' �r s K v'U Li %i° h'k.N`�8 `4. y Il r< -rr x. .:d •r 3`ad d .•� 1r F is f x 3 e} av +° -r e 8 ,� 7; °& -; a.a'j F S•'a� 3 R i3y ;• d +'a � � h'x 0` .r rr x't f t ,'i4. > o a kl ibr 9 l t r. d' 'a n _,�. - ,,, s .a Y -'° ' E f k aa,., ,-•� Ci.z� ✓ i..'4 1. _ 'g 3� e�� 'p t }q. .4rTT �✓-1 r la i . (r a"' 9 w 7f mn C'- [#t �- i 'i9 ".., A yg ?" ,� "yi�lw�^' c�� � ��, F f R n _ e Y' i _ ♦ F` � esA �j� f �R ♦`§ is,9 ,`i 4 a r �i n»w.E • e Nw .. �..., i .:sue ] t � r a¥ x1 ?�� �. �! 6,a rg'i ti 4 fiC of x r d az j$J. # n e v of h���r} s "'Curb ah°�'"'F iryyxw a fkxWA'' r �'�re ef{✓ '�w Ean > ="`a'J a 5t' .'•r rr o 1 A 5..�� >x. rr i �A° e a8 �' a , a e �n n ` fir, :A:-rxe v s r n.ox do xai, �S �x� 1 �a mzl?uwg` UYt ar�Cadto4GaC3 C© ," 3 04 r, 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 Bh1 - 28 to 52 inches: sand Bh2 - 52 to 58 inches: sand C - 58 to Bo 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 ofponding: 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 waterstorage 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 (G156BC141 FL) 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 (nonirrigated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydre 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