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HomeMy WebLinkAboutD.O.H. PAPPERWORKirl Mission: y Ron DeSantls To protect, promote & improve the health 5 f' 4..a Governor of all people in Florida through integrated Nor stale, county & community efforts. HEALTH o Mr a Vision: To be the Healthiest State in the Nation Florida Department of Health in St. Lucie County Conditions for Issuance of Water Well PeNrED St Lucie,CD�y Effective July 24, 2017 • Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. ,a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email SLCDOH-WELLS()FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment A minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS(&FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St Lucie County • Division of Disease Control and Health Protection Bureau of Environmental Health 5150 NW Milner Drive Port St. Lucie, FL 34983 PHONE: 7721873-4931 • FAX: 772/595-1306 FloridaHealth.gov OVI '- Accredited Health Department Public Health Accreditation Board STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY; OR ABANDON A WELL P DScuthwest PLEASE FILL' . OLFFALLAPPLICABLE FIE I LDS F 0 Northwest - ('Denblks Required. Fields Where Applicable) P IISL Johns River Th 0 South Florida e mierwell montractoris responsible forcomplafing - hits fimin and 16maMing the pernit apphcatfon to the 6: • Suwannee River appmprralie delegated authority VAarq applicable. • DEP C ❑Delegated Authority (if Applicable) Unique Stipulations Required (See Attached) Quad No. Delineation No. i. Chad and NODW�l (Tolle. 941 NW Sctpflty W. *Owner, Legal if Corporation `Address -City 2. 1 �O QSf FL- 3qq83 'Slate, '71P I-j?__ 'Telephone,Number `We 3. ll , Road Na 6 -Address, 000(0m766cN)F'aLC'ly. *Parcel ID No. (PIN) or -Alternate Key (Circle One) _r 4... 001 1p5 EE Lio Lot Block �Loirie, fln,-e� Unit 'Section or Land Grant *Township *Range 'County, Subdivision C heck if 62-524: Yes No 5. Tim Vv'%Wms 11343 lM-- 4W4 lilo. t%mwmsavK54cW *Water Well Contractor ,License Numbiar `Telephone Number Email -Address 6- Iscis WnyroLolee, M. ' ; Fckt 1PIC41re.- � I FL 34A C; I 7. *Type of Work: -' Construction —Repair . Modification_Abtfndofimefit, 8. *Number of Proposed Wells t 9. 'Specify Intended Use(s) of Well(s): S Domestic V Landscape irrigation —Agricultural . I . r - rigatton Site Investigation _ —Bottled Water Supply R RecreationAreaIrrigation Livestock _7moritoring Public Water Supply (Limited, Use/DOH). I , __,_Nursery Irrigation —Test, —Public Water 8 Ci5mmercial/Industrial Earth -Coupled Geothermal Supply, (Community or —_G if course Irrigation : � — HVAC Suj�ly S E P 2 0 2019 —Class I Injection - 77— HVAC Return Class V Injection, Recharge Commercl I s ry allindustria Qi pos6l u ffefStorage and Recove _Drainage Remediation: R6covery_LAir Sparge� ther(besmtie) Ft)OH 6 UdB Court ___Other (De=ibe) (Note Ant 21 types Its are peniffra. g en*peruttinghumonty) 10.113!stance from Septic System if s200Lft. 11. Facility Description 12. Estimated Start Date 13.tEsthmated Well De;5th_V7- "Primary C I asing Diam I eter. -a n. open Hole: From TO ft. �0_ft. 'Estimated Casing Depth 0o iL. 14. Estimated Screen Interval- From 100 15.*Pfimary Casing Material: 'Black Ste at Gaivaniied PVC Stainless Steel Notcased, Other. 16. Secondary Casing:. ___Telesrope Casing ,.._Liner Surface Casing Diameter— in. 17. Secondary, Casing Material: Black Steel GalvanizedPVC, Stainless Steel Other 18.*Method of Construction, Repair. or Abandon nent, Auger _Cable Toot Jitted Rotary ____;3oni& Combination (Two or More Methods) Hand Driven (Well Point, Sind+lcint) c; 7�_Hydrauli.Point (Direct Push) C) 20. Indicate total number of existing Wells an site List number of existing unused Wells on site 0 21.'Is this well or any existing well -or waterwithdiawal on the owner's contiguous property -covered under a- Consumptive/Water Use Permit (CU PIWUP) or CUPMUP Application? Yes No If yes complete the following: CLIPMLP -No. District Well ID�No. 22. Latitude Longitude 23. Data obtained From: GPS Map.- urvey Datum".—NAD27 NAD 93 _WGS 84 -M ftpp� I agm W PCM -w-in K1566W a M*. MID W"�M �lwainfumed buy V�� d, McOm == 5, bye, ' Signature of Contractor .2hU, [ent, lov 00E ONCY7 Approval Granted Byzn Issue Date Expiration Date ?470HydralogistApproval Fee Received $ /Receipt No�:Check No. THIS PERMIT IS NOT VALID UNTIL . PROPERLY SIGNED BY AN AUTAORIZEDOFFICER 0 1 R , REPRESENTATIVE 1. . OF THE WMD.QR DELEGATEDAUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITEDURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR AgANDONM ENT ACTIVIDES. DEPFOM;62-532.900(l) Incorpomtedin62-532A00(l);F.A.C. Effective Date: October 7,2010.:', Page 1 of 2 FOUND WIRONROD ° ° r FO��D5�8°IR)NRqD AND CAP (LB 6852) 1 N8 59 5 E 00.0 WIREFENCE 66 AND CAP (LB 6852J LAT7E0 10'DRAINAGEAND UNDTYEASEMENT +$b — — — — — — — — — — �' I l\0 T I I` i� (VA (INT) I e 25.00' i �• L 0 Tt2 I8.66' 30.67' PATIO 00- 1633 , I R 18.67' Q PLA (VA CA o COV. PATIO / W /+ A' I a� 1200' _ I i COIv, �1 N CAD a Igo Af RESIOENFE �'ti I off'- /// I o •. UNDER CONS CTION PROP FORMBOARDEL\1253' 1STORY BEDROOM \\ o a I SINGLE F ILYRESIDENCE43.67 I a? o I 1,B• COV. ENTRY "-156 ' 81 �8.6 2200'IV i PR POSED rA DA VEWAY I o R = D = ^y�o FOUNDWIRONROD I uNL uND �ANDCAP 2 ry ti JJg?A,." AND CAP 9 6852)" 1 S89°43'38' 84.89' a. 0 6�g,,ci` CONCRETE 0• PLATTED I �g9 SIDEWALK pb PLATTED CC AXONAREA PLATTE)WER.LEASEMENTI.. 20' I TREETOGHT PLATTED oo RIGHT OF WAY COMMON UND NAIL D DISC 0 RMANENTC OL AREA �� 2'VALLEYCURB P0l #959 J , 1 j FOUND ANDDISC gti s LONE PINE DRIVE CENTERLINEOFPLA 60'RIGHTOFWAY (PLATTED7R40T6;PRIVA7EDRIVEJ ASPHALTPAVEMENT I. LEGEh �h 2'VALLEYCURB Q LI = LB LB BENCHMARK CI SET A"MARK EL =EL! ELEV a29'(NAVD 88) WL = PR, P=PLAT M=MEA RAN=RI x0.00'E ,Property Card `9- 5 r- i q � 574,wp Page 1 of 1 5111 ` v� 903 Michelle Franklin, CFA — Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 1304 Lone Parcel ID: 3409-505-0006- Account #: 166406 Sec/Ibwn/Range: Pine DR 000-6 09/36S/40E Map ID: 34/09N Zoning: Planned Un Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Chad Crouse LONE PINE SUBDIVISION (PB 51-21) LOT 1 (OR 4093- -Naomi Crouse 2368) 5481 NW Scepter DR Port Saint Lucie, FL 34983 Current Values Historical Values 3-year Just/Market: $36,000 Assessed: $36,000 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $36,000 2019 $36,000 $36,000 $0 $36,000 2018 $30,000 $18,519 $0 $18,519 2017 $26,400 $16,836 $0 $16,836 Sale History Date Book/Page Sale Code Deed Grantor Price 01-31-2018 4093 / 2368 0001 TR Vaughn (TR) Geraldine $37,000 06-22-2012 3407 / 0591 0001 WD Oceans Four Development Corp $11,000 05-14-2003 1714 / 2681 XX00 WD Taylor Eleanor R $240,000 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°/o Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Type ;ll, rie I Total Areas 3: Finished/UnderAir 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.38 Land Size (SF): 16,553 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 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED By St. Lucie County CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Chad & Naomi Crouse PROPERTY -ADDRESS: 1304 Lone Pine Dr Fort Pierce, FL 34982 LOT: 1 BLOCK: SUBDIVISION: Lone Pine PROPERTY xD #: 3409-505-0006-000-6 PERMIT #: 56-SF-1 985646 APPLICATION #:AP1430625 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1253310 [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 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 @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET - Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DQ MOUND I CONFIGURATION: [X] TRENCH [ ] BED [" ] N F LOCATION OF BENCHMARK: FND NiD permanent controlpoint#959 I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ] E BOTTOM OF DRAINFIELD TO BE L D I 0 T H E R FT ] [ 10.00 ] [ INCHES FT ] BELOW] BENCHMARK/REFERENCE POINT BELOW] BENCHMARK/REFERENCE POINT ILL REQUIREU: L LL.UU] INCHES EXVAVA'lIVN KY: UI1 U: L J 1pl.ROJ The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated fl riXj 400 gpd. Q�C1 ®�� SPECIFICATIONS BY: Brian J Ingtam TITLE: Environmental Specialist II APPROVED BY: Tr/✓w-- TITLE: Environmental Specialist II Brian J. I gram DATE ISSUED: 09/20/20 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC St. Lucie CHD 03/20/2021 Page 1 of 3 v 1.1.4 A61430625 SE1202329 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. IOYIM HEALTH PAYING ON: RECEIVED FROM: PAYMENT FORM: St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 #: 56-SF-1985646 BILL Doc # 56-BID-4372192 CONSTRUCTION APPLICATION #: AP1430625 James Trefelner AMOUNT PAID: $ 660.00 CHECK 1931 PAYMENT DATE: 08/26/2019 MAIL TO: Chad & Naomi Crouse FACILITY NAME: PROPERTY LOCATION: 1304 Lone Pine Dr Fort Pierce, FL 34982 1 Lot: Block: Property ID: 3409-505-0006-000-6 EXPLANATION or DESCRIPTION: 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 -1 - Well Construction 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 1 $ 115.00 RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-4076316 Note: 59-29903 ] PRIVATE PUBLIC [t�<=2000GPD [ ]>2000GPD [ Y /(9] DSSTANCE TO SEWER: — FT STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMMUT AND DISPOSAL ' SYSTEM APPLICATION FOR CONSTRTICTION PERMIT N6LL_ NO. 5'vt- aagQ3 PERMIT NO. G�'6F' 0 6l¢4lp DATE PAID: tp FEE PAID: S545,00 _ RECEIPT S: APP ICATION FOR: [ New System [ ] Existing System [ ] Holding Tank [ ] Innovative ].' Repair [ ] Abandonment [ ] TeinporarY [ ] APPLICANT: C.jRR'I_`� )4NLcL (IVn oO:�O✓�'� C�IZ-0 AGENT: �QimeS ^C,.�1 Ic�v `,� ,.Q _ TBLSPHONE:1•� 1 "1.0_�3 MAILING ADDRESS: 1 c�o V✓iViYI XMv �00,6- flue P. 3glLis TO SE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LliCkNSED PURSUANT TO 489.105(3)(m) OR 489.552; FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF TBEDATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION ' LOT: t BLOCK: SUBDIVISION: �Oh�. L /%fie. PLATTED: r� / I "-S• PROPERTY ID 4: 340[ '505 00C4 '00() (0 ZONING: I/ti OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: o Ord ACRES WATER SUPPLY: IS SEWER AVAILABLE AS PER 381.0065, FS? PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: Low rdl l�Qt u . /J BSTLLDING INFORMATION [ X7 RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of. Building Commercial/Idstitutional System Design. No Establishment Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC 2 3 4 C ] Floor/$quiPa%it Other (Specify) SIGNATURE: DATE: -7 DH 4015, O'8¢C9 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1430625 DEPARTMENT OF HEALTH PERMIT # 56-SF-1985646 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1202329 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Chad & Naomi Crouse CONTRACTOR / AGENT: LOT: 1 James Trefelner BLOCK: SUBDIVISION: Lone Pine ID#: 3409-505-0006-000-6 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE i 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: 0.38 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 950.01 GALLONS PER DAY [ 1500 GPD/ACRE OR F2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1500.00 SQFT UNOBSTRUCTED AREA REQUIRED- 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATxON: FND NiD permanent control point#959 ELEVATION OF PROPOSED SYSTEM SITE 6.00 [FINCHES] / FT ] I ABOVE I / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: 75 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 22 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT I MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD _ ROTT. PRnVTT.F. TNFORMATTON RTTF. T SOIL PROFILE INFORMATION BITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Fine Sand 0 To 27 10YR 5/8 CMN/PRM RF 20 To 27 10YR 514 Fine Sand 27 To 33 10YR 616 Fine Sand 33 To 48 1 OYR 714 Fine Sand 48 To 53 10YR 4/2 Loamy Fine Sand 53 To 58 IOYR 4/2 Fine Sandy Loam 58 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 1OYR 4/1 Fine Sand 0 To 26 1 OYR 518 CMN/PRM RF 21 To 26 1 OYR 614 Fine Sand 26 To 35 1 OYR 616 Sand 35 To 46 10YR 7/4 Fine Sand, 46 To 53 10YR 5/2 Sandy Clay Loam 53 To 72 OBSERVED WATER TABLE: 45.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED NET SEASON WATER TABLE ELEVATION: 20 INCHES I ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: EX ]YES [ ]NO MOTTLING: IX IYES I ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA IWT determined using USDA WSS and soil borings sandy redox-10YR5/8 CMN PROM RF mottling in 10YR411 matrix>2% starting at 20" in SEC 1 6" above SM. SB2 7" above SM. SITE EVALUATED BY: Ingram, Brian DH 4015, 08/09 (obsoletes previous editions a 'Environmental Speclallst 11) (ENVIRONMENTAL HEALTH) may not be used) Incorporated: 64E-6.001, FAC INCHES DATE: 09/02/2019 Page 3 of 4 AP1430625 EID1986646 v 1.0.2 4y e� STATE OF FLORIDA DEPARTMENT OF HEALTH p ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT #. -SF-Ia, rT 5(a qfo APPLICANT: /,hA`0 --f- IA)At (`; CgAISC AGENT: 3_0L,VR. J 1 (e Fe,l e) LOT: �_ BLOCK: l SUBDIVISION: LO(ige PROPERTY ID #: 3'0l.,5 61— OOO(p 600 w [Section/Township/Parcel No. or Tax ID Number] TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: 0 YES [ ] NO NET USABLE AREA AVAILABLE: d.3/ ACRES TOTAL ESTIMATED SEWAGE FLOW: - GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQFT BENCHMARK/REFERENCE POINT LOCATION:'?-9!r bh 1&— 'C. L o r I . ELEVATION OF PROPOSED SYSTEM SITE IS q Rl'ffCHESDFT] �t2 BffOV�' A. ELOW] /EITC MM /REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: /r70 FT DITCHES/SWALES: /s FT NORMALLY WET? [ ] YES [ ] NO WELLS: PUBLIC: LQrc> FT LIMITED USE: FT PRIVATE: 3 FT NON -POTABLE: SO FT BUILDING FOUNDATIONS: S FT PROPERTY LINES: FT POTABLE WATER LINES: [(J FT i . SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ ] NO 10 YEAR FLOODING? [ ] YES [ ] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD bu" rAUML" 1NMUk(M ZLUN Sl'Tz 1 MUNSELL #/COLOR TEXTURE TO TO USDA SOIL SERIES: SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE:[PERCHED / APPARENT] ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ ] REMARKS/ADDITIONAL CRITERIA: BED DEPTH OF EXCAVATION: [ ] OTHER (SPECIFY) SITE EVALUATED BY: DATE: INCHES DH 4015, 09/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 Property. Card 56. . /;r-- 1R&5CoH6 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser. --All rights reserved. Property Identification Site Address: 1304 Lone Parcel ID: 3409-505-0006- Account #: 166406 Sec/fown/Range: Pine DR 000-6 09/36S/40E Map ID: 34/09N Zoning: Planned Un Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Chad Crouse LONE PINE SUBDIVISION (PB 51-21) LOT 1 (OR 4093- _ NaomiCrouse 2368) 5481 NW Scepter DR , Port Saint Lucie, FL 34983 Current Values Historical Values 3-year Just/Market: $36,000 Assessed: $36,000 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $36,000 2019 $36,000 $36,000 $0 $36,000 2018 . $30,000 $18,519 $0 $18,519 2017 $26,400 $16,836 $0 $16,836 Sale History Date Book/Page Sale Code Deed Grantor Price 01-31-2018 4093 / 2368 0001 TR Vaughn (TR) Geraldine $37,000 06-22-2012 3407 / 0591 0001 WD Oceans Four Development Corp $11,000 05-14-2003 1714 /2681 XX00 WD Taylor Eleanor R $240,000 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: @. ry etch n 'k Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Type Qty Units Year Bit 0 0 0.38 16,553 1 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2019 Saint Lucie County Property Appraiser. 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[*�'T r r ?`Ta .,$, _ t" '-. !�e�Cn �� t 1�'Ir AIr♦ ,r""y 'FT^crL. *41 Mtn 4 r u� .aS� .: ♦ "'9 s, t�y G r t y��~,�a_ Ct,,�&^ �r {} 2 f , TF r Ott � Lr v,-� , �{��,�"` .�4F "'%P t F ►� „rt {C„ it �� _ � _ r 1'=�, a'• w'S{ , S'k' rv'�. September 16, 2019 yq- 63N 11 1:2,257 0 90 180 360 ft 0 25 50 100 m Sources: Earl, HERE, Gamin, USES, Intemup, INCREMENT P. NRCon, Esd Japan, MET], Esd China (Hong Kong), Esd Korea, Earl (Thafland), ,P Custom Soil Resource Report St. Lucie County, Florida 38—Riviera fine sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol., 2tzw2 Elevation: 0 to 80 feet Mean annual precipitation: 44 to 59 inches Mean annual air temperature: 68 to 77 degrees F Frost -free period., 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Riviera and similar soils: 80 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Riviera Setting Landform: Flats on marine terraces, drainageways on marine terraces Landform position (three-dimensional): Tread, talf, dip . Down -slope shape: Linear Across -slope shape: Linear, concave Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 6 inches., fine sand E - 6 to 28 inches: fine sand BUE - 28 to 32 inches: fine sandy loam Btg - 32 to 42 inches: sandy clay loam C - 42 to 80 inches: fine sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Poorly drained Runoff class:- Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately high to high (0.60 to 6.00 in/hr) Depth to water table: About 3 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: Moderate (about 6.0 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: A/D Forage suitability group: Sandy over loamy soils on flats of hydric or mesic lowlands (GI55XB241 FL) Other vegetative classification: Slough (RI 55XY011 FL) 10 e� Custom Soil Resource Report Hydric soil rating: Yes Minor Components Wabasso Percent of map unit: 8 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: No Hallandale Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hyddc soil rating: Yes Pinellas Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, tall Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: Cabbage Palm Flatwoods (R155XY005FL) Hydric soil rating: No Floridana Percent of map unit: 2 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Tread, dip Down -slope shape: Concave, linear Across -slope shape: Concave, linear Other vegetative classification: Freshwater Marshes and Ponds (R155XY010FL) Hydric soil rating: Yes Oldsmar Percent of map unit: 2 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex, linear Across -slope shape: Linear Other vegetative classification: South Florida Flatwoods (R155XY003FL) Hydric soil rating: No 11