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HomeMy WebLinkAboutDOH PAPPERSr� r 1 SCANNED RV LOT: 7 BLOCK: 107 SUBDIVISION: Lakewood Park PROPERTY ID #: 1301.611-0142-000-0 [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 NOLL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT E7Q:MPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND T [ 1,350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY I ]GALLONS @I ]DOSES PER 24 HRS #Pumps [ D [ 867 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD Ix] FILLED [ ] MOUND I CONFIGURATION: [ ] TRENCH Ix] BED [ ] N F LOCATION OF BENCHMARK: Orange Spot On Culvert North Of driveway I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D 0 T H E R I [ 2.00 3 11 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT [ 5.00 It INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT w ace.Yuiaccu. r -1 -I.UUJ aa,:naa JsnuavnrJ.vav —Yuaneu: l J is system is sized for 6 bedrooms with a maximum occupancy of 12 persons (2 per bedroom), for a total estimated flow 520 gpd. is licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(f), FAG. is OSTDS shall be set back from the public drinking water well by the max]mum distance attainable but not less than ft when installed. As per variance. SPECIFICATIONS BY: Brian J gram TITLE: Environmental Specialist I APPROVED BY: , TITLE: Environmental Specialist I St Lucie CED Brian J gram . DATE ISSUED: 03/10/20 6 EXPIRATION DATE: 09/10/2017 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003e FAC Page 1 of 3 v 1.1.4 AP1224898 SE988264 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.669 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 # A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. 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'fiinal 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 govemed 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. St. Lucie County Health Department 5150 NVV Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT a:56-SF-04670 BILL DOC #:56-BID-3021685 CONSTRUCTION APPUCATION P. AP1224898 RECEIVED FROM: Doug Minner AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 0211212016 MAIL TO: (The Are of St Lucie County) FACILITY NAME : CET - Arc of St. Lucie County. PROPERTY LOCATION: 6607 Deleon Ave Fort Pierce, FL 34951 Lot: 7 Property ID: 1301-611-0142-000-0 EXPLANATION or DESCRIPTION: Block: 107 QUANTITY -1 - OSTDS Construction Application and Plan Review,New 1 $ 123 - OSTDS Construction Site Evaluation 1 $ 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 127 - OSTDS Construction System Inspection 1 $ 128 - OSTDS Construction System Inspection Research Fee 1 $ 145 - OSTDS Construction Perf Based - Relnspection 1 $ -1 - Surcharge (All) 1 $ -1 - OSTDS New Permit Surcharge 1 $ FEE 100.00 115.00 55.00 75.00 5.00 50.00 15.00 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-2890417 0 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. 5f' 6/&7 G DATE PAID: FEE PAID: / RECEIPT #: [f ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary C I APPLICANT: The Arc of St Lucie County. Inc. �� TTELLEUP19ON :528 4 it l MAILING ADDRESS: P.O. Box 1016, Fort Pierce, FI 34951 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 LOT: 7 BLOCK: 107 SUBDIVISION: Lakewood Park " PLATTED: PROPERTY ID #: 1�3001-s"6111-0142-000-0 ZONING: RS4 I/M OR EQUIVALENT: [ No ] PROPERTY SIZE �.JS ACRES WATER SUPPLY: [,I] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 6607 Deleon Ave, Fort Pierce, Fl 34951 DIRECTIONS TO PROPERTY: North on Kings Hwy to north on Turnpike Feeder Rd to left on Winter Garden Pkwy to right on Deleon Ave. Continue north to 6607 Deleon Ave (on left side of road) BUILDING INFORMATION [,/] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 1 Group Home 6 3089 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) z DATE: / 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 APPLICANT: The Arc of St Lucie County CONTRACTOR / AGENT: Doug Minner LOT: 7 BLOCK: 107 SUBDIVISION: Lakewood Park ID#: 1301-611-0142-000-0 APPLICATION # AP1224898 PERMIT # 56-SF-04670 DOCUMENT # SE988264 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MOST PROVIDE 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: 0.47 ACRES TOTAL ESTIMATED SEWAGE FLOW: 520 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 704.99 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1300.00 SOFT UNOBSTRUCTED AREA REQUIRED: 866.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: on Culvert North of ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ rcrcaas / FT 7 [ ABOVE I / BELOW ] BENCM42LWREFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 13 FT NORMALLY WET: I ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: 82 FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 35 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES IX]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Lawnwood sand Munsell #/Color Texture Depth IOYR212 Fill - Sand OTo 19 tOYR 2/1 Sand 19 To 23 10YR 4/1 Sand 23 To 25 10YR 5/1 Sand 25 To 28 10YR 3/1 Sand 28 To 33 10YR 4/1 Sand 33 To 37 10YR 5/1 Sand 37 To 67 t0YR2/2 Spodic Material 67 To 72 USDA SOIL SERIES:Lawnwood Sand Munsell #/Color Texture Depth 10YR 22 Fill - Sand 0 To 19 10YR 2/1 Sand 19 To 23 10YR 4/1 Sand 23 To 25 10YR 5/1 Sand 25 To 28 10YR 3/1 Sand 28 To 33 10YR 4/1 _ Sand 33 To 37 10YR 5/1 Sand 37 To 67 10YR22 Spodic Material 67 To 72 OBSERVED WATER TABLE: 40.00 INCHES [ ABOVE / FLOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 31 INCHES I ABOVE / El ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X]YES [ ]NO DEPTH: 31.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) r- REMARKS/ADDITIONAL CRITERIA - SWT determined using USDA WSS and soil borings r4/1 and 10yr5/1 stripping In 10yr311 matrix @31" 1 1.5" and SB 2 3" above BM . n SITE EVALUATED BY: INCHES DATE: 02/23/2016 be 4015, 08/09 (Obsoletes Previous editaoed which may net be used) Incorporated: 64E-6.001, PAC Page 3 of 4 AP1224898 EID346614 v 1.0.2 Custom Soil Resource Report MAP LEGEND MAP INFORMATION Area of Interest (AOQ Spoil Area The soil surveys that comprise your A01 were mapped at 1:24,000. 71 Area of Interest (A00 ® Stony Spot _ Solis very Stony spot Warning: Soil Map may not be valid at this scale. Q Son Mep Unit Polygons Wel Bpct Enlargement of maps beyond the stele of mapping can cause ,y Son Map Unit Lines p other misunderstanding of the detail of mapping and accuracy of soil line � Son Map Upit Points placement. The maps do not show the small areas of contrasting P P 9 -1�1 Special Line Features soils that could have been shown at a more detailed scale. Special Point Features ' Uo Blowout Water Features ,..,, streams and canals Please rely on the bar scale an each map sheet for map Barrow Pk measurements. Transportation Clay Spot ++4 Rails Sourceof Map: Natural Resources Conservation Service Closed Depression Interstate Highways Web Soil Survey URL: hftpJ/viebsoilsurvey.nres.usda.gov Gravel Pit. Coordinate System: Web Mercator (EPSG:38M US Routes Gravelly spot P�o Major Roads Maps from the Web Soil Survey are based on the Web Mercator Landfill Local Roads projection, which preserves direction and shape but distorts Lava Flow distance and area. A projection that preserves area, such as the A Background Albers equal-area conic projection, should be used ifmoreaccurate Marsh or swamp ® Aerial Photography calculations of distance or area are required. Mine or quarry This product is generated from the USDA-NRCS certified data as of Miscellaneous Water the version date(s) listed below. Perennial Water Soil Survey Area: St. Lucie County, Florida 'N Rack Outcrop Survey Area Data: Version 8, Nov 19, 2015 + Saline Spot Soil map units are labeled (es space allows) formap scales 1:50,000 Sandy spot or larger. g. Severely Eroded Spot Date(s) aerial Images were photographed: Dec 15, 2010—Mar Sinkhole 13. 2011 $p Slide or Slip The odhopholo or other base map on which the soft lines were Sadlc Spot compiled and digitized probably differs from the background Imagery displayed on these maps. As a result, some minor shifting 7 Custom Soil Resource Report Map Unit Legend O-'aENwr-^�y #.T p� ``v3Y'aS' '`} 6 �'f T4.� '.* •! .,.. t i - r f'n' c'i- aY a,�v'.+. °,;.Sri e h a_ '.;• ,pw.b.,+�,m,-,.a�a;C�Ms a.�.w.,.. �..,..�, ....�.?.,« re es In'AOI_ �' a',' Fr �'PgeenYnfAOr-`s! 4 Arents, 0 to 5 percent slopes 0.7 65.8% 21 Lawnwcod and Myakka sands 1 0.4 34.2% Totals for Area of Interest 1.1 100.0% Map Unit Descriptions The map units delineated on the detailed soil maps in a soil survey represent the soils or miscellaneous areas in the survey area. The map unit descriptions, along with the maps, can be used to determine the composition and properties of a unit. A map unit delineation on a soil map represents an area dominated by one or more major kinds of soil or miscellaneous areas. A map unit is identified and named according to the taxonomic classification of the dominant soils. Within a taxonomic class there are precisely defined limits for the properties of the soils. On the landscape, however, the soils are natural phenomena, and they have the characteristic variability of all natural phenomena. Thus, the range of some observed properties may extend beyond the limits defined for a taxonomic class. Areas of soils of a single taxonomic class rarely, if ever, can be mapped without including areas of other taxonomic classes. Consequently, every map unit is made up of the soils or miscellaneous areas for which it is named and some minor components that belong to taxonomic classes other than those of the major soils. Most minor soils have properties similar to those of the dominant sail or sails in the map unit, and thus they do not affect use and management. These are called noncontresting, or similar, components. They may or may not be mentioned in a particular map unit description. Other minor components, however, have properties and behavioral characteristics divergent enough to affect use or to require different management. These are called contrasting, or dissimilar, components. They generally are in small areas and could not be mapped separately because of the scale used. Some small areas of strongly contrasting soils or miscellaneous areas are identified by a special symbol on the maps. If included in the database for a given area, the contrasting minor components are identified in the map unit descriptions along with some characteristics of each. A few areas of minor components may not have been observed, and consequently they are not mentioned in the descriptions, especially where the pattern was so complex that it was impractical to make enough observations to identify all the soils and miscellaneous areas on the landscape. The presence of minor components in a map unit in no way diminishes the usefulness or accuracy of the data. The objective of mapping is not to delineate pure taxonomic classes but ratherto separate the landscape into landfonns or landform segments that have similar use and management requirements. The delineation of such segments on the map provides sufficient information for the development of resource plans. If intensive use of small areas is planned, however, onsite investigation is needed to define and locate the soils and miscellaneous areas. Custom Soil Resource Report An identifying symbol precedes the map unit name in the map unit descriptions. Each description includes general facts about the unit and gives important soil properties and qualities. Soils that have profiles that are almost alike make up a soil series. Except for differences in texture of the surface layer, all the soils of a series have major horizons that are similar in composition, thickness, and arrangement Soils of one series can differ in texture of the surface layer, slope, stoniness, salinity, degree of erosion, and other characteristics that affect their use. On the basis of such differences, a soil series is divided into soil phases. Most of the areas shown on the detailed soil maps are phases of soil series. The name of a soil phase commonly indicates a feature that affects use or management. For example, Alpha silt loam, 0 to 2 percent slopes, is a phase of the Alpha series. Some map units are made up of two or more major soils or miscellaneous areas. These map units are complexes, associations, or undifferentiated groups. A complex consists of two or more soils or miscellaneous areas in such an intricate pattern or in such small areas that they cannot be shown separately on the maps. The pattern and proportion of the soils or miscellaneous areas are somewhat similar in all areas. Alpha -Beta complex, 0 to 6 percent slopes, is an example. An association is made up of two or more geographically associated soils or miscellaneous areas that are shown as one unit on the maps. Because of present or anticipated uses of the map units in the survey area, it was not considered practical or necessary to map the soils or miscellaneous areas separately. The pattern and relative proportion of the soils or miscellaneous areas are somewhat similar. Alpha - Beta association, 0 to 2 percent slopes, is an example. An undifferentiated group is made up of two or more soils or miscellaneous areas that could be mapped individually but are mapped as one unit because similar interpretations can be made for use and management. The pattern and proportion of the soils or miscellaneous areas in a mapped area are not uniform. An area can be made up of only one of the major soils or miscellaneous areas, or it can be made up of all of them. Alpha and Beta soils, 0 to 2 percent slopes, is an example. Some surveys include miscellaneous areas. Such areas have little or no soil material and support little or no vegetation. Rock outcrop is an example. Custom Soil Resource Report St. Lucie County, Florida 4—Arents, 0 to 5 percent slopes Map Unit Setting National map unit symbol ljptx Elevation., 10 to 20 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 Arents and similarsoils., 90 percent Minor components: 10 percent Estimates are based on observations, descriptiops, and transects of the mapunit. Description ofArents Setting Landform: Rises on marine terraces . Landform position (three-dimensional): Rise Down -slope shape: Convex Across -slope shape. Linear Parent material: Altered marine deposits Typical profile C1- 0 to 10 inches. sand C2 - 10 to 51 inches: sand A/Eb - 51 to 80 inches: sand Properties and qualities Slope: 0 to 5 percent Depth to restrictive feature: More than 80 inches Natural drainage class: Somewhat poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): High to very high (5.95 to 19.98 in/hr) Depth to water table: About 18 to 36 inches Frequency of flooding: None Frequency ofponding:.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 3.0 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonimigated): 6s Hydrologic Soil Group: A Other vegetative classification: Forage suitability group not assigned (G156BC999FL) Minor Components Sanitary landfill Percent of map unit. 5 percent 10 Custom Soil Resource Report Canaveral Percent of map unit: 5 percent Landform: Dunes on marine terraces, ridges on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Forage suitability group not assigned (G156BC999FL) 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 airtemperature: 70 to 77 degrees F Frost -free period., 350 to 365 days Farmland class cation: Farmland of unique importance Map Unit Composition Myakka and similarsoils: 40 percent Lawnwood and similar sails. 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 Landrorm position (three-dimensional): Tall 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 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 c/ass: 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 11 Custom Soil Resource Report 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 class cation (nonirrigated): 4w . Hydrologic Soil Group. A/D Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 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 waterstorage in profile: Low (about 4.5 inches) Interpretive groups Land capability classification (irrigated): None specked Land capability classification (nonirrtgated): 4w Hydrologic Soil Group: A/D Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 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 12 Custom Soil Resource Report Othervegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Electra Percent of map unit 7 percent Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Othervegetative classification: Sandy soils on rises and knolls of mesic uplands (G156BC131 FL) 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 Other vegetative class cation: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) 13 Mlaslon: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation March 10, 2016 Doug Minner PO Box 1016 Fort Pierce, FL 34951 Application Denial and Notice of Right to Administrative Proceedings Application Document No: AP1224898 6607 Deleon Ave Fort Pierce, FL 34951 Lot: 7 Block: 107 Subdivision: Lakewood Park Dear Applicant: Hick Scott Governor John H. Arnstrong, MD, FAGS State Surgeon General & Secretary This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal system construction permit dated February 12, 2016 for a proposed system to be constructed on the above referenced property. You are hereby notified that your application is denied because the proposal described does not meet the requirements of section 381.0065, Florida Statutes, or Chapter 64E-6, Florida Administrative Code. Specifically the proposal has the following violations: Code Citation Letter Detail Code Citation Description 381.0065(4)(e)2, F.S. The OSTDS will only be 82 Setback to public potable well > 2000 feet away from well that is gpd being used for a Limited Use system As an applicant who has been denied a permit, you have the right to request a variance or hearing to appeal the departments action. Requests for a hearing must be made to this office in writing no later than 21 days from the receipt of this letter. Mediation pursuant to SA20.573, Florida Statutes, is not available to resolve this dispute. Your lot may qualify for a performance based treatment system under Part IV, Chapter 64E-6, Florida Administrative Code. You should consult with a professional engineer registered in Florida for further information on performance based systems. Florida Department of Health w .FloridasHealth.ccrri In ST. LUCIE COUNTY TWITTER:HealthyFLA 5150 NW Milner or, Port Saint Lucie, FL 34983 FACEBOOKFLDepartmentofHealth PHONE: (772) 873-3931 . FAX: (772) 873-4893 1 YOUTUBE fldoh Doug Minner Page two March 10, 2016 If you have any questions on this matter, please call our office at (772) 873-4931. Sin erely, Victor Faconti, Env. Sup II Doug Minner Page three March 10, 2016 NOTICE TO POTENTIAL VARIANCE APPLICANTS If pursuing a variance application, please note that the following information is taken from the section of Florida Statutes dealing with variance applications for onsite sewage treatment and disposal systems. To find the Florida Statutes on the internet, please go to http://www.leg.state.fl.us/Statutesfindex.cfm. Scroll down and click on "Title XXIX." Find and click on "Chapter 381 " Find and click on "381.0065." The citation to look for is Chapter 381.0065(4)(h)1., Florida Statutes. The department may grant variances in hardship cases which may be less restrictive than the provisions specified in this section. A variance may not be granted under this section until the department is satisfied that: a. The hardship was not caused intentionally by the action of the applicant; b. No reasonable alternative, taking into consideration factors such as cost, exists for the treatment of the sewage; and c. The discharge from the onsite sewage treatment and disposal system will not adversely affect the health of the applicant or the public or significantly degrade the groundwater or surface waters. Where soil conditions, water table elevation, and setback provisions are determined by the department to be satisfactory, special consideration must be given to those lots platted before 1972. While the final authority to grant or deny variances rests solely with the Department of Health, variance applications are reviewed by a State Variance Review and Advisory Committee. The committee meets once a month in a predetermined location in Florida. You are invited to attend, at your own expense, or send someone to represent you. The committee will evaluate your request during the meeting, and will make a recommendation on the disposition of your application to the department. Please note there are specific requirements and deadlines for variance applications. Please call your local county health department representative for information on how to file for a variance request. N St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT*56-SF-04670 BILL DOC tr.56-BID-3032619 CONSTRUCTION APPLICATION#: AP1224898 RECEIVED FROM: Doug Minner AMOUNT PAID: $ 315.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 03/08/2016 MAIL TO: (The Arc of St Lucie County) FACILITY NAME : CET- Are of St. Lucie County PROPERTY LOCATION: 6607 Deleon Ave Fort Pierce, FL 34951 Lot: 7_ Block: 107 Property ID: 1301-611-0142-000-0 EXPLANATION or DESCRIPTION: QUANTITY FEE 137 - OSTDS Construction Variance Multi-Family/Commercia 1 $ 300.00 -1 - Surcharge (AII) 1 $ 15.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-2901 t d,aa.,,re STATE OF FLORIDA DEPARTMENT OF HEALTH VarianeeAppaeationNumber APPLICATION FOR VARIANCE FROM CHAPTER 64E-6, FAC STANDARDS FOR ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS •;� :c Authority: Chapter 381, Florida Statutes Outte sewage Otrxe Use Only .....w° Chapter 64E-6, Florida Administrative Code Follow the instructions on the back of this form for assembling your application for variance. Eight (8) copies of this form and supporting documentation must be submitted with the required fee to your local county health department Your application must be reviewed by the local county health department and the completed application received by the Bureau of Onsite Sewage Programs in Tallahassee no later than the 15th of the month to be placed on the agenda for the next monthly meeting of the valiance review and advisory committee. If the 15th falls on a weekend or legal holiday, the deadline for receipt will be the next regular working day. If the variance request involves setbacks from wells or surface waters, the separation of the drainfield from the estimated wet season high water table, or the authorized sewage flow of the property, the county health department must post a sign on the property giving notice of the application for variance. PART I - GENERAL INFORMATION (To be completed by the applicant See instructions on the back of this form.) APPLICANT INFORMATION (TYPE OR PRINT LEGIBLY) Property Owner. -%l e.4 v-c oT St IA4 'V Cou'tfy XP1 a Phone:(W) (% J qb8-7.9 ) Owner's Agent 6 e) L, iq I R S Al i V1 v1 ?- r C-4�L Mailing Address: Y , .O. BOX 140116 City: rdrt 1pJ eY e e State:-jffL—Zip: 3 `% `/I!f PROPERTY INFORMATION Property Street Address: 45607 J I e-or) 6 V e_ City. r rt 1 �1 le f GZ County: S-t , L IA % LoLot:/ Blockk:+_jj2_Z_Subdiv1sion: L-tit ke LA f O &llP,2 y' k Unit: Cl Section: ©LTownship::O i p Range: 3 9 E Parcel Number. % 0661 (i,� - 000 ❑ Metes & Bounds Description (Attach property legal description) VARIANCE REQUEST INFORMATION A variance may not be granted under section 381.0065. FS, until the department is satisfied the following conditions have been met Address each item explaining how your variance request satisfies the statutory conditions for a variance. Attach a separate sheet if necessary. 1. Please explain how your variance request satisfies the statutory requirement that the hardship was not caused intentionally by the action of the 2. Please explain how your variance request satisfies the statutory requirement that no reasonable alternative, taking into consideration factors cost, exists for the treatment of the sewage. 3. Please explain how your variance request satisfies the statutory requirement that the discharge from the onsite sewage treatment and disposal system will not adversely affect the health of the applicant or the public or significantly degrade the groundwater or surface waters. Bwar a if I attest the above information is We. I acknowl onto my property to conduct inspection activities ri that in the submission of this variance request, I hereby authorize to post public notice of this variance request employees to enter Signature of Owner or Agent &-.� �F �,,, Date: 3 / 7 / A 01,6 PART II - COUNTY HEALTH DEPARTMENT INFORMATION (To be completed by the county health department. See instructions on the back of this forth.) (TYPE OR PRINT LEGIBLY) County Health De irtment Use Only . County Reference Number Fee Paid= Date ✓/ � %b Receipt Number REASON STANDARDS CANNOT BE MET SPECIFIC SECTION(S) OF 381.0065, F.S. OR 64E-6, FA.C., INVOLVED IN REQUEST REASON REQUIREMENTS IN THE SECTION CANNOT BE MET (include the quantity of the deviation from the requirement) SITE INFORMATION (Attach a completed site evaluation form) Connection distance from property to sanitary sewer is 5+PAi IDS feel/miles. Lots In the vicinity of the subject property are generally: ❑ Larger ❑ Smaller B Same Size Buildings on this property are: '0 Prpposed Existing ❑ Under Construction The OSTDS involved in this variance request is: 04roposed ❑ Installed ❑ EAsting (Previously approved) Proposed property use is: Il"l!nchanged ❑ Increased ❑ New Use Are there known OSTDS failures in the area? ❑ No . ❑ Yes...Reason(s): Lot is posted with a sign in accordance with the instructions on the back of this form. Comments from the county health department (attach additional sheets if necessary): d 4.G GG 1" A't— d k &V-f n ref , r23a'J V rj 2 a Title: VI✓dvN1..a.¢d Date:J / 1 l2Dl Signature of Environmental Health Director or designee K F`¢ I�IL $c✓l NOTICE 1. Procedures leading to the submission of this variance request must be in accordance with Chapter 120, Florida Statutes. 2. This completed application must be received by the Department of Health, Onsite Sewage Office In Tallahassee no later than the 15th of the month to be placed on the agenda for the next monthly meeting of the variance review and advisory committee. If the 15th falls on a weekend or legal holiday, the deadline for receipt will be the next regular working day. 3. If the variance request involves setbacks from wells or surface waters, the separation of the drainfield from the estimated wet season high water table, or the authorized sewage flow of the property, the county health department shall post a sign on the property. UH 4057, 06/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.004, FAC Page 2 of 2 Mission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. 11 March 2016 H- Tl-_0 Vision: To be the Healthiest State in the Nation ARC St Lucie County OSTDS Variance 56-sf-04670 Rick Scott Governor John H. Armstrong, MD, FACS State Surgeon General & Secretary This project is adding 3 bedrooms to the existing structure, they will not be adding any sewage flow. The site has been a permitted Limited Use System from the department for the past 8 years. We conduct inspections on the well and collect bacteriological water samples. We have never had issues with the water quality at this property. The current setback is 82 feet from the well. Please call with any fu Victor Faconti uestions or comments. Florida Health St Lucie County ST. LUCIE COUNTY HEALTH DEPARTMENT Division of Disease Control and Health Protection Bureau of Environmental Health 5150 NW Milner Drive, Port St Lurie FL 34983 PHONE: (772) B734931 • FAX (772) 8734893 www.sffudwountvheal8h.com www.FlorklasHealth.com TWITTERHealthyFLA FACEBGOKTI-DeparhnentoHealth YOUTUBE: ffdoh Mission: To pmlecL pmmak & Impmvethe health ol'a8 people in Florida through Integrated stale.-mmly&community effats. WON HEALTH Vision: To be the Healthiest State In the Nallon April 27, 2016 Mr. Dougles.Minner, Agent for. The Arc of St. Lucie County, Inc.;.Applicant Post Office Box 1016 F.ort.Pietce,.Florlda 34954 RE: Valiance Requestfor.an.OitsiteSewage Treatment.andDisposal System Variance.Application #12867 Florida Department of Health in St Lucie County Reference #AP1224898 Lot 7, Block.10.7,. Lakewood Park Unit 9 BB07 Deleon Avenue, St Lucie County Variance from Section: 381.0065(4)(e)3., FS; 64E-6.005(1)(b), FAC Dear Mr. Mintier: Rick Scott Govemor Celeste Philip, Mo. MPH Interim State Surgeon General The Variance Review and Advisory Committee for the:Onsite Sewage Treatment and Disposal Program has rpeommended;approvai, with proviso, of your application for variance in the case of the above referenced property. The advisorycommittee recommended the following requirement: The onsite°sewage treatment and disposal system shall be.set back from the public drinking water well by the maximum distance attainable butnot less than 82 feet when Installed. I:oonci r with the. advisory committee's. recommendation and approve your variance subject to the requirement above. This variance, as approved, applies only to those sections'of the, aw or rules referenced above: and in noway exempts compliance with:.otherstate,and local regulations, This variance will.expire one year from the date of this letter unless.an onsite sewage freatmentand disposal system construction permit is issued by Florida. Department of Health in St. Lucie County, in which case the variance will run concurrent with the system bonstruction permit. If you have any.questions, please call Ed Williams .at(850).245.4444 ext. 2793. Fenrra F..Goff.PhD, CPM State Toxicologist & Chie KFG/ew Enclosure cc: Florida Department of Health in.St. Lucie County Florida Dopartment.of Health ' Divislon of Disease Contol & Health Pmledon - aunauof Environmental Health 46! Bali) 4less Way; lain A-08,•Tallahassee, FL3230.171111 Accredited Health Department PA6NE'8504542lid FAx:8501487-MG4 - Public Health Accreditation Board FloridaHentth.goV NOTICE OF RIGHTS A party whose substantial interest is affected.by this action may petition for an administrative hearing pursuant to sections 12.0.569 and 120.57 Florida Statutes. Chapter 28- 106, Florida Administrative Cocle, governs such proceedings. A petition for hearjqg must be in writing and must be received by the Agency Clerk for the Department within twenty-one. (21) days from receipt of this notice. The petition may be mailed to the Agency Clerk, Department of Health, 4052 Bald Cypress Way, Blk*A-62, Tallahassee, FL 32*3§brI763;, hand delivered to the Age ment.of hcy Clerk, Depart Health, 25 -85 Merchants Row Blvd., Prather Building, Suite 110, Taillahassee,,FL; or sent by facsimileto (850) 413-8743 Mediation is not available at an alternative remedy. . The failure of any pei.soh.t.p file apetition for hearing within 21 days from receipt of this n 6411 Is M Will constitute a waiver of right to an administrative hearing; and this. notice shall become 4,Final Order.. Should this Pofice, become a Final Order, A party who is adversely affected by us, entitled tojudlibialrevie.vt 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 C . lerk of the Department of Health- and a,sepond, copy, accompanied by the filingJees required by law, with the.Court of Appeal in the ,appropriate District Court. The notice must be filed within 30 daytof the filing of the Final Order. LOT: 7 BLOCK: 107 sDBDIVIs1ON: Lakewood Park PROPERTY ID #: 1301-611-0142-000-0 ea-cr-nAA7n [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 FORS{ ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS SOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH �. DIFICATIONS 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 FILE COPY T [ 1,350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD N/A CAPACITY " N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @I ]DOSES PER 24 HRS #Pumps [ ] D [ 867 ] SQUARE FEET R [ ] SQUARE FEET A TYPE SYSTEM: [ ] I CONFIGURATION: [ ] N F LOCATION OF BENCHMARK: SYSTEM N/A SYSTEM STANDARD [X] FILLED [ ] MOUND [ ] TRENCH IX] BED [ ] on Culvert North of I ELEVATION OF PROPOSED SYSTEM SITE 12.00 )[1 INCHES FT I [I ABOVE BELOW] BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE 15.00 ]I INCHES FT IIABOVE BELOW BENCHMARK/REFERENCE POINT L D i 0 T H E R 1LL Ltlj2ul1 w: L I­1.UUI J UHGS EXUAVA'1'1UN 1 WUI1 U: r J 1Vunmb The system is sized for 6 bedrooms with a maximum occupancy of 12 persons (2 per bedroom), for a total estimated flow of 520 gpd. The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with s. 64E-6.013(3)(0, FAC. The OSTDS shall be set back from the public drinking water well by the maximum distance attainable but not less than 82 ft when installed. As per variance. SPECIFICATIONS BY: Brian J,*gram TITLE: Environmental Specialist I APPROVED BY: • TITLE: Environmental Specialist I St. Lucie CHD Briaa J"32hgr. DATE ISSUED: 03/10/20 6 EXPIRATION DATE: 09/10/2017 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 AP1224898 SE988264 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 # A02, Tallahassee, Florida 32399-1703. The Agency Clerk's facsimile number is 850-410-1448. 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'fiinal 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. St. Lucie County Health Department Wr a 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT#'.56-SF-04670 BILL Docu:56-BID-3021685 CONSTRUCTION APPLICATIONM AP1224898 RECEIVED FROM: Doug Minner AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 02/12/2016 MAIL TO: (The Arc of St Lucie County) FACILITY NAME : CET -Arc of St. Lucie County PROPERTY LOCATION: 6607 Deleon Ave Fort Pierce, FL 34951 Lot: 7 Block: 107 Property ID: 1301-611-0142-000-0 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 145 - OSTDS Construction Perf Based - Relnspection 1 $ 50.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 RECEIVED BY: VanceMH AUDIT CONTROL NO. 5 -fV1 Fi, A N 6 PID-2890417 4> STATE OF FLORIDA �. DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. 1511 6q(07 b DATE PAID: Z of &I FEE PAID: / RECEIPT #: [V/] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary I ] APPLICANT: The Arc of St Lucie County. Inc. AGENT: MAILING ADDRESS: P.O. Box 1016, Fort Pierce, Fl 34951 i n /t-r - :528- 2,4 q I 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. LOT: 7 BLOCK: 107 SUBDIVISION: Lakewood Park PLATTED: PROPERTY ID #: 1�3�01-66111--0142-000-0 ZONING: RS-4 I/M OR EQUIVALENT: [ No ] 4 PROPERTY SIZE ./.S ACRES WATER SUPPLY: [,(] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? I No ] DISTANCE TO SEWER: N/A FT PROPERTY ADDRESS: 6607 Deleon Ave, Fort Pierce, F134951 DIRECTIONS TO PROPERTY: North on Kings Hwy to north on Turnpike Feeder Rd to ]eft on Winter Garden Pkwy to right on Deleon Ave. Continue north to 6607 Deleon Ave (on left side of road) BUILDING INFORMATION Unit Type of No Establishment 1 Group Home 2 3 4 [d] RESIDENTIAL I ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1 Chapter 64E-6, FAC 6 3089 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC DATE: I Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: The Arc of St Lucie County CONTRACTOR / AGENT: Doug Minner LOT: 7 BLOCK: 107 SUBDIVISION: Lakewood Park ID#: 1301-611-0142-0.00-0 APPLICATION # AP1224898 PERMIT # 56-SF-04670 DOCUMENT # SE988264 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: [X]YES [ ]NO NET USA13LE AREA AVAILABLE: 0.47 ACRES TOTAL ESTIMATED SEWAGE FLOW: 520 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 704.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1300.00 SQFT UNOBSTRUCTED AREA REQUIRED: 866.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Orange spot on ELEVATION OF PROPOSED SYSTEM SITE 2.00 [FIN of / FT ] [I ABOVE I/ BELOW ] BENCHtrMRK4REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 13 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: 82 FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 35 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SOIL PROFILE INFORMATION SITE 1 [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO] FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES:Lawnwood sand Munsell#/Color Texture Depth 10YR 2/2 Fill - Sand 0 To 19 10YR 211 Sand 19 To 23 10YR 4/1 Sand 23 To 25 10YR 5/1 Sand 25 To 28 10YR 311 Sand 28 To 33 10YR 4/1 Sand 33 To 37 1 CYR 511 Sand 37 To 67 1 OYR 212 Spodic Material 67 To 72 C, TT. uunWTT.0 TNCnWR MTr1N CTTF. i USDA SOIL SERIES:Lawnwood send Munsell #/Color Texture Depth 10YR212 Fill - Sand 0TO 19 10YR 2/1 Sand 19 To 23 10YR 411 Sand 23 To 25 1 OYR 5/1 Sand 25 To 28 1 OYR 3/1 Sand 28 To 33 10YR 4/1 Sand 33 To 37 1 OYR 5/1 Sand 37 To 67 10YR 2/2 Spodic Material 67 To 72 OBSERVED WATER TABLE: 40.00 INCHES [ ABOVE / EELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 31 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES EX ]NO MOTTLING: [X]YES [ ]NO DEPTH: 31.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA EWSWT determined using USDA WSS and soil borings 10yr411 and 10yr511 stripping in 10yr311 matrix @31" SB 1 1.5" and SB 2 3" above BM SITE EVALUATED BY: DATE: 02/23/2016 Ingram ri (Title: Environmental Specialist 1) (ENVIRONMENTAL HEALTH) DH 4415, 08/09 (Obaoletes .previous editAcad which may not be used) Incorporated: 64E-6.001, PAC Page 3 Of 4 AP1224898 EID346514 v1.0.2 Custom Soil Resource Report MAP LEGEND MAP INFORMATION Area of Interest (AOI) >, Spoil Area The soil surveys that comprise your AOl were mapped at 1:24,000. O Area of Interest (AOI) Q Stony Spot Sells Very Stony Spot Warning: Soil Map may not be valid at this scale. Q Sol Map unit Polygons Wet Spat Enlargement of maps beyond the scale of mapping can cause ry Soil Map Unit Lines Other misunderstanding of the detail of mapping and accuracy of soil line p Sail Map Unit Paints placement. The maps do not show the small areas of contrasting ,..-.: Special Line Features soils that could have been shown at a more detailed scale. Special Point Features ' (01 Blowout Water Features Streams and canals Please rely on the bar scale on each map sheet for map Borrow Pit measurements. Transportation Clay Spot +-F1 Rails Source of Map: Natural Resources Conservation Service 0 Closed Depression r.i Interstate Highways Web Soil Survey URL hftpJ/websoilsurvey.nres.usda.gov Gravel Pit. Coordinate System: Web Mercator (EPSG:3857) P„y US Routes Gravelly Spot N Major Roads Maps from the Web Soil Survey are based on the Web Mercator Landfill Local Roads projection, which preserves direction and shape but distorts distance and area. A projection that preserves area, such as the Lava Flow Background Albers equal-area conic projection, should be used if more accurate Marsh or swamp Aerial Photography calculations of distance or area are required. Mine or Quarry This product Is generated from the USDA-NRCS certified data as of Miscellaneous Water the version date(s) listed below. ® Perennial Water Soil Survey Area: St Lucie County, Florida V Rock Outcrop Survey Area Data: Version 8, Nov 19. 2015 + Saline Spot Soil map units are labeled (as space allows) for map scales 1:50,000 Sandy Spot orlarger. g Severely Eroded Spot' Date(s) aerial Images were photographed: Dec 15, 2010—Mar 0 Sinkhole 13.2011 p Slide or Slip The orthopholo or other base map on which the soil lines were Sodic spot compiled and digitized probably differs from the background Imagery displayed on these maps. As a result, some minor shifting 7 Custom Soil Resource Report Map Unit Legend �"�✓ Ma�iUnit Sym'�601,�..'�,�,.,�,....p .«,3 „': s;'....w.,3;u,>m. ..�_a,K. ,p:{P. .�..�. rt._,..x. yin ,.a 4 Arents, 0 to 5 percent slopes 0.7 65.6% 21 Lawnwcod and Myakka sands 0A 34.2% Totals for Area of Interest 1.1 100.0% Map Unit Descriptions The map units delineated on the detailed soil maps in a soil survey represent the soils or miscellaneous areas in the survey area. The map unit descriptions, along with the maps, can be used to determine the composition and properties of a unit. A map unit delineation on a soil map represents an area dominated by one or more major kinds of soil or miscellaneous areas. A map unit is identified and named according to the taxonomic classification of the dominant soils. Within a taxonomic class there are precisely defined limits forthe properties of the soils. On the landscape, however, the soils are natural phenomena, and they have the characteristic variability of all natural phenomena. Thus, the range of some observed properties may extend beyond the limits defined for a taxonomic class. Areas of soils of a single taxonomic class rarely, if ever, can be mapped without including areas of other taxonomic classes. Consequently, every map unit is made up of the soils or miscellaneous areas for which it is named and some minor components that belong to taxonomic classes other than those of the major soils. Most minor soils have properties similar to those of the dominant soil or soils in the map unit, and thus they do not affect use and management. These are called noncontrasting, or similar, components. They may or may not be mentioned in a particular map unit description. Other minor components, however, have properties and behavioral characteristics divergent enough to affect use or to require different management. These are called contrasting, or dissimilar, components. They generally are in small areas and could not be mapped separately because of the scale used. Some small areas of strongly contrasting soils or miscellaneous areas are identified by a special symbol on the maps. If included in the database for a given area, the contrasting minor components are identified in the map unit descriptions along with some characteristics of each. A few areas of minor components may not have been observed, and consequently they are not mentioned in the descriptions, especially where the pattern was se complex that it was impractical to make enough observations to identify all the soils and miscellaneous areas on the landscape. The presence of minor components in a map unit in no way diminishes the usefulness or accuracy of the data. The objective of mapping is not to delineate pure taxonomic classes but ratherto separate the landscape into landforms or landform segments that have similar use and management requirements. The delineation of such segments on the map provides sufficient information for the development of resource plans. If intensive use of small areas is planned, however, onsite investigation is needed to define and locate the soils and miscellaneous areas. Custom Soil Resource Report An identifying symbol precedes the map unit name in the map unit descriptions. Each description includes general facts about the unit and gives important soil properties and qualities. Soils that have profiles that are almost alike make up a soil series. Except for differences in texture of the surface layer, all the soils of a series have major horizons that are similar in composition, thickness, and arrangement. Soils of one series can differ in texture of the surface layer, slope, stoniness, salinity, degree of erosion, and other characteristics that affect their use. On the basis of such differences, a soil series is divided into soil phases. Most of the areas shown on the detailed soil maps are phases of soil series. The name of a soil phase commonly indicates a feature that affects use or management. For example, Alpha silt loam, 0 to 2 percent slopes, is a phase of the Alpha series. Some map units are made up of two or more major soils or miscellaneous areas. These map units are complexes, associations, or undifferentiated groups. A complex consists of two or more soils or miscellaneous areas in such an intricate pattern or in such small areas that they cannot be shown separately on the maps. The pattern and proportion of the soils or miscellaneous areas are somewhat similar in all areas. Alpha -Beta complex, 0 to 6 percent slopes, is an example. An association is made up of two or more geographically associated soils or miscellaneous areas that are shown as one unit on the maps. Because of present or anticipated uses of the map units in the survey area, it was not considered practical or necessary to map the soils or miscellaneous areas separately. The pattern and relative proportion of the soils or miscellaneous areas are somewhat similar. Alpha - Beta association, 0 to 2 percent slopes, is an example. An undifferentiated group is made up of two or more soils or miscellaneous areas that could be mapped individually but are mapped as one unit because similar interpretations can be made for use and management. The pattern and proportion of the soils or miscellaneous areas in a mapped area are not uniform. An area can be made up of only one of the major soils or miscellaneous areas, or it can be made up of all of them. Alpha and Beta soils, 0 to 2 percent slopes, is an example. Some surveys include miscellaneous areas. Such areas have little or no soil material and support little or no vegetation. Rock outcrop is an example. Custom Soil Resource Report other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Electra Percent of map unit: 7 percent Landform: Knolls on marine terraces, rises on marine terraces Landform position (three-dimensional): Interfluve Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on rises and knolls of mesic uplands (G156BC131FL) 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 Othervegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) 13 Doug Minner Page three March 10, 2016 NOTICE TO POTENTIAL VARIANCE APPLICANTS If pursuing a variance application, please note that the following information is taken from the section of Florida Statutes dealing with variance applications for onsite sewage treatment and disposal systems. To find the Florida Statutes on the internet, please go to http://www.leg.state.fl.us/Statutes/index.cfm. Scroll down and click on "Title XXIX." Find and click or "Chapter 381." Find and click on "381.0065." The citation to look for is Chapter 381.0065(4)(h)l., Florida Statutes. The department may grant variances in hardship cases which may be less restrictive than the provisions specified in this section. A variance may not be granted under this section until the department is satisfied that: a. The hardship was not caused intentionally by the action of the applicant; b. No reasonable alternative, taking into consideration factors such as cost, exists for the treatment of the sewage; and c. The discharge from the onsite sewage treatment and disposal system will not adversely affect the health of the applicant or the public or significantly degrade the groundwater or surface waters. Where soil conditions, water table elevation, and setback provisions are determined by the department to be satisfactory, special consideration must be given to those lots platted before 1972. While the final authority to grant or deny variances rests solely with the Department of. Health, variance applications are reviewed by a State Variance Review and Advisory Committee. The committee meets once a month in a predetermined location in Florida. You are invited to attend, at your own expense, or send someone to represent you. The committee will evaluate your request during the meeting, and will make a recommendation on the disposition of your application to the department. Please note there are specific requirements and deadlines for variance applications. Please call your local county health department representative for information on how to file for a variance request. • Mlsslon: . To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Doug Minner PO Box 1016 Fort Pierce, FL 34951 F® HEALTH Vision : To be the Healthiest State in the Nation March 10, 2016 Application Denial and Notice of Right to Administrative Proceedings Application Document No: AP1224898 6607 Deleon Ave Fort Pierce, FL 34951 Lot:7 Block:107 Dear Applicant: Subdivision: Lakewood Park Rick Scott Governor John H. Armstrong, MD, FAGS State Surgeon General & Secretary This will acknowledge receipt of an application and plans for an onsite sewage treatment and disposal system construction permit dated February 12, 2016 for a proposed system to be constructed on the above referenced property. You are hereby notified that your application is denied because the proposal described does not meet the requirements of section 381.0065, Florida Statutes, or Chapter 64E-6, Florida Administrative Code. Specifically the proposal has the following violations: Code Citation 381.0065(4)(e)2, F.S. Letter Detail The OSTDS will only be 82 feet away from well that is being used for a Limited Use system Code Citation Citation Description Setback to public potable well > 2000 gpd As an applicant who has been denied a permit, you have the right to request a variance or hearing to appeal the department's action. Requests for a hearing must be made to this office in writing no later than 21 days from the receipt of this letter. Mediation pursuant to S.120.573, Florida Statutes, is not available to resolve this dispute. Your lot may qualify for a performance based treatment system under Part IV, Chapter 64E-6, Florida Administrative Code. You should consult with a professional engineer registered in Florida for further information on performance based systems. Florida Department of Health in ST. LUCIE COUNTY 5150 NW Milner Dr, Port Saint Lucie, FL 34983 PHONE: (772) 873-4931 . FAX: (772) 873-4893 www.FloridasHealth.com TWITTER:HealthyFLA FACEBOOK:FLDepartmentofHealth YOUTUBE: fldoh STATE OF FLORIDA DEPARTMENT OF HEALTH Varian" Application Number e APPLICATION FOR VARIANCE FROM CHAPTER 64E-6, FAC . — STANDARDS FOR ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEMS •' .r Authority: Chapter 381, Florida Statutes Chapter 64E-6, Florida Administrative Code Onsite sewage Office Use Only Follow the instructions on the back of this form for assembling your application for variance. Eight (8) copies of this form and supporting documentation must be submitted with the required fee to your local county health department. Your application must be reviewed by the local county health department and the completed application received by the Bureau of Onsite Sewage Programs in Tallahassee no later than the 15th of the month to be placed on the agenda for the next monthly meeting of the variance review and advisory committee. If the 15th falls on a weekend or legal holiday, the deadline for receipt will be the next regular working day. If the variance request involves setbacks from wells or surface waters, the separation of the drainfield from the estimated wet season high water table, or the authorized sewage flow of the property, the county health department must post a sign on the property giving notice of the application for variance. PART I - GENERAL INFORMATION (To be completed by the applicant. See instructions on the back of this form.) (TYPE OR PRINT LEGIBLY) APPLICANT INFORMATION 0 `` I Property Owner:J—fif e A r "f' c o to r 1 e Co Jn f Zpi e . Phone:(W) Gj !j 68-7-9 Rif ) Owner's Agent 0n4) L� I n.l M i h'% e- r Phone:(W)27x22 ..19 .?`/9 I) f C Mailing Address: P, .0 . 43 O X 10146 City: J Or j ,p�i f it t e State: Zip: PROPERTY INFORMATION Property Street Address: _6607 Del e.o e) f1 City: � t , t2i ,e r & e-. county: S-t. L tk c %fe p Lot: 7�� Block: 107 Subdivision:_ 1--IX ke LAJO&c$ FCe rk Unit Secfion:�'1_Township: 3 u/ S Range: 3 9 C Parcel Number. 13 0l - 6 //- d/ y'g- 000 -o ❑ Metes & Bounds Description (Attach property legal description) VARIANCE REQUEST INFORMATION A variance may not be granted under section 381.0065, FS, until the department is satisfied the following conditions have been met. Address each item explaining how your variance request satisfies the statutory conditions for a variance. Attach a separate sheet if necessary. 1. Please explain how your variance request satisfies the statutory requirement that the hardship was not caused intentionally by the action of the applicant. Ow.rrr in -7"Iw ` 001 nH.0 has Been onE 2i(ra ;1 Ks er //'<-? u e. LV 2. Please explain how your variance request satisfies the statutory requirement that no reasonable alternative, taking into consideration factors such cost, exists for the treatment of the sewage. _fit n o 71' serrn rn_d Sa Q,1,ZJ -io f .i z o Wifcr 0d o> ,0'J-d 11 ere, bCemS %7Qde. VOLC-"-crr L -il.� ootsI ears 3. Please explain how your variance request satisfies the statutory requirement that the discharge from the onsite sewage treatment and disposal system will not adversely affect the health of the applicant or the public or significantly degrade the groundwater or surface waters. Z9W ki ¢ r' I attest the above information is We. 1 acknowledge that in the submission of this variance request, I hereby authorize onto my property to conduct inspection activities and to post public notice of this variance request. employees to enter Signature of Owner or Date: `3 / ? / a ��'6 DH 4057, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.004, FAC Page 1 of 2 . Mission: To protect promote & Improve the health orall people in Florida through Integrated • state; county& community efforts. HEALTH Vision: To be the Healthiest State in the Nation April 27, 2016 Mr. Douglas Minner, Agent for: The Arc of St. Lucie County, Inc.; Applicant Post Office Box 1016 Fort.Pietce, Florida 34954 RE: Variance Request for.an Oirsite Sewage Treatment and Disposal'Sgstem Variance.Application #12867 Florida Department of Health in St. Lucie County Reference #AP1224898 Lot 7,. Block 107, Lakewood Park Unit 9 6607 Deleon Avenue; St. Lucie County Variance from Section: 381.0065(4)(e)3., FS; 64E-6.005(1)(b), FAC Dear Mr. Miner. Rick Scott Governor Celeste Philip, MO, MPH Interim Stale Surgeon General The Variance Review and Advisory Committee for the,Onsite Sewage Treatment and Disposal Program has recommended -approval, with proviso, of your application for variance in the case' of the above referenced property: The advisory committee recommended the following requirement: The onsite sewage treatment and disposal system shall beset back from the public drinking water well. by the maximum distance attainable but not less than 82 feet when installed. I concur with the advisory committee's recommendation and. approve your variance subject to the. requirement above. This variance, as approved, applies only to those sections of the law or rules referenced above. and in, noway exempts compliance with.otherstate and local regulations. This variance will expire one year from the date of this letter unless.an onsite sewage treatment and disposal system construction permit is issued by the Florida. Department of Health in St. Lucie County, in.which case the variance will run concurrent with the system construction permit. If you have -any questions, please call Ed .Williams at (850).245-4444 ext. 2793. Si to r Ken ra F. Goff, PhD, CPM State Toxicologist & Chie KF.G/ew Enclosure cc: Florida Department of Health in St. Lucie County Florlda Department of Health Divislon of Disease Control & Health protection •Bureau of Environmental Health 4052 Bald Cypnos.lkay, din A-08 • Tallahassee, FL 32399-1716 Accredited Health Department RHONEi 850r145-0250•-FAX 8501467-0864 in Public Health Accreditation Board FloridaHealth.9ov NOTICE OF RIGHTS A party whose substantial interest is affected, by this action may.petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Chapter 28- 106, Florida Administrative Code, governs such proceedings. A petition for hearing must be in writing and must be received by the Agency. Clerk for the Department within twenty-one (21) days from receipt of this notice. The petition may be`mailed to the Agency Clerk, Department of Health, 4052 Bald Cypress Way, BIN,#A-02, Tallahassee, FL 32399-1703;.hand delivered to the Agency Clerk, Department of Health, 2585 Merchants Row Blvd., Prather Building, Suite 110, Tallahassee,. FL; or sent by facsimile to (850) 413-.8743: Mediation is not available as an alternative remedy. The failure of any person to file a petition for hearing within 21 days from receipt of this notice will constitute a waiver of.that person's right to an administrative hearing; and this notice shall become 4 Final Order. Should this notice become a Final'Order, a party who is adversely affected by it.is entitled to..judioial 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 AgencyClerk of the Department of Health and azecond 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 the filing of the Final Order.