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Home My WebLink AboutAPPLICATION FOR CONSTRUCTION PERMIT0 0 STATE OF FLORIDA PERMIT DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: 0 APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [v/] New System [ 1 Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: Anthony & Ann Mane Piolunex AGENT: Alexander J. Piazza PSM, Inc. MAILING ADDRESS: 619 SW Biltmore Street, Port St. Lucie, Florida 34983 TELEPHONE: 772-340-7770 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: 36-37 BLOCK: 5 SUBDIVISION: Indian River Estates Unit 5 PLATTED: 1958 PROPERTY ID #: 3402-606-0034-000-0 ZONING: R I/M,yO�R EQUIVALENT: [ No ] PROPERTY SIZE: 0.909 ACRES WATER SUPPLY: 0- PRIVATE PUBLIC I J<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ No -] DISTANCE TO SEWER: - FT PROPERTY ADDRESS: 5115 Palmetto Drive, Fort Pierce, FLORIDA OUANNED DIRECTIONS TO PROPERTY: SEE MAP Sy BUILDING Unit Type of No Establishment 1 RESIDENCE Lucie County [v(] RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 3 1,986 2 3 4 [ ] Floor/Equipment Drains [✓l. Other (Specify) GARBAGE GRINDERS/DISPOSALS SIGNATURE: Lam' J% /1<'� DATE: 8-24-2017 DH 4015, 06/09 (Obaole�s--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 SCANNED BY St. Lucie County M.d PERMIT #:56-SF-1787193 APPLICATION #:AP1305839 DATE PAID: FEE PAID: RECEIPT # DOCUMENT #: PR1075814 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Anthony & Ann Marie Piolunex PROPERTY ADDRESS: 5115 Palmetto Dr Fort Pierce, FL 34982 • LOT: 36-37 BLOCK: 5 SUBDIVISION: Indian River Estates [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] -• PROPERTY ID #: 3402-606-0034-000-0 [OR'TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64£-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [` 900 ] GALLONS / GPD SeDtic new CAPACITY A L I GALLONS I GPD N/A CAPACITY N { - ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [" ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 Has #Pumps [ ] D [ 500 1 SQUARE FEET Dralnfleld new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [XI MOUND [ I CONFIGURATION: I ] TRENCH [X] BED [ ] -- N F LOCATION OF BENCHMARK: NID E side Of Rd SE Corner I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE 14, 0 T rH E A [ 3.00 ] [1 INCHES FT ] [ ABOVE [ 2.00 ] [ INCHES FT ] [ ABOVE BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT •ILL REQUIRED: [1W.UU] INCHES EXCAVATION REQUIRED: [ 40.UU] INCHES The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300,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. SPECIFICATIONS BY: Brian J In am TITLE: Environmental Specialist II APPROVED BY: TITLE: Environmental Specialist II St. Lucie CHD Brian J In n DATE ISSUED: 09/19/2017 EXPIRATION DATE: 03/19/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used Incorporated: 64E-6.003, FAC I1 lie Copy Page 1 of 3 v 1.1.4 A 1305839 SE1047339 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 4062 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. STATE OF FLORIDA APPLICATION # AP1305839 DEPARTMENT OF HEALTH PERMIT # 56-SF-1787193 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #SE1047339 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Anthony & Ann Marie Piolunex SCANNFn CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc BY LOT: 36_37 BLOCK: 5 SUBDIVISION: Indian River Estates ID#: 3402-606-0034-000-0 County • TO HE 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 USABLE AREA AVAILABLE: 0.91 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2275.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 .SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: NiD E side of Rd SE corner ELEVATION OF PROPOSED SYSTEM SITE 3.00 [ INCHES / FP ] I ABOVE / BEE] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 100 FT NORMALLY WET: [ ]YES [X1NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 77 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 31 FT POTABLE WATER LINES: 10 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? I ]YES IXIN0] 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL / NGVD ] SITE ELEVATION: FT I MSL / NGVD n+T. mmnWTT4 TwT n9M TTnV eTTR 1 ROTT, RROFTTX.. TNFORMATTDN SITE 2 USDA SOIL SERIES:Waveland fine sand Munsell #/Color Texture Depth 1 OYR 411 Sand 0 To 5 1 OYR 5/1 Sand 5 To 31 1 OYR 6/1 Sand 23 To 37 1 OYR 2/1 Spodic Material 37 To 45 1 OYR 614 Sand 45 To 49 1 OYR 3/1 Sand 49 To 59 .HOLE CAVING Refusal 69To72 USDA SOIL SERIES:Waveland fine send Munsell #/Color Texture Depth 1 OYR 4/1 Sand 0 To 4 1 OYR 511 Sand 4 To 27 IOYR 6/1 Sand 23 To 38 10YR 211 Spodic Material 38 To 44 _ 1 OYR 413 Send 44 To 49 1 OYR 311 Sand 49 To 59 1 OYR 3/3 Sand 59 To 62 HOLE CAVING Refusal 62 To 72 OBSERVED WATER TABLE: 36.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: ESTIMATED WET SEASON WATER TABLE ELEVATION: 23 INCHES [,ABOVE / BELOW I HIGH WATER TABLE VEGETATION: I ]YES IX]NO MOTTLING: [X]YES [ ]NO [ PERCHED / APPARENT ] EXISTING GRADE DEPTH: 23.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 45 DRAINFIELD CONFIGURATION: [ ] TRENCH EX] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/1 stripping In 10YR511 matrix >10% with diffuse boundaries starting @ 23" in S87. S81 3" below BM. SB2 2" below BM SITE EVALUATED BY: Ingram, Brian (TI r Environmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, SAC INCHES DATE: 09/05/2017 Page 3 of 4 AP1305839 EID1787193 v 1.0.2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS PERMIT #. 56 `5,� 17 �Ih APPLICANT: Anthony & Ann Mane Piolunex AGENT: Alexander J. Piazza PSM, Inc. LOT: 36-37 BLOCK: 5 SUBDIVISION: Indian River Estates Unit PROPERTY ID # : 3402-606-0034-000-0 [ Tax ID Number ] 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: l✓] YES [ ] NO NET USABLE AREA AVAILABLE: 0.909 ACRES TOTAL ESTIMATED SEWAGE FLOW. 500 GALLONS PER DAY [RESIDENCES -TABLE I /OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [ 1500 GPD/ACRE OR2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: ELEVATION OF PROPOSED SYSTEM SITE IS 34 [INCHES/PT ] [ABOVE/BELOW] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES:15 FT NORMALLY WET? [ [ YES [✓l NO WELLS: PUBLIC: 200 FT LIMITED USE: 100 FT PRIVATE: 75 FT NON -POTABLE: 100 FT BUILDING FOUNDATIONS:5 FT PROPERTY LINES:10 FT POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? I ] YES [✓] NO 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD SOIL PROFILE TEXTURE USDA SOIL SERIES: TO TO SOIL PROFI" L14 C'VRMA'I'1VV S1'1'z c MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: OBSERVED WATER TABLE:40+ INCHES [BELOW r] EXISTING GRADE. TYPE:[ PERCHED /APPARENT ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [.ABOVE/BELOW ] EXISTING GRAD] HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHEI SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHEI DRAINFIELD CONFIGURATION: [✓] TRENCH -- [.-,]..BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA: - SITE EVALUATED BY: 8-24-2017 DH 4015, 12/11 (Obsoletes previous editions -which may not be used) Incorporated: 64E-6.001,FAC Page 3 of • �(�-5 _178703 APPLICANT'S Anthony & Ann Marie Piolunex LEGAL DESCRIPTION: Lots 36 & 37, Block 5; Indian River Estates Unit 5 I certify that there are no potable private wells within 75 feet of the available area for the proposed septic system, that there are no non -potable wells within 50 feet of the available area for the proposed septic system, that there are no wells within 25 feet of a pesticide -treated building foundation, that there are no public wells that serve less than 25 people or less than 15 homes or businesses within 100 feet of the proposed septic system, that there are no public wells that serve more than 25 people or more than 15 homes or businesses within 200 feet of the proposed septic system, that the water line from the water meter or well to the structure is at least 10 feet from the available area for the proposed septic system unless the plans show the line to be double sleeved, that there is not a gravity sewer line, low pressure sewer line or vacuum sewage line in a public easement or right-of-way that abuts the property, that there are no lakes, streams, wetlands, or surface water within 75 feet of the available area for the proposed septic system unless the property was created prior to 1972, that the septic system is proposed on the side of the lot farthest from surface water, that all private wells, septic systems and surface water on adjacent or contiguous land within 75 feet of the applicant's lot are shown on the site plan, that all public wells within 200 feet of the applicant's lot are shown on the site plan, and that the location of building or residences, swimming pools, recorded easements, paved areas or driveways, sidewalks, the general slope of the property, filled areas, drainage features, and surface waters such as lakes, ponds, streams, canals, or Wetlands are shown on the applicants lot. The natural grade elevation in the area of theproposed septic system and the benchmark must be shown on the site plan. Please locate the benchmark within 200 feet of the proposed septic system. NOTE: MUST BE CERTIFIED BY A FLORIDA REGISTERED SURVEYOR OR ENGINEER. CERTIFIED BY: -iF FLOPMA PROFES$IONAI�; ' -,6330 DATE: 08/24/12 JOE NO 17-3255 does/formstsepties/SepticApppPage207