HomeMy WebLinkAboutSewageST. LUCIE COUNTY HEALTH DEPARTMENT
R E C E I PjT Dale— No.
Received From
Address
J Dollars $ ��/ ✓
For
ACCOUNT
HOW
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ORDER
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Christopher Cummings (Cummings Custom Homes LLC)
PROPERTY ADDRESS: 3712 Tanager PI Fort Pierce, FL 34982
LOT: 20 BLOCK:
SUBDIVISION: Estates of Longwood
PERMIT #:56-SF-1972751
APPLICATION # : AP 1422502
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1244562
PROPERTY ID #: 2433-502-0020-000-3 [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 SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD Septic New CAPACITY
A [ ] GALLONS / GPD N/A CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D- [ 500 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [x] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Set Nail & Tab CL of road see site plan
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 9.00 ][ INCHES FT ][ ABOVE BELOW]BENCHMARK/REFERENCE POINT
L
D I
O
T
H
E
R
'ILL REQUIRED: L Z"I.Uu] INCHES EXCAVATION IiEQUllZEU: L OO.VU J lavcnra
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I
APPROVED .BY: TITLE: Environmental Specialist I
Hunter A ollier
DATE ISSUED: 07/16/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EXPIRATION DATE
St. Lucie CHD
01 /16/2021
Page 1 of 3
v 1.1.4 AP1422502
SE1193836
NOTICE OF RIGHTS
4.1 A party whose substantial intirest 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.
���
huh 6�._.. I St. Lucie County Health Department
1 5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: 56-SF-1972751 BILL HOC #:56-BID-4244684 CONSTRUCTION APPLICATION #: AP1422502
RECEIVED FROM: Cummings Custom Homes LLC AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 1090 PAYMENT DATE: 07/08/2019
MAIL TO: Christopher Cummings (Cummings Custom Homes LLC)
FACILITY NAME:
PROPERTY LOCATION:
3712 Tanager PI
Fort Pierce, FL 34982
Lot:
Property ID:
EXPLANATION or DESCRIPTION:
-1 - Surcharge (All)
-1 /OSTDS New Permit Surcharge
123 - OSTDS Construction Site Evaluation
Block:
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
128 - OSTDS Construction System Inspection Research Fee
-1 - OSTDS Construction Application and Plan Review,New
-1 - OSTDS Reinspection
QUANTITY
FEE
1
$
45.00
1
$
100.00
1
$
115.00
1
$
55.00 ,
1
$
'75.00
1
$
5.00
1 $ 100.00
1 $ 50.00
RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-4009220
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FDOH in St. Lucie County
Environmental Health
Site Plan -Approved for'Construction
Supersedes All Previous Site Plans for
\ OSTDS # SI►-SF-Iq1 L1n &Well
Date: hi
Reviewer:
•P"
?e 36e
� 4./�7 I
50
6T56'04
59. 3/'
25'�
LOT 19
HOUSE
FIN.FL.EL.=15.37'
r'D J�
,
SET NAIL
& TAB
SITE BENCHMARK xs
ELEVATION = 11.51'
NORTH AMERICAN VERTICAL
DATUM.,BASED UPON
COUNTY' BENCHMARK "BELL"
ELEV.=15.42' N.A.V.D.
LEGEND:
P. - PLAT 9�
M. - MEASURED
C. - CALCULATED
D. -DESCRIPTION
I.R& C. - IRON ROD AND CAP
W.C. = WITNESS CORNER
C.M. = CONCRETE MONUMENT
I.P. - IRON PIPE .
N. & D. - NAIL AND DISK
P.P. = POWER POLE
L.P. = LIGHT POLE
O.H.W.= OVERHEAD WIRES
ASPH. = ASPHALT PAVEMENT
F.P.L. - FLORIDA POWER & LIGHT
FD. = FOUND
P.C. - POINT OF CURVE
P.T. - POINT OF TANGENCY
P.C.C. = POINT OF COMPOUND CURVE
P.R.C. =POINT OF REVERSE CURVE
P.O.B. = POINT OF BEGINNOG
P.O.C. = POINT OF COMMENCEMENT
C/L = CENTERLINE
R/W = RIGHT OF WAY
P.R.M. = PERMANENT REFERENCE MONUMENT
P.C.P. -PERMANENT CONTROL POINT
C.A. - CENTRAL ANGLE (DELTA ANGLE) '
TYP. - TYPICAL
CONC. = CONCRETE
SII = SETBACK
R - RADIUS
`r n—FDJ.R.
RISER X10.9,
STORM DRAINAGE
MAN HOLE
THIS DOCUMENT PREPARED IN THE OFFICE OF:
C.A. MITCHELL AND .ASSOCIATES, INC.
LAND SURVEYOR'S AND MAPPERS
759 S.W. SOUTH MACEDO BOULEVARD
PORT ST. LUCIE, FLORIDA. 34983
772-878-7547
DRAWN BY: C.A.M. REVISIONS
DATE: MAY 31, 2019
DWG. NO.: 4875
APPROVED BY: M.E.
FLOOD ZONE " X "
120285-12111 CO 189 J
2/16 /2012
CIO \
rTORM
INV.=8.58'
.2
DRAINAGE
/ CATCH BASIN
SET NAIL do DISK
—1N TOP OF CONIC
CULVERT (LS3541)
0), '0'4'
17.3'
'VACANT"
LOT 22
HOUSE
FIN.FL.EL.=14.04'
ADDITIONS OR DELETIONS TO SURVEY MAPS
OR REPORTS BY OTHER THAN THE SIGNING
PARTY IS PROHIBITED WITHOUT THE WRITTEN
CONSENT OF THE SIGNING PARTY.
(F.A.C. 5J 17 ).
DESCRIPTION: (SUPPLIED BY CLIENT)
LOT 20 OF "ESTATES OF LONGWOOD", ACCORDING
TO THE PLAT THEREOF, AS RECORDED IN PLAT
BOOK 26, PAGES 27 AND 27A OF THE PUBLIC
RECORDS OF ST. LUCIE COUNTY, FLORIDA.
SAID LANDS SITUATE IN ST. LUCIE COUNTY, FLA.
NOT VALID WITHOUT THE SIGNATURE
AND THE ORIGINAL RAISED SEAL OF
THE FLORIDA LICENSED SURVEYOR
AND MAPPER. (F.A.C. 5J-17 )
WIT
A CIATES, INC.
ON'NO. LB4276
MAY 29, 2019
-CLIIgTON "A. `MYICHELL, R.L.S.
REGISTERED LAND SURVEYOR & MAPPER
FLORIDA REGISTRATION NO. LS3541. (SINCE 1982)
PROJECT SHT. NAME SHT. NO.
LOT 20, OF THE ESTATES BOUNDARY AND
OF LONGWOOD, # 3712 4875
TANAGER PLACE, FORT TOPOGRAPHIC
PIERCE, FLORIDA. SURVEY