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HomeMy WebLinkAboutSewageI STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM �5 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Kelley Cornett PROPERTY ADDRESS: 1401 Lone Pine Dr Fort Pierce. FL 34982 LOT: 18 BLOCK: SUBDIVISION: Lone Pine m0i1-0(90L-11 PERMIT #:56-SF-2211859 APPLICATION # : AP 1606165 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT # : PR1515790 PROPERTY ID #: 3409-505-0023-000-1 [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 Seotic 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 [ 667 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM r A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ ] N F LOCATION OF BENCHMARK: NID LB959 E side of median I ELEVATION OF PROPOSED SYSTEM SITE [ 2.00 ][INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 8.00 1 [FINCHEST FT ][ABOVE BELOW] BENCHMARK/REFERENCE POINT L D O T H E R REQUIRED: [ Yif.UU] INCHES EXCAVATION REQUIRED: L 3Cf.UU J INUMN6 system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY:,,7 Brian J Imam TITLE: Environmental Specialist III APPROVED BY: TITLE: Environmental Specialist III St. Lucie CHD Brian J ram DATE ISSUED: 0211812021V EXPIRATION DATE: 08/18/2022 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 AP1606165 SE1483024 c 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. - St. Lucie County Health Department 5150 NW Milner Dr PortSaint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2211859 BILL Doc #:56-BID-5123352 CONSTRUCTION APPLICATION #: AP1606165 RECEIVED FROM: Kellev Cornett AMOUNT PAID: $ 545.00 c PAYMENT FORM: CREDIT CARD 06091 D PAYMENT DATE: 12/09/2020 MAIL TO: Kelley Cornett FACILITY NAME: PROPERTY LOCATION: 1401 Lone Pine Dr Fort Pierce, FL 34982 18 Lot: Block: Property ID: 3409-505-0023-000-1 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 WAKITITV FFF 1 $ 5.00 1 $ 45.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: Whi4hamJL AUDIT CONTROL NO. 56-PID-4825823 of STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL .ti SYSTEM APPLICATION'FOR CONSTRUCTION PERMIT APPLICATION FOR: PERMIT NO. d DATE PAID: FEE PAID: s RECEIPT #: [VJ New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: AGENT: MAILING ADDRESS: TELEPHONE :77a `3-aa - L / �PV1�0 3L11?SD TO BE COMPLETED BY APPLICANT OR APPLICANTS 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 ` ! f LOT: BLOCK: SUBDIVISION: � i2ne � Ju 1yi'Da n PLATTED: PROPERTY ID #: �(' s�' (��' ��' ZONING: f' I/M OR EQUIVALENT: [ Y / PROPERTY SIZE: �i 61 ACRES WATER SUPPLY: PRIVATE PUBLIC V<=2000GPD [� [ [ 1>2000GPD IS SEWER AVAILABLE ASP PER 381 .0065, FS? [ Y /YN �] DISTANCE TO SEWER: FT l PROPERTY ADDRESS.- IfS� ` 4 Ii I / n;) ,r,, DT., .� .R I /Ve' . �-74 . (0► O ,f i% n DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 2 3 4 [RESIDENTIAL [ ] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equ'p ent Drains [ ] Ot er (Specify) rn SIGNATURE: OLL DATE: 20 Z DH 4015, 08/09 (Obsole ds 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: Kelley Cornett CONTRACTOR / AGENT: LOT: 18 BLOCK: SUBDIVISION: Lone Pine ID#: 3409-505-0023-000-1 APPLICATION # AP1606165 PERMIT # 56-SF-2211859 DOCUMENT # SE1483024 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 USABLE AREA AVAILABLE: 0.36 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 900.02 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: NiD LB959 E side of median ELEVATION OF PROPOSED SYSTEM SITE 2.00 [ INCHES / FT ] [ ABOVE / HELOW ] 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: 85 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 8 FT PROPERTY LINES: 11 FT POTABLE WATER LINES: 35 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NCI 10 YEAR FLOOD ELEVATION FOR SITE: FT[ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 RATT. ARnFTT.F. TWV()RMnTTr1N 14Tma. ") USDA SOIL SERIES: Munsell #/Color Texture Depth 1 OYR 5/3 Fill - Sandy Clay 0 To 6 1 OYR 3/1 Loamy Sand 6 To 20 1 OYR 4/1 Fine Sand 14 To 20 1 OYR 2/1 Spodic Material 20 To 38 1 OYR 4/2 Fine Sand 38 To 45 1 OYR 3/1 Fine Sand 45 To 50 1OYR 4/3 Loamy Fine Sand 50 To 56 HOLE CAVING Refusal 56 To 56 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 5/3 Fine Sandy Loam 0 To 9 10YR 4/1 Loamy Sand 9 To 20 10YR 5/1 Fine Sand 14 To 36 1OYR 6/2 Fine Sand 36 To 45 10YR 3/2 Spodic Material 45 To 48 1 OYR 4/3 Fine Sand 48 To 54 HOLE CAVING Refusal 54 To 54 OBSERVED WATER TABLE: 12.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 14 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 14.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.60 DEPTH OF EXCAVATION: 38 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA r WSWT determined using USDA WSS and soil borings. 10YR5/1 stripping In 10YR4/1 matrix>10% with diffuse boundaries starting at 14" in SB2. SB1 and SB2 2" below BM. c SITE EVALUATED BY: DATE: 02116/2021 Ingram, Brian (Title: vironmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which y not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1606165 EID2211859 v 1.0.2 Property Card Page 1 of 1 31313 Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 1401 Lone Parcel ID: 3409-505-0023- Account #: 166423 Sec/Town/Range: Pine DR 000-1 09/36S/40E Map ID: 34/09N Zoning: Planned Un Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Kelley R Cornett LONE PINE SUBDIVISION (PB 51-21) LOT 18 (OR 4034- Caleb Bryant Bowen Cornett 111) 1196 Country Gardens LN Fort Pierce, FL 34982-3327 Current Values Historical Values 3-year Just/Market: $41,800 Assessed: $36,300 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $36,300 2020 $41,800 $36,300 $0 $36,300 2019 $36,000 $33,000 $0 $33,000 2018 $30,000 $30,000 $0 $30,000 Sale History Date Book/Page Sale Code Deed Grantor Price 08-11-2017 4034 / 011 l 0001- WD Ryley Winston A $14,000 06-22-2012 3407 / 0597 0001 WD Oceans Four Development Corp $13,800 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: Total Areas Finished/Under Air 0 (SF): Gross Sketched Area 0 (SF): Land Size (acres): 0.36 Land Size (SF): 15,782 Total Building Count: 1 Type 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 2021 Saint Lucie County Property Appraiser. All rights reserved. https://www.paslc.org/RECard/ 2/18/2021 27" 21'37N 27" 21' 34" N Custom Soil Resource Report Soil Map b $N N m 555150 565160 555170 M5180 5MI90 5GC200 %5210 56=0 3 3 Map Scale: 1:529 ff printed on A portait (8.5" x 11") sheet Me N 0 5 10 20 3ters Fee# 0 25 50 100 150 Map pion: Web Mercator Comer coordinates: WGS84 Wge ti6: UTM Zone 17N WGSN 6 27" 21'3TN I 2F 2P34"N Custom Soil Resource Report St. Lucie County, Florida 25—Nettles and Oldsmar sands Map Unit Setting National map unit symbol. 1 jpvl Elevation: 0 to 30 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Nettles and similar soils: 41 percent Oldsmar and similar soils: 39 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Nettles Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 8 inches: sand E - 8 to 33 inches: sand Bh1- 33 to 39 inches: sand Bh2 - 39 to 55 inches: sand Btg - 55 to 80 inches., fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 31 to 50 inches to ortstein Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity. Very low (about 1.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: C/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) 10 Custom Soil Resource Report Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Description of Oldsmar Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 32 inches: sand Bh - 32 to 42 inches: sand Btg - 42 to 80 inches: fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding. None Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity. Low (about 4.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating. No Minor Components Pineda Percent of map unit: 4 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Linear Across -slope shape: Concave Other vegetative classification: Sandy over loamy soils on flats of hydric or mesic lowlands (G156BC241 FL) Hydric soil rating: Yes Pepper Percent of map unit. 4 percent 11 Custom Soil Resource Report Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Ankona Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Wabasso Percent of map unit. 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Oldsmar Percent of map unit: 4 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Other vegetative classification: Sandy soils on stream terraces, flood plains, or in depressions (G156BC145FL) Hydric soil rating: Yes 48—Wabasso sand, 0 to 2 percent slopes Map Unit Setting National map unit symbol.- 2svyr Elevation: 0 to 70 feet Mean annual precipitation: 46 to 55 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 355 to 365 days Farmland classification: Farmland of unique importance 12 Custom Soil Resource Report Map Unit Composition Wabasso and similar soils: 85 percent Minor components: 15 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Wabasso Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 6 inches: sand E - 6 to 25 inches: sand Bh - 25 to 30 inches. sand Btg - 30 to 58 inches. sandy clay loam Cg - 58 to 80 inches: loamy sand Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 9 to 50 inches to strongly contrasting textural stratification Drainage class: Poorly drained Runoff class: Very high Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Calcium carbonate, maximum content: 5 percent Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity. Very low (about 1.4 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 3w Hydrologic Soil Group: C/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G155XB141 FL) Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (G155XB141FL) Hydrcc soil rating. No Minor Components Hallandale Percent of map unit. 6 percent Landfonn: Flatwoods on marine terraces Landform position (three-dimensional): Tread, talf Down -slope shape: Linear Across -slope shape: Linear 13 Custom Soil Resource Report Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy soils on flats of mesic or hydric lowlands (GI 55XB141 FL) Hydric soil rating: Yes Boca Percent of map unit.- 5 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear, convex Across -slope shape: Linear, concave Ecological site: R155XY003FL - South Florida Flatwoods Other vegetative classification: South Florida Flatwoods (R155XY003FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G1 55XB241 FL) Hydric soil rating: Yes Pineda Percent of map unit. 4 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Tread, dip, talf Down -slope shape: Linear Across -slope shape: Linear, concave Other vegetative classification: Slough (R155XY011 FL), Sandy over loamy soils on flats of hydric or mesic lowlands (G155XB241 FL) Hydric soil rating. Yes 14 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. Inv : 1 Site F Supers OSTDS`. Date: ?,- l; Revieui►k " �,� 1.11r1t�.1 i i►°:� 1 4Hw- MIIV. ACK REQ. FRONT SIDES CNR.SIQ — REAR JJ ZNG. TECH. i11..k..• C I prw 11 A A . 141 ,�_� MARK 'W.1k9'� -k,` �ly= ;� an , tj �Sli�lilA ',Y:�4N ;,yS11Ri/�YlOR RED ;TtA:7�►/1qUMpEi� # 489'I DOH in St. Lucie County .environmental. Health an Approved for Construction :des All Previous Site Plans fo 1 I 1 �C�10 Roo MoNU1�QFT �I rR'FJJC6 «pD " ftOOA -pD DF 7Fm MEAS�EIITDI&1 -PLATTED AI Ct!6A'DIST ,VAVAWPZ D �DEEOED DISTAN ' WOMMAL LOCAL DESCRIPTION LOT 18 OF LONE PINE SUBDIVISION, ACCORDI[VG TO THEN AT THEREOF A5 RECORDED IN PLAT BOOK 51, PAGE 21 THROUGH 25, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY FLORIDA. r r. 31 ADDRESS:. 1401 LONE~ PINE DRIVE, FORT PIERCE, FL. 44982 J • • !SURVEY MOTES: 1, SURVEY OF DESIORIPTIONAS-FURNISHED by OUENTI LANDS SHOWN HEREON WERE NOTAIE87'I; ORD FOR SASONIENTB AND/oA RIOHT•OF WAYS OFF RECORD, THIS SURm DOES NOT MAKE ANYATIgm TO DELINEATE OR DEFINE AREA8 OF LNVRONMENTAL OONCaRN OTHOR THAN PROMI)BOANDSHOWN 140RE'ON, THERE MAY 8B AIRNAB OP ENVIRONMENTAL OONCEIRN. ON THIS sim NOT No rEn OR MAPPED a _ S. ON'IHISI ONVEY, UNLESS OTHERWISE STATED THIN SAO OF BEARIN0 AND DISTANCES ARE IN I� " A00bADANOL WITH THE RECORD'PLATAND WAVE BEEN VEIRI ISO SY FIELD 4, MMASUREMENTS; ALLMSASUREMBNTS SHOWN HBRRONANE IN PEE'I", , S. ALL ELEVATIONS 8H641 HEREON ARS SASSO ON THE. NORTH-AMINIdAN VRRTICAL DATUM OF me (NAVDBS), 6. THIS SURVEY WITS OR EXCEEDS APPLICABLE ACOURAOY REQUIIREMENTB.ANO IS P1kEpAF1EDA000RD1NaT0 THE g-r . RD$ OF PRAOTIQg SgT FORTH BYTHE , FLOAIDAADMINISTRATIVe oNAPTgR oj4yAS 00bE, ADOPTEo gYTHE BOARD Op PROMSIONAL SURVEYOR AND MAPPgRS. I. WRITTEN DIMENSIONS TAIM PRECEDENT OVER $OALED DIMENSIONS AND SYMBOL$ OF 119ATURES ARE NOT T SCALE AND AFt9. ONLY A REPRESENTATION OF LOCATION :. -IN TIDE Flow. . 9. THIS SURVEY IS NOT VALID WYrHWr THE ORIGINAL SIGNATURE AND EM89DDED 8E'AL Op 1'HN SUiVEYOR IN.RESPONSIIJLE OHARC�t, THIS SURVEY CANNOT 8E AN13pERREd 0 A6SII3NED WITWOUTTNE SPECIFIC WRITTEN PEliM1881CN of THE BURV0 8ERE�N, AND ITISAVIOLATION.OFCHARTER 8J•1y, FLORIDA AC1MINtSTRATIVi� COD6VA LT Vie SURV0 WITHOUT' 7�Mt� EXPgE83 PRIOR PRIOR WRITTEN t?,ON6gNT OF THO SURVEYOR. AODITIONS AND/OR DELETIONS TO 9. . 10, THIS SUARA" IN ANY FORM RENDgAq THIS•SURV�SY•INVAU0. NO UND99DROU((��D IMPROVOMENTS HAVE BEEN LOCATRDAS PART OF THE 9UltVL:Y, 8Y ACCEPTING IS SURVOY, ALL PARTIES ACRES THAT THE SIGNING AURVEYOR'S LIABILITY ISUMITRD TO THE AMOUNT PAIW FOR SAID SURVEY. 11, NO 0%WERSHIP OF PENCE LINOS HAS BEEN DETERMINED AS PART OF THIS SURVEY. � 12. THIS SURVEY 18 INCOMPLETE WHENALL SHgETS IN THE SET ARIA NOT SHOWN IN •13. THE LAIN FIBLOPAYE OF THIS SURVEY WASI t 14. PLOOD 20WINPORMATION; FLOOD ZONE: "X", MAP: 12111CO217J ' -DATED: 02?' 16/12 CERTIFIED TO. ((LLLY COkNbtAND CALEB CORNETT •• RI.EY pa Raai;D enax r D pp Mom RLS �AuEC19TBri� LAND 5Up1UEYDR CORNERSTONli SURVEYING t.B# 7041 325 SW SOUTH QUICK CIRCLE PORT ST. LUCIE, FLORIDA 84953 TEU 772-I18-2378 CnRN9Z8TON E6URVSYlND�FIOTMAIL.CON! BOUNDARY SURVEY a- UPA10 0 1ilE •�ANii AI' I +j. OR IN 1 6. NUMB