HomeMy WebLinkAboutSewageIgo9-oaf66
STATE OF.FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL RECEIVEp
SYSTEM
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Richard Cheatham
PROPERTY ADDRESS:
LOT: 3
5908 Tangelo Dr Fort Pierce, FL 34982-
BLOCK: 84
PROPERTY ID #: 3402-610-0390-000-6
v-
PERMIT #.56-SF-1983417
APPLICATION #:AP1429179
OCT l D 1-019
Pe �ittin9 D Pd
Lucie epar ment
'Count),
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1250339
SUBDIVISION: Indian River Estates
[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 [ 900 ] 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 [I ]
D [ 375 ] SQUARE FEET Drainfield New SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND
I CONFIGURATION: EXI TRENCH [ ] BED [ ]
N
I
F LOCATION OF BENCHMARK: Site BM painted "X" NID CL of road "TRAV PT LB 6018"
I ELEVATION OF PROPOSED SYSTEM SITE [ 6.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D I
9
T
H
E
R
REQUIRED: [ 23.UU] INCHES EXCAVATION REQUIRED: [ 4U.UU I LNCf11!:5
system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
gpd•
SPECIFICATIONS BY: Hunter A Collier TITLE: Environmental Specialist I
APPROVED BY: %,� �H N ", a, TITLE: Environmental Specialist I
unter Collier
DATE ISSUED: 09/16/2019 EXPIRATION DATE:
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4
AP1429179
SE1199550
St. Lucie CHD
02/28/2021
Page 1 ofq 3
91 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 enjitled
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.
i
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
. HEALTH
FAYING ON: #: 56-SF-1983417 BILL DOC #:56-BID-4356715 CONSTRUCTION APPLICATION #: AP1429179
RECEIVED FROM: Alexander J. Piazza PSM Inc AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 104 PAYMENT DATE: 08/16/2019
MAIL TO: Richard Cheatham
FACILITY NAME: -
PROPERTY LOCATION:
5908 Tangelo Dr
Fort Pierce, FL 34982
Lot: 3 Block: 84
Property ID: 3402-610-0390-000-6
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-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 - 08TDS Construction System Inspection
1
$
75.00.
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4058999
�• STATE OF FLORIDA
al
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment [ ] Temporary
APPLICANT: Richard Cheatham
PERMIT NO. 54 - "F -
DATE PAID: SNO9
FEE PAID: 15 c,,r- Fo+
RECEIPT #:
[ ] Innovative
AGENT: Alexander J. Piazza PSM, Inc. TELEPHONE: 772-340-7770
MAILING ADDRESS • 619 SW Biltmore Street, Port St. Lucie, Florida 34983
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: 3 BLOCK: 84 SUBDIVISION:
PROPERTY ID # : 3402-610-0390-000-6
Indian River Estates Unit 9 PLATTED: 1958
ZONING: R I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE: 0.230 ACRES WATER SUPPLY: [,/] PRIVATE PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.00'65, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 5908 Tangelo Drive, Fort Pierce, FL 34982
DIRECTIONS TO PROPERTY: SEE MAP
BUILDING INFORMATION
Unit Type of
No Establishment
1 RESIDENCE
2
3
4
[v/] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1
3 1,536
[ ] Floor/Equipment Drains [ ,/ ] Other (Specify) GARBAGE GRINDERS / DISPOSALS
Digimlly signet by NexanOas 1 Itivaa
Alexander J Piazza Dl\:c=US.o=UimDIia1W nu=AOIJ27I00000165tl ICL7C5000001981.cn=Nexomlcrl
SIGNATURE: MI. 2019.08.15 12:43:00 .0 VW DATE: 8-15-19
DH 4015, 08/09 (Obsoletes previous editions which may not be used)_
Incorporated 64E-6.001, FAC
Page 1 of 4
V
RECEIVED
SEP272019
ST. Lucie County, Permitting
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LEGEND:
(C)
= CALCULATED
(D)
= DEED
(M)
= MEASURED
(P)
= PLATTED
CMP
= CORRUGATED METAL PIPE
- CNS
= COULD NOT SET
-..
CONC = CONCRETE
FEE
= FINISHED'FLOOR ELEVATION
y ;FND
= FOUND
'"IB
,= 5/80 IRON REBER
IRC
' = 5/8" IRON REBAR WITH PLASTIC CAP
PCOR = PROPERTY CORNER
PCP
= PERMANENT CONTROL POINT
PL
= PROPERTY LINE
PUDE = PUBLIC .UTILITIES AND DRAINAGE EASEMENT
R/W
= RIGHT—OF-WAY
0
= SET 5/8' IRON REBAR WITH PLASTIC
CAP 'AJP PSM 6330"
Ct
0
LOT 2 BLOCK 84
FFE= 19.72 \
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10
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MENNEN
PROPOSED
1" WATER SERVICE
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12.00'
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aFIELD
S89'56'56"W 125.
LOT 4 BLOCK 84
VACANT
LOT 5 BLOCK 84
FFE=- 19.52
WELL & SEPTIC
>75' NO INTERFERENCE
5908 TANGELO DRIVE
Y: BOUNDARY I PLOT PLAN U/C TIE [NJ FINAL TTOPOGRAPHIC
3-11-19 1 8-13-19
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DATE: REVISIONS:
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ALEXANDER J. PIAZZA PSM, INC.
Surveying • Mapping • Consulting
619 SW Biltmore-Street
® Port St. Lucia Florida 34983.
Phone: (772) 340-7770
LB#7250 Fa)c (772) 340-2250
0
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Ow
OiO
m�Q
NLL-O
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FDOH in St. Lucie County
Environmental Health
Site Plan Approved for Construction
Supersedes All Previous Site Plans for �o
OSTDS # & Well # = J II
Date:
Reviewer: o
4 U
FILE UU PY
LAST FIELD DATE:, 3-11-19
CAD K:\BUILDERS\DWG2019\19-4480.DWG
REF K:\
FLD . CJM / RP FB PG. JOB 19-4480
OFF CJM DATE 8-13-19
CKD AJP SHEET 1 OF 1 DWG C-867
LEGAL DESCRIPTION:
LOT 3 IN BLOCK 84 OF INDIAN RIVER ESTATES, UNIT 9,
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK
10, PAGE 74, OF THE PUBLIC RECORDS OF ST. LUCIE
COUNTY, FLORIDA.
SURVEY NOTES:
1. UNLESS OTHERWISE NOTED ONLY PLATTED EASEMENTS ARE
SHOWN HEREON.
2. NO UNDERGROUND UTILITIES OR IMPROVEMENTS WERE
LOCATED UNLESS OTHERWISE SHOWN.
3. THIS SITE LIES WITHIN FLOOD ZONE "X", ACCORDING TO
THE FLOOD INSURANCE RATE MAP, COMMUNITY PANEL NO.
12111CO281 J, EFFECTIVE DATE FEBRUARY 16, 2012.
4. FLOOD ZONE SHOWN HEREON IS AN INTERPRETATION BY THE
SURVEYOR AND IS PROVIDED AS A COURTESY. THE FLOOD
ZONE SHOULD BE VERIFIED BY A DETERMINATION AGENCY.
5. BEARINGS SHOWN HEREON ARE BASED ON THE WEST LINE
OF LOT 3 ASSUMED TO BEAR N00'03'04"W.
6. ALL LOT DIMENSIONS SHOWN ARE PER PLAT UNLESS
OTHERWISE NOTED. ALL SURVEY MEASUREMENTS ARE IN
FEET.
7. ALL MAPPED FEATURES SHOWN HEREON ARE UNDER THE
DIRECT SUPERVISION AND RESPONSIBILITY OF ALEXANDER
J. PIAZZA PSM, INC.
8. SURVEY MAP AND REPORT OR THE COPIES THEREOF ARE NOT
VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
9. ADDITIONS OR DELETIONS TO THE SURVEY MAP OR REPORT
BY OTHER THAN THE SIGNING PARTY OR PARTIES IS
PROHIBITED WITHOUT CONSENT OF THE SIGNING PARTY OR
PARTIES.
CERTIFIED TO:
RICHARD CHEATHAM
4
,> � ••• ens e NU' ' '••. "9 '
o Aj XA TRU0A PIA a
Pror�s�or}al Surveygr',&# pper
F I o r i �n fCeY^ti f 1 c a t'e No .cam 6330