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Home My WebLink AboutOSTDS NEWPERMIT. #:'6G-SF-1802689 APPLICATION #:AP1315557 STATEOF.FLORIDA DEPARTMENT OF HEALTH DATE ,PAID: .ONSITE SEWAGE TREATMENT .AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: DOCUMENT #-: PR1084289 CONSTRUCTION PERMIT FOR:. OSTDS New APPLICANT: Joseph .Miller PROPERTY 'ADDRESS: TOD Ideal Holding Rd Port Saint Lucie, FL 34987 LOT: BLOCK: SUBDIVISION: PROPERTY ID #: 32.10-111-0003-000-6 [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 SeDtic 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 H ]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: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: ' 60d dail in N Side of oak W of system I ELEVATION OF PROPOSED SYSTEM SITE [ 27.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 15.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT L D E 0 T H E R ,L REQUIRED: [30.001 INCHES EXCAVATION REQUIRED: L J LNUnzo ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 10 gpd. ie licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with 64E-6.013(3)(0, FAC. SPECIFICATIONS BY; Brian J Ingra TITLE: Environmental Specialist II APPROVED BY: Environmental Specialist TI 8t. Lucie CHD Brian J Ingram DATE ISSUED: 12/04/2017 EXPIRATION DATE: 06/04/2019 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.00.3, FAC Page 1 of 3 v 1.1.4 AP3.315357 SE1055574 File Cops �... 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 4062 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facs'irriile 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 515.0 NW Milner Dr Port Saint Lucie, FL34983 HEALTH PAYING ON: PERMIT0:56 SF-1802689 BILL D0c#-.56-BID-3628266 CONSTRUCTIONAPPLICATIQN#:API 315357 RECEIVED FROM: Austin Sewer& Septic, Inc. (Septic Con AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 11/16/2017 MAIL TO: Joseph Miller FACILITY NAME: PROPERTY LOCATION: TBD Ideal Holding Rd PortSaint'Lucie, FL34.987 Lot: Block: Property ID: 3210-111-Ooos-000-6 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction: System Inspection Research Fee 1 $ 5,00 -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 - OSTDSConstruction System Inspection 133 -OSTDS Construction Reinspection 1 $ 15.00 1 $ 100.00 1 $ 100.00 1 $ 115.00 1 $ 55.00 1 $ 75.00 1 $ 50.00 RECEIVED BY: VanceMH, AUDIT CONTROL NO. 56-PID-3437881 STATE OF FLORIDA DEPARTMENT OP HEALTH t., ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRTiCTION PERMIT APPLICATION FOR: [./] New System [ ] Existing System. [ ]" Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary �gqq w� .� PERMIT No. si I0p O DATE PAID: FEE PAID: RECEIPT: #: [ ] Innovative APPLICANT: Joseph Miller/Clayton Davis AGENT: Austin Sewer & Septic, Inc. TELEPHONE: 863-763-0665 MAILING ADDRESS: 8181 Highway 441 SE Okeechobee, FL. 34574 ---------------------------- 'TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 48.9.105(3)(m) OR 489.55.2, 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: BLOCK: SUBDIVISION: PLATTED: PROPERTY ID # : 3210-111-0003-000-6 ZONING: AG-5 I/M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE:. 5.81 ACRES WATER SUPPLY.: [.,/] PRIVATE PUBLIC [ ],<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS PER 381..0065., FS? [ Y/N ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: TBD /:Ideal Holding Road, Port, St Lucie, FL. 34987 DIRECTIONS TO PROPERTY: BUILDING INFORMATION Unit Type of No Establishment 1 Mobile Home 2 3 4 [ ] RESIDENTIAL ( ] COMMERCIAL• No. of Building Commercial,/Institutional System Design Bedrooms Area Sgft Table 1, Chapter 64E-6, VAC 3 1478 [ ] Floor/Equipment Drains [ ] Other (Specify,) SIGNATURE: DATE.. 11/13/2011 DH 4015, 0.8/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.00.1, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1315357 DEPARTMENT OF HEALTH PERMIT #. 56-SF-1802689 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT SE1055574 APPLICANT: Joseph Miller CONTRACTOR / :AGENT Austin Sewer & Septic, Inc. LOT: BLOCK: SUBDIVISION: ID#:3210-111-0003-000-6 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: j ]NO NET USABLE AREA AVAILABLE: 5.81 ACRES TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 8715.01 GALLONS PER DAY [ 1506 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 750.00 SOFT UNOBSTRUCTED AREA REQUIRED: 750.00 SOFT BENCHMARK/REFERENCE POINT LOCATION: 60d dail in N side of oak W of system ELEVATION OF PROPOSED' SYSTEM SITE 27.00 [ INCHES / FT ] [ ABOVE / 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: 75 FT NON -POTABLE:. FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 100 FT POTABLE WATER LINES;: 40 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: elnYT. DIOnL+TT:L. 'TVWnT?MATTn?J QTTF. T' [ ]YES [X]NO 10 YEAR FLOODING? [ FT [ MSL / NGVD ] SITE ELEVATION: FT SOIL PROFILE.INFORMATION USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 4 10YR 5/2 Sand 4 To 15 10YR 6/2 Sand 10 To 17 2.5Y7/2 Sand 17 To 34 2.5Y 7/6 Sand 17 To 34 10YR 4/1 Sandy Clay Loam 34 To 47 10YR 5/1 Sandy Clay Loam .47 To 53 HOLE CAVING Refusal 53 To72 OBSERVED WATER TABLE: 13.00 INCHES [ ABOVE / EE3 ESTIMATED WET 'SEASON WATER TABLE ELEVATION: 1.2 INCH HIGH WATER TABLE VEGETATION: [. ]YES IX]NO. MOTTLING ]'YES [XINo) [ MSL / NGVD USDA SOIL SERIES:Pineda sand Munsell #/Color Texture Depth ES 10YR 4/1 Sand 0 To 7 10YR 5/2 Sand 7 To 18 10YR 6/2, Sand 12 To 18 2.5Y 7/6 Sand 16 To 35 2.5Y 7/2 Sand 18 To 35 10YR 4/1 Sandy Loam 35 To 41 10YR 4/1 Sandy,Clay Loam 41 To 51 10YR 5/1 Sandy Clay Loam 51 To 55 HOLE CAVING Refusal 55 To 72 EXISTING GRADE TYPE: [ PERCHED / APPARENT I ['ABOVE / EELOW ]' EXISTING GRADE [ X ]'YES [ ] NO DEPTH: 12.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING.: Sand/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (.SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT'determined using USDA WSS and soil borings. 10YR6/2 stripping In 10YR5/2 matrix >10% with diffuse boundaries staring at12" in'SB1. S81.27' below RP. SB2 25" below BM. SITE. EVALUATED BT. Ingram, Srlan'(Tltle: E 01ronmental Specialist II) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obscletes previous editions which may not be used) Incorporated: 64E-6.001, FAC DATE: 12/01 /2017 Page 3 of 4 AP1316367 EID1'002689 v1,0.2 662 -sF~ lit (0 31 Michelle Franklin, CFA—Saint Lucie. CountyPrope tyAppraiser--All rights reserved. Property Identification Site Address:'TBD Parcel ID: 7210.111-0003-000.6 Account'd:35142. Sec(fown/Rangc:10/36S/38E Map ID; 32109X Zoning: AG-5 Use Type: 8700 Jurisdiction: Saint Lucie County Ownership Legal Description Joseph G Miller (TR) 10:36 78 N 400.FT OF E 1/2.OF NEI/4 OP NE 114-. LESS,CANAL R/W AND LESS RD RJW AS IN OR 5404Ideal Holding 0.D 1805-1701-(5.31 AC-253,084 Sr) (OR4000-880) . Port St.Lucle, FL 34987. Current Values Historical Values 3-year Just/Morkel: s139,300 Assessed: 09,570 Year JustlMarker Assessed Exemptions Taxable Exemptions:$89,570 Taxable: s0 2017 $137,30D 489,570 389,570 so 2016 S73,700 $78.700 S78,700 so 2015 $79.800 $79,800 379,80D so Sale History Date BaokfPage Sale Code Deed Grantor Price. 05-11-2017 4000 / 0880 Oils QC SOUTH FLA WATER MGMT DIST $136.100, 01-01-1900 $0 Primary Building:ln'formation Finished Area ofthisbuilding:3,200_SF Gross. Area ofthis building: -3,200SF Exterior Data View: Roof Cover: Shect Nichol RoofStnrcuire: Gable Building Type: LE Year Built: 1959 Frame: Grade: E Efrective Year: 1970 Primary Wall: Corr Metal Story Height: 7 Story No. Units: 1' Secondary Wall: Interior Data Bedrooms: 0 A/C'%i0% Electric: AVERAGE Primary.Im Wall: Full Baths: 0 Heated W O% Heal Type: Avg Hgffloor o Half Baths; 0 Sprinkled %: 0% 'Heat Fuel: Primary Floors: CGNC ORD k { Total Areas. S- FinishedltJnderAir (SF): 3,200 Gross 'Area (SF):' 3,200 Land Size (acres): 5.81 Y 4 Land Size (SF): 253,084 r ti. Total Building Count: I ------------- kr,r''+44 k vq Special Features and Yard Items Type Qty Units Year Bll CHAINLRJK 6' 1 1840 1992 BARB WIRE 1 1840 1982 ASP HIGH 1 3700 1984 This informalionis Believed to be correctat this time but it is subject to cbonge and is not warranted. 0.Copyiigh12017 Saint Lucie County Property Appraiser.. Ali rights reserved. Mission: Rick Scott To protect, promote & Improve the health Govemor of all people In Florida through Integrated �' state, county '&,communityeNoils. 1-II0,13j Ad( Celeste Phillip, MD, .MPH 1_11 State Surgeon General and Secretary Vision: To be the Healthlest'State In the Nation Florida Department of Health in St. Lucie County VLl Conditions for Issuance of Water el] Permits Effective July 24, 2017 • Contact the Florida .Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. a. Call the FDOH —St. Lucie Well Line at 772=873-4936 :or email SLCDOH-WELLSna.FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment. • A.minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email'to SLCDOH=WELLS�FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48'hours of well construction or abandonment. Florida Department of Health St Lucie County Division of Disease Controland:Health Protection Bureau of Environmental Health Port NW Me, FILner 49 Accredited Health Department Port N Lucie, FL 3-49 3 Public Health Accreditation Board PHONE; 772/873 493:1 FAX: 7721595-1308 - FloridaHealth.gov aozbs7 -WAIL STATE OF FLORIDA'PERMIT APPLICATION TO CONSTRUCT; REPAIR, MODIFY, OR ABANDON A. WELL Permll 0 Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS Florida Unique .1D, ❑ Northwest ('Denotes Required'Flelds Where, Applicable)' Permit Stipulations Required (See Attached) 0 St.:Johns River OUth FIOrI The water well contract orlsresponsible for completing this rorm and;forwarding the permit application to the 1i2-52A Quad No. Delineation No. 11 Suwannee River appropriate delegated authority where applidable. 0 DEP CUPNWUP Application No. 0 Delegated Authority .(If Applicable) 1 CLAYTON DAVIS 5405 IDEAL HOLDING RD. PORT ST. LUCIE FL 34987 407-773-96'46 *Owner, Legal Name if Corporation *Address *City *State 'ZIP *Telephone Number 2, 5404 IDEAL HOLDING RD. PORT ST. LUCIE FL *Well Location -Address, Road. Name or Number, City 3. _ 3ZI O - ll ! - 0003 - 600- S0 *Parcel ID No. (PIN) or Alternate. Key (Circle On Lot. Block Unit 4 10 36 5 3&- S,T.LUCTE 'Section or, Land Grant `Township *Range *County Subdivision Check If 62-524: _ Yes _ No 5•BILLY J MCCULLER`5' JR 2707863=763-26.36 JIMMY@SUPERIORWATERW.O.RKS,COM 'Water Well Contractor *License Number *Telephone,Number E-mail Address 5, 4072 HWY 441 N. OKEECHOBEE FL 34972 *Water Well Contractor's Address City State ZIP 7. *Type of Work: x Construction _Repair _Modification _Abandonment 8. *Number of Proposed Wells 1 'Reason for Repair, Modification, or d D X*Specify Intended Use(s) of Well(s): Domestic _Landscape Irrigation Agricultural Irrigation _Site Investigation _Bottled Water Supply Recreation Area Irrigation _Livestock Irrigation _Monitoring. DEC'4 2011 _Public Water Supply (Limited Use/DOH) —Nursery Water Supply (Community or Non-Community7DEP) —Commercial/Industrial _Test _Earth -Coupled Geothermal _Public _Golf Course Irrigation _HVAC Supply _Class I Injection _HVAC Return FO H to 84 Luria CouWQ Class V Injection: _Recharge Commercial/Industrial Disposal Aquifer Storage and Recovery _DrainageENVl ONMENTAd* HEAL Remediation: _Recovery Air Sparge _Other (Describe) Official use pnly _Other (Describe) (Note: Not all types or wells are permitted by a given permitting authority) 10.*Distance from Septic System if 5200tt. 75 1 ++11. Facility Description DRAINFIELD/SEPT 2(32. Estimated'Start Date I3.*Estimated Well Depth 10 0 'ft. 'Estimated Casing Depth 8 0 1 ft. *PrimaryCasing Diameter 4 in. Open Hole: From . To it, 14. Estimated Screen Interval: From To ft. 15.*Primary Casing Material: Black Steel Galvanized X PVC Stainless Steel NotCased Other: 16. Secondary Casing: Telescope, Casing Liner Surface Casing Diameter In. 17. Secondary'Casing Material: Black Steel Galvanized PVC Stainless Steel Other 18.*Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted X Rotary .Sonic Combination (Two or More Methods) Hand. Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other (Describe). 19, Proposed Grouting4riterval for the Primary, Secondary, and Additional Casing: From u To . Seal Material ( Bentonite Neat Cement X Other Cement ) From To Seal Material ( Bentonite Neat Cement Other l From To Seal Material (_Bentonite Neat Cement Other l From Tc Seal Material ( Bentonite Neat Cement Other 1 20; Indicate total number of existing wells on site List number of existing unused wells on site 21.*Is this well or any existing well or water withdrawal on the owner's contiguous property covered under a Consumptive/ Water Use Permit (CUPIWUP) or CUP/WUP Application? Yes X No If yes, complete the following: CUP/WUP No. District Well ID No. 22. Latitude Longitude 23. Data Obtained From: GPS .. Map Survey I hereby carliy that I unit comply with Die applicable rules of 11100 40, Florida Adminislragvo Code, and that a water use permit or uraficlal rachargepermit. If needed, hasbeen or will be obtained prior to commencement of well construction..I further certify that oil Information provided In this application Is accurate and that I will obtain necessary approval from other federal, state, or local govomnionts, if epplicabla. I agreeto provide a well cdmprepomrepon to the District within 3D days after completion of the cars; tr ictIce, repair. modigcallon, or abandonment authorized by this peemill. or. the permit. uptrallon;whichever occura first. /J/it46.1-61-11 rr'� I. V/ " _ 2'707 *Signature of Contractor *License No. oil Approval Granted, By issue Date Fee Received $ THIS PERMIT IS NOT VALID UNTIL PROPERLY PERMIT SHALL.BE AVAILABLE AT THE WELL S Datum: NAD 27 NAD 83 WGS 84 certify that I am the owner of the property, that the Information provided Is accurate, and that am aware of my responslbillilos under Chapter 373. Florida Statutes, to maintain or prop abandon this Wall: Or. I certify that I am the agent for the owner, that the Information prevldod Is ocwieto, and. that I have Informed the owner of their responsibilities as slated above. Owner consents to allowing psrsonnel of Nis WMDpr Oologated Au)hodtyaccoss to the well site'dudng the conalrucdon, repair, modinwgon,'or abendonmanl'aulh6dzed by INs permlL .✓3 Owner or 10-24-17 *Dale Expiration Date Hydrologist Approval Initials Receipt No. Check No. BYANAUTHORIZED'OFFICER OR REPRESENTATIVE OF THI ING ALL CONSTRUCTION, REPAIR,: MODIFICATION', ORABAN AUTHORITY. THE Permit':No: SOUTHWEST FLORIDA•WATER MANAGEMENT DISTRICT 2379 BROAD 'STREET, BROOKSVILLE, FL-34604-6899 PHONE: (352) 796-7211 or (800).423-1476 WWW.SWFWMD,3TATE.FL.US ST JOHNS RIVER WATER MANAGEMENT DISTRICT 4049 REID STREET, PALATKA, FL 32178-1429 PHONE: (386) 329-4500 WWW.SJRWMD,COM NORTHWEST FLORIDA WATER MANAGEMENT DISTRICT 152 WATER MANAGEMENT DR., HAVANA, FL 32333-471.2 (U.S. Highway 90, 10 miles west of Tallahassee) PHONE: (850) 539-5999 WWW.NWFWMD.STATE'.FL.US Comments: known roads and DEP Form SOUTH FLORIDA WATER MANAGEMENT DISTRICT P.O. BOX 24680 3301 GUN CLUB ROAD WEST PALM BEACH, FL 33416-4680 PHONE: (561) ^^ nnnn WWW.SFWMD SUWANNEE R 9225 CR 49 LIVE OAK,. FL, PHONE: (386) WWW.MYSUW CLAYTON DAVIS 5405 IDEAL HOLDING RD. PORT ST. LUCIE.,, FL. 34987 11/16/20171.59 PM Sales Receipt #16926 Store: 1 5t Lucie County Health Department 5150 NW Milner Dnve Port St Lucie, FL 34983 Environmental Health Division 7.72-873-4.931. Item # . Qty Price Ext Price 613 ` — - _ ....-.....-- •-..._i-$1.1.5,00.__.$ I15.o0 T Well Construction .Subtotal: $115.00 _Local Sales Tax, 0: %'Tax' + S0.00 RECEIPT TOTAL: $115.OD Credit Card: $1.15.00 Visa TBD [del Holdings Billy McCullers `General Site Map of Proposed We Thank You & Have a Good Dayl . Give distances from all reference points or structures, sel din 62-532.400(1), F.A.C. Effective Date: October 7, 2010 ul�u�il�WI�IIIIIIIIII�I If Page 2 of 2 X ....ie iOgryl 4l I y , Ii ttt a I�er� x . � 1 o �a was. . uuurnmv, m ar • ��_ , , m:t 3II.12i sav5cor[gsa» r.,,J meM :Zi FDOH in St. Lucie County Environmental Health rt = Site Plan Approved for Construction I '` Supersedes All Previous Site .Plans for OSTDS -l�Z6.45 (X Well Date: 2- m ' Review r. SITE PLALA N ®®�pppyy�///��yyy - ALEXA DER J. PIAZZA PSK IN �5i"�'"9 "°�� G""'dltiq BOUNDARY SURVEY IDEAL HOLDING ROAD SEC 10. TWP _6S. NGE JBE a u./e It � m-•••,••• ,• '®'" in,ia.o-m CLAWON DAVIS dm a:.mum wrm ,� k� { \ \ � 5 G } � FDOA in St. Lucie 00unt Environmental Heal ?-,qSiteP§n ApprovedfrConkfuCi00 p$reedes' lPr u ous Ate Plans f r Dat� �� — ".AM .vA vn „TOV OQw .0 ;„ e6, ,",7 c,7c c _. , U_ a a a= a,