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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: St. Lucie County Parks, Recreation and Facilities Dept
AGENT: Edward Matthews
APPLICATION #:AP1249337 CC�
PERMIT #:56 -SF -1 663621
DOCUMENT #: FI1127846
DATE PAID:07/22/2016
FEE PAID:515.00
RECEIPT #:56 -PID -3008333
PROPERTY ADDRESS: 2081 Midway Rd Fort Pierce, FL 34981 I Wo1 0
LOT: BLOCK:
SUBDIVISION: White City ID#: 3403-502-0111-000-8
46 ITE ING
1 ■ t8 41
E I [221 FILL AMOUNT
[ l [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ l [231 FILL TEXTURE
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND; MUST BE CORRECTED.
[ 1 [241 EXCAVATION DEPTH
ABANDONMENT'
TANK INSTALLATION
[ ] [491 TANK PUMPED
[ ], [261 REPLACEMENT MATERIAL
SETBACKS
Comments: Comments are on page 2.
[ 1
[01]
TANK SIZE [ll 1090.00 [2]
[
l
[271
SURFACE WATER 95
FT
[ l
[021
TANK MATERIAL Polyethylene
[
I
[281
DITCHES
FT
[ l
1031
OUTLET DEVICE
[
1
[29]
PRIVATE WELLS
FT
[ I
[041
MULTI-CHAMBERED [LLP N I
[
I
[301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL -68
[
I
[31]
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70-143-11DC3 2.
[
l
[32]
POTABLE WATER
FT
[ ]
-[07]
WATERTIGHT
[
I
1331
BUILDING FOUNDATIONS 6
FT
[ ]
[081
LEVEL
[
I
[341
PROPERTY LINES 100
FT
[ ]
[091
DEPTH TO LID
[
I
[351
OTHER ',
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[10]
AREA [ll 679.2 [2] SQFT
[
]
[36]
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
1
(371
SHOULDERS
[ '1
[121
NUMBER OF DRAINLINES 1, 6.00 2,
[
I
[381
SLOPES:
[ ]
[131
DRAINLINE SEPARATION
[
l
[39]
STABILIZATION 08/09/2017
[ ]
[141
DRAINLINE SLOPE
[ I
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ l
[161
ELEVATION [ ABOVE / BELOW IBM 13.00
[
I
[40]
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[
I
[421
ALARMS,
[ ]
[191
AGGREGATE SIZE
[
1
[431
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[
1
[441
BUILDING AREA
[ ].
[211
AGGREGATE DEPTH
[
]
[45]
LOCATION CONFORMS WITH SITE PLAN
p ,
F
FILL / EXCAVATION MATERIAL,
[ I [ I INAL,S W—
E I [221 FILL AMOUNT
[ l [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ l [231 FILL TEXTURE
[ ] [48] OTHER' INFILTRATOR Quick4 Plus E06 LP
[ 1 [241 EXCAVATION DEPTH
ABANDONMENT'
[ 1 [251 AREA REPLACED
[ ] [491 TANK PUMPED
[ ], [261 REPLACEMENT MATERIAL
[ I [501 TANK CRUSHED &.FILLED
Comments: Comments are on page 2.
St Lucie CHD DATE: 06/23/2017
CONSTRUCTION IAPPROVED
DISAPPROVED ] ° Environmental Specials
I Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ FAPPROVED '/ DISAPPROVED ] :'�
St. Lucie CHD DATE: 08/09/2017
Environmental Specialist I DMhna S May (Florida Department of Health
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may
not be used)
Incorporated: 64E-6.003, FAC
Page 2 of.3
EH Databass v1.0.1 AP1249337
EID1663621
RECEIVED AUG.0 9..2017
I
APPLICATION #: AP1249337
P
F STATE OF FLORIDA PERMIT #:56 -SF -1663621
DEPARTMENT OF HEALTH DOCUMENT #:F11127846
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID : 07/22/2016
• ��O
we'°� • FEE PAID :51 5.00
Violation Number Comment
i
to
new 1090poly tank. 6x10 long= 60 chambers EQ361-13. ok to cover
hold for final approval, mound system and final grading
Final inspection satisfactory, no violations observed. Emailed to contractor and building department.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 API 249337 EID1663621
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I