HomeMy WebLinkAbouttest documentAPPLICATION #:AP1262922
STATE OF FLORIDA PERMIT #:56 -SF -1719598
DEPARTMENT OF HEALTH DOCUMENT # : F11 164545
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: 11/09/2016
FEE PAID : 51 5.00
RECEIPT #:56 -PID -3139448
APPLICANT: Peter & Jody Hays
AGENT: Charles Paschal (Cole Construction)
PROPERTY ADDRESS: TBD S Brocksmith Rd
Fort Pierce, FL 34945
LOT: 2
BLOCK:
SUBDIVISION:
ID#: 2317-500-0003-000-5
CHECKED [X] ITEMS ARE NOT
IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00
[2] 483.00
[ ] [27]
SURFACE WATER 100 FT
[ ] [02]
TANK MATERIAL Polyethylene
[ ] [28]
DITCHES FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS 100 FT
[ ] [04]
MULTI-CHAMBERED [ Y
N ]
[ ] [30]
PUBLIC WELLS FT
[ ] [05]
OUTLET FILTER Polylok PL -68
[ ] [31]
IRRIGATION WELLS FT
[ ] [06]
LEGEND 1. 70-143-11DC3
2. 70-143-54SC4
[ ] [32]
POTABLE WATER 100 FT
[ ] [07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 6 FT
[ ] [08]
LEVEL
[ ] [34]
PROPERTY LINES 100 FT
[ ] [09]
DEPTH TO LID
[ ] [35]
OTHER FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 509.4 [2]
SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX
HEADER X
[ ] [37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES
1. 5.00 2.
[ ] [38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 03/19/2018
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 20.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
1.00
[ ] [42]
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [22]
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 12/01/2017
CONSTRUCTION[
APPROVED
DISAPPROVED
] ' E viron ental Specialist
ri J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED
] :z
St. Lucie CHD DATE: 03/19/2018
Environmental Specialist II iin J Ingram
(ENVIRONMENTAL 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 Database v 1.0.1
AP1262922.
EID1719598
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : API 262922
PERMIT #:.56 -SF -1 719598
DOCUMENT #:F11164545
DATE PAID :11 /09/2016
FEE PAID :51 5.00
RECEIPT #:56 -PID -3139448
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd. New ST and DT installed. Liberty 1/3 hp pump. 5x9 long DF.
No violations, system ok to cover. Contractor Notified onsite. Needs final inspection for mound system, alarm check, and site
grading.
Final system approved. Contractor and building department emailed final approval.
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 AP1262922 EID'1719598