HomeMy WebLinkAboutHealth Dept. final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Robert Walsh
AGENT: Dave Golden (Dave Golden Homes)
PROPERTY ADDRESS: TBD Johnston Rd Fort Pierce, FL 34951
APPLICATION #:AP1433510
PERMIT #:56 -SF -1990237
DOCUMENT # : FI 1425064
DATE PAID:09/16/2019
FEE PAID:660.00
RECEIPT #:56 -PID -4133039
LOT: 3
SUBDIVISION:
BLOCK:
ID# : 1327-806-0003-000-2
[ ] [22]
FILL AMOUNT
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
CONTRACTOR MICHAEL W STUHR (ASHTO
TANK INSTALLATION
SETBACKS
[ ] [48]
[ ] [01]
TANK SIZE [1] 1090.00 [2] [ ]
[27]
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Polypropylene [ ]
[28]
DITCHES
FT
[ ] [03]
OUTLET DEVICE [ ]
[29]
PRIVATE WELLS 93
FT
[ ] [04]
MULTI-CHAMBERED [ Y N ] [ ]
[30]
PUBLIC WELLS
FT
[ ] [05]
OUTLET FILTER Polylok PL -68 [ ]
[31]
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2. [ ]
[32]
POTABLE WATER 73
FT
[ ] [07]
WATERTIGHT [ ]
[33]
BUILDING FOUNDATIONS 7
FT
[ ] [08]
LEVEL [ ]
[34]
PROPERTY LINES 100
FT
[ ] [09]
DEPTH TO LID [ ]
[35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 679.2 [2] SQFT [ ]
[36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X [ ]
[37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 6.00 2. [ ]
[38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION [ ]
[39]
STABILIZATION 05/12/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 13.00 [ ]
[40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION [ ]
[41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS [ ]
[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
[ ] [22]
FILL AMOUNT
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [23]
FILL TEXTURE
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments:
Comments are on page 2.
(Obsoletes all previous
editions which may not be used)
/
St. Lucie CHD
DATE: 03/06/2020
CONSTRUCTIONI
APPROVED
DISAPPROVED
Environ ntal Specialist rian J m (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APpROVED / DISAPPROVED
] : St. Lucie CHD
DATE: 05/12/2020
Environmental Specialist II Bria 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
AP1433510 EID1990237
STATE OF FLORIDA
r' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.y CONSTRUCTION INSPECTION AND FINAL, APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1433510
PERMIT #:56 -SF -1990237
DOCUMENT # : FI 1425064
DATE PAID:0911612019
FEE PAID:660.00
RECEIPT #:56 -PID -4133039
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
3pd.
New ST, filter, and 6x10 long BED DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
nspection for mound system and final site grading. Well inspected at construction inspection.
=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 AP1433510 EID1990237