HomeMy WebLinkAboutHealth Dept Approval reportSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Jaar Enterprizes, LLC
AGENT: Dave Fowler (Culpepper & Terpening, Inc)
PROPERTY ADDRESS: 5809 Spruce Dr Fort Pierce, FL 34982
LOT: 36 BLOCK: 77
APPLICATION # : AP1383621
PERMIT #:56 -SF -1902579
DOCUMENT #: F11465912
DATE PAID" 1 /16/2018
FEE PAID -515.00
RECEIPT #:56 -PID -3804215
SUBDIVISION:
Indian River Estates ID#:
3402-610-0221-000-1
DATE: 05/20/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
FINAL SYSTEM
TANK INSTALLATION
] : n� �� St. Lucie CHD
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [2]
[ ] [27]
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Polypropylene
editions which may not be used)
[ ] [28]
DITCHES 15
FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [04]
MULTI-CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [05]
OUTLET FILTER Polylok PL -68
[ ] [31]
IRRIGATION WELLS 50
FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2.
[ ] [32]
POTABLE WATER 26
FT
[ ] [07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 8
FT
[ ] [08]
LEVEL
[ ] [34]
PROPERTY LINES 5
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. 7.00 2.
[ ] [38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 08/11/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM
6.00
[ ] [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
[ ] [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.
/
A� � O 1 St. Lucie CHD
DATE: 05/20/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED
.ti
E vironmental Specialist II Brian J Ingram (ENVIRONMENTALHEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED
] : n� �� St. Lucie CHD
DATE: 08/11/2020
Environmental Specialist I Hunter A Collier (Florida Department of Hea
(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
AP1383627 EID1902579
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1383627
PERMIT #:56 -SF -1902579
DOCUMENT #:F11465912
DATE PAID :11 /16/2018
FEE PAID -515.00
RECEIPT #:56 -PID -3804215
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, filter, and 4x6+3x7 long BED DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
nspection for filled system and final site grading.
Final system approved. Emailed to contractor and building department.
DH 9016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 69E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 NP1363627 EID1902579