HomeMy WebLinkAboutHealth Dept APPLICATION #:AP 1407311
STATE OF FLORIDA PERMIT #:56-SF-1938802
DEPARTMENT OF HEALTH DOCUMENT #.FI1395997
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:04/05/2019
we • 515.00
FEE PAID:
RECEIPT #:56-PID-3896058
APPLICANT: Glenn Theobald
AGENT: MICHAEL STUHR(ASHTON SEPTIC TANKS, INC.)
PROPERTY ADDRESS: TBD Anita St Fort Pierce, FL 34982
LOT: BLOCK:
SUBDIVISION: ID#: 3403-331-0007-000-2
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] [ ] [27] SURFACE WATER FT
[ ] [02] -TANK MATERIAL Polyethylene [ ] [28] DITCHES FT
[ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ . l [04] MULTI-CHAMBERED [ Y N ] I ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET. FILTER Polylok PL-68 [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-143-11DC4 2. [ ] [32] POTABLE WATER 38 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 5 FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES 71 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. I ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION 04/06/2020
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ A80VE / BELOW ]BM 8.00 [ ] [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
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [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 i
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / c St. Lucie CHD DATE: 02/25/2020
DISAPPROVED ]' Enyrr-cpr; ngram(ENVIRONMENTAL HEALTH),_Otal Specialist 11
FINAL SYSTEM [ APPROVED / DISAPPROVED 1: r St. Lucie CED DATE: 04/06/2020
Environmental Specialist II an 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 AP1407311 EID1938802
dt APPLICATION #:AP1407311
` STATE OF FLORIDA PERMIT #:56-SF-1938802
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11395997
• �
CONSTRUCTION INSPECTION AND FINAL,APPROVAL DATE PAID:04/05/2019
W9
FEE PAID:515.00
RECEIPT #:56-PID-3896058
Violation Number Comment
Comments
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 5x9 long BED DF installed. No violation,system ok to cover. Contractor notified by phone. Needs final
inspection for mound system,gutters,and final site grading:
Final system approved. Contractor 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 AP1407311 EID1938802