HomeMy WebLinkAboutHealth Dept, final approvalAPPLICATION #:AP1422494
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STATE OF FLORIDA
PERMIT #:56-SF-1972741
DEPARTMENT OF HEALTH
DOCUMENT #:
F11467826
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
rye.
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:12/19/2019
FEE PAID:25.00
RECEIPT #:56-PID-4252384
APPLICANT: Scott
Crippen
AGENT:
PROPERTY ADDRESS:
24909 Orange Ave Fart Pierce, FL 34945
LOT:
BLOCK:
SUBDIVISION:
ID#:
2112-441-0003-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ 1
[01]
TANK SIZE [11 1250.00 [21
[ ]
[271
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Concrete
[ ]
[281
DITCHES
FT
[ 1
(031
OUTLET DEVICE
[ 1
[291
PRIVATE WELLS 100
FT
[ 1
[041
MULTI -CHAMBERED [LIJ N 1
[ ]
[301
PUBLIC WELLS
FT
[ 1
[051
OUTLET FILTER POIylok PL-68
[ 1
[311
IRRIGATION WELLS
FT
[ 1
[061
LEGEND 1. 28-015-06DC4 2.
[ 1
[321
POTABLE WATER 18
FT
[ ]
[07]
WATERTIGHT
[ ]
[331
BUILDING FOUNDATIONS 7
FT
[ 1
[081
LEVEL
[ ]
[341
PROPERTY LINES 100
FT
[ ]
1091
DEPTH TO LID
[ ]
[351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[101
AREA [11 792.4 [21
SQFT [ 1
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER
X [ 1
[371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 7.00 2.
[ ]
[381
SLOPES
[ 1
[131
DRAINLINE SEPARATION
[ 1
[391
STABILIZATION 08/18/2020
[ ]
[141
DRAINLINE SLOPE
[ 1
1151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM
31.00 [ 1
[401
UNOBSTRUCTED AREA
[ 1
[171
SYSTEM LOCATION
[ ]
[41]
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
[ 1
[421
ALARMS
[ 1
1191
AGGREGATE SIZE
[ ]
[431
MAINTENANCE AGREEMENT
[ 1
[201
AGGREGATE EXCESSIVE FINES
[ 1
[441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ 1
1451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ 1
[461
FINAL SITE GRADING
[ 1
(221
FILL AMOUNT
[ ]
[471
CONTRACTOR MICHAEL W STUHR(ASHTO
[ 1
[231
FILL TEXTURE
[ ]
1481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[241
EXCAVATION DEPTH
ABANDONMENT
[ 1
[251
AREA REPLACED
[ ]
[491
TANK PUMPED
[ ]
(261
REPLACEMENT MATERIAL
[ 1
[501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
/ �- St. Lucie CHD
DATE: 06/22/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED )'
Enviro rental Specialist n J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]:
"`— St. Lucie CHD
DATE: 08/18/2020
Environmental SpecialBrian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of
Violations on £oll oxi ng page)
DH 4016, 08/09
(Obsoletes all previous editions which may not be used)
Incorporated:
64E-6.003, PAC
Page 2 of 3
EH Database v 1.0.1
AP14PY499 EID1972741
APPLICATION #:AP1422494
STATE OF FLORIDA
PERMIT #:56-SF-1972741
b
DEPARTMENT OF HEALTH
#:FI1467826
c 't'
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:12/19/2019
FEE PAID:25.00
RECEIPT #:56-PID-4252384
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 460
gpd.
New ST, filter, and 7x10 long BED DF installed. No violations, system ok to cover. Contractor notifed by phone. Needs final
inspection for mound system and final 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, PAC Page 2 of 3
EH Database v 1.0.1 AP1422494 E101972741