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APPLICATION #:AP126527,8
{ r STATE OF FLORIDA . C `� v �� PERMIT #:56-SF-1723452
DEPARTMENT OF HEALTH DOCUMENT #:F11123799
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID)1/30/2016
FEE PAID:515.00
RECEIPT #:56-PID-31.488.00
APPLICANT: Harry Blue Builders
AGENT: A lantic Land Design
PROPERTY ADDRESS: TBD Southwind Trl Fort Pierce, FL 34951
LOT: BLOCK:
SUBDIVISION: ID#: 1407-311-0005-000-2
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. .
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 1050.00 [2] [ ] [27] SURFACE WATER FT
[ ] [021 TANK MATERIAL Concrete [ ] [28] DITCHES FT
[ l [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS 123 FT
[ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET FILTER Polylok PL-122 [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1, 01-011-09DC3 2, [ l [32] POTABLE WATER 67 FT
[ ] [071 WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 11 FT.
[ l [08] LEVEL [ ] [34] PROPERTY LINES 50 ; FT
[ ] [09] DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA ill 672 [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ l [37] SHOULDERS
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[ ] [12] NUMBER OF DRAINLINES 1, 7.00 2, [ l [38] SLOPES .
[ ] [13] DRAINLENE SEPARATION [ ] [39] STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 22.00 [ ] [40] UNOBSTRUCTED AREA
l [17] SYSTEM LOCATION [ .] [41] STORMWATER RUNOFF
[ ] ['18] DOSING PUMPS [ l [421 ALARMS
[ ] [19] AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT j
[ ] [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA f
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE ,PLAN
FILL / EXCAVATION MATERIAL I. ] [46] FINAL SITE GRADING
[ .] [221. FILL AMOUNT [ ] [47] CONTRACTOR David Whiteside(Accurate Se
[ ] [23] FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 EQ36(single c
[ ] [24] EXCAVATION DEPTH 21; 1017 ABANDONMENT
[ ] [25] AREA REPLACED RECEIVED JIJ� [ ] [49] TANK PUMPED I
[ l [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED 6 F.ILLED j
Comments: Comments are on page 2.
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CONSTRUCTION [ APPROVED / St. Lucie cHD DAB: 65/09/2017
DISAPPROVED ]' Environmental Speclalist ll B' J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: F St. Lucie CHD DATE: 07/14/2017
E ironmentai Specialist II Bri J Ingram(ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
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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 AP1265278 EID1723452
APPLICATION #:AP1265278
STATE OF FLORIDA PERMIT #:56-SF-1723452
DEPARTMENT OF HEALTH DOCUMENT #:FI 1123795
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAI FEE PAID•D:11I3OI2O16
WS . 515.00
RECEIPT #:56-PID-31,48800
Violation Number Comment
Comments
The system"is sized for 4 bedrooms with a maximum occupancy of 8 persons(2 per bedroom),for a total estimated flow of 460
gpd. New 1050ST.7x8 chambers long. No violations,system ok to cover. Contractor notified by phone. Needs final inspection for
mound system.Well inspected at construction inspection.
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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 AP1266270 E(D1723462
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