HomeMy WebLinkAbout4920 conley pl final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Joseph Moore
AGENT: Dave Golden (Dave Golden Homes)
PROPERTY ADDRESS: 4920 Conley PI Fort Pierce, FL 34951
LOT: BLOCK:
APPLICATION # : AP 1471042
PERMIT #:56 -SF -2044288
DOCUMENT # :FI 1526209
DATE PAID :03/03/2020
FEE PAID:545.00
RECEIPT #:56 -PID -4303814
SUBDIVISION: ID# : 1313-131-0009-000-0
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT
[ ] [23] FILL TEXTURE
[ ] [24] EXCAVATION DEPTH
[ ] [25] AREA REPLACED
[ ] [26] REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
TANK INSTALLATION
[ ] [27]
[ ]
[01]
TANK SIZE [1] 1090.00 [2]
DITCHES
[ ]
[02]
TANK MATERIAL Polypropylene
FT
[ ]
[03]
OUTLET DEVICE
[ ] [31]
[ ]
[04]
MULTI-CHAMBERED [ Y N ]
POTABLE WATER 64
[ ]
[05]
OUTLET FILTER Polylok PL -68
FT
[ ]
[06]
LEGEND 1. 70-143-11DC4 2.
[ ] [35]
[ ]
[07]
WATERTIGHT
[ ]
[08]
LEVEL
[ ] [37]
[ ]
[09]
DEPTH TO LID
SLOPES
DRAINFIELD INSTALLATION
STABILIZATION 11/04/2020
[ ]
[10]
AREA [1] 509.4 [2]
SQFT
[ ]
[11]
DISTRIBUTION BOX HEADER
X
[ ]
[12]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ]
[13]
DRAINLINE SEPARATION
[ ] [44]
[ ]
[14]
DRAINLINE SLOPE
LOCATION CONFORMS WITH SITE PLAN
[ ]
[15]
DEPTH OF COVER
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM
1.00
[ ]
[17]
SYSTEM LOCATION
[ ]
[18]
DOSING PUMPS
[ ]
[19]
AGGREGATE SIZE
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]
[21]
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT
[ ] [23] FILL TEXTURE
[ ] [24] EXCAVATION DEPTH
[ ] [25] AREA REPLACED
[ ] [26] REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ ] [27]
SURFACE WATER
FT
[ ] [28]
DITCHES
FT
[ ] [29]
PRIVATE WELLS
FT
[ ] [30]
PUBLIC WELLS
FT
[ ] [31]
IRRIGATION WELLS
FT
[ ] [32]
POTABLE WATER 64
FT
[ ] [33]
BUILDING FOUNDATIONS 6
FT
[ ] [34]
PROPERTY LINES 21
FT
[ ] [35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] [38]
SLOPES
[ ] [39]
STABILIZATION 11/04/2020
ADDITIONAL INFORMATION
[ ] [40]
UNOBSTRUCTED AREA
[ ] [41]
STORMWATER RUNOFF
[ ] [42]
ALARMS
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [44]
BUILDING AREA
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
[ ] [49]
TANK PUMPED
[ ] [50]
TANK CRUSHED & FILLED
CONSTRUCTION [ APPROVED St. Lucie CHD
DISAPPROVED ] ' Environmental Specialis rian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: Y St. Lucie CHD
Environmental Specialist II Brian 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
EH Database v 1.0.1 AP1471042 EID2044288
DATE: 08/20/2020
DATE. 11/03/2020
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1471042
PERMIT #:56 -SF -2044288
DOCUMENT # : FI 1526209
DATE PAID:03/03/2020
FEE PAID:545.00
RECEIPT #:56 -PID -4303814
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 5x9 long BED DF installed. No violations, system ok to cover. Contractor notified 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, FAC Page 2 of 3
EH Database v 1.0.1 AP1471042 EID2044288