HomeMy WebLinkAboutHealth Dept,1807 hazelwood dr final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: GEM Builders, Inc
AGENT: Gem Builders, Inc
PROPERTY ADDRESS: 1807 Hazelwood Dr Fort Pierce, FL 34982
LOT: 27 BLOCK:
APPLICATION #:AP1478536
PERMIT #:56-SF-2055078
DOCUMENT #:F11554003
DATE PAID . 10/27/2020
FEE PAID:25.00
RECEIPT # :56-PI D-4764486
SUBDIVISION:
Estate of Longwood ID#:
2433-502-0027-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [11 1090.00 [21
[ ] [271
SURFACE WATER
FT
[ ]
[02]
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 15
FT
[ ]
[03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS 81
FT
[ ]
[061
LEGEND 1. 70-143-11 DC4 2.
[ ] [ 32 ]
POTABLE WATER 8
FT
[ ]
[07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 10
FT
[ ]
[08]
LEVEL
[ ] [34]
PROPERTY LINES 8
FT
[ ]
[09]
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [11 679.2 [2]
SQFT [ ] [361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER
X [ l [37]
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 6.00 2.
[ ] [38]
SLOPES
[ ]
[13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 12/07/2020
[ ]
[14]
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM
17.00 [ ] [40]
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ] [421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ 1
[201
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [22]
FILL AMOUNT [ ]
[471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ l
[48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [231
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [ ]
[49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL [ ]
[501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 10/09/2020
DISAPPROVED ] ' Enviro ental Spa ian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 12/07/2020
Environmental Speciali 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 Page 2 of 3
EH Database v 1.0.1 AP1478536 EID2055078
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1478536
PERMIT #:56-SF-2055078
DOCUMENT # : FI 1554003
DATE PAID-10/27/2020
FEE PAID:25.00
RECEIPT #:56-PID-4764486
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and 6x10 long BED DF installed. No violations system ok to cover. Contractor notified onsite.
Irrigation well installed in SW corner of property, not where originally permitted. Contractor and applicant notified that as -built site
plan is required before final approval. Final approval required for mound system, location conformity with site plan, and final site
grading.
As built received. 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 AP1478536 EID2055078