HomeMy WebLinkAboutHealth Dept Final ApprovalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: James Jurek
AGENT: Dave Golden (Dave Golden Homes)
PROPERTY ADDRESS: 5315 Tree Top Trl Fort Pierce, FL 34951
LOT: BLOCK:
APPLICATION #:AP1478340
PERMIT #:56-SF-2054790
DOCUMENT # : FI 1558850
DATE PAID.04/10/2020
FEE PAID:660.00
RECEIPT #:56-PID-4355048
SUBDIVISION:
ID # : 1407-342-0040-000-5
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 Polypropylene
[ ]
[281
DITCHES
FT
[ ] [03]
OUTLET DEVICE
[ ]
[29]
PRIVATE WELLS 92
FT
[ ] [04]
MULTI -CHAMBERED [LIJ N ]
[ ]
[30]
PUBLIC WELLS
FT
[ ] [05]
OUTLET FILTER PolylokPL-68
[ ]
[31]
IRRIGATION WELLS
FT
[ ] [ 0 6 ]
LEGEND 1. 70-143-11 DC4 2.
[ ]
[ 32 ]
POTABLE WATER 62
FT
[ ] [07]
WATERTIGHT
[ ]
[33]
BUILDING FOUNDATIONS 8
FT
[ ] [08]
LEVEL
[ ]
[34]
PROPERTY LINES 28
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.
[ ]
[38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ]
[39]
STABILIZATION
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 26.00
[ ]
[40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ]
[41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ]
[42]
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ]
[43]
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ]
[441
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ]
[45]
46
LOCATION CONFORMS WITH SITE PLAN
FINAL OTMV GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [ ]
[ ] [22]
FILL AMOUNT
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [231
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
Comments:
Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED ]:
St. Lucie CHD
J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:2S. St. Lucie CHD
Envi onmental Speci 1st 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 AP1478340 EID2054790
DATE: 12/11 /2020
DATE: 12/28/2020
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 #:AP1478340
PERMIT #:56-SF-2054790
DOCUMENT # : FI 1558850
DATE PAID:04/10/2020
FEE PAID:660.00
RECEIPT # :56-PI D-4355048
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. Well not installed in correct location. Needs copy of corrected survey. No
violations, system ok to cover. Contractor notified by phone. Needs final inspection for filled system, site plan conformity, 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 AP1478340 EID2054790