HomeMy WebLinkAboutHEALTH DEPARTMENT APPROVALSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Donald and Erica Stefani (2nd Residence)
AGENT: Jared Modine
PROPERTY ADDRESS: 20024 Southern Star Dr Fort Pierce, FL 34945
APPLICATION #:AP1507155
PERMIT #:56-SF-2087164
DOCUMENT #:F11525003
DATE PAID:05/29/2020
FEE PAID,545.00
RECEIPT #:56-PID-4422822
LOT: 1
SUBDIVISION:
BLOCK:
Sunland Gardens ID#: 2215-700-0003-000-6
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ )
[ol)
TANK SIZE [11 1090.00 [21 483.00
[ 1
[271
SURFACE WATER 100
FT
[ )
[021
TANK MATERIAL Polypropylene
[ )
[281
DITCHES
FT
[ )
[031
OUTLET DEVICE
[ )
[291
PRIVATE WELLS 80
FT
[ )
[041
MULTI -CHAMBERED [ Y N I
[ 1
[301
PUBLIC WELLS
FT
[ 1
[051
OUTLET FILTER Polylok PL-68
[ )
[311
IRRIGATION WELLS
FT
[ )
[06)
LEGEND 1. 70-143-11DC4 2. 70-143-54SC4
[ 1
1321
POTABLE WATER
FT
[ 1
[071
WATERTIGHT
[ 1
[331
BUILDING FOUNDATIONS 8.5
FT
[ )
[081
LEVEL
[ )
[341
PROPERTY LINES
FT
[ )
[091
DEPTH TO LID
[ )
[351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ )
(101
AREA Ill 687 [21 SQFT
[ )
[361
DRAINFIELD COVER
[ )
[111
DISTRIBUTION BOX HEADER X
[ 1
[371
SHOULDERS
[ )
[121
NUMBER OF DRAINLINES 1. 6.00 2.
[ 1
[381
SLOPES
[ 1
[131
DRAINLINE SEPARATION
[ 1
[391
STABILIZATION 12/17/2020
[ )
[141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ )
[161
ELEVATION [ ABOVE / BELOW ]BM 8.00
[ )
[401
UNOBSTRUCTED AREA
[ )
[171
SYSTEM LOCATION
[ 1
[411
STORMWATER RUNOFF
[ 1
[181
DOSING PUMPS 1.00
I )
[421
ALARMS
[ )
[191
AGGREGATE SIZE
[ )
[431
MAINTENANCE AGREEMENT
I )
[201
AGGREGATE EXCESSIVE FINES
[ 1
[441
BUILDING AREA
[ )
[211
AGGREGATE DEPTH
[ )
[451
46
LOCATION CONFORMS WITH SITE PLAN
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL [ )
[
[ 1 [221
FILL AMOUNT [ 1
[471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ) [231
FILL TEXTURE 1 1
(481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ) (241
EXCAVATION DEPTH
ABANDONMENT
[ 1 [251
AREA REPLACED [ 1
[491
TANK PUMPED
[ ) [261
REPLACEMENT MATERIAL [ )
[501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / DISAPPROVED 1:
;A4� St. Lucie CHD
II Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ / DISAPPROVED 1: / w St. Lucie CHD
Environmental Splist II Brian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page) e '
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1507155 EID2087164
DATE: 12/17/2n20
DATE: 12/17/2020
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 #:AP1507155
PERMIT #:56-SF-2087164
DOCUMENT #:F11525003
DATE PAID:05/29/2020
FEE PAID:545.00
RECEIPT #:56-PID-4422822
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
gpd.
inspection completed 10/30/20. New 1090 gal fiberglass tank installed with PL68 filter. New 483 gal poly pump tank installed in
series after primary tank. New 678 sq ft trench drainfield installed in 6 rows. 6 rows each 10 chambers long of infiltrator g4eg36LP
chambers. drainfield was installed 8 inches below the BM.
informed contractor clear to cover in person and need for final.
final needed for stabilization and alarm check.
emailed copy to contractor.
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 AP1507155 EID2087164