HomeMy WebLinkAboutHEALTH DEPARTMENTSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Timothy and Lacey Buxton
AGENT: James Trefelner (Trefelner Construcion Inc.)
PROPERTY ADDRESS: 470 Woodcrest Fort Pierce, FL 34945
LOT
BLOCK:
APPLICATION #:AP1506109
PERMIT #:56-SF-2085739
DOCUMENT #: FI 1558188
DATE PAID:05/26/2020
FEE PAID:660.00
RECEIPT #:56-PID-4416296
SUBDIVISION: ID#:
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RUDE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ]
[01]
TANK SIZE [11 1090.00 [21
[ ]
[02]
TANK MATERIAL Polypropylene
[ ]
[03]
OUTLET DEVICE
[ ]
(041
MULTI -CHAMBERED [ Y N
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ]
[06]
LEGEND 1. 70-143-11DC4 2.
[ ]
[07]
WATERTIGHT
[ ]
[08]
LEVEL
[ ]
[09]
DEPTH TO LID
DRAINFIELD INSTALLATION
[ ]
[101
AREA [1] 509.4 [21
SQFT
[ ]
[11]
DISTRIBUTION BOX HEADER
X
[ ]
[12]
NUMBER OF DRAINLINES 1. 7.00 2.
[ ]
[13]
DRAINLINE SEPARATION
[ ]
[14]
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM
8.00
[ ]
[17]
SYSTEM LOCATION
[ ]
[181
DOSING PUMPS
[ ]
[19]
AGGREGATE SIZE
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]
(211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ] [241 EXCAVATION DEPTH
[ ] [25] AREA REPLACED
[ ] (26] REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ ]
[27]
SURFACE WATER 100
FT
[ ]
[28]
DITCHES 100
FT
[ ]
[29]
PRIVATE WELLS 75
FT
[ ]
[301
PUBLIC WELLS
FT
[ ]
[311
IRRIGATION WELLS
FT
[ ]
[321
POTABLE WATER 35
FT
[ ]
[33]
BUILDING FOUNDATIONS
6 FT
[ ]
[34]
PROPERTY LINES 91
FT
[ ]
[35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[361
DRAINFIELD COVER
[ ]
[37]
SHOULDERS
[ ]
[38]
SLOPES
[ ]
[391
STABILIZATION 12/22/2020
ADDITIONAL INFORMATION
[ ]
[401
UNOBSTRUCTED AREA
[ ]
[41]
STORMWATER RUNOFF
[ ]
[42]
ALARMS
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[441
BUILDING AREA
[ ]
[45]
LOCATION CONFORMS WITH SITE
PLAN
[ ]
[46]
FINAL SITE GRADING
[ ]
[471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ]
[481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
[ ]
[491
TANK PUMPED
[ ]
[501
TANK CRUSHED & FILLED
CONSTRUCTION I APPROVED / /��/ St. Lucie CHD
DISAPPROVED ] ' Environmental Sped 1` t I rian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : t/St. Lucie CHD
Environmental Specialit/II Brian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page) V//
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v1.0.1 AP1506109 EID2085739
DATE: 11 /1 R/9n9n
DATE: 12/22/2020
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 #:AP1506109
PERMIT #:56-SF-2085739
DOCUMENT #: F11558188
DATE PAID - 05/26/2020
FEE PAID:660.00
RECEIPT #:56-PID-4416296
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.
Existing well 75'.
New ST, filter, and 5x6+1x7+1x8 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs
final inspection for well inspection, well setback, 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 AP1506109 EID2085739