HomeMy WebLinkAboutHEALTH DEPARTMENTdF ��
STATE OF FLORIDA
DEPARTMENT OF HEALTH
c ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL
,tip u� s
APPLICANT: George & Helen Stefanakis
AGENT:
PROPERTY ADDRESS: 4535 S Indian River Dr Fort Pierce, FL 34981
APPLICATION #:AP1462612
PERMIT #:56-SF-2031320
DOCUMENT # : FI 1581897
DATE PAID:01/17/2020
FEE PAID:660.00
RECEIPT #:56-PID-4267473
LOT:
BLOCK:
SUBDIVISION:
ID# : 2436-324-0003-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1090.00 [2]
[ ] [271
SURFACE WATER 100 FT
[ ] [021
TANK MATERIAL Polypropylene
( ] [28]
DITCHES FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 77 FT
[ ] [04]
MULTI —CHAMBERED [ Y N ]
[ ] [301
PUBLIC WELLS FT
[ ] [05]
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2,
[ ] [32]
POTABLE WATER 59 FT
[ ] [07]
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 10 FT
[ ] [08]
LEVEL
[ ] (34]
PROPERTY LINES 18 FT
[ ] [09]
DEPTH TO LID
[ ] [35]
OTHER FT
DRAINFIELD INSTALLATION
FILLED
/ MOUND SYSTEM
[ ] [101
AREA [11 396.2 (21 SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X
( ] [371
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [381
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [391
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 13.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] (411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] (201
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
( ] [461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] (471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [22]
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [231
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 12/11/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED ) ' Environmental Specialist I
'an J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APpROVED / DISAPPROVED 7:
St. Lucie CHD DATE: 02/17/2021
nvironmental Specialis
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 AP1462612
EID2031320
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP146261 2
PERMIT #:56-SF-2031320
DOCUMENT # : FI 1581897
DATE PAID:01/17/2020
FEE PAID:660.00
RECEIPT #:56-PID-4267473
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 5x7 long TRENCH DF installed. no violations, system ok to cover, contractor notified by phone. Needs
final inspection for well setback.
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 AP1462612 EID2031320