HomeMy WebLinkAboutHealth DeptSTATE OF FLORIDA
DEPARTMENT OF HEALTH
+�wv t 1'fi ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
I�
APPLICANT: Ashton Septic Tanks, Inc
AGENT: Ron Raymond Construction
PROPERTY ADDRESS: 1409 Lone Pine Dr Fort Pierce, FL 34982
APPLICATION #:AP1555348
PERMIT #:56-SF-2142725
DOCUMENT # : FI 1626841
DATE PAID : 09/14/2020
FEE PAID:25.00
RECEIPT #:56-PID-4664669
LOT: 16
SUBDIVISION:
BLOCK:
Lone Pine ID#: 3409-505-0021-000-7
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
[ ] [021
TANK MATERIAL Polypropylene
[ ] [28]
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [04]
MULTI -CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS 93
FT
[ ] [061
LEGEND 1. 70-143-11DC4 2.
[ ] [321
POTABLE WATER 5
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 7
FT
[ ] [081
LEVEL
[ ] [341
PROPERTY LINES 6
FT
[ ] [09]
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA (1] 713 [2] SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 9.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [391
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 10.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
( 1 [20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
[ ] [46)
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] (471
CONTRACTOR MICHAEL STUHR (ASHTON
[ ] [22]
FILL AMOUNT
[ ] [481
OTHER INFILTRATOR Quick4 EQ24 LP (sing
[ ] [231
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] (491
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD
DATE: 03/05/2021
CONSTRUCTION
[ APPROVED
DI SAPPROVED(rntalWIlicole
le Mon a ez (F a Department of He
FINAL SYSTEM
[ APpgOVED / DISAPPROVEDSt. Lucie CHD
NSpec
DATE: 05/10/2021
EnvironmMontane lorida Department of He
(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
AP1555348 EID2142725
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
APPLICATION #:/�P i55 � 8
PERMIT #:56-SF-2142725
DOCUMENT # : FI 1626841
DATE PAID : O9/14/2020
FEE PAID :25.00
RECEIPT #:56-PID-4664669
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 and 9x7 long Bed DF installed. No violations. System ok to cover. contractor notified onsite. Needs final inspection for
mound system, final site grading, and well inspection.
5/10/21 Final inspection for mound system, final site grading and well inspection completed. Email copy of final approval to
permits@stlucieco.org and contractor.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Page 2 of 3
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1555348 EID2142725