HomeMy WebLinkAboutHealth Dept FinaldF�"E=s�
STATE OF FLORIDA
r. DEPARTMENT OF HEALTH
t'p ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Diederich & Christie Hueck
AGENT: Jared Modine
PROPERTY ADDRESS:
LOT: 2
2926 S Header Canal Fort Pierce, FL 34945
BLOCK:
APPLICATION #:AP1510218
PERMIT #:56-SF-2091660
DOCUMENT # : FI 1649855
DATE PAID:06/16/2020
FEE PAID.545.00
RECEIPT #:56-PID-4455391
SUBDIVISION: ID # : 2224-700-0003-000-4
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] (01]
TANK SIZE [1] 1090.00 [21
[ ] [271
SURFACE WATER
FT
[ ] (021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 90
FT
[ ] [041
MULTI -CHAMBERED [L2�j N ]
[ ] [301
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 70-143-11 DC4 2.
[ ] [321
POTABLE WATER 60
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 9
FT
[ ] [081
LEVEL
[ ] (341
PROPERTY LINES 100
FT
[ ] [091
DEPTH TO LID
[ ] (351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [11 509.4 (21
SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER
X
[ ] [371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 06/24/2021
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM
6.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[
] [41]
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[
] (421
ALARMS
[ ] [191
AGGREGATE SIZE
[
] (431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[
] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[
] [451
LOCATION CONFORMS WITH SITE PLAN
[
] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [221
FILL AMOUNT
[
] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [231
FILL TEXTURE
[
] (48]
OTHER INFILTRATOR Quick4 Plus EQ36
LP
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[
] [491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[
] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
- - -
1�7
-
CONSTRUCTION [ APPROVED / St. Lucie CHD
DISAPPROVED Envi mental Specialistlll J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ): St. Lucie CHD
Environmental Specialist 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 AP1510218 EID2091660
DATE: 04/16/2021
DATE: 06/24/2021
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 #:AP1510218
PERMIT #:56-SF-2091660
DOCUMENT # : FI 1649855
DATE PAID:06/16/2020
FEE PAID :545.00
RECEIPT #:56-PID-4455391
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. No violations, system ok to cover, contractor notified by phone. Needs final
inspection for 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 AP1510218 EID2091660