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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Richard Jemison
AGENT: Richard Jemisor
PROPERTY ADDRESS:
LOT: 13,14,15
3270 Hatcher St Fort Pierce, FL 34981
BLOCK: 1
APPLICATION #:AP1349274
PERMIT #: 56-SF-1 854219
DOCUMENT #: F11683248
DATE PAID:09/17/2020
FEE PAID:80.00
RECEIPT #:56-PID-5043122
SUBDIVISION: Florence M. Hatcher ID#: 2429-601-0013-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ] [01] TANK SIZE [11 1090.00 (2]
[ ] [021 TANK MATERIAL Polypropylene
[ ] [031 OUTLET DEVICE
[ ] [041 MULTI -CHAMBERED [LIJ N ]
[ ] [051 OUTLET FILTER Polylok PL-68
[ ] [061 LEGEND 1. 70-143-11DC4 2.
[ ] [071 WATERTIGHT
[ ] [081 LEVEL
[ ] [091 DEPTH TO LID
DRAINFIELD INSTALLATION
[ ] [101 AREA [1] 509 [21 SQFT
[ ] [11] DISTRIBUTION BOX HEADER X
[ ] [121 NUMBER OF DRAINLINES 1. 7.00 2.
[ ] [131 DRAINLINE SEPARATION
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER
[ ] [16] ELEVATION [ ABOVE / SELOW ]BM 13.00
[ ] [171 SYSTEM LOCATION
[ ] [181 DOSING PUMPS
[ ] [191 AGGREGATE SIZE
[ ] [201 AGGREGATE EXCESSIVE FINES
[ ] [211 AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] (221 FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ] [241 EXCAVATION DEPTH
[ ] [251 AREA REPLACED
[ ] [261 REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
(27] SURFACE WATER
[281 DITCHES
[291 PRIVATE WELLS
[301 PUBLIC WELLS
[311 IRRIGATION WELLS
[321 POTABLE WATER
[331 BUILDING FOUNDATIONS
[341 PROPERTY LINES
[35] OTHER
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
[371 SHOULDERS
[381 SLOPES
[391 STABILIZATION 08/23/2021
FT
63 FT
FT
FT
FT
90 FT
7 FT
19 FT
FT
ADDITIONAL INFORMATION
(401 UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[421 ALARMS
[431 MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
(461 FINAL SITE GRADING
[471 CONTRACTOR Mike Stuhr (Ashton)
[481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
[ ] [ 4 91 TANK PUMPED
[ ] [50] TANK CRUSHED & FILLED
CONSTRUCTION I APPROVED / � St. Lucie CHD
DISAPPROVED ' Environm ntal Specialist II i Montanez (Florida Department of He
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Environmental Specialist 11 rian 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 AP1349274 EID1854219
DATE: 05/27/2021
DATE: 08/23/2021
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 # : AP 1349274
PERMIT #:56-SF-1854219
DOCUMENT #:F11683248
DATE PAID:09/17/2020
FEE PAID:80.00
RECEIPT #:56-PID-5043122
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 3x7+4xl0 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for well inspection/setback, mound system, and final site grading.
Re -inspected system for final approval. W side of DF lacked sufficient cover and appeared to have been damaged. Contractor
and building owner notified by phone.
System repaired by 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 AP1349274 EIDISS4219