HomeMy WebLinkAboutHealth Dept. dFn APPLICATION #:AP1349274
s STATE OF FLORIDA PERMIT #:56-SF-1854219
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11683248
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:09/17/2020
W"s FEE PAID:80.00
RECEIPT #:56-PID-5043122
APPLICANT: Richard Jemison
AGENT: Richard Jemison
PROPERTY ADDRESS: 3270 Hatcher St Fort Pierce, FL 34981
LOT: 13,14,15 BLOCK: 1
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 SETBACKS
[ ] [01] TANK SIZE [11 1090.00 [2] [ ] (271 SURFACE WATER FT
[ ] [021 TANK MATERIAL Polypropylene [ ] [281 DITCHES 63 FT
[ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS FT
[ ] [041 MULTI-CHAMBERED [LZJ N ] [ ] [301 PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT
[ ] [061 LEGEND 1. 70-143-11DC4 2. [ ] [321 POTABLE WATER 90 FT
[ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 7 FT
[ ] [081 LEVEL [ ] [341 PROPERTY LINES 19 FT
[ ] [091 DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 509 [21 SQFT [ ] [361 DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1, 7.00 2. [ ] [381 SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 08/23/2021
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / SELOW ]BM 13.00 [ ] (401 UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
[ ] (181 DOSING PUMPS [ ] [421 ALARMS
[ ] [191 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
1 ] [201 AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] (461 FINAL SITE GRADING
[ ] (221 FILL AMOUNT 1 ] [471 CONTRACTOR Mike Stuhr(Ashton)
[ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / pecit II M St. Lucie CHD DATE: 05/27/2021
DISAPPROVED ' Environm ntal Salis i ontanez(Florida Department of He
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : St. Lucie CHD DATE: 08/23/2021
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 Page 2 of 3
EH Database v 1.0.1 AP1349274 EID1854219
��►t APPLICATION #:AP1349274
STATE OF FLORIDA PERMIT #:56-SF-1854219
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11683248
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:09/17/2020
WE FEE PAID:80.00
RECEIPT #:56-PID-5043122
Violation Number Comment
Comments
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+4x10 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