HomeMy WebLinkAbout5004 Pinetree Dr FA.pdfSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
PERMIT #:
DATE PAID:
FEE PAID:
RECEIPT #:
25.00
56-SF-2049617
DOCUMENT #:FI1697545
AP1474740APPLICATION #:
56-PID-4756510
10/16/2020
LOT:
ID#:
BLOCK:
SUBDIVISION:Indian River Estates
APPLICANT:John R. & Gina Marie Whitaker
AGENT:Alexander J. Piazza PSM, Inc John Erickson 772-260-5049
PROPERTY ADDRESS:5004 Pinetree Dr Fort Pierce, FL 34982
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
[01] TANK SIZE[][1]1090.00 [2]
[02] TANK MATERIAL[]Polypropylene
[03] OUTLET DEVICE[]
[04] MULTI-CHAMBERED[][Y ]N/
[05] OUTLET FILTER[]
[06] LEGEND[]
[07] WATERTIGHT[]
[08] LEVEL[]
[09] DEPTH TO LID[]
TANK INSTALLATION
[27] SURFACE WATER[]
SETBACKS
FT
[28] DITCHES[]47 FT
[29] PRIVATE WELLS[]100 FT
[30] PUBLIC WELLS[]FT
[31] IRRIGATION WELLS[]FT
[32] POTABLE WATER []60 FT
[33] BUILDING FOUNDATIONS[]7.5 FT
[34] PROPERTY LINES[]20 FT
[35] OTHER[]FT
[10] AREA[][1]509.4 [2]
[11] DISTRIBUTION[]
[12] NUMBER OF DRAINLINES[]
[13] DRAINLINE SEPARATION[]
[15] DEPTH OF COVER[]
[16] ELEVATION []
[17] SYSTEM LOCATION[]
[18] DOSING PUMPS[]
[19] AGGREGATE SIZE[]
DRAINFIELD INSTALLATION
SQFT
BOX HEADER X
[ABOVE ]BMBELOW/7.00
[14] DRAINLINE SLOPE[]
[20] AGGREGATE EXCESSIVE FINES[]
[21] AGGREGATE DEPTH[]
[36] DRAINFIELD COVER[]
FILLED / MOUND SYSTEM
[37] SHOULDERS[]
[38] SLOPES[]
[39] STABILIZATION[]09/09/2021
[40] UNOBSTRUCTED AREA[]
ADDITIONAL INFORMATION
[41] STORMWATER RUNOFF[]
[42] ALARMS[]
[43] MAINTENANCE AGREEMENT[]
[44] BUILDING AREA[]
[45] LOCATION CONFORMS WITH SITE PLAN[]
[46] FINAL SITE GRADING[]
[47] CONTRACTOR[]MICHAEL W STUHR (ASHTO
[48] OTHER[]INFILTRATOR Quick4 Plus EQ36 LP
[49] TANK PUMPED[]
ABANDONMENT
[50] TANK CRUSHED & FILLED[]
[22] FILL AMOUNT[]
FILL / EXCAVATION MATERIAL
[23] FILL TEXTURE[]
[24] EXCAVATION DEPTH[]
[25] AREA REPLACED[]
[26] REPLACEMENT MATERIAL[]
Polylok PL-68
1.2.
1.2.5.00
70-143-11DC4
17 & 18 3
3402-602-0099-000-1
Comments are on page 2.Comments:
CONSTRUCTION []:/CHD DATE:
DISAPPROVED
St. Lucie 05/03/2021APPROVED
Environmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM []:/CHD DATE:DISAPPROVED St. Lucie 09/09/2021
Environmental Specialist II Nicole Montanez (Florida Department of He
APPROVED
(Explanation of Violations on following page)
EH Database v 1.0.1 AP1474740 EID2049617
Page 2 of 3
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
PERMIT #:
DATE PAID:
FEE PAID:
RECEIPT #:
25.00
56-SF-2049617
DOCUMENT #:FI1697545
AP1474740APPLICATION #:
56-PID-4756510
10/16/2020
Violation Number Comment
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 onsite. Needs final
inspection for mound system and final site grading.
9/9/21 Final inspection completed. Mound system checked and final site grading completed. Emailed copy to contractor and
building dept. NMM
Comments
EH Database v 1.0.1 AP1474740 EID2049617
Page 2 of 3
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC