HomeMy WebLinkAbout4700 indrio rd fa.pdfSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Ross and Norann Chambers
AGENT: Jared Modine
PROPERTY ADDRESS:
LOT
4700 Indrio Rd Fort Pierce, FL 34951
BLOCK:
APPLICATION #:AP1528633
PERMIT # : 56-S F-2113466
DOCUMENT #:F11716460
DATE PAID . 06/02/2021
FEE PAID:240.00
RECEIPT #:56-PID-5009320
SUBDIVISION:
ID # : 1418-133-0040-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1250.00 [21 483.00
[ ] [27]
SURFACE WATER
FT
[ ] [021
TANK MATERIAL Concrete
[ ] [281
DITCHES
FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [041
MULTI -CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 28-015-16DC3 2. 70-143-54SC4
[ ] [32]
POTABLE WATER 100
FT
[ ] [07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 8.5
FT
[ ] [08]
LEVEL
[ ] [341
PROPERTY LINES 44
FT
[ ] [09]
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 815.04 [2] SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] (371
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 9.00 2.
[ ] [38]
SLOPES
[ ] (131
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 10/06/2021
[ ] [14]
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 7.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS 1.00
[ ] [42]
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ] [46]
FINAL SITE GRADING
[ ] [22]
FILL AMOUNT
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [23]
FILL TEXTURE
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] (25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION St. Lucie CHD
DISAPPROVED ] ° Environlpental Specialist III B ryJ Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED. / DISAPPROVED ]: U ram` St. Lucie CHD
Environmental Specialist III r' n 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 AP1528633 EID2113466
DATE: 06/15/2021
DATE: 10/18/2021
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 #:AP1528633
PERMIT # : 56-S F-2113466
DOCUMENT # : FI 1716460
DATE PAID : 06/02/2021
FEE PAID:240.00
RECEIPT #:56-PID-5009320
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 460
3pd•
New ST, filter, DT, liberty 1/3 hp pump, and 9x8 long BED DF installed. No violations, system ok to cover, contractor notified by
phone. Needs final inspection for mound system, final site grading, and scale survey with correct DF location.
=inal system approved. Contractor 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 v1.0.1 AP1528633 EID2113466