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APPLICATION #,AP128.1003,
STATE OF "FLORIDA :PERMIT , SF-1747493-
DEPARTMENT. OF..HXAtTH _ -
ONBITE SEWAGE TREATMENT' AND DISPOSAL SYSTEM; DOCiMENT #: 11.�2699 FI
ty
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE'.PAID:0311612017
-00
REEEIPT #:56 PI.D419a 77
APpz=;chm: CasGR;Construction Charlie 772 215=0941; �.
AGENT: Laventure&Associates,Inc
PROPERTY ADDRESS 53.04 Plnetree De Fort Pierce; F!34982i
LOT:: 22&23 BLOCK: .5
suBDrvlsxON.: Indian River Estates Ib#; 3402.402=0185-0004
CHECKED [XI ITEMS ARE; NOT IN jCOMPI;IANCE WITH 'STATUTE OR RULE -AND -MUST; BE CORRECTED
TANK INSTALLATION SETBACKS,
] t01]: TANK SIZE. [1j. 1090a)0_ [.z],. [ 1 [271 SURFACE WATER FT
[ ]. [:DZI TANK MATERIAL 'Poiyethy[ene ._ _ .. [' ]' [2S} DITcaEs '1:8+ FT
OUTLET DEVICE ;[ } [29} PRIVATE WELLS 77 FT
[ 1 [091 MUr, CHAMBERED [ 'Y N I [ ] ['30,] 1?UBIiIG WELL; FT
[ 7 [051' O TOT FILTER Polylok_PL,68 _- _ [ } [31], IRRIGATION WELLS — " _- FT
i o 61' 1E4Erm 70-1:43=11 DC3
I [ I [`3.21 POTABLE 'WATER 27 FT
[ I [071, WATERTIGHT
_. - [ ]' [33], BUILDING FOUfIDATION5 7,. _FT;
I ] [081) 'LEVEL: [ ] [S4]' PROPERTY LiINES� �,3 FT-
[ 'I [09}_ ;DEPTH TO LID [ :7 [:3'S] OTHER FT;
DRAINFIELD' INSTALLATION FILLED /` MOUND SYSTEM
t -] [IQ.�' AREA: :(13 543;3& ._ [1] sQFT; [ j: [36] DRAINFIELD OVER,
--
C111; DISTRIBUTION BOX -- 'HEADER, X [ I [37°} SHOULDERS
[12] NIJt EM OF DRAI271,INES 1 6.60i z [ ]' [:381, SLOPES
[ ] [131 DRAINLINE SEPARATION [ j [39]; STABILIZATION 011%)2018:
[ ] [141 DRAINLINE SLOPE.
[ :] [15] DEPT4 OF COVER, ADDIT1O9AI4 INFORMATION
ELEVATION' SELQW ] 7O0' IfC40]; UNOBSTRUETED ;ARBA
] [14 SYSTEM LOCATION [ I ['.4 l STORM MTER RUIlOF&
[ ] [191 DOSING PUMPS. _-.... _ _ _ -. [ .] [42]_ ALARMS
[: I [191: AGGREGATE SIZE t, .1 [43] ;MASN2ENAN7 At;REEMENT
[• 1 [201, AGGREGATE :EXCESSIVE ;FINES: C I [4'41' ,BUILD3MQ AREA,
[ ] [211 AGGREGATE .DEPTH C .] rom: LOCATION CONFORMS- WITH SITE PLAN'
:FILL ./ MXCAVAT.ION'MATERIAL: [ 1 1461. FINAL :SITE GRADING'.
1, [22j FILL„ AMOUNT
- - - 6 ] [4_.T]: CONTRACTOR. MICHAE!W STuHR.(ASHTO
[
[ 1: .[.23j F=z TEXTURE [ 1 t48i ,OTHER WFILTFiATOk G2w6 4:Plus E0319 LP
7
[241I EXCAVATION' DEPT$ ABANDONMENT
TANK PUtpED
[ I [M REPLACEMENT MATERIAL C ] CSQI'. TANK `CRUSHBD. &. FILLED
0omme4p Cammentq are, on page 2;, ,-
CONSTRUCTION [ APPRovE �---+► Fog' St:lucre CHD DATE::: 10102/201'7
MISAPPROVED. I' Environmenfal S6eclatiat118 art J'Ingrairi(ENVIRONMENTAL HEALTH);
'FINAL SYSTEM [ APPROVED D3I; PPROVED� ste Lpt _ CHD DATE: 01119&019
EnvUonmental Specialist I DIMM.1 S-May`(Floride Depart'meni 7 Healttf:
(Explanation of Volationsi:on following,page]
DH 4016,,, 68/04 (Ob"soletes ai31 previous. edtott.._s' which :may;not be usedy
2ricorpora Eed' 64E-6 Pag0-Q34. FAC
e 2, :of `3
EH Database V:1;0.1: AP129100 E113i747.493
APpLxcaTxvrt # i4P1281003
STATE OF FLORIDA PERMIT # 56 SF-174,7493-
is DEPARTMENTO E_.HEAITH
Dac> rrr # F111 52699'
ONSITE SEWAGE .TREATMENT AND DISPOSAL SYSTEM
" :CQNS,TRUCTION' INSPECTION VW FINAE, .APPROVAF; DATE PAID
a3I16%2017
FER. PAID.515 00.
RECEFT # 56-P1D-3198777 "
Violation Number Comment
Comments
_ T ,
The"system Is:sized.for 2 bedrooms with a mailmunl oncupaney of 4 persons(2 per bedroo "},for a total esfirriated flow.0 300
gpd. New ST:and,6x8 I6ng,DF.No Violations;system ok to cover Contractor n9tified by piione.:Nee&final Inspection for mound
system and final site grading.
Final:nspection=ok no violations,observed;done by'Br'ian.
Incorporated0964.Eb5 003;sFAG1 revious editions whack may not be u§ed)
p
Page 2 0£ 3
E1 Database V 10.1, idP12810�3 Eli 1770SJ
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0so
ct APPLICATION .#:AP12$1003
STATE OF FLORIDA PERMIT #:56-SF-1 747493
s� b DEPARTMENT OF HEALTH
DOCUMENT #:F11152699
ONSITE SEWAGE. TREATMENT AND D.IS.POSAL SYSTEM
CONSTRUCTION INSPECTION AND 'FINAL APPROVAL DATE PAID:03/16/201.7
we
FEE PF,ID:515.00
RECEIPT #:5&PI D-3198777
APPLICANT: Casco,Construction Charlie 772-215-0941.
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AGENT: Laven ture&Associates Inc I
PROPERTY ADDRESS': 5304 Pinetree Dr Foit Pierce, FL 34982
LOT: 228 23 BLOCK: 5 j
SUBDIVISION: Indian.River Estates. ID#: 3402-602-0185-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR-RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ 1 [01] TANK SIZE. [1] 1,090.00 [21 [ ] [271, SURFACE WATER FT
[ ] [021 TANK MATERIAL Polyethylene [ 1 [281 DITCHES T8 FT'
[ 1 [031 OUTLET DEVICE- [ ] 1-291 PRIVATE WELLS 77 FT
[ ] [04] MULTI-CHAMBERED [ Y N 1 [ ]. [3.0]_ PUBLIC WELLS FT
[ ] t051 OUTLET FILTER Polylok PL-68 [ ] (311 IRRIGATION WELLS FT
[ ] [06] LEGEND. 1. 70-143=11DC3 2. [ ] [321 POTABLE WATER 27 FT
[ 1 [07] WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 7 FT
[ 1 [081 LEVEL [ ] [:39] PROPERTY LINES 13' FT
[ 1 [091 DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED % MOUND SYSTEM
[ ] [10] AREA [11 543.36 [21 SQFT [ ]. 1361 DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ 1 [371 SHOULDERS
[ 1 [121 NUMBER OF DRAINL.INES 1. 6.00 2. [ ]. [381 SLOPES
[ '] .[131 DRAINLINE SEPARATION [ 1 [39] STABILIZATION 01/19/2018
[ ] [1:.4] . DRAINLINE SLOPE
[ -1 [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM. 7.00 [ 1 [401 UNOBSTRUCTED AREA
i
[ ] [171 SYSTEM'LOCATION [ ] [4,11, STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [421. ALARMS
[ ] [.19] AGGREGATE SIZE [' ] [43,] MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE 'EXCESSIVE- FINES' [ ] [441. BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN
FILL /EXCAVATION MATERIAL [ 7 [461 FINAL SITE GRADING
[ J. [221 FILL AMOUNT [ 1 [47] CONTRACTOR MICHAEL W STUHR(ASHTO
[ 1 [23.1 FILL TEXTURE [ ] 1481 OTHER INFILTRATOR Quick4.Plus EQ36 LP
[ ] [24.1 EXCAVATION DEPTH ABANDONMENT
[ ] [.251 AREA 'REPLACED [ ] [49] TANK PUMPED
[ ] [26.1 REPLACEMENT MATERIAL [ 1 [501 TANK 'CRUSHED & FILLED
Comments:. Comments are on page 2'.
/ 77 _ ,�� FQk St. Lucie CHD DATE: 10/02/2017
CONSTRUCTION: I APPROVED DISAPPROVED ]
Environmental'Specialist II BtIan J'Ingrani(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: I' St: Lucie CUD DATE: 01/19/2018
Environmental Specialist I Dlaffha S.May(Florida Department ofl Health
(Explanation of Violations on following',page)
DH 4016, 08/0.9 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003,. rAC Page 2, of 3
EH;Database V 1.0.1' AP1201003 EID1747493
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Tom' APPLICATION * AP1281003
STATE OF FLORIDA PERMIT' #:5:6-SF-1747493.
DEPARTMENT OF I1EALTH
DOCUMENT # F:11,1''S2699
ONSITE SEWAGE TREATMENT AND DISPOSAL, SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:03116/2017
` we FEET PAID Z 1 15.00
:RECEIPT #:56-PID'-3198777
Violation Number Comment.
Comments
occupancy persons 2 er bedroom for a total estimated flow of 300
The system is sized for 2 bedrooms with a anC,maximum p y Of 4 p ( p )
gpd. New ST and 6x8 long DF. No violations,system ok to.cover,Contractor notified by phone.Needs final inspection for mound
system and final site grading.
Final inspection ok no violations observed,.done by Brian.
DH 401.6; 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 AP1201003 EIIM47493
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