HomeMy WebLinkAbouthealth departmentSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Gem Builders Inc
AGENT: Susan Barber
PROPERTY ADDRESS: 4906 Buchanan Dr Fort Pierce, FL 34982
APPLICATION #:AP16`11749
PERMIT # : 56-S F-2219569
DOCUMENT # : FI 1748845
DATE PAID : 01 /08/2021
FEE PAID :545.00
RECEIPT #:56-PID-4853436
LOT:
7.8.9.10
BLOCK: 2
SUBDIVISION:
Indian River Estates ID#: 3402-602-0052-000-0
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [11 1050.00 [2]
[ ]
[27]
SURFACE WATER
FT
[ ]
[02]
TANK MATERIAL Polypropylene
[ ]
[28]
DITCHES
FT
[ ]
[03]
OUTLET DEVICE
[ ]
[29]
PRIVATE WELLS
FT
[ ]
[04]
MULTI -CHAMBERED [
Y
N ]
[ ]
[30]
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER PolylokPL-68
[ ]
[31]
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70-156-10DC3 2.
[ ]
[32]
POTABLE WATER 20
FT
[ ]
[07]
WATERTIGHT
[ ]
[33]
BUILDING FOUNDATIONS 6
FT
[ ]
[08]
LEVEL
[ ]
[34]
PROPERTY LINES 72
FT
[ ]
[09]
DEPTH TO LID
[ ]
[35]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 679 [2] SQFT
[ ]
[36]
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER X
[ ]
[37]
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 8.00 2.
[ ]
[38]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[ ]
[39]
STABILIZATION
[ ]
[14]
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [
ABOVE
/ BELOW ]BM 4.00
[ ]
[40]
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ ]
[41]
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ]
[42]
ALARMS
[ ]
[19]
AGGREGATE SIZE
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]
[44]
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[ ]
[451
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ]
[47]
CONTRACTOR Mike Stuhr (Ashton)
[ ]
[221
FILL AMOUNT
[ ]
[48]
OTHER INFILTRATOR Quick4 Plus E036
LP
[ ]
[231
FILL TEXTURE
[ ]
[241
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED
[ ]
[49]
TANK PUMPED
[ ]
[261
REPLACEMENT MATERIAL
[ ]
[50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED St. Lucie CHD
DISAPPROVED Environmental Specialist I Ma a janyi (Florida Department of He
FINAL SYSTEM [ AppROVED / DISAPPROVED ]: St. Lucie CHD
5�0n ronmental Specialisatthe Vaj Florida Department of H
(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 AP1611749 EID2219569
DATE: 09/23/2021
DATE: 12/07/2021
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 #:AP1611 r49
PERMIT #:56-SF-2219569
DOCUMENT # : FI 1748845
DATE PAID . 01 /08/2021
FEE PAID:545.00
RECEIPT #:56-PID-4853436
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and 4x8+4x7 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for depth of cover, mound system, and final site grading.
Final inspection completed. Mound system checked, depth of cover checked, and final site grading completed
Final inspection approved. Emailed copy to building department and contractor.
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 AP1611749 EID2219569