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APPLICATION #:AP1609184
STATE OF FLORIDA
PERMIT #:56-SF-2216050
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
DOCUMENT # : FI 1749710
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:12/23/2020
FEE PAID:430.00
RECEIPT #:56-PID-4835391
APPLICANT: WJHFL,LLC
AGENT: Bruce Mc Cullers (Reliable Treasure Coast Services)
PROPERTY ADDRESS: 7004 Penny Ln Fort Pierce, FL 34951
LOT: 9 BLOCK: 109
SUBDIVISION: Lakewood Park ID#: 1301-611-0187-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01] TANK SIZE [11 1050.00 [21 300.00 [
] [271
SURFACE WATER FT
[ ] (021 TANK MATERIAL Concrete [
] [281
DITCHES 22 FT
[ ] [031 OUTLET DEVICE [
] (29]
PRIVATE WELLS 76 FT
[ ] (041 MULTI -CHAMBERED [LIJ N ] [
] [30]
PUBLIC WELLS FT
[ ] (051 OUTLET FILTER Polylok PL-68 [
] [31]
IRRIGATION WELLS FT
[ ] (061 LEGEND 1. 28-015-08DC3 2. 70-156-03SC3 [
] (32]
POTABLE WATER 46 FT
[ ] [071 WATERTIGHT [
] [331
BUILDING FOUNDATIONS 12 FT
[ ] [081 LEVEL [
] [341
PROPERTY LINES 7 FT
[ ] [091 DEPTH TO LID [
] [351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 510 [2] SQFT [
] [36]
DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [
] [371
SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 5.00 2. [
] [38]
SLOPES
[ ] [131 DRAINLINE SEPARATION [
] [391
STABILIZATION 12/08/2021
[ ] [141 DRAINLINE SLOPE
[ ] (151 DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] (161 ELEVATION [ ABOVE / BELOW ]BM 18.00 [
] [401
UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [
] [41]
STORMWATER RUNOFF
[ ] [181 DOSING PUMPS 1.00 [
] [42]
ALARMS
[ ] [19] AGGREGATE SIZE [
] [43]
MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [
] [441
BUILDING AREA
[ ] (211 AGGREGATE DEPTH [
] [45]
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [
] [461
FINAL SITE GRADING
[ ] [22] FILL AMOUNT [
] [47]
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] (231 FILL TEXTURE [
] [481
OTHER INFILTRATOR ARC 24
[ ] [241 EXCAVATION DEPTH
ABANDONMENT
[ ] [251 AREA REPLACED [
] [491
TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [
] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 09/07/2021
CONSTRUCTION I APPROVED
DISAPPROVED ] ' EnvirAntalSalist I
n J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APpROVED / DISAPPROVED ]:9
St. Lucie CHD DATE: 12/08/2021
Envi onmental Specialist II
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 AP1609184
EID22'16050
STATE OF FLORIDA
C9 DEPARTMENT OF HEALTH
s' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 16091.84
PERMIT #:56-SF-2216050
DOCUMENT #:F11749710
DATE PAID:12/23/2020
FEE PAID:430.00
RECEIPT #:56-PID-4835391
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, DT, and 2x8+3x6 long TRENCH DF installed. No violations, system ok to cover, contractor notified onsite. Needs
final inspection for pump inspection, to verify that pump wires exit the DT through the rise wall, mound system, gutter on E side of
house, gutters, alarm check, and final site grading.
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 AP1609184 EID2216050