HomeMy WebLinkAboutSewage Construction Inspection & Final Approval• ' � RECEIVED dc? ? �f
MAY 0.9 2010
Permitting Department APPLICATION #:����08566
STATE OF FLORIDA St. Lucie County PERMIT #:56-SF-1791778
DEPARTMENT OF HEALTH DOCUMENT # : F 11184222
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 09/27/2017
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
•��own+�' FEE PAID:515.00
RECEIPT #:56-PID-3390929
APPLICANT:
Curtis & Jessica Chancey
AGENT:
Charles Paschal (Cole Construction)
PROPERTY ADDRESS: 9620 Carlton Rd Fort Pierce, FL 34987
LOT:
BLOCK:
SUBDIVISION:
ID#: 4203-213-0004-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1537.00 [21
[ ] [271
SURFACE WATER 100
FT
[ ]
[021
TANK MATERIAL Polyethylene
[ ] 1281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 77
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[ ] [301
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER Polylok PL-68
[ ] 1313
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70-143-16DC4 2.
[ ] 132]
POTABLE WATER 47
FT
[ ]
[071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 8
FT
[ ]
[08]
LEVEL
[ ] [34]
PROPERTY LINES 40
FT
[ ]
[091
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ j
110]
AREA [1] 792.4 [2] SQFT
[ ] [36]
DRAINFIELD COVER
[ ]
[11],
DISTRIBUTION BOX HEADER X
[ I 137]
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 7.00 2.
[ ] 138]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[ ] 1391
STABILIZATION 05/08/2018
[ ]
(141
DRAINLINE SLOPE'
[ ]
1151
DEPTH OF COVER
ADDITIONAL -INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM 9.00
[ ] [40]
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ] [42I
ALARMS
[ ]
119]
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
( ]
120]
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
I ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [47]
CONTRACTOR (OWNER)
[ ]
1221
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] .
[231
FILL TEXTURE
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ ]
[25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ]
[26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/ St. Lucie CHU
CONSTRUCTION I APPROVED DISAPPROVED ]
Env mental Specialist II Br ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ AppROVED / DISAPPROVED ]: St. Lucie CHD
Environmental Specialist II Br.
J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DE 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v1.0.1 AP1308566 EID1791778
DATE: 04/10/2018
DATE: 05/08/2018
Page 2 of 3
0
STATE OF FLORIDA
' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
W"L
Violation Number Comment
APPLICATION #:AP1308566
PERMIT #:56-SF-1791778
DocumENT #:F11184222
DATE PAID : 09/27/2017
FEE PAID:515.00
RECEIPT #:56-PID-3390929
lomments
The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of 460
gpd. System installed by owner.
New ST and 7x10 long DF installed. No violations, system ok to cover. Owner/builder notified onsite. Needs final inspection for
mound system and final grading.
Final system approved. Owner/builder and building department emailed final approval.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Page 2 of 3
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1308566 EID1791778