HomeMy WebLinkAboutConstruction Inspection & Final ApprovalC Y
f
J
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
i
RECEIVED
APPLICANT: Devin &
AGENT Brian Helseth
PROPERTY ADDRESS:
Mobe
245 Bimini Dr Fort Pierce, FL 34949
ST. Lucie Cou
APPLICATION #AP1293478
PERMIT #:56-SF-1767653
DOCUMENT # : FI 1.193742
DATE PAID:06/05/2017
FEE PAID:515.00
'RECEIPT #,:56-PID-3258591
LOT: 8 BLOCK' 2
SUBDIVISION: ` Coral Cove Beach ID#: 1425-701-0029-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE 'WITH STATUTE OR RULE -AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [21 [
] [27]
SURFACE WATER 200 FT
[ ] [021
TANK MATERIAL Polyethylene [
] [28]
DITCHES FT
[ ] [03]
OUTLET DEVICE [
] [29]
PRIVATE WELLS' FT
[ ] [041.
MULTI -CHAMBERED [
Y
N ] [
] [30]
PUBLIC WELLS FT
[ ] (051
OUTLET FILTER Polylok PL-68 [
] [311
IRRIGATION WELLS FT
[ J [06]
LEGEND 1. 70-143-11DC3 2. [
] [321
POTABLE WATER 40 FT
[ ] [07]
WATERTIGHT [
] [33]
BUILDING FOUNDATIONS 6 FT
[ ] [081
LEVEL [
] [34]
PROPERTY LINES .5 FT
[ ] [091
DEPTH TO LID [
] [35]
OTHER FT
DRAINF=ELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [11 500.4 [2] SQFT [
] [36]
DRAINFIELD COVER
[ ] 111]
DISTRIBUTION BOX HEADER X [
] [3.7]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 5.00 2. I
] ['38]
SLOPES
[ ] [131
DRAINLINE SEPARATION [
] [391
STABILIZATION06/281201:8
[ ] [14]
DRAINLINE SLOPE
[ ) [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION
IABOVE
/ BELOW ]BM 6.00. G
] [40]
UNOBSTRUCTED AREA
[ ] (171
SYSTEM LOCATION [
] [411
STORMWATER•RUNOFF
[ ] [181
DOSING.PUMPS [
] 1421
ALARMS
[ ] (191
AGGREGATE SIZE [
] [43]
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES [
] [44]
BUILDING AREA
[ ] 1211
AGGREGATE DEPTH [
] [4'5]
LOCATION CONFORMS WITH SITE PLAN
[
] [461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[
] '[47]
CONTRACTOR MICHAEL W—STUHR (ASHTO
[ ] [22.1
FILL AMOUNT
[
]. [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] (231
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [
] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL [
] [501
TANK CRUSHED & FILLED
Comments; Comments are on page 2.
FOR
St. Lucie CH.D DATE: 05[03/20.1.8
CONSTRUCTION
[
APPROVED
DISAPPROVED ] ' Environmental Specialist 11
rian.J Ingrain (ENVIRONMENTAL HEALTH)
FINA7, SYSTEM
I
APPROVED
/ DISAPPROVED ) : /'!x
St. Lucie CHD DATE: 06/28/2018
Environmental Specialist f0lanna
5 May (Florida,Department of. 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 AP1293478
EID1767653
r
STATE OF FLORIDA
DEPARTMENT OF .HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL .SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION
'PERMIT #:56-SF-1767653
DOCUMENT #:F11193742
DATE PAID:06/05/2017
FEE PAID.515.00'
RECEIPT' #:56-PID-3258591
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (Z per bedrodm); for a total estimated flow of.300
gpd. New ST and 5xg DF installed. No violations, system ok to cover. Contractor, notified by phone. System needs final inspection
for mound system, gutters, and final site grading.
Final inspection ok. Mound'system, gutters and final site.,gmd.ing satisfactory. No Violations observed'.
Emailed to contractor and building department.
DR 4016, 08/09 (Obsoletes all previous editions which may not•be used).
Incorporated: 64E-6.603, FAC Page 2 of 3
EH Database v 1.0.1 AP1293478 EID1767653