HomeMy WebLinkAboutConstruction Inspection & Final Approval� 17iE
a STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCT -ION INSPECTION AND FINAL. APPROVAL
1 r1 l0 " O'�11-1
APPLICANT: Brandon & Nicole Aultz
OCA
APPLICATION #:AP1314457
PERMIT #;,56-SF-1801253
DOCUMENT #:F11224109
DATE 'PAID.11108/2017
FEE PAID:515.00
RECEIPT#:56-PID=3432889
AGENT;: REGINA KARNER (KARNERINC)
PROPERTY ADDRESS: TBD Myrtle Dr FortPierce FL 34982
LOT: 1.2,12 y�O7 BLOCK: 39
SUBDIVISION: Indian River Estates ID#: '3402-608-0056=000-6
CHECKED [XI ITEMS ARE NOT. IN COMPLIANCE WITH STATUTE OR RULE, AND -MUST BE CORRECTED.,
TANK INSTALLATION
[ ]
[01]
TANK SIZE [1] 1.090.00, [21
[ ]
[ ]
[02]
TANK MATERIAL Polyethylene
[ ]
[ ]
[03]
OUTLET DEVICE
[ ]
[ ]
[041
MULTI -CHAMBERED [ L_jj N ]
[ ]
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ]
[ ]
[061
LEGEND 1. 70-143-11DC3 2.
( ]
[ ]
1071
WATERTIGHT
[ ]
[ ]
[08•]
LEVEL
[ ]
[ ]
[091
DEPTH TO LID
[ ]
DRAINFIELD INSTALLATION
[ ]
[10]
AREA [1] 384.88 [21 SQFT
[ ]
[ ]
[111
DISTRIBUTION' BOX HEADER X
[ ]
[ ]
[121
NUMBER OF DRAINLINES 1; _4:00 2,
[ ]
[ ]
1131
DRAINLINE SEPARATION
[ ]
[ ]
[141
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
[ ]
[161
ELEVATION [ ABOVE / HELOW' ]BM •20:00
[ ]
[ ]
[171
SYSTEM LOCATION
[ ]
[18]
DOSING PUNS
[ ]
[ ].
[19j
AGGREGATE SIZE
[ ]
[ ]
[201
AGGREGATE EXCESSIVE FINES
[ ]
[ ]
1211
AGGREGATE DEPTH
[ ]
[ ]
SETBACKS
[27:]
SURFACE WATER
FT
128]
DITCHES 41
FT
[29]
PRIVATE WELLS 78'
FT
[301
PUBLIC WELLS
FT
[31]
IRRIGATION' WELLS
FT
[32],
POTABLE WATER
FT
[33]
BUILDING FOUNDATZONS 7
FT
[.34]'
PROPERTY SINES 57
FT,
[35•]
OTHER
FT
FILLED / MOUND SYSTEM'
[3,6]
DRAINFIELD COVER
[37]
SHOULDERS
[38]
SLOPES
[391
STABILIZATION 1Oil 7120'1'8
ADDITIONAIC INFORMATION
[401 UNOBSTRUCTED AREA
[411 'STORMWATER RUNOFF
[42] ALARMS'
[43] MAINTENANCE -AGREEMENT
,[44], BUILDING AREA
[45] LOCATION CONFORMS WITH 'SITE PLAN
[46] FINAL SITE' GRADING
FILL / EXCAVATION MATERIAL
[ ]
[97]
CONTRACTOR Brian Davis (Brian Davis Sept
[ ]
[22] FILL AMOUNT
[ ]
[48,],
OTHER INFILTRATOR: Quick4 Plus EQ361P
[ ]
[231 FILL TEXTURE
[ ]
[24] EXCAVATION DEPTH
ABANDONMENT
[ ]
[25] AREA REPLACED
[ ]
[49]
TANK PUMPED
[ ]
[261 REPLACEMENT MATERIAL
[ ]
1501
TANK.CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD:
DISAPPROVED ]° Envi�o entalSpeciallstl1B Jingram"(ENVIRONIIAENTAL.HEALTH)
FINAL SYSTEM [ APpROVED / DISAPPROVED ]-:, St. Lucie cHD
Environmental Spec alist II Br 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
EH Database v 1.0.1 AP1314467' EID1801253
DATE. 08/28/2018
DATE . 10/17/,2018
Page 2 of '3
L
Violation Number
its
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATNENT'AND DISPOSAL SYSTEM.
CONSTRUCTION INSPECTION AND FINAL APPROVAL'
Comment
APPLICATION #':AP13;14'457
PERMIT #56-SF-1801253
DOCUMENT' #:.F1.1.224109
DATE .PAID:1. 1108/2017
FEE PAID:5-1.5.00
RECEIPT c56-PID=3432889
The system is sized for 3 bedrooms with a maximum occupancy of 6persons (2'per bedro'om), for total estimated flow of.300
)Pd. Original SE:and permitvoided and reissuedas, trench. New ST and 2x8+2x9 DF:installed, No violations, .system ok to cover.
Dontractor notified onsite. Needs final inspection for mound system, final site grading, and potable,well setback. (78" Wto
ieighbors well)
=final system approved. Contractor and building deparimentemaled final approval.
DH 401.6, 08/09 (Obsoletes all previous editions which may not be used)
incorporated: 64E-6.003, FAC rage 2 of 3
EH Database v 1.0.1 AP1314457 EID1801I253
RECEIVED
41
0CT 1 9 2018
APPLICATION # .AP13144457
STATE OF FLORIDA
PERMIT. # "56-SF-1801253
DEPARTMENT OF HEALTH ST. Lucie County, Permitting
ON81TE SEWAGE TREATMENT' AND DISPOSAL.. Sy
DOCUMENT'#: F11224108
.
DATE PAID: 11/08I2017
s
CONSTRUCTION.INSPECTION AND
FINAL APPROVAL
�
E PAID:516.00
hula WJ@d 'A;unoD ai:)nl
CEIPT' #,:56-PID-3432889
APPLICANT:
Brandon & Nicole.Aultz
n
0 0
AGENT:
REGINA KARNER KARNERING
PROPERTY ADDRESS: TBD ,Myrtle Dr Fort Pierce, FL 34982
qb O 7
LOT:
1 IU
BLOCK:
39
SUBDIVISION:
Indian River Estates ID#:
3402-608-0056-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND- MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
(01]
TANK SIZE [1] 1090.00. [2]
[ ] [271
SURFACE WATER FT
[ ]
[021
TANK MATERIAL Polyethylene
[ ]. [28]
DITCHES 41 FT
[ ]
[031
OUTLET DEVICE
[ ] [29]
-PRIVAT]E WELLS 78 FT
[ ]
[04]
MULTI -CHAMBERED [ Y 'N ]
[ ] (301
PUBLIC WELLS. FT
[ ]
1051
OUTLET FILTER Polylok PL-68
[ ] [3LI
IRRIGATION' WELLS FT
[ ]
[061
LEGEND 1. 70-143-11DC3 2.
[ ] [321
POTABLE WATER FT
[ ]
[071
WATERTIGHT
[ ] [33]'
BUILDING FOUNDATIONS 7 FT
[ ]
[081
LEVEL
[ ] [34.]
PROPERTY LINES 57 FT
[ ]
[091
DEPTH -TO LID
[ ] [351
OTHER: FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [11 384.88 [21 SQFT
[ ] [,36]
DRAINFIELD COVER
[ ]
1113
DISTRIBUTIONBOX HEADER
X [ ] [37]
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1; _4.00 2.
[ ] [381
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[ 1 (391
STABILIZATION 10/17/2018
I ]
[14]
DRAINLINE SLOPE,
[ ]
[151
DEPTH OF COVER
ADDITIONAL- INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW 'IBM 20.00 [ ] [401
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[ ] [411
STORMWATER AdNOF.F
[ ]
[18]
DOSING PUMPS
[ ] [42]
ALARMS
[ ]
[191
AGGREGATE SIZE
[ ] [431
MAINTENANCE'AGREEMENT
I ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]' [44]
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH 'SITE PLAN
[ J [46]
FINAL SITE'GRADING
FILL / EXCAVATION MATERIAL
[ ] 11471
CONTRACTOR Brian Davis (Brian, Davis Sept
[ ]
[221 FILL AMOUNT
[ ] [,48],
OTHER INFILTRATOR Qu[ck4 Plus EQ36 LP
[ ]
[231 FILL TEXTURE
[ ]
[241 EXCAVATION DEPTH
ABANDONMENT
[ ]
[25] AREA REPLACED
[ ] 1493
TANK PUKED
[ ]
[261 REPLACEMENT MATERIAL
[ ] ['50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2,.
CONSTRUCTION [ APPROVED / ~ St. Lucie CHD• .DATE: 08/28/20f9
DISAPPROVED ] ° Enviro ' ental Specialist it B J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [. APPROVED / DISAPPROVED 3 $t. Lucie cHD DATE: 10/:17/2018
Environmental Spec allst II Br J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes a1l previous editions which may not. be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1314457 EID1S01253
M
Violation Number
"^M-ents
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATION #.::AP1314457
PERMIT #-,-,56-SF-1 801-253
DOCUMENT #:: F 1 .12241 Ob
DATE PAID: 11/08/2017
FEE PAID;S'1`.5.00
RECEIPT #'56-PlDm3432889
The system Issi2ed for 3 bedrooms with a maximum 6. ro�0jjj),;fqr1.tj tog! estimated flow of;300.
. pcUpandy of 6 persons (Zpet.b.bd � total . 1.9 flow
gpd. Original SE'and. permit voided and relssued,as, trench. New ST and 2x6+2x9 PF:installed,.No violations, system,,ok:to cover.
Contractor notified onsite. Needs final inspection for mound system, final site. grading, and potable,well setback, (78!'Is,;tb
neighbors well)
Final system department final approval.
. approved. Contractor and depaft 'dfi I
DH 4016, 08/09 Cqbdoleteis all previous: editiond which may not be USGdY Page 2 of 3Incorporatedi 64E-6.003, FAG
EN Database v 1.0.1 AP1314457 g!P1801.263'