HomeMy WebLinkAboutSEWAGE"Cer4ED APPLICATION #:AP1293320
STATE OF FLORIDA JM 1 g Tp1g PERMIT #:56-SF-1767365
DEPARTMENT OF HEALTH DOCUMENT #:F11191074
ONSITE SEWAGE TREATMENT 1 p,"1!Wp=etYSTEM 06�02�2017
CONSTRUCTION INSPECTION ANIStiE i5PROVAL DATE PAID:
FEE PAID:515.00
I RECEIPT #:56-PID-3257336
APPLICANT: Tom Huddleston
AGENT: Brian Helseth
PROPERTY ADDRESS: 5010 Palmetto Dr Fort Pierce, FL 34982
LOT: 33& 34
SUBDIVISION:
BLOCK: 26
Indian River Estates ID#: 3402-606-0188-000-4
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]
[ ] [27]
SURFACE WATER
FT
[
]
[02]
TANK MATERIAL Polyethylene
[ ] [281
DITCHES
FT
[
]
[031
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS 92
FT
[
]
[04]
MULTI -CHAMBERED [LZJ N ]
[ ] [30]
PUBLIC WELLS
FT
[
]
[05]
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS 85
FT
[
]
106]
LEGEND 1. 70-143-11DC3 2.
[ ] [32]
POTABLE WATER . 10
FT
[
]
[07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 8
FT .
[
]
[08]
LEVEL
[ ] [34]
PROPERTY LINES 25
FT
[
]
[09)
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[
]
[10]
AREA [11 679 [21 SQFT
[ ] [36]
DRAINFIELD COVER
[
)
111]
DISTRIBUTION BOX HEADER X
[ ] [371
SHOULDERS
[
]
1121
NUMBER OF DRAINLINES 1. 6.00 2.
[ ] [381
SLOPES
[
]
[13]
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 06/11/2018
[
]
[14]
DRAINLINE SLOPE
[
]
[15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[
]
[16]'
ELEVATION [ ABOVE / BELOW ]BM 0.00
[ ] [40]
UNOBSTRUCTED AREA
[
]
[171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[
]
1181
DOSING PUMPS
[ ] [421
ALARMS
[
]
[19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[
]
[20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[
]
121)
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT L ] [47) CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [231 FILL TEXTURE [ ] [ae] OTHER INFILTRATOR Qulck4 EQ36 (single c
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [26) REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
I APPROVED / St. Lucie CHD
CONSTRUCTION
DISAPPROVED ] Env{)roymental Specialist 113gp�p May (Florida Department of Health
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Env ronmental Specialist II Bri 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 AP1293320 EID1767365
DATE: 01/31/2018
DATE: 06/14/2018
Page 2 of 3
, l
APPLICATION #:AP1293320
STATE OF FLORIDA PERMIT #:56-SF-1767365
DEPARTMENT OF HEALTH DOCUMENT # : F 11191074
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:O6/02/2017
FEE PAID .515.00
RECEIPT #:56-PID-3257336
Violation Number Comment
Comments
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. Original permit and soil evaluation voided and changed to a bed configuration. New ST and 6x10 DF installed. No violations
observed. System ok to cover, contractor notified onsite. Final required for mound system and final site grading. Well inspected at
construction inspection.
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 AP1293320 EID1767365