HomeMy WebLinkAboutSEWAGE CONSTRUCTION INSPECTION & FINAL APPROVALt
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APPLICATION #:AP1290437
STATE OF FLORIDA
PERMIT #:56:-8F-04391
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
DOCUMENT #:F11'15,1905
,.'�.
FINAL APPROVAL
DATE PAID:05/12/2017
CONSTRUCTION INSPECTION AND
FEE PAID:515.00
RECEIPT # :56-P I D-3236944
APPLICANT: Terry HeIzIer
AGENT: Stephen S, Brown Inc
PROPERTY ADDRESS: 6401 S Indian River Dr Fort Pierce, FL 34082
LOT: 1 BLOCK:
SUBDIVISION: ID#: 3412A 23-0001-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST,BE CORRECTED.
TANK.INSTALLATION
SETBACKS
[ ] [01] TANK 'SIZE [11 1090.00 [2] [
] [271
SURFACE WATER 1Q0
FT.
[ ] [021 TANK MATERIAL, Polyethylene [
] [281
DITCHES
FT
[: ]' [03] OUTLET DEVICE [
] [291
PRIVATE WELLS 100.
FT
[ ] [04] MULTI -CHAMBERED [ Y N ] [
] [30.1
PUBLIC WELLS
FT
[ ] [051 OUTLET FILTER Polylok,PL-68 [
] [.31]
IRRIGATION.WELLS
FT
[ j 10631 LEGEND 1. 70-143-11DC4 2, [
] [321
POTABLE WATER 75
FT
[ ] [07] WATERTIGHT [ ]
[331
BUILDING FOUNDATIONS. 7
FT
[ ] [08] LEVEL [
] 134,1
PROPERTY LINES 6
FT
[ J [09] DEPTH TO LID [
] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10.1 AREA [1.] 672 12] SQFT [
J [36,]
DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ]
[371
SHOULDERS
[ J (12] NUMBER OF DRAINLINES 1, 6.00 2. [ ]
[38.]
SLOPES
[ ] [1.31 DRAINLINE SEPARATION [ ]
[39)
STABILIZATION
t J
L44J
1!L\t &N"A"M JLVcm
[ ]
[151
DEPTH OF COVER.
ADDITIONAL INFORMATION
[ j
(16]
ELEVATION [
ABOVE
/ BELOW ]BM 16.00
[ ]
[40]
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ .]
[4l]
STORMWATER RUNOFF
[ j
[181
DOSING PUMPS
[ ]
[42]
ALARMS
[ ]
[191
AGGREGATE SIZE
[. ]
[43]
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[ ]
[441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL
[ ].
[46]
FINAL SITE GRADING
[ ]
1471
CONTRACTOR Jeff Nelson-(JEFFREY K NEL
[ ]
[221
FILL AMOUNT
[ ]
[481
OTHER INFILTRATOR Ouick4 EQ36 (single c
[ ]
[231
FILL TEXTURE
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED
[ ]
[49]
TANK PUMPED
[ ]
(261
REPLACEMENT MATERIAL
[ ]
[50.1
TANK CRUSHED S FILLED
Comments:
Comments are- on page 2.
CONSTRUCTION I .APPROVED. / 'St., Lucie CHD DATE': 0111812018
DISAPPROVED ] ' Env ro montal Spociallst 11 B ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: 1 St. LUCIe CAD DATE: 0111812018
En vonmental Spec a Ist II Bri Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on folloriinq 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 AP1290437 EID34G224
�T1tE s�
STATE OF FLORIDA,
'� ?� . DEPARTMENT OF' 'HEALTH
' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AN29048.7
PERmri2 #-:.56-SF-04391
DOCUMENT #.: F11151905
DATE PAID; 05/1,W2017
FEE PA=D:515.00
RECEIPT #.:56-PI'D-3236944
The system, is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), fora total estimatedflow. of 400
gpd. New ST and'4x9+2xl0 DF installed. No violations,. system ok to cover. Contractor notified by phone.. No,fnal inspection,
required: Final system approved. Contr.actoreemailed 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 AP1290437 EID346224
a STATE OF FLORIDA
"'- DEPARTMENT OF HEALTH
. ' ONSITE SEWAGE TREATMENT AND DISPOSAL !SYSTEM
' CONSTRUCTION INSPECTION AND. FINAL APPROVAL
hen wa�`
APPLICANT: Terry HeIzIer
AGENT: Stephen J. Brown Inc
PROPERTY ADDRESS: 6401 S Indian River -Or " Fort -Pierce, FL 34082-
APPLICATION #:AP1290437
PERMIT #:,567-SF-04391
DOCUMENT # : F1115:1905'
DATE PAID; Q5/12/201 7
FEE PAID:515.00
RECEIPT a56-PID-3236944
LOT:
SUBDIVISION;
BLOCK;
ID#:. 3412-123=0001-000.9
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE 'WITH STATUTE OR RULE AND MUST.BE'CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[O1]
TANK SIZE [11 1090:00 [2]
[ ]
[i27]
SURFACE WATER 100
FT.
[ ]
['0.2]
TANR MATERIAL Polyethylene
[ ]
[28]
DITCHES
FT
[. ]
1:031
OUTLET DEVICE
j ]
[291
PRIVATE WELLS 10Q
FT
[ ]
1041
MULTI -CHAMBERED [ Y N ]
[ ]:
[30.]
'PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER POlylok,PL-68
[ ]
[311
IRRIGATION; WELLS
FT
[ ]
[06]
LEGEND 1. 70-143411DC4 2,
[ ]
[321
POTABLE WATER 75
FT
[ ]
[971
WATERTIGHT
[ ]
f331
BUILDING'FOUNDATIONS 7
FT
[ ]
[OB]
LEVEL
[ ]
[34]
PROPERTY LINES 6,
FT
j ]
[09]
DEPTH .TO LID
[ ]
[35]
OTHER
FT
DRAINFEELD INSTALLA_T_ION
FILLED /MOUND SYSTEM
[ ]
[101
AREA [1.] 672 [2]. _ SQFT
[ ]
[36j
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX,. HEADER X
[ ]
[37]
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES T. 6.00 2.
[ ]
[381
SLOPES
[ ]
[13]
DRAINLINE SEPARATION
[ ]
[39]
STABILIZATION
[ ]
[141
DRAINLINE.SLOPE
[' ]
[15]
DEPTH OF COVER.
ADDITIONAL
INFORMATION
[, ]
[161
ELEVATION [ ABOVE / BELOW ]'eM 16.00
E. ']
[401
UNOBSTRUCTED AREA;
[ ]
[17]
SYSTEM LOCATION
[ ,]
[41]
STORMWATER RUNOFF
[ l
[18,]
DOSING PUMPS
[ ]
[A2]
ALARMS
[ ]
[19']
AGGREGATE, SIZE,
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[.]
[441
BUILDING AREA
]
[21]
AGGREGATE DEPTH
[ ]
['45'1]
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22] FILL .AMOUNT [ ] [47] CONTRACTOR Jeff Nelson (JEFFREY K NEL
[ ] [231 FILL TEXTURE [ ] [41 1 OTHER INFILTRATOR Quick4 EQ36,(single c
[ ] [24.] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK.PUMPED
[ ] 1261 REPLACEMENT MATERIAL [ ] [5.0.] TANK CRUSHED 6 FILLED
Comments: Comments are on Page 2.
CONSTRUCTION [ APPROVED. / St.,Lucie CHD DATE: 01/18/2018
DISAPPROVED ] :Z;L.Env ro menI ISpecfallst 11 B ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED' / DISAPPROVED ]: ' St.Luci@ CHD DATE: 01/1'8/2018
En vonmeotal Spec a Ist II Brl Ingram (ENVIRONMENTAL HEALTH)
.(Explanation of•Violations on following. page).
DH 4016:, 09/09, (Obsoletes all previous editions which may not be used)
Incorp.oxated: 64E-6.003, FAC Page 2 of.3
EH'Database v 1.0:1 AP1290437 EID34622d
STATE OF FLORIDA
b .DEPARTMENT OF' HEALTH
ONSITE SEWAGE TREATMENT AND 'DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL; APPROVAL
• h�o"we
Violation Number Comment
Comments
APPLICATION #•:AP129043:7
PERMIT #:Z&S.F-04391
DOCUMENT #::_F11151905
DATE PAIV-. 05/1 212017
FEE PAID:515.00.
Rr- =PT, 9-56-.PID-323.6944.
The system: is sized'for 3 bedrooms with a maximum occupancy of. 6 persons (2 per bedroom), :fora total estimatedi low. of 400
jpd. New'ST and 4x9+2x1, O DF;,installed., No violations, system ok to cover. Contractor notified by phone. No,final inspection
squired., Final system. approved. Contractoremailed:final approval:
DH 4016', 06/0.9 (Obsoletes all previouseditions which may not be used)
Incorporated:, 64E=6-003, FAC Page 2 of 3
EH Database v1,0.1 AP1296437 E0346224