HomeMy WebLinkAboutSEWAGEr, RECEIVED
JUL 13 2019 APPLIcATIoN #:AP1318542
STATE OF FLORIDA permitting Department PERMIT #:56-SF-1807597
DEPARTMENT OF HEALTH St. Lucie Countv DOCUMENT #: F11188907
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 12/07/2017
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
FEE PAID :515.00
RECEIPT # :56-PI D-3448885
APPLICANT: Keith & Brandi Pearson
AGENT: James Trefelner (]Yefelner Construcion Inc.)
PROPERTY ADDRESS: 4780 Jorgensen Rd Fort Pierce, FL 34981
LOT: 81
SUBDIVISION:
BLOCK:
White City ID# : 3403-502-0144-030-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 123
I
]
[27]
SURFACE WATER
FT
[ ]
[02]
TANK MATERIAL Polyethylene
[
]
[28]
DITCHES
FT
[ ]
[03]
OUTLET DEVICE
[
]
[291
PRIVATE WELLS 87
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[
]
[30]
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER Polylok PL-68
[
]
1311
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC3 2.
[
]
[321
POTABLE WATER 50
FT
[ ]
[071
WATERTIGHT
[
]
[33]
BUILDING FOUNDATIONS 5
FT
[ ]
[081
LEVEL
[
]
[341
PROPERTY LINES 5
FT
[ ]
[091
DEPTH TO LID
[
]
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [11 679.2 (21 SQFT
[
]
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
]
[371
SHOULDERS
[ ' ]
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[
]
[381
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
]
[391
STABILIZATION 07/11/2018
[ ]
[141
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM 7.00
I
]
[40]
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[
]
['411
STORMWATER RUNOFF
[ ]
[191
DOSING PUMPS
[
]
[421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[
]
[431
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[
]
[441
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[
]
[451
LOCATION CONFORMS WITH SITE PLAN
[
]
[461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ]
[221
FILL AMOUNT
[ ] [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[231
FILL TEXTURE
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ]
[261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments:
Comments are on page 2.
[ APPROVED St. Lucie CHD
CONSTRUCTION DATE: 05/23l2018
/ DISAPPROVED ] ` Env ton ental Specialist II Bri� gram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: Lucie CHD DATE: 07/11/2018
Environmental Specialist II Brian Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
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 AP1318542 EID1807697
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
COMMen t a
i
APPLICATION #:AP1318542
PERMIT #:56-SF-1807597
DOCUMENT #:F11188907
DATE PAID:12/07/2017
FEE PAID :51 5.00
RECEIPT #:56-PID-3448885
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. New ST and 5x12 long DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final inspection for
mound system, gutters, and final site grading.
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 AP1318542 EID1807597