HomeMy WebLinkAboutSEWAGEAPPLICATION: #.:.+t P13176S2
.STATE OF FLORIDA
PERMIT #56-SF-1806353
DEPARTMENT OF HEALTH
�. '�'Q;
DOCUMENT #: F11208210
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
DATE PAID:5.012017
CONSTRUCTION INSPECTION AND FINAL APPROVAL
R
15
FEE PAID:.515.��
RECEIPT #.:56-PID-34,45713
APPLICANT:
Matt&Ange[a'Coney ,.
AGENT: Alex Piazza (AlexinderJ..Piazza PSM; Inc);
PROPERTY ADDRESS: 880 Trowbridge. Rd Fort Pierce, FL 34945
LOT: 6
BLOCK:
SUBDIVISION:
ID#: 2212-800-0006-000-6
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH.STATUTF. OR
RULE AND MUST BE' CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1.] 1Q90-0.0 [21 [
] [271
SURFACE WATER
FT'
[ ] [021
TANK MATERIAL Polyethylene [
] [28]
DITCHES
FT
[ 1 [031
OUTLET. DEVICE [
] [291
PRIVATE WELLS 100,
FT
[ ] [04]
MULTI -CHAMBERED [ Y N :] [
] [30]
PUBLIC WELLS
FT
[ ] ['05]
OUTLET FILTER. POIyIOk'PL-68 [
] [31]
IRRIGATION WELLS
FT
[ ] [081
LEGEND 1. 70-143=11= 2. [
] [32']
POTABLE WATER 100
FT
[ ] [071
WATERTIGHT [
1 [3:3]
BVILDING'FOUNDATIONS 5
BT
[ ] [081
LEVEL [
'] [34].
'PROPERTYLINES 100
FT
[ ] [091
DEPTH TO LID [
] [35]'
OTHER
FT
DRAINFZELD INSTALLATION
FILLED / MOUND SYSTEM'
[ ] [10]
AREA [1] 679.2 [2], SQFT [
] [361
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X [
] [37]
HOULDERS
S1.
[ ] [.12]
NUMBER OR DRA=NLINES 1, 6.00, 2. I
1 '[381
SLOPES
[ ] [131
DRAINLINE SEPARATION [
] [39]
STABILIZATION 09/17/2018
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL ;INFORMATION
[ J [16]
ELEVATION [ ABOVE /' BELOW ]BM 8,00 [
] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION [
] [41:]
STORMWATER RUNOFF`
[ ] [18]
DOSING PUMPS [
j [421
ALARMS
[ ] [19]
AGGREGATE SIZE [
] [43]
MAINTENANCE AGREEMENT
[ J [20]
AGGREGATE, EXCESSIVE FINES [
] [44]
BUILDING AREA
[ ] [21,1
AGGREGATE DEPTH [
] [481
LOCATION -CONFORMS WITH SITE PLAN
[
] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
I47
CONTRACTOR MICHAELINSTUHR(ASHTO
]
[22']
FILL AMOUNT
[ ] [ae]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[23]
FILL TEXTURE
[ ]
[241
'EXCAVATION DEPTH
ABANDONMENT
7
1251
AREA REPLACED
[ ] (401
TANK PUMPED
[ j
[261
REPLACEMENT -MATERIAL
[ ] [50]
TANK. CRUSHED & FILLED
Comments: Comments are .on'page, 2-
:8
CONSTRUCTION [ APPROVED / �i��'►.+�-r �'7i !"dQ -St. Ludie CHD DATE: 08/07/201
DI'SAPP.ROVED ]' Endironmental Specialist II Brian J.Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPRO.V.ED St:_LUCIe CHD DATE;:, Q9/17/2O1`8
Environmental. Supervi r I Dianna May (Florida Department'of Heal
(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 Dntibase v 1.0.1 AP1317692 EID'1306353
� tE
STATE OF FLORIDA
;DEPARTMENT OF HEALTH
ONSITE. SEWAGE TREATMENT AND DISPOSAL SYSTEM
;Y ,4 CONSTRUCTION INSPECTION AND FINAL APPROVAL
•,ion we S
Violation Number Comment
nmments
APPLICI&ION .#:'AF1317692
PERMIT # 5&S,F-18.06353.
DOCUMENT .# FI1208210
DATE PAID 12/04/2017
FEE 'PAID:515-00
RECEIP.T'#:56-PID-3446713.
The system is sized for 3 bed �oomswith.a maximum occupancy of 6'persons (2,.per bedroom), for a total estimated: flow, of 400
gpd. New. ST, outlet filter, 6x10long DP installed. No violations, systemokto cover. Contractor notified onsite. Needs final
inspection for mound system and final site grading. Well 1nspect0&at-construct1on inspection.
Final inspection for mound system' and final site grading satisfa Tory. No'violaflons observed: Emailed to contractor and building
jepartment.
DH 4016-, 08%09 (Obsoletes all previous editions which, may not be used)
Incorporated:. 64E-6-003, FAQ Page 2 of 3
EH Database '11.0.1 AP'13'17602 EID1Si06353