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tti=s BY I APPLICATION # A P 1 332755
c STATE OF FLORIDA St Lude Cgunw PERMIT #: 5&SF-182923:1
DEPARTMENT OF HEALTH
ONS'ITE SEWAGE TREATMENT AND DIISPOSAL SYSTEM DOCUMENT #: F1120401:0
' CONSTRUCTION INSPECTION AND FINAL APPROVAL 'DATE PAID:03/08/201.8
'WSF,� FEE' PAID;515;.00
r( rj RECEIPT #:56-PID-3494374
APPLICANT: Brion Pauley
i
AGENT: Cal Builders Inc.
PROPERTY ADDRESS: 5333 Emerson•Ave Fort Pierce, FL 34951
LOT:
SUBDIVISION:
BLOCK:
ID#,: 1310-441.00214110-3
i
CHECKED [X] ITEMS ARE NOT INCOMPLIANCE FIT'H STATUTE OR RULE AND MUST BE CORRECTED-.
TANK INSTALLATION
SETBACKS
[ 1
[01]
TANK SIZE [1] 1060.00 [23] I
I
1 [271
SURFACE WATER 87
FT
[ ]
1021
TANK MATERIAL Concrete 1
[
] [281
DITCHES
FT
[ ]
[6,,31
OUTLET DEVICE
[
]; [291
PRIVATE WELLS 77'
FT
( 3
[04]'
MULTI -CHAMBERED [L_!j N ]
[
1 [301
PUBLIC WELLS
FT
[ ]
[051
OUTLETFILTER. PDIylok PL-68
[
] [31]
IRRIGATION WELLS,
FT
[ ]
[061
LEGEND 1, 28-0.15-031)G4 2.
[
] 1321
POTABLE WATER 50
FT
[ 1
[071
WATERTIGHT
[
] [•331
BUILDING FOUNDATIONS 5
FT
[ ]
[081
LEVEL
[
] (34,I
PROPERTY LINES 61
FT
[ ]
[09]
DEPTH TO L,ID
[
j [35.]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1.] 375 [21 S'QFT 1
[
] [36,,1
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
] [37]
SHOULDERS
[ ]
[12]
NUMBER QF DRAINLINES 1..5.00 2.
[
] [.381
SLOPES,
[ ]
[131
DRAINLINE SEPARATION
[
] 1391
STABILIZATION 08/22/2018
[ 1
[141
DRAINLINE SLOPE
[. ]
[151
DEPTH OF COVER,
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM 12.00 1
[
] [40]•
UNOBSTRUCTED AREA,
I ]
[171
SYSTEM LOCATION
(
1 [41]
STORMWATER RUNOFF
[ 1
[18]
DOSING PUMPS I
[
] [421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[
] [431
MAINTENANCE AGREEMENT
[ ]
.[20']
AGGREGATR EXCESSIVE FINES
[
] [44]
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
] [451
LOCATION CONFORMS WITH SITE PLAN
[
1 [461
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
I
1 [47].
CONTRACTOR Bruce T Mc Cullers,(Reliable T
j ]
[22]
FILL AMOUNT
I
1 [48]
OTHER INFILTRATOR ARC.24
[ ]
[23]
FILL 'TEXTURE
[ 1
[241
EXCAVATION' DEPTH
ABANDONMENT
[. ]
[251
AREA REPLACED
[
I, [49]
:TANK PUMPED
[ ]
[26•]
REPLACEMENT MATERIAL
[
] [50]
TANK CRUSHED G FILLED
Comments: Comments are on page. 2.
CONSTRUCTION I APPROVED / ? ! -i - St. LUGI@ CHD DATE: 07/65/2018
DISAPPROVED ] ° Environmental Specialist
�li fah J Ingram (ENVIRONMENTAL HEALTH)'
FINAL SYSTEM [ APPROVED :/ DISAPPROVED : '/��p�wm•-I /7dwr St.,LUde. _ CHD DATE: 08/22/2018
EnvlronmentatSpecialist I anna S May (Florida Deparfinenf of Health
(Explanation of Violations, on following page)
DH 4016, 08/09 .(Obsoletes all previous, editions which may not be used)
Page'2 of
Incorporated: 64E-6.003, FAC 3
EN Database �t 1.0.•I AP IJ'2755 Ei0161�»3 t
STATE OF FLORIDA
�- DEPARTMENT OF HEALTH
c� ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL, APPROVAL
Violation Number 'Comment
APPLICATION .#:AP—i 3 5,";155
PERMIT #:56-SF=18.29.231
DOCUMENT #:F11204010
DATE PAID:.03108/201
FEE .PAID,,515.00
RECEIPT; #:56-P1.D-3494374
Comments
The system is sized for bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a..total estimated flow of 300
gpd•
New ST and, 5x5 DF'installed.'No violations, system ok to, cover. Co.ntractornotified onsite.
Needs final inspection for mound system, .grading, and abandonment of old.system,
Inspection .for. mound system and final site grading satisfactory. Existing system not;abandoned at time of_inspectioh, Final
inspection required for abandonment of old system.
DH 4016,. 09/09 (Obsolete's all .previous editions; which lay not be, used)
Incorporated; 64E-6.003,, FAC
EH p yt b%iS4 v 1,0:1 AP1332i551 EIti132J231
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