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STATE OF FLORIDA
ss DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT ANDIDISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION #:AP1328411
PERMIT #:56-SF-1822662
DOCUMENT #:F11308803
DATE PAID:02/13/2018'
FEE PAID:515.00
56-PID-3481205
-
L� 1 RECEIPT #.
APPLICANT: Guy Norton I J n J
AGENT: Keith 0"Brien
PROPERTY ADDRESS: 13185 Indian River Dr Fort Pierce, FL 34982
LOT: BLOCK:
SUBDIVISION:
. ID# : 4509-120-0010-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
(0 1]
TANK SIZE [1] 1050.00 (21
[
]
[271
SURFACE WATER 100+
FT
[ 3
1021
TANK MATERIAL Concrete
[
]
[281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[
]
[29]
PRIVATE WELLS 78
FT
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[
]
[301
PUBLIC WELLS
[ ]
[051
OUTLET FILTER Polylok PL-122
[
]
(311
IRRIGATION WELLS 100
FT
[ ]
(061
LEGEND 1, 01-011-09DC3 2.
[
I.
[32.1
POTABLE WATER 67
FT
[ ]
[071
WATERTIGHT
[
]
[331
BUILDING FOUNDATIONS 9
FT
[ ]
[083
LEVEL
[
]
[341
PROPERTY LINES 9
FT
[ ]
[0.91
DEPTH TO LID
[
3
(353
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1] 384 [2) SQFT
[
3
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
3
[371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES ; 1. 4.00 2.
[
]
[381
SLOPES
[ 3
[131
DRAINLINE SEPARATION
[
]
(391
STABILIZATION
[ 3
[141
DRAINLINE SLOPE
[ ]
[153
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM 10.00
[
]
[401
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[
]
(411
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
[
]
[421
ALARMS
[ ]
[191
AGGREGATE SIZE
[
]
[43]
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[
]
[441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
]
[451
LOCATION CONFORMS WITH SITE PLAN
[
]
r46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ 3
[471
CONTRACTOR DAVID WHITESIDE (ACCUR
[ 3
[22.1
FILL AMOUNT
[ 3
[481
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ]
[23]
FILL TEXTURE
[ ]
[241
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED [ ]
[491
TANK PUMPED
[ ]
[261
REPLACEMENT MATERIAL [ ]
[503
TANK CRUSHED s FILLED
Comments:
Comments are on page 2.
CONSTRUCTION ( APPROVED / St. Lucie CHD DATE: 07/12/2019
DISAPPROVED Enviro taI Specialist If Br* ngr m (ENVIRONMENTAL HEALTH)
FINAL SYSTEM L APPROVED / DISAPPROVED ]: t.Lucie cHD DATE: 07/12/2019
E • onmental Spe Brian Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may no a used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database. v 1.0.1 AP1328411 EID1822662
STATE: OF FLORIDA
DEPARTMENT OF HEALTH.
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION #:AP1328411
PERMIT #:56-SF-1822662
DOCUMENT #. F11308803
DATE PAID : 02/13/2018
FEE PAID:515.00
RECEIPT #:56-PID-3481.205
Violation Number Comment f
.,tee f
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd..
New ST, filter, and 48 long trench DF installed. No violations, i'system ok to cover. Contractor notified by phone. No final
inspection required. 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
EH Database v 1.0,1 AP1328411 EID1822662
I
Page 2 of 3