HomeMy WebLinkAboutSEWAGE CONSTRUCTION INSPECTION & FINAL APPROVALziLANN,
By
STATE OF FLORIDA
ce
(- DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND D`ISPOSAL:SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
I$04�I1a
APPLICATION # AP1330665
PERMIT # 56 SF-1826035
DOCUMENT # F11266616
DATE PAin.02126/2018
FEE PAID :,515.. 0.0 •
RECEIPT 456-PID-3488057
APPLICANT: Rosario Reyes
AGENT: Ralph -Chapin
PROPERTY ADDRESS: 5604 Sea rape Dr .FortPierde, FL 34982
LOT: 18 B 6m 54
SUBDIVISION: Indian River Estates ID#:, 3462=609-0076-000-5
CHECKED rX1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,.
TANK.INSTALLATION
SETBACKS
[ ]
(01]
TANK SIZE [iJ, 1090.00 [21
[
] [27]
SURFACE•WATER
FT
[ ]
[02]
TANK MATERIAL Polyethylene•
[
] [29]
D=0=8 16
FT
[ ]
[031
OUTLET DEVICE I
[
] [2§1
PRIVATE WELLS 1.00
FT
[ ]
[04]
MULTI -CHAMBERED [ Y N ] I
[
] [,30]
PUBLIC WELLS
FT
[ ]
JQ51
OUTLET FILTER Polylok-PL-68
[
] [311
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70443-11DC3 2.
[
] [32]
POTABLES WATER 30
FT
[ ]
[071
WATERTIGHT
[
] [333
BUILDING FOUNDATIONS 7
FT
[ ]
[08]
LEVEL
[
l [34j
PROPERTY LINES .10
FT
[ ]
[09j
DEPTH' TO LID
[
] [35:]'
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [17 509.4 [21
SQFT
[
] [3:6]
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER
x
[
] '[37']
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1,. 700
Z,
[
] [38j
SLOPES
L ]
[13]
DRAINLINE SEPARATION
[
] '[39],
STABILIZATION 02/1.5/2019
[ ]
[141
DRAINLTNE SLOPE
[' ]
[15]
DEPTH'OF COVER
ADDITIONAL INFORMATION
[ J
[161
ELEVATION [ ABOVE / BELOW
j]BM 7.00
14'.0j
UNOBSTRUCTED AREA
[ ]
;[171
SYSTEM -LOCATION
[
,] [43,]
STORMWATER RUNOFF
[ ]
[181,
DOSING PUMPS
[
] [421
ALARMS
[ ]
[1,9]
AGGREGATE SIZE
[
] (431
MAINTENANCE AGREEMENT
[ )
1201
AGGREGATE EXCESSIVE F=NES
I
[
] [441
BUILDING -AREA
[ ]
['211
AGGREGATE DEPTH
[
) [45]
LOCATION, CONFORMS WITH SITE PLAN
['
] (461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22j FILL AMOUNT. [ "] ['4.7] CONTRACTOR MICHAEL'W STU•HR (ASHTO
[ ] [283 FILL TEXTURE OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] J241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] (49) TANK PUMPED
[ ] [2'6] REPLACEMENT MATERIAL [ ) [501] TANK CRUSHED & F.ILLED
i
Comments: Comments are on 'page 2.
CONSTRUCTION [ APPROVED /411, St.. Lucie CHD DATE: 11100/201.8
DISAPPROVED ] ' Env(rori "ental Spe.ciallst 11 Br J jWam '(ENVIRONMENTAL HEALTH)
L_
FINAL SYSTEM [ 'APPROVED / DISAPPROVED ],:: - St, Lucie CHD DATE': 02/15/2019
nvironmental Speclallstll'BNEN an:J gram (VIRONMENTAL 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 AP13306G5 fIDi82G035
Violation Number
STATE OF' FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEtAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
.Comment
-APPLICATION #:AP1330665
PERMIT # 56:-SF=1-826035
DOCUMENT # : F 11266:616
DATE PAID i 02126/201.8
FEE PAID:'515-0.0
RECEIPT # 56-,P10-3488057
Comments
The system,' is. sized for 3 "bedrooms with a maximum occuIpancy of 6 "persons. (2 per bedroom), for a total estimated'flow of 300
gpd,
New ST, filter, and 3x7+4x6 long DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for mound system and final site grading.
Final system approved. Contractor and building •department; etnailed final approval.
DH 4QI;6,. 08'/09 (Obsole.te.'s' all 'Previous editions which may not be used)
Incorporated; 64E-6.003, FAG I Page 2 of 3
EH Database v 1.0.1 01330665 EID1826035
/ 1 - o4 l V
APPLXCA
AGENT:
PgOPERR
LOT: 18
SUBDIVISION:
- FF !`F�
STATE OF FLORIDA °�r I �Q
DEPARTMENT OF HEALTIiE"W164/B
ONSITE SEWAGE TREATNMEl+r'Z*, DISPOSAL, SYSTEM
CONSTRUCTION INSPECTION W,'VJNAL APPROVAL
CHECKED [XI ITEMS ,ARE NOT IN'
I BLOCK-: 54
ID# 3402-609-0676-000-5
TANKINSTALLATION.
1011 TANK SIZE. [11 1090.00. _. [?]
1 [021 TANK MATERIAL POlyetAylene
] [031. OUTLET DEVICE
7 I041 MULTI —CHAMBERED [ Y N 1.
1 [051 OUTLET FILTER Polylok PL-68
1 1061 LEGEND 1. 70-143-11DC3 2.
1 [07] WATERTIGHT
I
] [081 LEVEL
] [091 DEPTH TO LID
i
DRAIN.FIELD INSTALLATION
1 [101 AREA Ell 509A 12] 1 SQFT
l [111 DISTRIBUTION. BOX HEADER X
1 [121 NUMBER OF DRAINLINES 1. 7.00 2.
1 [131 DRAINLINE SEPARATION
1 [143 DRAINLINE SLOPE
1 1151 D.EP.TH OF COVER
l [16] ELEVATION [ .ABOVE / BELOW IBM 7.00
1 1171 SYSTEM LOCATION
1 [181 DOSING PUMPS
] [191 AGGREGATE SIZE
l [20] AGGREGATE EXCESSIVE FINES
] [211 AGGREGATE DEPTH
APPLICATION 4,AP1330665'
PERMIT #:5.6-SF-1826035
nocumNT # F1.1266616
DATE 'FAID, 02"12612018
FEE PAID•:515.00
RECEIPT 4:56-PID-3488057
STATUTE OR RULR AND MUST BE
SETBACKS
[ I
[27]
SURFACE WATER
FT
l
[281
DITCHES
16
FT
1
[29,1
PRIVATE WELLS,
10O
FT
[ ]
[303
PUBLIC WELLS
FT
1
[31]
IRRIGATION WELLS
FT.
1
[321
POTABLE WATER
30
FT
1
.[`33]
BUILDING FOUNDATIONS
7
FT
( 1
[341
PROPERTY LINES
10.
FT
[ 1
[351
OTHER
FT
FILLED /,MOUND SYSTEM.
]'
[361
DRAINFIELD COVER
[ 1
{371
SHOULDERS
[ ]
[381'
SLOPES
[ 1
'[3'91
STABILIZATION 0211512019
ADDITIONAL INFORMATION
]
[401
UNOBSTRUCTED•AREA
[ ]
[4,1]
STORMWATER RUNOFF
[ I
[421
ALARMS
[ ]
[43]'
.MAINTENANCE AGREEMENT
[ 1
[44I
BUILDING AREA
[ ]
[451
LOCATION CONFORMS WITH
SITE PLAN
[ ]
[4'6]
FINAL 'SITE GRADING
[ I'
1:
FILL / EXCAVATION MATERIAL
[221 FILL AMOUNT
[23I, FILL -TEXTURE
[
[
]
]
1473
[48I
CONTRACTOR MICHAEL W STUHR (ASHTO
OTHER INFILTFZATOR 0uick4 Plus E06 LP
[ I
[241 EXCAVATION DEPTH
ABANDONMENT
1
[251. AREA REPLACED
[
1
[491
TANK PUMPED
[ 1
(2:6] REPLACEMENT MATERIAL
[
]
[50]
•TANK: CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED DISAPPROVED ,]?
Environffiental Specialist 11
$HD DATE: W091201'8
-TH)
FINAL SYSTEM [ APPROVED DISAPPROVED']: St. Lucie CHD
nfironmental Speclallst-11 Brian J gram (ENVIRONMENTAL HEALTH).
(Explanation of Violations on following page).
DH 4016, 08/0.9 (Obsoletes all .previous editions which may not be used)
Incorporated:. 64E-6.003, PAC
EH Database- v 1.0.1 AP1330666 810182GG35
DATE : 02115/2010
Page 2 of 3
Violation Number
Comments
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
'Comment
APPLICATION °#:AP13306,65
PERMIT #:56-SF-18260.35
DOCUMENT # : F 11266616
:DATE PAID: Q2/2612018
'FEE -PAID : 51 5.0.0
RECEIPT #:56.-PID-3488057
The system is sized for 3 bedrooms with a maximum 'occupancy of 6 persons (2 per bedroom); for A total estimated flow of 800
ipd•
Jew ST, filter, and "W+44 long DF installed. No violations, system ok"to cover: Contractor notified by'phone:. Needs final,
nspection for mound:system.and final site grading.
'final system approved. Contractorand building department emailed final approval.
i
DH 40.16, 08/09 (Obsoletes all, previous editions vihich may not be used)
Incorporated; 64E-6.003, PAC
EH Database v 1.0.1 Ap1mom EID1826036
Page 2 of 3