HomeMy WebLinkAboutCONSTRUCTION INSPECTION & FINAL APPROVALF
iFos-, 0�-yq , i SCAM ED
. 8)
` STATE .OF PLORIDA �t Lucie �ountV
.b DEPARTMENT OF HEALTH
' ONSITE SEWAGE TREATMENT AND DISIPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL'
APPLICANT': GHO HOME
AGENT: Richard Laventuri
PROPERTY ADDRESS: 1
LOT: 3
SUBDIVISION:
BLOCK:
Lone Pine ID#�:.
CHECKED [XI ITEMS, ARE NOT IN COMPLIANCE WI
TANK INSTALLATION
[ ]
[01]
TANK SIZE [1] 1537.00 [z]
[ ]
[ 02 J
TANK MATERIAL Polyethylene
[ ]
[03]
OUTLET, DEVICE
I ]
I041
MULTI -CHAMBERED [ Y N .]
[ ]
[Q5]
OUTLET FILTER POI&K PL-68
[ ]
(061
LEGEND 1. 70;143-16DC4 2.
[ ]
[07.]
WATERTIGHT
[ ]
[08]
LEVEL
[ ]
[0 91
DEPTH TO LID
DRAINF.IELD INSTALLATION
[ J
[101
AREA [11 769::76 [21 S.QFT
[ ]
[11]
D`ISTRIB,UTION BOX. HEADER x
[ ]
[12-1
NUMBER OF DRAINLINES 1.. 6.00 2.
[ ]
[137]
DRAINLINE SEPARATION'
[ ]
[14]
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
1
[161
ELEVATION [ ABOVE: /. BELOW ]BM 16.00
[ ]
[17]
SYSTEM LOCATION'
[ ]
[18;]
DOSING 'PUMPS
[ ]
[19]
AGGREGATE' SIZE
I ]
[20.]
AGGREGATE EXCESSIVE FINES
[ ]'
[211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL'
[ ] [221 FILL AMOUNT
] [23] .FILL .TEXTURE
[ ] [2.4] EXCAVATION DEPTH
[ ] [25] AREA,REPLACED
[ ] [26] REPLACEMENT MATERIAL.
Comments: Comments' are on page.,2
CONSTRUCTION [ APPROVED /
DISAPPROVED 1:
FINAL SYSTEM [', APPROVED / .DISAPPROVED;].:
Environmental Spei
(Explanation of Violations on,folloWing page)
DH 4016, 08/09 .(Obsoletes all previous editions which.:
Incorporated: 64E-6.003, PAC
EH Database v 1:0.1 AP1339542
APPLICATION#': AP1339542.
PERMIT # 56-SF-1 &39757
DOCUMENT # FI12664.07
DATE PAID:04/16/2018
FEE PAID:515-00
RECEIPT #:56-PID-351:51.42.
STATUTE''OR,AtLE AND MUST BE CORRECTED.
SETBACKS
[ ]
[271
SURFACE WATER 100
FT
[ ]
[28]
DITCHES
FT
]
[29]
PRIVATE: WELLS
FT
[ ]
[30]
PUBLIC WELLS
FT
[, ]
[311
IRRIGATION WELLS 78
FT
[ J
[32]
POTABLE WATER 57
FT
]
[33.]
BUILDING FOUNDATIONS 5.
FT
[ ]
[34]
PROPERTY LINES 9
FT
[ ]
[35]
OTHER,
FT
FILLED. / MOUND SYSTEM
[ ']
[36]
DRAINFIELD COVER '
[ ]
[37]
SHOULDERS
[ 'I
['38]
SLOPES
[ ]
[391
STABILIZATION 02/14/2019:
ADDITIONAL INFORMATION
[ ]'
[4'0]
UNOBSTRUCTED AREA
[ ]:
[41]
STORMWATER RUNOFF
[ ]
(421
ALARMS
[ ]
[43]
MAINTENANCE.AGREEMENT
],
[4,4:]
BUILDING AREA
[ ]
1451
LOCATION CONFORMS WITH SITE PLAN
I ]
[4.61
FINAL SITE GRADING
[ ],
[471
CONTRACTOR MICHAEL W STUHR
(ASHTO'
[ ]
[48']
OTHER 'INFILTRATOR Quick4' Plus EQ361P
ABANDONMENT
[ J,
[ 4 9 ]
TANK PUMPED
[ ]
[50]
TANK CRUSHED & FILLED
— Et. Lucie CHD
(ENVIRONMENTAL HEALTH)
,-------&_Lucie COD
ii (ENVIRONMENTALAULTH)
not .be used)
EID1D39757
DATE': 11 /28/201.8
DATE: 02114/20.1,9
Page 2 of, 3:
Violation Number
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE 'SEWAGE TREATMENT'AND
CONSTRUCTION INSPECTION AND
Comment
APPI,xcAT=QN #; AP1.339642
PERMIT *:56-SF-18397.57
.AL SY$TEM DOCUMENT # F11.266.407
APPROVAL DATE PAID:.04/16/201$`
FEE PA=D::515
RECEIPT #.:5.6-PID-351514.2
;Comments
The system is sized :for 5 bedrooms with a maximum occupancy of 10 berson's (2'.per bedroom), fora total estimated,flow of 460
9pd.
New ST, filter, and 4x11+Zx1.2 long DF installed. No violations, system a to cover. Contractor notified onsite. Needs final
inspection for -mound system ind.'final site grading.
Final system approved.. Contractor and building department emailed fna approval,
-DH 4016, 0 /09(Obsoletes all Previous editions i7hich I
ino_orporated,� 64E=6.,003, FAC
EH Database V 1.0.1 AP1339542
,not be used)
EID1830757
Page 2 of �3"
r
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE, TREATMENT AND
CONSTRUCTION INSPECTION AND
APPLICANT: UHU
AGENT: Richard Lay
PROPERTY ADDRESS
LOT: 3
SUBDIVISION
Homes
_aventure &"Associates In
2. Lone Pine Dr Fort P•iE
Lone Pine
BLOCK:
ID#
r,
APPLICATION #:AP13,319. `42
PERMIT #:5.6-SF-1839757_
SPOSAL SYSTEM
DOCUMENT '# : F11'2664.07' NAL APPROVAL DATE PAID Q4/16IZQ1$
FEE PAID :51. 5 00
RECEIPT # :56-P1 D-351-5142
12
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[
]
[Ol]
TANK SIZE [1] 1537.00 [2]
I ]
[2'73
SURFACE WATER 1:00
FT
[
]
[02]
TANK MATERIAL Polyethylene
[ ].
[283
DITCHES.
FT
[
]
[,03']
"OUTLET DEVICE
[ ]
[291
PRIVATE WELLS
FT
[
I
[04]
MULTI -CHAMBERED [
Y
N ]
[ ]
[3.01
PUBLIC WELLS
FT
[
]
[05]
OUTLET FILTER Polylok PL-68
[ ]
[311
IRRIGATION WELLS '78
F.T
[
]
[06]
LEGEND 1. 70-143-16DC4 2.
[ ]
[32]
POTABLE WATER 57
FT
[
J
[07]
WATERTIGHT
[ ]
[33]
BUILDING FOUNDATIONS 5
FT
[
]'
[08]
LEVEL
[ ]
[34]
PROPERTY LINES 9
FT
[
]
[091
DEPTH TO LID
[" ]
[351
OTHER.
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[
]
[101
AREA [11 769.76 [21 SQ
T
[ ]
[36]
DRAINFIELD COVER
[
]
[11]
DISTRIBUTION BOX HEADER
[ ]
[37]
SHOULDERS
[
]
[12]
NUMBER OF DRAINLINES 1, 6.00 2,
[ ]
.[38]
SLOPES
[
]
[131
DRAINLINE SEPARATION
[ ]
[391
STABILIZATION 02/14/2019
[
]
[14]
DRAINLINE SLOPE
[
]
[151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[
]
[161
ELEVATION [
ABOVE
/ BELOW IBM'15.00
[ ]
[401
UNOBSTRUCTED AREA
[
]
[171
SYSTEM LOCATION I
[ ]
[41-]
STORMWATER RUNOFF
[
]
[18]
DOSING PULPS
[ ]
[421
ALARMS
[
]
[19]
AGGREGATE SIZE
[ ]
[431
MAINTENANCE AGREEMENT
[
]
[201
AGGREGATE EXCESSIVE FINES
[ ]
[44]
BUILDING AREA
[
]
[211
AGGREGATE DEPTH
[ ]
[451
LOCATION CONFORMS WITH SITE PLAN.
[ ]
[461
FINAL SITE 'GRADING
FILL
/ EXCAVATION MATERIAL
[ ]
[47I
CONTRACTOR MICHAEL W STUHR
(ASHTO -
[
]
[22]
FILL AMOUNT
[ ]
[48I
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[
]
[231
FILL TEXTURE
[
]
[241
EXCAVATION DEPTH
ABANDONMENT
[
]
[251
AREA REPLACED
[ ]
[49]
TANK PUMPED
[
]
[261
REPLACEMENT MATERIAL
[ ]
[50]
TANK CRUSHED & FILLED
Comments:
Comments are on page 2,
CONSTRUCTION I APPROVED DISAPPROVED ]'
Environn
FINAL SYSTEM [ APPROVED DISAPPROVED ]:
Enviroil
(Explanation of Violations on following page)
DH 4016, 08109 (Obsoletes all .previous editions
Incorporated: 64E-6.0.03, FAC
EH Database v 1.0.1
St. Lucie CHI) DATE`: 1.1128/2.018
Specialis0ll Bria In (ENVIRONMENTAL HEALTH)
,v .Iucie @HD DATE: 02114/2012
may not be used)
Page 2 of 3
EID1039757
M
Violation Number
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE. SEWAGE TREATMENT AND
CONSTRUCT..ON,INSPECTION AND
Comment
APPLICATION #:,APf33R642
PERMIT #, 56-SF V 9,757
AL $.YSTEM DOCUMENT # : F11266407
.
APPROVAL DATE PAID,, 04/16/201.8'
FEE PAID:515.00.
RECEIPT #:56-PID-3515142
Comments I
The system is sized for 5 bedrooms with a maximum occupancy of 1 persons (2 per bedroom), for a total estimated'flow of 460
gpd.
New ST, filter, and 4x11+2x12 long DF installed. No violations, .system ok to cover. Contractor, notified onsite, Needs final
inspection for mound system and final site grading.
Final system aoaroved. Contractor and building department emailed fir al approval. - -
DH 4016, 08/09 (obsoletes.all previous editions w
Incorporated: 64E-6.0.03, FAC
EH Database v 1.0.1 pp
may not be used)
EID1839757
Page 2 of 3