HomeMy WebLinkAboutSEWAGE-� . N-� As RECEIVED M
MAR 2 ® 1019 APPLICATION #:AP1339987
STATE OF FLORIDA Permitting De PERMIT #:56-SF-1840419
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DEPARTMENT OF HEALTH St. Lucre P rtment DOCUMENT # : F11273545
ONSITE SEWAGE TREATMENT AND DISPOEHtItYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:04/19/2018
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FEE PAID :515.00
E p7p RECEIPT #:56-PID-3517545
APPLICANT: Robert Jacquin������u�a
AGENT: MICHAEL STUHR (ASHTON SEPTIC TANKS, INC.)
PROPERTY ADDRESS: 1013 Copenhaver Rd Fort Pierce, FL 34947
LOT: BLOCK:
SUBDIVISION:
I
ID#: 2313-211.0006-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 [21
[
]
[271
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Polyethylene
[
]
[281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[
]
[291
PRIVATE WELLS
FT
[ ]
[041
MULTI —CHAMBERED [ Y N ]
[
]
[301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[
]
[311
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC4 2.
[
]
[321
POTABLE WATER 10
FT
[ ]
[071
WATERTIGHT
[
]
[331
BUILDING FOUNDATIONS $
FT
[ ]
[081
LEVEL
[
]
[341
PROPERTY LINES 7
FT
[ ]
[091
DEPTH TO LID
[
]
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM ,
[ ]
(101
AREA [1] 1 509.4 [21 SQFT
[
]
[361
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER X
[
]
[371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[
]
[38]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
]
[391
STABILIZATION 03/11/2019
[ ]
[141
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM 3.00
[
]
[401
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
[
]
[421
ALARMS
[ ]
[191
AGGREGATE SIZE
[
]
(431
MAINTENANCE\ AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE PINES
[
]
[441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
]
[451
46
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [ l F NAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] 1241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 12/17/2018
DISAPPROVED ] ' Enviro ntal Superviso na S May (Florida Department of Healt
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 03/11/2019
Environmental Sped II an J Ingram (ENVIRONMENTAL HEALTH)
(Explanation .of Violations on Following page) cia'
DH 4016; 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 2 of 3
EH Database v 1.0.1 AP1339987 EID1840419
t
� 40
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
so .
APPLICATION #:AP13399'87
PERMIT #:56-SF-1840419
DOCUMENT #:F11273545
DATE PAID:04/19/2018
FEE PAID: 515.00
RECEIPT #:56-PID-3517545
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
Ipd.
Jew ST and DF installed 5x9 chambers long. No violations observed, system ok to cover. Contractor notified by phone. Needs final
ispection for mound system and ,final site grading.
final system approved. Contractor and building department emailed final approval.
r
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 2 of 3
EH Database v 1.0.1 AP1339987 EID1840419