HomeMy WebLinkAboutSEWAGE CONSTRUCTION INSPECTION & FINAL APPROVALSCANNED
APPLICATION ii: AP 1349825
BY
TE OF FLORIDA
UIEPAR Luc�e®u�
PER14IT ii : 56-SF-1855074
}
`" NT
OF HEALTH
DOCUMENT it:F11207878
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DATE PAID 06/13/2018 +
CONSTRUCTION INSPECTION AND FINAL APPROVAL
:
' 4'LI
RECEIVED
FEE PAID:515.00
RECEIPT a:56-PID-3591431
OFC. 0 4 "2019
i
APPLI
ANT: David Forget
AGENT
All Florida PermittingPernuttln
acre
nt
PROPE
TY ADDRESS, 3195 Seminole Rd Fort Pierce FL 34951 bounty
LOT:
BLOCK:
SUBDI
ISION:
ID#t : 1326-310-0000-000-6
CHECKED [X] ITEMS
ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND 14UST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 [21
[
J
[271
SURFACE WATER
FT
[ J
[021
TANK MATERIAL Polyethylene
[
]
[281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[
]
[291
PRIVATE WELLS 100
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[
]
[301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[
]
[31]
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC3 2.
[
]
[321
POTABLE WATER 75
FT
[ j
[071
WATERTIGHT
[
j
[33]
BUILDING FOUNDATIONS 7
FT
[ ]
[08]
LEVEL
[
]
[341
PROPERTY LINES 100
FT
[ ]
[091
DEPTH TO LID
[
j
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 509.4 [21 SQFT
[
J
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
]
[371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[
J
[381
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
J
[397
STABILIZATION
[ ]
[141
DRAINLINE SLOPE
ADDITIONAL INFORMATION
[ ]
[15]
DEPTH OF COVER
HELOW ]BM 31.00
[
J
[401
UNOBSTRUCTED AREA
[ ]
[161
ELEVATION [ ABOVE /
[
]
[411
STORMWATER RUNOFF
i
[ ]
[17]
SYSTEM LOCATION
L
J
[421
ALARMS
L J
(16]
DOSING PUMPS
[
]
[43]
MAINTENANCE AGREEMENT
[ ]
[19]
AGGREGATE SIZE
[ ]
AGGREGATE EXCESSIVE FINES
[
]
[441
BUILDING AREA
ff201
[
]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ ]
j211
AGGREGATE DEPTH
III
[
]
[46]
FINAL SITE GRADING
ILL
/ EXCAVATION MATERIAL
[
]
[47]
CONTRACTOR MICHAEL W STUHR(ASHTO
[ J
22]
FILL AMOUNT
[
]
[48]
OTHER INFILTRATOR Quick4 Plus E036 LP
[ ]
1231
FILL TEXTURE
ABANDONMENT
[ ]
241
EXCAVATION DEPTH
{
[
l
[ 4 9 J
TANK PUKED
L l
251
AREA REPLACED
t
[
]
[50]
TANK CRUSHED G FILLED
[ ]
[261
REPLACEMENT MATERIAL
{
Commont$: Comments are on page 2.
A
/ St. Lucie CHD
[ APPROVED
CONSTRU TION DISAPPROVED ] ° Environmental Specialist 11� an J gram (ENVIRONMENTAL HEALTH)
St. Lucie CHID
FI1dAI, S TEM [ APPROVED / DISAPPROVED ]
Environmental Specialist It Bri J Ingram (ENVIRONMENTAL HEALTH)
(F:aplanat.on of Violatione on following page)
Dli 4016,,00/09 (Obsoletes all previous editions which may not be used)
Incr,)rpor ted: 64E-6.003, FAC EID1865074
FH namimse v 1.0.1 AP1349025
DATE: 09/11/2018
DATE : 09111 /2018
i
Page 2 of 3 4
i
t
I R
I
APPLICATION #:AP1349825
STATE OF FLORIDA PERMIT #:56-SF-1855074
DEPARTMENT OF HEALTH DocumENT #:FI1207878
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:O6I13/2018
•� '"`s FEE PAID:515.00
1 RECEIPT #:56-PID-3591431
Violatl n Number Comment
comment'
The syst' m is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd. Ne IIST, filter, and 5x9 long DF installed. No violations, system ok to cover. Contractor notified by phone. Bo final inspection
required. Anal system approved. Contractor emailed final approval.
DH 4016, 0 /09 (Obsoletes all previous editions which may not be used)
Incorporated: Pa
d: 64E-6.003, FAC Page o£3
li EH Database v 1.0.1 AP1349825 EID1855074
0 017-019 D
" SCANNED APPLICATION # 'AP1349825'
STATE OF-FLORIDA �� PERMIT # 56-SF-1855074
' DEPARTMENT OF HEALTH rs�,�
'lX 4 a pnt (�SP�O�SPiL SYSTEM DOCUMENT #. F11207878
ONSITE SEWAGE TREATMENT AND —a -- - 06/13I2018
CONSTRUCTION INSPECTION AND *A FI20VA%;ai�p CAIE PAID.'
r� I 515.00
a F '_ E PAID
go RE EIPT #:56-PID=3591431
n• rlavirl .1 nrnPt 0 C IT 0 5 2 Q 1 O
mi
ADDRESS
Fort Pierce, FL
tk�l BLOCK•.P `•
d� /
a-C i L. I i. V l 1 I I L j/ l h�
DIVISION:
rD# : 1'326-310=00013400-6,
I�
CHECKED [X] ITEMS ARE.NOT IN COMPLIANCE WITH STATUTE,, OR RULE AND MUST BE CORRECTED:
TAM INSTALLATION
SETBACKS
]
[01]
TANK SIZE ['1] 1.090.00 [21
[ ]
[211
SURFACE WATER FT
]
[021
,TANK MATERIAL Polyethylene
[ ]
128]
DITCHES FT
1033
OUTLET DEVICE
[ ]
[29']'
PRIVATE WELLS 100, FT
]
[04]
MULTI -CHAMBERED [ Y' N ]
[ ]
[:301
PUBLIC WELLS FT
]
[05]
OUTLET' FILTER Rolylok'P:L-68
[ ]
[31]
IRRIGATION WELLS FT
]
[0.6]
LEGEND 1„ 70=143-11DC3 2,
[ ]
[32]'
POTABLE 'WATER. 75 FT
h
]
[071
WATERTIGHT
[, ]
[331
BUILD,ING', FOUNDATIONS 7 FT
]
r0.8].
LEVEL
j ]
[34]
PROPERTY LINES 100, 'FT
]
[09.7
DEPTH TO LID
[ ]
[35]
OTHER FT
II
DRAINFIELD INSTALLATION
FILLED J MOUND SYSTEM
[
]
[ 10 ]
AREA [1 ] 509.4 [2 ] SQFT
[ ]
[36.1
DRAINFIELD COVER
[;
]
(111
DISTRIBUTIONBOX' HEADER X
[ ]
[37]
SHOULDERS
[
]
[121
NUMBER OF DRAINLTNES 1, ,5.00 2•
[ ]
[38]
SLOPES
[
]
[131
DRAINLINE SEPARATION
[ ]
[3.9]
STABILIZATION
[
],
[141
DRAINLINE SLOPE
[
]
[1:5]
DEPTH OF COVER
ADDITIONAL INFORMATION
[
]
[16]
ELEVAT,I;ON [ ABOVE j BELOW ]BM 31,00
[ ]
[40,]
UNOBSTRUCTED,AREA
[
]
[17']
SYSTEM LOCATION•
[ ]
'[41.];
STORMWATER RUNOFF'
[
]
[18]
DOS'ING PUMPS
[ )
•L92]
ALARMS
[
]
[19]'
AGGREGATE.'SIZE'
[ ]'
[43]
MAINTENANCE AGREEMENT
II']
[20]
AGGREGATE EXCESSIVE FINES
[ ]
[44]
BUILDING AREA
[
]
[211
AGGREGATE DEPTH
[ ]
[45.]•
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL
I ]
[4,6]
FINAL SITE, GRADING
[
]
[221
FILL AMOUNT
[ ]
[47]
CONTRACTOR MICHAELW$TUHR (ASHTQ
I •]
[48]
`OTHER INFILTRATOR Guick4 Plus EQ36 LP
[
]
[231
FILL TEXTURE
[
]
[24]
EXCAVATION DEPTH
ABANDONMENT
[
]
[25`]
AREA REPLACED
[ ]
[49]
TANK PUMPED
[
]
[261
REPLACEMENT MATERIAL
I ]
[501
—
TANK .CRUSHED & FILLED
Comments:
Comments are on page 2.
II,
42
___
St. Lucie CHD DATE: 09/11/2018
CO
STRUCTION
[ APPROVED �1•rw--
DISAPPROVED ] ' Environmental Specialist II & an J `gram (ENVIRONMENTAL HEALTH)
!/
F
SYSTEM
I APPROVED
t. Lucie CHD .DATE: 09/11/2018
DISAPPROVED ]
Envirowtiental Specialist ll Br i
J.Ingram.(ENVIRONMENTAL HEALTH)
(E
lanation of
Violations on following page)
DH
016, 08/09
(obsoletes all previous editions which may
not be used)
Ina
rporat:ed:
64E-6,003, PAC
Page 2 of .3
EH Database v 1A.1 AP1349025
EID1855074
Violation Number
STATE OF FLORIDA,
DEPARTMENT OF HEALTH
ONSITE SEVMGE TREATMENT AM DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL,
Comment
#.-,AP13-49825
PERMIT, P 9 , #: 66-SFA 855074
. '.- ,
bddulm&#F142078.78
DATE PAID-w0011312-018
FEE PAID:' 1 5-00
,=,CZIPT' #:56-PID=3591431
l
he system fst!494 for 3- bedrooms with a: maximum occupancy of 6 persons,(2. per bedroom)-, for a: total 4stiatdd'fibWof 300
th
d . New ST,filter, pnd'5xg long DF -installed. Noviolationssystern ok1o,cover, Contractorriotiflod. by phone. 'B.o findl! inspection,
quired. Final system, approved. Contractor ema led final approval.
401.6, 0/09. (Obsoietea all previous editions Vhich, may, riot be -us6d)
orporAted': 642-6.00 3, PAC Page 2 of 3
Mmtabise. v 1,11
AP4349825