HomeMy WebLinkAboutSEWAGE CONSTRUCTION INSPECTION & FINAL APPROVALSCANNED
STATE OF FLORIDA
;.` DEPARTMENT OF HEALTH
T� ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLI ANT: Tabitha Hestor
AGENT, Groza Builders, Inc.
PROPS TY ADDRESS; 3136 Brocksmith Rd FortPierce, FL 34945
LOT: J BLOCK:
SUBDIVISION: Drawdy/Brocksmith Rd ID#: 2329-502-0006-000-9
APPLICATION #:AP1362994
PERMIT #:56-SF-1875323
DOCUMENT #: FI1289255
DATE PAID:09/06/2018
FEE PAID:515.00
RECEIPT #:56-PID-3701664
JUN 0 7 2019
S t1� , LUCIe COuntl/_ PormiF4:__
l
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[
]
[01]
TANK SIZE [11 1090.00 [21
[ ]
[271
SURFACE WATER 78 FT
[
]
[021
TANK MATERIAL Polypropy[ene
[ ]
[28]
DITCHES 78 FT
[
I
[03]
OUTLET DEVICE
[ ]
[291
PRIVATE WELLS 79 FT
[
]
[041
MULTI -CHAMBERED [ Y N I
[ ]
[301
PUBLIC WELLS FT
[
]
[051
OUTLET FILTER Polylok PL-68
[ ]
[311
IRRIGATION WELLS FT
[
]
[061
LEGEND 1, 70-143-11DC3 2,
[ ]
[321
POTABLEWATER 51 FT
[
]
(07]
WATERTIGHT
[ ]
[331
BUILDING FOUNDATIONS' 5 FT
[
]
1081
LEVEL
[ ]
[341
PROPERTY LINES 33 FT
[
]
[091
DEPTH TO LID
[ ]
1351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[
]
[101
AREA [11 679.2 (21 SOFT
[ ]
[361
DRAINFIELD COVER
[
]
(111
DISTRIBUTION BOX HEADER X
[ ]
(371
SHOULDERS
[
]
[121
NUMBER OF DRAINLINES 1. 6.00 2.
[ ]
[381
SLOPES
]
[131
DRAINLINE SEPARATION
[ ]
[391
STABILIZATION 05/28/2019
[
]
[141
DRAINLINE SLOPE
[
]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[
]
[16]
ELEVATION [ ABOVE / BEZOW IBM 6.00
[ ]
[401
UNOBSTRUCTED AREA
[
]
[171
SYSTEM LOCATION
[ ]
[411
STORMWATER RUNOFF
[
]
[181
DOSING PUMPS
[ ]
[421
ALARMS
[
]
[191
AGGREGATE SIZE
[ ]
(431
MAINTENANCE AGREEMENT
[
]
[201
AGGREGATE EXCESSIVE FINES
[,1
[441
BUILDING AREA
[
]
(211
AGGREGATE DEPTH
[ ]
(451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ]
[461
FINAL SITE GRADING
I
]
[221
FILL AMOUNT
[ ]
[47]
CONTRACTOR MICHAEL W STUHR (ASHTO
C
]
[231
FILL TEXTURE
[ ]
[481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[
]
(241
EXCAVATION DEPTH
ABANDONMENT
[
]
125J
AREA REPLACED
[ ]
[491
TANK PUMPED
[
]
[261
REPLACEMENT MATERIAL
[ ]
[501
TANK CRUSHED 6 FILLED
Commen
s: Comments are on page 2.
CONSTR
CTION
[ APPROVED /
DISAPPROVED
St. Lucie CHD DATE: 03/26/2019
Enviro entai Specials
B
Ingram (ENVIRONMENTAL
HEALTH)
FINAL
(
STEM
DISAPPROVED ]:
LUCIe CHD DATE: 05/28/2019
(Explanation of Violations on following page)
DH 4016l08/09 (Obsoletes all previous editions which may not be used)
Incorpoated: 64E-6.003, PAC
EH Database v 1,0.1 AP1362994 EID1875323.
i
Page 2 of 3
w
The
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPI.ICAT=oN #:A.P1362994
PERMIT #:56-SF' 1875323
DoctnlmNT #:F11289256
DATEPAID::09/06/2018
FEE PAID 4515.0.6
RECEIPT #.:56-PI:D-3701664
is sized for 4 bedrooms with a maximum occupancy. of 8 persons (2 per bedroom), for a total estimated flow of 400
filter, and 6x10 long DF installed. No violations,, system dk to:cover. Contractor notified onsite. Need final inspection for
tstem and°final site grading.
ternapproved. Contractor and building department.eniailed final approval.
DH 401, 08/09 (Obsoletes all previous editions which may not be used)
I
Inco rated: 64E-6.003, FAC Page 2 of 3
EH Database v•.01 AP1362994 EID1875323