HomeMy WebLinkAboutD O H PAPERWORKtS[0- 0�>S(
APPLICATION #:AP1364397
STATE OF FLORIDA PERMIT # 56-SF-1877440
DEPARTMENT OF HEALTH DOCUMENT # : F1.1315828
ONSITE,SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:09/14/2018
�$16 FEE PAID:515.00
RECEIPT # :56-P1 D-3718284
APPLICANT: James Busby Ii
AGENT: Craig Helseth (Craig. S. Helseth
' cACA
PROPERTY •ADDRESS: 18700. Mach One Dr Port Saint Lucie FL 34987
// l
LOT- 41
BLOCK: 1
�_
I
s f�
I
U C+�Q
CoUnty
SUBDIVISION:
Aero Acres ID#: 3215-801-0011-000-8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE' WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[
] [01]
TANK SIZE [11 1090.00 [21 483.00
[
] [271
SURFACE WATER FT
[
] [02]
TANK MATERIAL Polypropylene
[
] [281
DITCHES FT
[
] [03]
OUTLET DEVICE
[
] [291
PRIVATE WELLS 89' FT
[
] I[04]
MULTI -CHAMBERED EL.Ij N ]
[
] [30]
PUBLIC WELLS FT
[
]' [051
OUTLET FILTER Polylok PL-68
[
,] [311
IRRIGATION WELLS FT'
[
] [061
LEGEND 1, 70=1.43-11DC4 2, 70-143-54SC4
[
] [321
POTABLE WATER 70 FT
] [071
WATERTIGHT
[
] [331
BUILDING FOUNDATIONS" 5 FT
[
] [08]
LEVEL
[
] [341'
PROPERTY LINES 33 FT'
] [091
DEPTH TO LID
[
] [351
OTHER FT
iDRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[
]' I[10]
AREA [1] 679.2 121 SQFT
[
] [36]
DRAINFIELD COVER
] [111
DISTRIBUTION BOX HEADER x
[
] [371
SHOULDERS
[
i
] [12]
NUMBER OF DRAINLINES 1, 8.00 2,
[
] [381
SLOPES
[
] �[13]
DRAINLINE SEPARATION
[
] [391
STABILIZATION 08/20/2019
[
] i[141
DRAINLINE SLOPE
[
]
DEPTH OF COVER
ADDITIONAL
INFORMATION
']BM
AREA
�[151
[161
ELEVATION [ ABOVE / BELOW 4.00
[
] [40]
UNOBSTRUCTED
[
] [17]
SYSTEM.LOCATION
[
] [411
STORMWATER RUNOFF
[
] [18]
DOSING PUMPS 1.00
[
] [42]
ALARMS
[
] (191
AGGREGATE SIZE
[
] [431
MAINTENANCE AGREEMENT
[
], [20]
AGGREGATE EXCESSIVE FINES
[
1 [441
BUILDING AREA
[
] (211
AGGREGATE DEPTH
[
] [451
LOCATION CONFORMS WITH SITE PLAN
(FILL
/ EXCAVATION MATERIAL
[
] [461
FINAL SITE GRADING
1
] [221
FILL AMOUNT
[
1 [471
CONTRACTOR MICHAEL W STUHR (ASHTO
[
1 [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
] [23]
FILL TEXTURE
] [241
EXCAVATION DEPTH
ABANDONMENT
[
] [25.]
AREA REPLACED
[
] [491
TANK PUMPED,
[
] [26]
REPLACEMENT MATERIAL
[
] [501
TANK CRUSHED & FILLED
Comments: Comments'are
on page 2.
St. Lucie CHD DATE: 06/1412019
CONSTRUCTION
{ APPROVED
DISAPPROVED Envlro ental Specialist 11 Bi
gram (ENVIRONMENTAL HEALTH)
FINAL
(SYSTEM
_.
[ APPROVED /
St. Lucie CHD DATE: 08/20/2019
DISAPPROVED ]:
_
Environmental Specialist 11 8
n J Ingram (ENVIRONMENTAL HEALTH)
(Explanation
of Violations on following page)
DH
4016, 08109
(Obsoletes all previous editions which may
not
be used)
Incorporated:
64E-6.003, FAC
Page 2 of 3
EH Database v 1.0,1 AP1364397
EID1877440
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPI,IcATiovi #.AP1364397
PERMIT #:56"SF-1877440
DocumENT # : FI 1315828
DATE PAIII: 09114/'2Q 1 8
FEE: PAID *515.00
RECEIPT # :56-P I D-3718284
Comments)
The system is sized fora bedrooms with a maximum occupancy of 6 persons (2 per, bedroom),. for a totalestimated flow of 400
gpd. New ST, filter, DT, liberty 1/3 hp pump, and 4x7-+4x8 DF installed. No violations, system•ok to cover. Contractor Notified by
phone.. Needs final. inspection for mound system, gutters, alarm .check, and final site grading. Well checked at construction
nal system approved. Contractor and building department.emailed final
0'9" (Obsoletes all previous editions which may not be used)
64E-6.003, PAC
EH Database v 1.0.1 AP1364397 EID1877440
Page 2 of 3