HomeMy WebLinkAboutD O H PAPERWORKAPPLICATION #A01-20 —3,
STATE OF FLORIDA
DEPARTMENT Or '.HEALTH' #;.-F1104-4805
ONSITE SEWAGE TREATMENT AND ;DISPOSAL SYSTEM,
�,7-
CONSTRUCTION :INSPECTION AND FINAL,APPROVAL DATE 3jAlb08/31/201 5
FEE ,PAID J5-15-00
RECEIPT #:56-PID-2764022,
APPLICANT: La(ry. SebgOP 6 (,-7 57 0
AGENT".' Steven Marshall
PROPERTY ADDRESS4 Dyer- Rd. PbrtSaint-Ludiej FL34952:
LOT: 12 BLOCK: 2 ay
St Lucie County
�%ihlqboqikf dhs, 3:p#,,, 3414-5014412400-8
CHECKED rX-f ITEMS ARE FOOT IN: COMPLIANCE WITH STATUTE OR kULtAND'909T HE'CORRECTED,.
TANK.
INSTALLATION
SETBACKS
I [.Cdj,
T :SIZE [1:1. 10190.1000 t-121
['27]
SURFACE WATER
FT.
I
I t02l.
TANK MATERIAL. Rqjyethylene.
r
I
t2gj,
DITCHES
FT'
J [03].
OUTLET VEVICE:
t
j'
091
PRIVATE WELLS fi 8
,'FT
[0:4]
:MULTI -CHAMBERED
1-101
PUBLIC 'WELLS
OUTLET. FILTER, POlyl6k-?Lm6$
E
1
[31]
IRRIGATION WELLS
FT,
'1:06,1
LEGEND i. 710_143-1AbC3. 2.
1
P21
VOTABLE WATE.P.
FT'
[0,7]
WATERTIGHT
3
p3l
4ulmblm' FOUNDATIONS 10
FT
t
l [081
LEVEL,
t
1
043
kX LINEq 75.
FT
r,99,1
DEPTH, TO LID
f35'j
OTHER,
FT
DRAXIVIELD INSTALLATION
D I MOUND SYSTEM
FILLED
I-
I E101
AREA [3:] '.339.16. E23 SOFT
--7777'
[963
piLkmriELD COVER.
14111
ljlsTRll BbTldNj BOX HEADER x
C-17]
SHOULDERS
[12j
NUMBER OF DRAINLINES
1
[361
SLOPES
] 't:0,3
DRAINLINE SEPARATION
[89]
'STABILIZATION 03/21/201,6'
1 1[14-]
DRAINLINE; 'SLOPE,
.3 k6,]
DEPTH OF COVER
ADDITIONAL :tNkdRmAT:Ebk,
T [3.6]
ELEVATION ABQ%
113M 10,00
.1
]
[40],
UNOBSTRUCTED' AREA
E
1[173
SYSTEM LOCATION`
'1
3
'[41]
STORl&ffATER- RUNOFF
E18j
DOSING PUMPS,
.1
[42-rf
-ALARM§
AGGREGATE SIZE
t
.1
f43j!
MAINTENANCE AGREEMENT
_EXCESSIVE: FINESr
1
[44]'
[21]
AGGREGATE; DEPTH
[45]
-LOCATION !CONFORMS WITH SITE; PLAN'
(FILL./
EXCAVATION 'HATERIAL
[46]
FINAL SITE GRADING
'qdKTRAcT(jAl
1-47-1
MICHAEL W STUHR. (ASHTO
1
3 (221'
FILL •AMOUNT
I
'1
['48]
0 . TH I ER INFILTRATOR Quick4.EQ24. LP (sin,
;[28]:
FILL ;TEXTURE
�r
1 [24]
EXCAVATION DEPTH
;ABANDONMENT
f
1 [2.4]:
REPLACED
[49-1
TANK PUMPED
1112-61.
-REPLACEMENT MATERIAL
TANK T3;LED
Cbkmdnt9, Akd on r&gb 2.
St. Luc1ie cm . DATE.: P2/2-2I20'1,6.
CONSTRUCTION DISAPPROVED I i_..1.11
iron ftals acialisjBri'hJlngra (p IRONMENTAL'HEALTH)
FINKL 16TEM t 'APPROVED 'St.Lucie Ckb
EnvN4_up_FlVactor �aconti(DepartmentrofHoalih:in:t7t.Cucie-County)
(Explanation of vioiaudna ow, 40,ii0wing page)
,DH 4616,11 08/69, (Obb6,ldtbs iil p6=ev2idus. editl6ns whidb; iiay' ndt be'bimd),
. _ .- I—— . 1
xrltorpo_2�zitod,: 64t".6.003, FAG Page 2of 3
EH.Database v 1.0A AP'1202M EID162756 . 8
-22 2016
RECEIVED MAR
I
�Nq STATE OF FLORIDA
~ �' r •� DEPARTMENT OF HEALTH
'tSa ONS:ITE; •SEWAGE: `TREATMENT AND A SPOSAZ SYSTEM:
CONSTRUCTION .INSPECTION 'AND. FINAL APPROVAL
I
i
;APPI;ICATION #.:AP1202623
PERMIT # 56 SF 1'627568
:DOCUMENT # 9,1044805"
DATE PAID :;0813112'015
FEE .PAID.515•00•
xECEzpT # 56 PO-2764022;
.... 4
The system is sized, for2'bedrooms with a maxlmum,occupancy of 4•persons (2per'.bedroom); fora total:.esfimated :flow'of
200 gpd:.
No violations, system oklo cover: Contractor,notified.onsite.
Needs firial•m'spection;focrnound system:lemailbd:applicantand SLG building
I
a
I •
i
DH 4.016�, 08/.0 (Obsole"te`s ali. p=evsou's eclitionss which, mag not be used)
Incorporated:: 69E-:S;:603;,FA
EH Database v 1.0.1 AF120#4 EID1627.568
Page. 2' of, 3