HomeMy WebLinkAboutD O H - FINAL APPROVALSTATE OF FLORIDA
F b DEPARTMENT OF HEALTH
ONSITE, SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Tristen and Alexis Trefelner
AGENT: James Trefelner
PROPERTY ADDRESS: 5480 Slash Pine Tri Fort Pierce, FL 34951
LOT: BLOCK:
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Commen
ION: ID# : 1407-313-0015-000-1
APPLICATION #:AP1370265
PERMIT #.:56-SF-1887072
DOCUMENT #:'F11303660
DATE PAID:10/24/2.018
FEE PAID:515.00
RECEIPT #•56-PID-3778543
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,
;TANK INSTALLATION
'[O1] TANK SIZE[11 1090.00 [2].
1 [02] TANK MATERIAL Polypropylene
[03] OUTLET DEVICE
,[04] MULTI -CHAMBERED [ Y N ]
[051 OUTLET FILTER Polylok. PL-68
, [ 0 6 ] LEGEND 1, 70-143-11 DC3 2.
'[071 WATERTIGHT
[081. LEVEL
1[09'] DEPTH TO LID
DRAINFIELD INSTALLATION
[101 AREA [11 679.2 [2) S4FT
(11] DISTRIBUTION BOX HEADER X
I[12] NUMBER OF DRAINLINES 1,, 6.00 2,
[131 DRAINLINE SEPARATION
[141 DRAINLINE SLOPE'
1[15] DEPTH OF COVER
'[16] ELEVATION [ ABOVE J BELOW IBM 21.00
I[171 SYSTEM LOCATION
[181 DOSING PUMPS.
�[19] AGGREGATE SIZE'
�1201 AGGREGATE EXCESSIVE FINES
![21] AGGREGATE DEPTH
I
FILL / EXCAVATION MATERIAL
[22] FILL AMOUNT
[231 FILL TEXTURE
[241 EXCAVATION DEPTH
[251 AREA REPLACED
�251 REPLACEMENT MATERIAL
:s: Comments are on page 2.
SETBACKS
]
[27]
SURFACE:WATER
FT
[ 1
[281
DITCHES 20
FT
[ ]
(291
PRIVATE WELLS 84
FT
[ ]
[301
PUBLIC WELLS
FT
]
(311
IRRIGATION WELLS
FT
]
[321
POTABLE WATER 60
FT
[ ]
[331
BUILDING FOUNDATIONS 7
FT
[ ]
[341
PROPERTY LINES 24
FT
[ ]
[351
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[361
DRAINFIELD COVER
[ ]
(37.1
SHOULDERS
[ ]
[381
SLOPES
[ ]
[391
STABILIZATION 06/17/2019
ADDITIONAL INFORMATION
[ ]
[401
UNOBSTRUCTED AREA
[ ]
[411
STORMV4ATER RUNOFF
I ]
[421
ALARMS
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[441
BUILDING AREA
[ ]
[46]
LOCATION CONFOR14S'WITH SITE PLAN
[ ]'
[461
FINAL SITE GRADING
[ ]
[471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ 1
[481
OTHER' INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
( ]
[491
TANK PUMPED
1
[501
TANK'CRUSHED 6 FILLED
St. Lucie CHD
CONSTRUCTION I APPROVED DISAPPROVED )�
Environme tat SpecialistJf Bq� J Ingra NVIRONMENTAL HEALTH)
FINAL SYSTEM [ APpROVED / DISAPPROVED ): Lucie CHD
nvironmental Specia st II Brian J I am (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016,1 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1370265 EID1887072
i
DATE: 04/25/2019
DATE: 06/17/2019
Page 2 of 3
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OlF
STATE OF FLORIDA
t. DEPARTMENT OF HEALTH
"Rx ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
` CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
Comments
APPLICATION #: AP1'370265
PERMIT #:56-SF-18870.72
nocu mn #: F11303660:_
DATE PAID:10/24/2018
FEE PAID,515.00
RECEIPT #:56-PIO-3778543
The system is sized for bedrooms with a. maximum occupancy of 6 persons (2 per bedroom), for a totalestimated flow of 400
gpd. New ST, filter, and 6x10 long OF installed. No violations, system oK.to cover. Contractor notified by phone. Needs final
inspecfio�I for mound system and final site grading. Well inspected at construction inspection.
Final system approved. Contractor, builder, and building department emailed final approval.
DH 4016,108/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
M Database v 1.0.1 AP13TO265 EID1887072
Page 2 of 3