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APPLICATION #:
STATE OF FLORIDA
DEPARTMENT, OF HEALTH
W
PERMIT#:56-SF-1891227
ONSITE
SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT#:F11314108
CONSTRUCTION
INSPECTION AND FINAL APPROVAL
DATE PAro;11/09/201$
we iv"fi
FEE eaID:515.00
RECEIPT #:56-PID-3791134
APPLICANT: Yoan and Tayml Rojas
AGENT: James Trefelner(TrefelnerCOnstrucionInc.)
SCANNED
PROPERTY ADDRESS: 255 Bridlewood Way Fort Pierce, FL 34945
By BY
I
LOT:., 1, 2. 3. 10, 11, and 12 BLOCK: A
St. Lucie County
SUBDYvi SIGN:
Doiran m#: 2310-801-0001-000-4
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ] [011
TANK SIZE [1] 1090.00 127
(
1
[271
SURFACE WATER FT
[ 1 (021
TANK MATERIAL Polypropylene
['
1
[281
DITCHES 77 FT
1 [031
OUTLET DEVICE
[
1
[291
PRIVATE WELLS FT
[ 1 [041
MULTI—CHAMBERE➢ [ Y N 1
[
1,
[301
PUBLIC WELLS FT
[ ] 1051
OUTLET FILTER Polyl➢k PL-68
[
1
[311
IRRIGATION WELLS FT
[ ] (061
LEGEND 1. 70-143-11DC4 2.
[
]
[321
POTABLE WATER 60 PT
[ 1 [071
WATERTIGHT
I
1
[331
BUILDING FOUNDATIONS 9 FT
[ 1 (081
LEVEL
[
1
I341
'PROPERTYLINES 49 FT
[ 1 (091
DEPTH TO LID
[
1
[35)
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1 1101
AREA [11 509.4 121 SQFT
I
1
(361
DRAINFIELD COVER
I; 1 [111
DISTRIBUTION BOX _ HEADER x
[
1
[371
SHOULDERS
I I [121
NUMBER OF DRAINLINES 1. 5.00 2.
[
1
[381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[
]
[391
STABILIZATION 08/07/2019
[ ] [141
DRAINLINE SLOPE
( 1 [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ 1 1161
ELEVATION ( ABOVE / MELON ]BM 5.00
[
1
[401
UNOBSTRUCTED AREA
( 1 [171
SYSTEM LOCATION
[
1
[411
STORMWATER RUNOFF
[ 1 [181
.DOSING PUNKS
[
1
[421
ALARMS
( 1 [191
AGGREGATE SIZE
I
1
[431
MAINTENANCE AGREEMENT
[ 1 [201
AGGREGATE EXCESSIVE FINES
[
1
[441
BUILDING AREA '
I 1 [211
AGGREGATE DEPTH
[
1
[451
LOCATION CONFORMS WITH SITE. PLAN
FILL / EXCAVATION MATERIAL
[
1
[461
FINAL SITE GRADING
[ 1 [221
FILL AMOUNT
[
1
[471
CONTRACTOR MICHAEL W STUHR(ASHTO
[ 1 [231
FILL TEXTURE
[
1
[481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ 1 [241
EXCAVATION DEPTH
ABANDONMENT
[ 1 [251
AREA REPLACED
[
1
[491
TANK PUMPED
[ 1 [261
REPLACEMENT MATERIAL
(
1
[501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION
[. APPROVED / DISAPPROVED ]! �
rr--� p
rO rl St. Lucie CHD DATE: 06/2MO19
Envhonmental Spaniallst
ll
rian JJ
Ingram
HEALTH)
FINAL SYSTEM
{ AppgoVE➢ / DISAPPROVED ]: �-oo✓�--•�
A440
St. Lucie CHD DATE: 08/07/2019
Environmental Supervisor 1
Dianna S May (Florida Department of Heal
(Ew Iaeatioo of
Vielationa on following Page)
DH 4016, 08/09
(Obsolates all previous editions which may
not be used)
Incorporated:
64E-6.003, FAC
Page 2 of 3
EH Database v'1.0.1 AP1372UUC
EI01891227
APPLICATION
jrJ' STATE OF FLORIDA PERMIT n:56-SF-1891227
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT a:F11314108
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:11109/2018
FEE PAID:515.00
RECEIPT I):56-PID-3791134
Violation Number Comment
Comments
The system is sized fora bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a. total estimated flow of 300
ST, filter, and 5x9 long BED DF installed. No violations, system ok to cover. Contractor notified onsile. Needs final
ction for mound system and final site grading.
system approved, no violations observed. Emailed to contractor and building department.
inspection performed by Brian Ingram and entered by Dianna May.
OR 4016,. 0E/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
PH D.1:0 eo , 1.9.1 AP4372E09 EID1891227