HomeMy WebLinkAboutD O H PAPERWORKSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND
PERMIT #:56-SF-1892157
APPLICATION #:AP1373367
DATE PAID:
FEE PAID:
�Y * FILE C® PYDOCUNENT #: PR1194345
SCANNED
CONSTRUCTION PERMIT FOR: OSTDS New BY
APPLICANT: Henry Lafcuntain St. Lucie County
PROPERTY ADDRESS: 122 Dusk Way Fort Pierce, FL 34945
LOT: 103, 104, 105 BLOCK: B SUBDIVISION: Tropical Acres
PROPERTY ID #: 2308-601-0162-000-9
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [
900 ] GALLONS / GPD Septic new
CAPACITY
A [
] GALLONS / GPD NIA
CAPACITY
N [
] GALLONS GREASE INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [
] GALLONS DOSING TANK CAPACITY [
]GALLONS @[ ]DOSES PER 24 HRS #Pumps
D [ 375 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [. ] STANDARD [ ] FILLED [X] MOUND [ ]
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: site BM NID west side of Dusk S property line
I ELEVATION OF PROPOSED SYSTEM SITE [ 1.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 0.00 ][ INCHES FT ][ AEOVE BELOW] BENCHMARK/REFERENCE POINT
L
D
0
T
H
E
R
L REQUIRED: t18.UU] INCHES EXCAVATION REQUIRED: t OO.UUI INUHEs
ie system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of
0 gpd.
e licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
64E-6.013(3)(0, FAC.
SPECIFICATIONS BY: ^ Brian J Ingram TITLE: Environmental Specialist II
APPROVED BY: / - ` Environmental Specialist II St. Lucie CHD
Brian I Ingram
DATE ISSUED: 12/13/2018 EXPIRATION DATE: 06/12/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC IPage 1 of 3
v 1.1.4 A 1373367 SE1144143
NOTICE OF RIGHTS
A party whose substantial interest is affected by this order may petition for an
administrative -hearing -pursuant to sections 120.569 and 120.57, Florida Statutes. Such
proceedings are governed by Rule 28-106, Florida Administrative Code. -A -peti ifon for
administrative hearing must be in writing and must be received by the Agency Clerk for the
Department, within twenty-one (21) days from the receipt of this order. The address of the
Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency
Clerk's facsimile number is 850-413-8743.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will
constitute a waiver of your right to an administrative hearing, and this order shall become a 'final
order'.
Should this order become a final order, a party who is adversely affected by it is entitled
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a
second copy, accompanied by the filing fees required by law, with the Court of Appeal in the
appropriate District Court. The notice must be filed within 30 days of rendition of the final order.
St. Lucie County Health Department
Florida 5150 NW Milner Dr Port Saint Lucie, FL 34983
--HEALTH— — --
PAYING ON: PERMITtt 56-SF-1892157 BILL DOC N56-BID-4017343 CONSTRUCTION APPLICATION MAP1373367
RECEIVED FROM: ASHTON SEPTIC TANKS, INC. AMOUNT PAID: $ 515.00
PAYMENT FORM: CREDIT CARD PAYMENT DATE: 11/14/2018
MAIL TO: Henry Lafountain
FACILITY NAME: -
PROPERTY LOCATION
122 Dusk Way
Fort Pierce, FL 34945
103, 104, 105 Block: B
Lot:
Property ID: 2308-601-0162-000-9
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
15.00
-1 - OSTDS New Permit Surcharge
1
$
100.00
-1 - OSTDS Construction Application and Plan Review,New
1
$
100.00
123 - OSTDS Construction Site Evaluation
1
$
115.00
126 - OSTDS Construction Permit (New or Mod, Amendment)
1
$
55.00
127 - OSTDS Construction System Inspection
1
$
75.00
133 - OSTDS Construction Reinspection
1
$
50.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3793274
fffM0 2+����TF
d---y STATE Od r'3,ORiDA
,� U _ }
� Ve ON'SITn, SEWAGE TRFA;NM?gT Am-i DISPOSA
c,s n.Es�
APPLICA=IO--'q FOR CONSTRUCT!OT! PE KIT
A�E� ICATION FOR:
[ 7p 1 New System
[ I Repair
APPLICAvN*T: W11
AC -ENT: R,s 4+1
MAILING ADDRESS:
L I Existing System
C I. Abandonment
:^ LA L. iA P
C 1 Holding Tank
C 7 Temporary
PERMIT NO. �SF- IO 1215,
DATE PAID:
RECEIPT 0:
[ ] Innovative
[ 1
TELEPHONE : 77L,21 G
TO BE COMPLETED BY apnLICAWT OR a PLICANTIS AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES, IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCU^9;NT_aTI
PLATTED (MM/DD/yY) IF REOu�SON OF THE DATE THE LOT WAS CREATED OR
TING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION =-_------__
103-1oq _ LOT: _ (Aj" BLOCK: SUBDIVISION:
/� l IPLATTED:
v
PROPERTY ID r': 2��R '[9af-l� (10�,•�ii%0 ZONING: Z•.S�G I/M OR EOU_TV_ALLENT: C Y / N ]
PROPERTY ST_ZE: I•()S"ACRE S WATER SUPPi.- . Y: [ ] pRyVaTE npgLlC [;-]<=2000GPD [ 1>2000C-PD
IS SEWER AN-AILABLE AS PER 381.0065, FS? [ Y /®] DISTANCE TO SEWER: VA FT
PROPERTY ADDRESS: 12? 1DUSIL WV 4A, .314614E
DIRECTIONS TO PROPERTY: -
BUILDING INFORMATION [V] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No _ Establishment Bedrooms Area Sc=t Table 1, Chapter 64E-6 R C
2
3
12
C ] Floor/Ecuipment Drains [ ] Other (Specify)
SIGNATURE:
DE 4015, 08/ 9 (Obsoletes previous editions sohich may not be used)
Incorporate 64E-6.001, FA.0
DATE:
Page.1 of 4
STATE OF FLORIDA APPLICATION # AP1373367
DEPARTMENT OF HEALTH PERMIT # 56-SF-1892157
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1144143
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Henry Lafountain
CONTRACTOR / AGENT: ASHTON SEPTIC TANKS, INC.
LOT: 103, 104, 105 BLOCK: B
SUBDIVISION: Tropical Acres ID#:2308-601-0162-000-9
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: Ex ]YES [ ]NO NET USABLE AREA AVAILABLE: 1.05 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1575.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 750.00 SQFT UNOBSTRUCTED AREA REQUIRED: 563.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Site BM#2('
ELEVATION OF PROPOSED SYSTEM SITE 1.00 [
of Rd S property line extended W
/ FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 0 FT DITCHES/SWALES: 100+ FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED'USE: FT PRIVATE: 100+ FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 11 FT PROPERTY LINES: 15 FT POTABLE WATER LINES: 50 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES EX ]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Nettles sand
Munsell #/Color Texture
Depth
10YR 3/1
Sand
0 To 8
1 OYR 611
Sand
8 To 15
1 OYR 5/1
Sand
15 To 19
10YR 5/2
Sand
19 To 30
1 OYR 6/1
Sand
23 To 30
10YR 2/1
Spodic Material
30 To 39
1 OYR 3/2
Sandy Clay Loam
39 To 55
2.5Y 5/3
Loamy Sand
55 To 72
USDA SOIL SERIES:Nettles Sand
Munsell #/Color Texture
-
Depth
1 OYR 3/1
Sand
0 To 8
1 OYR 6/1
Sand
8 To 15
10YR 5/1
Sand
15 TO 19
1 OYR 52
Sand
19 TO 30
1 OYR 6/1
Sand
23 To 30
10YR 2/1
Spodic Material
30 To 39
10YR 3/2
Sandy Clay Loam
39 To 55
2.5Y 5/3
Loamy Sand
55 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE
/
BELOW ] EXISTING GRADE
TYPE:
[ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION:
23 INCHES
[ ABOVE /
BELOW]]
EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES EX
]NO MOTTLING:
[X]YES [
]NO
DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
Sand/0.80
DEPTH
OF EXCAVATION: 55 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [
] BED [ ] OTHER
(SPECIFY)
- REMARKS/ADDITIONAL'CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR512 matrix > 10 % with diffuse boundaries starting at 23" in SI31.
S131 1" below BM. 882 1" below_4M
SITE EVALUATED BY:
Ingram, Brian (Titlenvironmental Specialist II) (ENVIRONMENTAL HEALTH)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 11121 /2018
Page 3 of 4
AP1373367 EID1892157 v 1.0.2
eBridge Web Viewer
V-11-v to-t,nrn
Page 1 of 3
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
REPAIR, MODIFY, ORABANDON A WELL
❑Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS
❑ Northwest ('Denotes Required Fields Where Applicable)
DEP
e— —rho warerwell
this form andh
River apprvpdal. do.
Authority (If Applicable)
5 (9 - SF - l$a )-15-1
No. 5q, a 4-1
Unique ID
(See Attached)
2.
'Well Loualion -Address, Road Name or Number, City
'Parcel ID No. (PIN) or Alternate Key (Circle One), Lot Block Unit
4• of r 3515 --3215- `15//14111 N Check if 62-5240 Yes PKo
'Section or land Grant 'Township 'Range . 'County —� Subtlivislon
5. r. rw/%.one il3Y3 _?77-///.U-9 q,5 '4r��a'•�%Y/_�i 60
'Water Well Contractor License Number 'Telephone Number E-mail Address
6,
'Water Well Contractors Address
City State ZIP
7. 'Type of Work: ,V/_I Construction ❑ Repair ❑ Modification❑ Abandonment
8. 'Number of Proposed Wells
'Reason far Repair. Modingtion, or Abandonment
9. pecify Intended Use(s) of Well(s):
/1 D
o 0
Domestic n Landscape Irrigation n Agricultural Irrigation
Bottled water Supply Recreation Area Irrigation n Livestock
(�\,
Site Investigations
a
IJ
Public Water Supply (Limited Use/DOH) Q Nursery Irrigation
Monitodng
❑ Test
AN 8 2N19
Public Water Supply (Community or Non-CommunitylDEP)iFL-Jtl Commercial/Industrial
Class I Injection Golf Course Irrigation
8 Earth -Coupled Geothermal
HVAC Supply
HVAC Relum
:lass V Injection:0 Recharge [] Commercial/Industrial Disposal ❑ Aquifer Storage and Recovery ❑ DrainagED
H ID St LUCIe COUnty
iemediation:❑ Recovery❑'AlrSparge ❑ Other IDesoibe)
ENVI
ON1��lNTol EALTF
easa�ny
Other (Doscreel
0.'Dislance from Septic System if 5 20D ft. If. Facility Description
12. Estimated Start Date
31Estlmated Well Depth ,[ fl. *Estimated Casing Depth/00 @, Primary Casing
Diameter �Z _in. Open Hole:
From __._.To
4. Estimated Screen Interval: From 104P To f yo ft.
5.aPrimary Casing Material: Black Steel Galvanized t'PVC
Stainless Steel
Not Cased .Other.
6. Secondary Casing: Telescope Casing Liner Surface Casing Diameter
In.
17. Secondary Casing Material; Black Steel Galvanized PVC Stainless Steel
Other
//
16.'Method of Construction, Repair, or Abandonment: Auger Cable Tool Jetted
rIiotary Sonic
Combination (Two or More Methods) Hand Driven (Well Point, Sand Point)
Hydraulic Point (Direct Push)
Horizontal Drilling Plugged by Approved Method Other (oer<dbol___
19. Proposed Grouting Interval for the Primary, Secondary, end Additional Casing:
From To Seal Material ( Bentonite Neat Cement Other
)
From To Seal Material ( Bentonite Neat Cement Other _
1
From To Seal Material ( Bentonite Neat Cement Other
)
From To Seal Material ( Bentonite Neat Cement Other
)
20. Indicate total number of existing wells on site List number of existing unused
wells on site _
21.a1s this Well or any existin�weli Ihdrawal on the owner's contiguous proper[ covered und- a Coop I iveryVater Use Permit (CUPfWUP)
or CUPNVUP Application. Ye No If yes; wmplete the follovnng; CUPIWUP No4'�CJ� /, /t77strict Well ID No.
22. Latitutle__—________—,
23. Data Obtained From: GPS Map Survey Datum: _NAD 27 _NAD 8833 WGS 84
I MrebeeolY" I an meMYwn' be MPpr We Met erlWo 44 FbAEa Md seatwcedo. mdtMt a u sr I.0, eul lam Uw een a1.peepeny, Wt palnlaryc/an emWCaE la acruNe. sf Pal l am mn,e el,m
'License No. - eC, pefur)'60wCeporAgent 'Date
Approval Granted By Issue Date 11/ 1/ /Y Expirallon Date Hydrologist Approval
W.
RcelptNo.Fee Received eCheck No.
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BYAN AUTHORIZED. OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE
PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENTACTIVITIES.
nFP rmm-R9.ri2 ann111 n n
https://s2.ebridge.comlebridgel3.0/webviewer/Viewer.aspx?ref�—JTKHMgzTNAxH%2bX9YICrNQRrLHe2... 1 /8/2019
M
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O —
N - y
/10ro �`
' GIRT DRIVE x
LOT 103
\ s�
co
A
°j&s
ry'X I 6
ryry'
FOUND 1/2" IRON PIPE _
x 0.19' NORTH
I
205.60' �
i_ _ _ _ _ _ `
PROPOSED WATER SYSTEM
200' OF PROPOSED WATER SERVICE UNE H — — — — — — — —
` xAy My.
I ryy. 1 I ry L
LOT 104 '
c
6} I I 1 26'X40' METAL CAR PORT c
0
\ry rypry 32.D4'
rya
FOUND 5/6" IRON ROD
0.35' NORTH
0.30' EAST
rye.
It
\ (V I
_ ROPOSED 20'X54' xryv / c�i m
SEPTIC DRAINFIELD AREA II LOT 105
xry --- ryryy 1
S89'31'65"W 303.69FOUND 1/2"IRON PIPE
,7t 0.19' SOUTH
a 0.17' WEST
bq
b
' I nT 1 nF
I
STATE OF FLORIDA
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTE[
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Idol-o13p
AF.PLICANn Henry LafouMain
AGENT: MICHAELSTUHR_(ASHTON'SEPTIC
PROPERTY ADDRESS: 122 Dusk Way Fort Pierce, FL 34945
LOT: 103,104, 105 BLOCK: B
SUBDIVISION: Tropical Acres ID0t 230E
ST
APPLICATION a:APi373367
PERMIT k
DATE PAID: 1'' 1t 1"14V LV
FEE PAIn:515.M
RECEIPT n:56-RID-3793274
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH 'STATUTE OR RUM AND MUST BE CORRECTED.
[
TANK, INSTALLATION
SETBACKS
L 1
[01)
TANK SIZE [11 1090.00__ [2) _..__
(
1
-[27].
,SURFACE WATER
FT
]
[02].
TANK MATERIAL _ Polyethylene.
[
1
1291,
DITCHES
_
FT
[ 1
'[U3]
OUTLET DEVICE
[
]
[291
PRIVATE WELLS _ _ 160
FT
[ 1
1041
MDLTI-CHAMBEREDL Y / N 7
[
1
[301
PUBLIC WELLS
FT
[ 1
(05]
OUTLET FILTER, POIylok.PL-68 -
[
I
1311
IRRIGATION YELLS'
FT
[ 1
[061
LEGEND 1. 70-143-11DC3 2,
-
[
1
[321
POTABLE WATER 34
FT
1
(071
WATERTIGHT
[
1
[331
BUILDING FOUNDATIONS 9
FT
[ 1
(0$]
LEVEL
(
1
(341
PROPERTY LINES _.21. _.. _.__.FT
[; ],
[091
DEPTH TO LID
[
)
(351
OTHER
FT
DRAINFIELD -INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[10]
AREA L1] 509.4 [21
SQFT
[
I
[361
DRAINFIELD COVER
[ I
Ell)
DISTRIBUTION BOX HEADER
'X
[
1
[371
SHOULDERS
[ 1
1121
NUMBER OF DRAINLINES 1. 5.00 2.
[
1
[381
SLOPES
L 1
1133
DRAINLINE SEPARATION
[.
1
(391
STABILIZATION 04/02/2019
C I
[141
DRAINLINE SLOPE
1
[1S1
DEPTH OF COVER__.
ADDITIONAL. INFORMATION
( 1
[161
ELEVATION [ ABOVE]/ BELOW' IBM
1.00
[
1
1401
UNOBSTRUCTED AREA
[ 1
[171
SYSTEM.: LOCATION
[
]
[411
STORMNATER 'RUNOFF
[ )
[18]
DOSING. PUMPS
(
I
[421
ALARMS.
[ 1
[191
AGGREGATE SIZE
[
1
[431
MAINTENANCE AGREEMENT
[ 1
[201
AGGREGATE EXCESSIVE FINES
E
7
1441
BUILDING AREA .
[ I
1211
AGGREGATE DEPTH -
[
)
[45]
LOCATION CONFORMS WITH. SITE PLAN,
]
[461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
--
[
I L471
CONTRACTOR MICHAEL N/STUHR(ASHTO
[ 1
(221FILL AMOUNT
[ 1
[231 FILL TEXTURE
[
1 [481
OTHER: INFILTRATOR Qulck4 Plus EQ36 LP
[ 1
[241., EXCAVATION DEPTH
ABANDONMENT
[ 1
[251i AREA REPLACED
[
] (491
TANK PUMPED
[ 1
[251 REPLACEMENT MATERIAL
[
1 1501
TANK CRUSHED 4 FILLED
Comments.: Comments: are on page'. 2. ,
CONSTRUCTION [/ n en`a' pea, Lucie, CHU DATE: 02/64/2019
DISAPPROVED maNVIRO&-ENTAL HEALTH[
FINAL SYSTEM. [ APPROVED DISAPPROVED )< Envllon m(ENVIRO- St. Lucie CRD DATE: 04/02/2019
mental Speciallstll an J IngraNMEN JAL HEALTH)
(ESPlanatlon of Vlclat3Rne on lollorinp page)
DH 4616, 08/09 (Obsoletes all previous editions whichmay not be used)
Incorporated:.. 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 APry378087 EID1892157
STATE OF FLORIDA
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM.
CONSTRUCTION INSPECTION AND FINAL APPROVAL
,Violation Number Comment
Comments
APPLIcmxoN u:AP1373387
eEPIaT 0;56-SF-1892157
DA5% VA=.11/14/20.18
FEE 2AM:515.00
RECEIPT ti-M-PID-3793274
The system is sized for 3 bedrooms with a maximum occupancy of5 persons (2 per bedroom), fora total estimated Bow of 300
gpd+
New ST, fitter; and DF INSTALLEb As A BED. 315x 8=300/ fi=50D sqR No violations, "system ok to cover. Contractor notified by
phone: Needs, final inspectlon'formouncf system and final site grading:
Final system approved, Contractor and -building department emailed'.final approval. ....
DH 4016>,-08/09 (Obsoletes all previous editions which may not. be used)
Incoxporated: 64E-6.,003, FAC Page 2 of 3
EH Database. v 1.0.1 AP1373367 EID1362157