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APPLICATION #:AP141068S
STATE OF FLORIDA PERMIT #:56-SF-1943846
DEPARTMENT OF HEALTH
DOCUMENT #:F11363628
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:04/24/2019
SCANNED FEE PAID1515.00
BY RECEIPT #:56-PID-3911880
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APPLICANT:
Evan Miller
AGENT:
James Trefelner (Trefelner Construcion Inc.
PROPERTY ADDRESS: 5437 Ideal Holdings Rd Port Saint Lucie, FL 34987
_
IA N O 2019
LOT:'
BLOCK:
SUBDIVISION:
ID#: 3210-111.0020-000-1
ST. Lucie County, Permitting
CHECKED [%] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [11 1090.00 [21
[
1
1271
SURFACE WATER FT
[ 1
[02]
TANK MATERIAL Polypropylene i
I
1
1281
DITCHES FT
[ ]
[031
OUTLET DEVICE
[
]
[29]
PRIVATE WELLS 103 FT
L ]
t04]
MULTI -CHAMBERED I L11 N ]
[
1
[30]
PUBLIC WELLS FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[
1
[31]
IRRIGATION WELLS FT
[ ]
(06]
LEGEND 1. 70-143-11DC4 2.
[
1
[32]
POTABLE WATER 51 PT
[ ]
[07]
WATERTIGHT
I
]
133]
BUILDING FOUNDATIONS 6 FT
[ ]
[081
LEVEL
I
1
[341
PROPERTY LINES 38 FT
[ 1
[09]
DEPTH TO LID
[
]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[101
AREA Ill 509.4 [2] SQFT
[
]
1361
DRAINFIELD COVER_
I 1
1111
DISTRIBUTION BOX HEADER X
[
]
[371
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 5.00 2.
I
1
138]
SLOPES
[ ]
[13]
DRAINLENE SEPARATION
[
1
[391
STABILIZATION 01/08/2020
[ 1
[141
DRAINLINE SLOPE
[ ]
[is]-
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION I ABOVE / BELOW ]BM 8.00
I
]
[40]
UNOBSTRUCTED AREA
[ 1
[17]
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ 1
1181
DOSING PUMPS
[
]
[42]
ALARMS
[ 1
1191
AGGREGATE SIZE
[
]
[43]
MAINTENANCE AGREEMENT
[ 1
[20]
AGGREGATE EXCESSIVE FINES
[
]
144]
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
]
[45]
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
I
1
[461
FINAL SITE GRADING
[ 1
[22]
FILL AMOUNT
[
1
[471
CONTRACTOR MICHAEL W STUHR(ASHTO
[ 1
[23]
FILL TEXTURE
[
]
148]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
1241
EXCAVATION DEPTH
ABANDONMENT
I ]
I251.
AREA REPLACED
[.
]
[49]
TANK PUMPED
[ ]
[26]
REPLACEMENT MATERIAL
[
]
[501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / St. Lucie CHD DATE: 11/21/2019
DISAPPROVED ] iro ental Spedlalist I J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM L APPROVED / DISAPPROVED ]: ' St. Lucie CED DATE: 01/08/2020
EnVinonmentall Specialist II B n J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DE 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1410585 EID1943846
Violation Number
Comments
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATION H:AP1410585
PERMIT #:56-SF-1943846
DocumENT a:F11363628
DATE PAID:04/24/2019
ME pAID,515.00
RECEIPT #:56-PID-3911880
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 5x9 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Well inspected at
construction inspection. Needs final inspection for mound system and final site grading.
Final system approved. Contractor and building department emailed final approval.
DE 4016, 09109 (obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1410585 EID1943846