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HomeMy WebLinkAboutDOH PAPPERSSCANNED BY STATE OF FLORIDA St. Lucie County PERMIT NO. s DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: r APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repair ''nn 11 [ ] Abandonment [ ] Temporary [ ] APPLICANT: ii l,Nl'l� com AGENT: U/SI6, \ TELEPHONE:221 MAILING ADDRESS: J(D� in[. 6, St^i(-G /Y/o%icwxt V/_ Z2e/O/ TO BE COMPLETED BY APPLICANT OR APPLICANT'S 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 DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: BLOCK: GL SUBDIVISION: PLATTED: PROPERTY ID #: ZONING: I/M OR EQUIVALENT: [ Y/® ] PROPERTY SIZE: I.I.Q ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [;(1<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y/O] ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: V?0t) ',H(/1AS6rjj .3.?i� Sk. �J-�-QrL f pj-l-� r.(L scog y DIRECTIONS TO PROPERTY: .j..- 9$r .� e - 'Lnr-"Al OAST) .4-,,, 6aA 'n ^ tl?- -^+ �A�- �omti� 1230 BUILDING INFORMATION Unit Type of No (Establishment I 2 3 4 [ ] RESIDENTIAL [ x] COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: �lCBIiG�Wc�S M K062_ DATE: DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA APPLICATION # AP1229681 DEPARTMENT OF HEALTH PERMIT # 56-SF-02480 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEMSCAN NED DOCUMENT # SE989161 SITE EVALUATION AND SYSTEM SPECIFICATION BY St. Lucie County APPLICANT: William. CONTRACTOR / AGENT: LOT: 1-27 William BLOCK: 64 &65 SUBDIVISION: ID#: 1428-702-1501-000-1 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: IX]YES [ ]NO NET USABLE AREA AVAILABLE: 4.74 ACRES TOTAL ESTIMATED SEWAGE FLOW: 585 GALLONS PER DAY [ I RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 11849.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1462.50 SQFT BENCHMARK/REFERENCE POINT LOCATION: BM paint Comer Of transformer pad ELEVATION OF PROPOSED SYSTEM SITE 17.00 [ INCBES / FT ] [ ABOVE / BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: FT PROPERTY LINES: 5 FT - POTABLE WATER LINES: FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]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:Penda is sand Munsell #/Color Texture Depth 10YR412 FII - Sand 0To 14 10YR 211 Loamy Sand 14 To 27 1 OYR 4/1 Sand 27 To 31 1 OYR 6/1 Sand 31 To 38 1 OYR 2/2 Spodic Material 38 To 45 1DYR 3/3 Sand 45 To 57 7.5YR 4/6 CMN/PRM RF 54 To 57 10YR 212 Loamy Sand 57 To 72 USDA SOIL SERIES:Pendarvis Munsell #/Color sand Texture Depth 1 OYR 4/2 Fill - Sand 0 To 14 10YR 2/1 Loamy Sand 14 To 27 10YR 4N Sand 27 To 31 10YR 6/1 Sand 31 To 38 1 OYR 2/2 Spodic Material 38 To 45 1 OYR 3/3 Sand 45 To 57 7.5YR 416 CMN/PRM RF 54 To 57 10YR 2/2 Loamy Sand 57 To 72 OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE / ELOW 3 EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 54 INCHES [ ABOVE / EELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 54.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: 45 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) IS REMARKS/ADDITIONAL. CRITERIA I SWT determined using USDA WSS and soil borings. ommon prominent redox features 7.5YR416 mottles in 10YR313 matrix @ 54" in both borings. B 1 and SB 217" below BM SITE EVALUATED BY: Ingram Ran (Title: Environmental Specialist 1) (ENVIRONMENTAL HEALTH) DE 4015, 08/09 (Obsoletes previous edit ns which may not be used) Incorporated: 64E-6.001, PAC DATE: 03/16/2016 Page 3 of 4 AP1229681 EID344269 v1.0.2 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SCANNED BY St. Lucie County CONSTRUCTION PERMIT FOR: APPLICANT: William Aldridl PROPERTY ADDRESS: 290 LOT: 1-27 PERMIT 0 STDS New 33rd St Fort Pierce, FL 34946 64 &65 SUBDIVISION: PROPERTY ID #: llp-7702-1501-000-1 PERMIT #: 56-SF-02480 APPLICATION #: AP1229681 DATE PAID: FEE PAID• RECEIPT #: DOCUMENT #: PR1010662 osTDs #:00-0750-N [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 [ 1,350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 975 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ N F LOCATION OF BENCHMARK: BM paint corner Of transformer I ELEVATION OF PROPOSED SYSTEM SITE [ 17.0011[ E BOTTOM OF DRAINFIELD TO BE [ 47.0011[ FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT FT ] [ ABOVE FBjL0W L ], D FILL REQUIRED: [ 0.00 ] INCHES EXCAVATION REQUIRED: [ 45.00 ] IkNCHES 0 T H E R licensed contractor installing the system is responsible for installing the minimum category of tank in accordance s. 64E-6.013(3)(0, FAC. am sized for a maximum of 75 seats. icant must obtain an annual industrial and manufacturing operating permit before final approval will be given. SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist I APPROVED BY: , TITLE• Environmental Specialist I 6sian .T 1 am Ah DATE ISSUED: 03/24/201 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) MG0 Incorporated: 64E-6.003, PAC v 1.1.4 e1P1229661 SE989161 St' Lucie 2HD Page 1 of 3 SCANNED BY STATE OF FLORIDA St. Lucie County {~` DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: I,] New System [ ] Existing System [ ] Holding Tank [ ] Repair [ ] Abandonment [ ] Temporary APPLICANT: AGENT: PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: [ r [ ] Innovative I ] TELEPHONE: �12j-f `&-S7/,c-y MAILING ADDRESS: 16tO S6- CH,k- I i/_ U170i TO BE COMPLETED BY APPLICANT OR APPLICANT'S 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 DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: /-�'., BLOCK. G GSA SUBDIVISION: PROPERTY ID #: PLATTED: ZONING: I/M OR EQUIVALENT: [ Y/® ] PROPERTY SIZE: 1.4.q ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [X]<=2000GPD [ ]>20000PD IS. SEWER AVAILABLE PER 381.0065, FS? [ Y/O] ] DISTANCE TO SEWER: FT B�IAS PROPERTY ADDRESS: /-(?00 DIRECTIONS TO PROPERTY: p /,A'. Combo 1230 BUILDING INFORMATION Unit Type of NO Establishment I ( �[r✓ -ALA }iov� 2 3 4 [ ] Floor/Equipment Drains f-Y{H�t;4Y4:ANi [ ] RESIDENTIAL [)(I COMMERCIAL No. of Building Commercial/Institutional System Design Bedrooms Area Sq£t Table 1, Chapter 64E-6, FAC 3rxc�pITKn i-a [ ] Other (Specify) Ni1- DATE: .3 -14-) Li DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICATION # AP1229681 PERMIT # 56-SF-02480 DOCUMENT # SE989161 - APPLICANT: William Aldridge SCANNED CONTRACTOR / AGENT: William Aldridge R) LOT: 1-27 BLOCK: 64 &65 St. Lucie County SUBDIVISION: ID#: 1428-702-1501-000-1 TO BE COMPLETED HY 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: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 4.74 ACRES TOTAL ESTIMATED SEWAGE FLOW: 585 GALLONS PER DAY [ - RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 11849.98 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1462.60 SQFT BENCHMARK/REFERENCE POINT LOCATION: BM p6 ELEVATION OF PROPOSED SYSTEM SITE 17.00 of transformer / FT ] [ ABOVE /IBELOWI] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: FT PROPERTY LINES: 5 FT POTABLE WATER LINES: _ FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: SnTT. ARr1FTT.F. TNFORMATION SITE 1 [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [XIN03 FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD USDA SOIL SERIES:Pendarvis sand Munsell#/Color Texture Depth 1 OYR 412 Fill - Sand 0 To 14 1 OYR 211 Loamy Sand 14 To 27 10YR 4/1 Sand 27 To 31 1 OYR 6/1 Sand 31 To 38 10YR 212 Spodic Material 38 To 45 10YR 313 Sand 45 To 57 7.5YR 4/6 CMN/PRM RF 54 To 57 10YR 2/2 Loamy Sand 57 To 72 nrT_ RDnCTT.0 TNRnRMLTTr1N CTTF. i USDA SOIL SERIES:Pendarvis sand Munsell #/Color Texture Depth 10YR412 Fill - Sand 0To 14 10YR 2/1 Loamy Sand 14 To 27 1 OYR 4/1 Sand 27 To 31 10YR 6/1 Sand 31 To 38 1 OYR 212 Spodic Material 38 To 45 1 OYR 3/3 Sand 45 To 57 7.5YR 4/6 CMNIPRM RF 54 To 57 1 OYR 212 Loamy Sand 57 To 72 OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE / ELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 54 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X]YES [ ]NO DEPTH: 54.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) IREMARKS/ADDITIONAL CRITERIA WSWT determined using USDA VISE and soil borings. Common prominent redox features 7.5YR416 mottles in 10YR3I3 matrix @ 54" In both borings. SB 1 and SB 217" below BM SITE EVALUATED BY: (ngram�rjan (Title: Environmental Specialist l) (ENVIRUNMEN IAL HtALIR) DR 4015, 08/09 (Obsolete. previous edit ns which may not be used) Incorporated: 64E-6.001, PAC AP1229681 EID344269 45 INCHES DATE: 03/16/2016 Page 3 of 4 V 1.0.2 I RECEIVED API; 2 6 2036 PERMIT #: 56-SF-02480 STATE OF FLORIDA DEPARTMENT OF HEALTH APPLICATION #: AP1229681 ONSITE SEWAGE TREATMENT AND DISPOSAL DATE PAID: SYSTEM FEE PAID: CONSTRUCTION PERMIT SCANNED RECEIPT #: BY DOCUMENT #: PR1010662 St. Lucie County osms #: 00-0750-N CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: William Aldridge PROPERTY ADDRESS: 2900 Industrial 33rd St Fort Pierce, FL 34946 LOT: 1-27 BLOCK: 64 &65 SUBDIVISION: PROPERTY ID #: 14Z6-7OZ-1S01-000-1 [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 [ 1.350 ] GALLONS / GPD Septic CAPACITY A [ ] GALLONS / GPD CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ D [ 975 ] SQUARE FEET SYSTEM R [ ] SQUARE FEET SYSTEM A TYPE SYSTEM: [x] STANDARD [ ] FILLED [ ] MOUND. [ ] I CONFIGURATION: [ ] TRENCH [x] BED [ N F LOCATION OF BENCHMARK: BM paint corner of transformer I ELEVATION OF PROPOSED SYSTEM SITE [ 17.001[ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 47.00If INCHES FT ][ABOVE BE{{LOW BENCHMARK/REFERENCE POINT L i D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 45.001 'INCHES 0 T H E R The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance With s. 64E-6.013(3)(0, FAC. System sized for a maximum of 75 seats. Applicant must obtain an annual industrial and manufacturing operating permit before final approval will be given. I(*!j SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist I { APPROVED BY: TITLE: Environmental Specialist Arian J I mn DATE ISSUED: 03/24/201 E DH 4016, 08109 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 181229661 SE969161 CHD Page 1 of 3 ,11 /&6a-CS4�Q3 =.a Q STATE OF FLORIDA i - DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM �t CONSTRUCTION INSPECTION AND FINAL APPROVAL. •A<oo aeiT" . APPLICATION #:AP1229681 PERMIT #:56-SF-02480 .DOCUMENT #:FI1087649 DATE PAID:03/14/2016 FEE PAID:515.00 RECEIPT #:56-PID-2903625 APPLICANT: William Aldridge AGENT: William Aldridge PROPERTY ADDRESS: 2900 Industrial 33rd St FortPierce, FL34946 LOT: 1-27 BLOCK: 64 &65 SUBDIVISION: ID#: 1420-702-1501-000-1 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. C 1 [ I TANK INSTALLATION [011 TANK SIZE [1] 1650.00 [21 [021 TANK MATERIAL Concrete [031 OUTLET DEVICE [041 MULTI -CHAMBERED ELYj N ] [051 OUTLET FILTER PolylokA1800 [061 LEGEND 1. 01-011-29DC4 2. 1073 WATERTIGHT [081 LEVEL [091 DEPTH TO LID DRAINFIELD INSTALLATION [101 AREA [1] 990 [21 SOFT [111 DISTRIBUTION BOX HEADER Y. 1121 NUMBER OF DRAINLINES 1. 6.00 2. [131 DRAINLENE SEPARATION [141 DRAINLINE SLOPE [151 DEPTH OF COVER [161 ELEVATION [ ABOVE / BELOW ]BM 42.00 [171 SYSTEM LOCATION [18] DOSING PUMPS [191 AGGREGATE SIZE (201 AGGREGATE EXCESSIVE FINES [211 AGGREGATEDEPTH FILL / EXCAVATION MATERIAL [ ] [22]; FILL AMOUNT [ ] [23] FILL TEXTURE [ ] [241 EXCAVATION DEPTH [ ] 1251 AREA REPLACED [ ] C261 REPLACEMENT MATERIAL Comments: Comments are on page 2. CONSTRUCTION I APPROVED / DISAPPROVED 1: FINAL SYSTEM L AppAOVED / DISAPPROVED ]: (Explanation of Violations on following page) SETBACKS [271 SURFACE WATER [281 DITCHES [291 PRIVATE WELLS [301 PUBLIC WELLS [311 IRRIGATION WELLS [321 POTABLE WATER [331 BUILDING FOUNDATIONS [341 PROPERTY LINES [351 OTHER FILLED / MOUND SYSTEM [361 DRAINFIELD COVER [371 SHOULDERS [381 SLOPES (39] STABILIZATION FT FT FT FT FT FT 10 FT 9 FT FT ADDITIONAL INFORMATION [ ] [401 UNOBSTRUCTED AREA [ ] [411 STORMWATER RUNOFF L 1 [421 ALARMS [ ) [431 MAINTENANCE AGREEMENT I 1 [441 BUILDING AREA [ ] [451 LOCATION CONFORMS WITH SITE PLAN [ 1 [461 FINAL SITE GRADING [ 1 [471 CONTRACTOR [ ] [481 OTHER INFILTRATOR ARC 24 ABANDONMENT [ ] 149] TANK PUMPED [ ] [501 TANK CRUSHED 6 FILLED St. Luce CHD DATE: 08/01/2016 St. DH 40160 OB/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EH Database v 1.0.1 AP1229601 . EID343269 CHO DATE: 12/15/2016 Page 2 of 3 i APPLICATION #:AP1229681 4° STATE OF FLORIDA PERMIT #:56-SF-02480 DEPARTMENT OF HEALTH DOCUMENT #:FI1087649 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DATE PAID:03/14/2016 CONSTRUCTION INSPECTION AND FINAL APPROVAL, •h�°4 - FEE PAID:515.00 RECEIPT #:56-PID-2903625 Violation Number Comment Comments No violations, system ok to cover. Contractor notified onsite. 6x11 long ARC 24 chambers. New 1550 ST. Waifing for plumbing license before final approval. NEEDS IM PERMIT BEFORE FINAL APPROVAL IM permit applied for and given. William T Aldridge. Aldridge and sons Plumbing Contractor Inc. certified plumbing contractor. Final system approved. Building department emailed final approval. DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v1.0.1 AP1229681 E10644269