HomeMy WebLinkAboutHealth Department Septic Approval APPLICATION #:AP1264902
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STATE OF FLORIDA PERMIT #.56-SF-1722840
DEPARTMENT OF HEALTH DOCUbiENT #:FI1086978
ONSITE SEWAGE TREATMENT AM DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:11128/2016
W*z FEE PAID:65.00
RECEIPT #:56-PID-3147386
APPLICANT: Midway Baptist Church
AGENT: Jamie DiFrancesco(All Contractor Services) L
PROPERTY ADDRESS: 1108WMidway Rd Fort Pierce, FL 34982
LOT: BLOCK: 40
SUBDIVISION: White City xD#. 3404-501-0229-000.8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
E 1 [011 TANK SIZE [11 [21 [ I E271 SURFACE WATER FT
C 1 [021 TANK MATERIAL [ j [281 DITCHES,! FT
C I E031 OUTLET DEVICE [ j (29] PRIVATE WELLS FT
C 1 [041 MULTI-CHAMBERED C Y N j C ) E301 PUBLIC WELLS FT
[ 1 [051 OUTLET FILTER [ 1 [313 IRRIGATION WELLS FT
( 1 1061 LEGEND 1. 2. C 1 [321 POTABLE WATER FT
1 [071 WATERTIGHT C 1 (331 BUILDING FOUNDATIONS FT
1 [081 LEVEL E 1 (341 PROPERTY LINES FT
1091 DEPTH TO LID 1 [351 OTHER FT
DRAINPXELD INSTALLATION FILLED MOUND SYSTEM
[161 AREA [11 [21 SQFT 1 (363 DRAZNFIELD COVER
E 1 [113 DISTRIBUTION BOX HEADER 1 -1 [371 SHOULDERS,
[ 1 [121 NUMBER OF DRAINLINES 2. E 1 [381 SLOPES
.1 1 [131 DRAMINE SEPARATION [ 1 [391 STABILIZATION
[141 DR&XNLINE SLOPE
E I E151 DEPTH OF COVER ADDITIONAL INFORMATION
[161 ELEVATION ABOVE BELOW ]BM ( 1 [403 UNOBSTRUCTED AREA
I [171 SYSTEM LOCATION ( 1 1411 STORWRATER RUNOFF
1 [181 DOSING PUMPS ( 1 (421 ALARMS
1 [191 AGGREGATE SIZE C 1 [431 MAINTENANCE AGREEMENT
1 [201 AGGREGATE EXCESSIVE PINES E 1 1441 BUILDING :AREA
C 1- [211 AGGREGATE DEPTH E 1 [451 LOCATION CONFORMS WITH SITE PLAN
[ 1 [461 FINAL SITE GRADING
FILL / EXCAVATION MATERIAL I I
E 1 [22] FILL AMOUNT E 1 [471 CONTRACTOR Jamie DFrancesco(All Cont
[ 1 [233 FILL. TEXTURE [ 1 [481 OTHER
[ 3 [243 EXCAVATION DEPTH ABANDONMENT
E 1 [251 AREA REPLACED C 1 [491 TANK PUMPED 1.211212016
E ] [261 REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED & FILLED 12/13/2016
Comments: Comments are on page 2.
St Lucie CHD DATE: 12/13/2016
CONSTRUCTION DISAPPROVED n - --
Environmental SpeciafisyM!"' n J ingrain(ENVIRONMENTAL HEALTH)
FINAL SYSTEM DISAPPROVED St. Lucie CHD DATE: 12/13/2016
Envii,onmental specialist 11 n J ingrain(FNV1RE)NmRRTA-r=LTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 2 of 3
EH Database v 1.0.1 AP1264902 EID1722 I 84D
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APPLICATION #:AP1264902
t - STATE OF FLORIDA PERMIT #:56-SF-1722840
~ DEPARTMENT OF HEALTH
;nocur>ENT #:F 11086978
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DATE PAID:11/28/2016
'syr ' CONSTRUCTION INSPECTION AND FINAL APPROVAL
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FEE PAID:65.00
RECEIPT #:56-PID-3147386
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Violation Number Comment
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Comments
Tank pumped 12/12/16 and crushed and inspected 12/13/16.
No violations,system ok to cover.Contractor notified by phone. Final approval emailed to contractor.
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DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1AP1264902 EID1T22B40
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