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HomeMy WebLinkAboutHealth Department Septic Approval (e71(-O(J ). /� ..--i---- 1 CLV ,r,: ".1.6.61 ., � l,�4P136. 94'CxZ ..'t ! STATE OF :FLORIDA ' v -PERMIT #:567 SF-1878'112 p ,'r .~t, A �,1' DEPARTMENT OF HEAL'1 i . ' `:. DOcor>ENT #:1=11224.'123 4). �> t .. ry �,."'_ • ONSITE SEWAGE TREATMi 1T AND DISPOSAL SYSTEMrii091'812018' ' _ CONSTRUCTION INSPECTIOt�AND FINAL APPROVAL DATE PAID. . FEE PA/D:235:0:0 I REcE/p.T #:56-PID-3723487 Atittic INT: ;Rotten Ewart AGENT: Jason.Harris(All About Septic Services,Inc) PROPERTY ADDRESS: 167 lr1)per)ai'Way :Fort Pierce, FL-34951 , LOT 6 BLOCK'; 4 SUBDIVISION: Bel Aire Estates ID#`: 1312-701-0084,000-9 � � � �. _r-'e., xbr; s.�, ��c., �.,.K.�^� r�-,: rte. t�z- tr-.sf r�.5z--- �_ r. ORECFf Balm'.^= TEMS ARE. N0i3:tO1ip,m�I!G1F Tani, wura= Cf iirt ErAre.t.id iii`CORSE ren, TANKINSTALLATION t SETBACKS . [ ] [01]. TANK SIZE 1i1 1090.00 [21 _._ 1 1 (27] SURFACE WATER FT 1 1 [021 TANK MATERIAL, Polyethylene ( 1 . [281 DITCHES. ST [ 1 (033 OUTLET DEVICE I 3 (29] PRIVATE WELLS 76 FT 1 3 (04] 1401,TI-C1LAMBERED [ Y / M 3 ] [307 PUBLIC WELLS . FT [ 1 1.05] OUTLET FILTER - POIylok PL-68 [ ]." [31] IRRIGATION WELLS . ' FT [ 3 . [063 LEGEND: 1, 70-143-11Dc4 2. 1 1 1321 . POTABLE WATER "33 . FT [ ] [073 WATERTIGHT [ ]: . [33] BUILDING FOUNDM,IONS 27, FT [ ] [081 LEVEL [ 3 [34:1 PROPERTY LINES 5 FT I 1 [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM I 1 (101 AREA (11 384.88 [2] . . sQFT [ ] [36] DRAINFIELD COVER 1 1. [11] DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS [ 3 [12] NUMBER,O? DRAINLINES 1. .6,ag, 2. I 3 [38] SLOPES 1 ] (131. DRAINLINE SEPARATION [ l [39] STABILIZATION [ ] [14]' DRAINLINE SLOPE • [ ] t15] DEPTH' .OF COVER ADDITIONAL INFORMATION [ ] (16) ELEVATION t ABOVE / BELOW IBM 13.00 [ 3 [4.01 UNOBSTRUCTED AREA ( I [171 SYSTEM LOCATION [ ] [41] STORMAATER RUNOFF ' ( J [18] DOSING PUMPS E. .3 (421 ALARMS ( 1 [19] AGGREGATE SIZE _ [ ] [43] MAINTENANCE AGREEMENT . I 1 [20] AGGREGATE EXCESSIVE FINES [ 1 [44] BUILDING AREA [ l (211 AGGREGATE DEPTH [ 1 [45] LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ 3 [46] FINAL SITE GRADING [ ] [22]. PILL AMOUNT [ 1 [471 CONTRACTOR Jason 1.larris(All About Septi [ 3 [23] FILL TEXTURE [ i 148] OTHER. INFILTRATOR Quick4 Plus EQ3e.LP • ( 3 (24] EXCAVATION DEPTH " `,' `pe- 7,(4.„ ,,s„:I (. 3 [253 AREA REPLACED! [ 3 (491 TANK PUMPED I 1 (26] REPLACEMENT HHTERIAL t'''[ '] (501 TANK, CRUSHED & FILLED Comments: Comments are on page .2. ` : CONSTRUCTION 1 APPROVED /' / '" `� "_--' St.Lucie CF DATE: 1010812018 , DISAPPHOVSD 3' Environmental Specialist II: an J Ingram(ENVIRONMENTAL HEALTH) ! FINAL S!STEM. [ APPROVED / / - Lucie ,CED DATE: 10/08/2018 1 DISAPPROVED 3: Environmental Spezia st li Brie J Ingram(ENVIRONMENTAL HEALTH) (Explanation of Violations on following page) DE 4016, 06/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1.0.1 AP1364794 EID1878112 , ,•• , • . , 1 $3'1/ .,4...--O. :•,"'" itel ; ;;iq15...7.4-:: . —1 I. -.., • AvinacA.TxoN ttAP1364794 irnr61j2- STATE OF FLORIDA-, 0PERMIT #t•.56,SFA 878112: ' 11'.`:: DEFARTMEINT OF HEALTH DOCUMENT #:P.11224123 ONSITE SNWAOLTREAitENT ANP DISPOSAL SYSTEM 1 812m CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID pra pAiD235.00 • . . • . RECEIPT 4:$6-1310-312$487 „ . . . . .. .. . • Violation Number Comment 1, : • ..... . ,.. Comments - . : ... _. The4y8110.1.404MArA118,00100;11:4410)0(010:: OUParVYe-Ofer0t1:$(2 per bedroom),for a total estimated flow of 300 j 0. gPtitttlWligtilt*****MISWi:ST,filter and 44+24 TRENCH DF Installed, No ifiolationsi system ok to 4,4_ t L._ cevq4PTf,W6eif6:6019tracftkliiAfkii'i0*fi*tritrafik*j'Thire.xOd7ahaaiarajthittTPirvaiP - . • - .. • . - • . . . • , . , . . ., . . , • , . . . . • ., . • • • , . . . - • , , • - . • ., . 1 i , . , . 1 . DE 40164 08/09 (Obsoletes all previous editions which may not be used) 1 Incorporated! 64E-6.003, PAC . Page 2 of 3 Eli Database v 1.0.1 AP1364794 E101878112 i 1 I • . . . ' .