HomeMy WebLinkAboutInspection Docs (2) AP-;�ATION #:
STATE OF FLORIDA PERMIT o:56-SF-1905536
DEPARTMENT OF HEALTH
DOCUMENT #.FI1253249
.
, i... ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
11
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID: /30/2018
FEE PAID*65.00
RECEIPT #..56-PID-3810867
APPLICANT; John&_Dorothy Jarvis
AGENT: KYLE KELLY(K.R.K.ENTERPRISES, INC,/ENVIRO.TEKSVRS.INC.)
PROPERTY ADDRESS: 3940 Orange Ave Fort Pierce, FL 34947 DEC -12 pnia
LOT: BLOCK: LST. Lucie County, Permitting
SUBDIVISION: ID#: 2408-2334004-000-2 1
CHECKED EXI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
E 1 [011 TANK SIZE [11 [21 E j [271 SURFACE WATER FT
E 1 [021 TANK MATERIAL 1 1 [281 DITCHES PT
E 1 [031 OUTLET DEVICE E 1. [291 PRIVATE WELLS FT
E ] [041 MULTI-CHAMBERED E y J N, 3 t 1 [301 PUBLIC WELLS FT
[ 1 (051 OUTLET FILTER I 1 [311 IRRIGATION WELLS FT
L 1 [061 LEGEND 1. 2. C I E321 POTABLE 'WATER FT
1 [071 WATERTIGHT [ 1 [333 BUILDING FOUNDATIONS FT
1 [081 LEVEL [ 1 [341 PROPERTY LIKES FT
1 [093 DEPTH TO LID [ 3 135,1 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
E 1 [101 AREA Ell [21 SOFT [ 3 [361 DRAINFIELD, COVER
C 1 [111 DISTRIBUTION BOX HEADER 1 1 (371 SHOULDERS
C 1 [12] NUMBER OF DRAINLINES 1. 2. 1 [381 SLOPES
[131 DRAINLINE SEPARATION 1 [391 STABILIZATION
C 1 [143 DRAINLINE SLOPE
I I E151 DEPTH OF COVER ADDITIONAL INFORMATION
] [161 ELEVATION C ABOVE / BELOW IBX [ 1 [4,01 UNOBSTRUCTED AREA
1 [171 SYSTEM LOCATION [ ] [411 STOM01ATER RUNOFF
1 1181 DOSING PUMPS C 1 (421 ALARMS
1 [191 AGGREGATE SIZE E 1 (431 MAINTENANCE AGREEMENT
1 1201 AGGREGATE EXCESSIVE PINES C 3 [441 BUILDING AREA
1 [211 AGGREGATE DEPTH t 1 [451 LOCATION CONFORMS WITH SITE PLAN
FILL EXCAVATION MATERIAL t 1 1461 FINAL SITE GRADING
E 1 [223 FILL AMOUNT E 1 1471 CONTRACTOR
1 1 1231 FILL TEXTURE C 1 [491 OTHER
E 1 [24] EXCAVATION DEPTH ABANDONMENT
1 1 [251 AREA REPLACED t 1 (491 TANK PUMPED 12/06/2018
E 1 [261 REPLACEMENT MATERIAL *1 [501 TANK CRUSHED & FILLED 12106/2018
Comments: Comments are on page 2.
CONSTRUCTIONSt.Lucie CHD DATE. -12/06/201,8
DISAPPROVED 1: Environmental SupervisorI Dial6na S May(Florida Department of Healt
FINAL SYSTEM f DISAPPROVED 1: 'A"-,,— St. Lucie CHD DATE: 12106/2018
Environmental Supervisor I DianndS May(Florida Department of Heal
(Explanation of Violations on following pagel,
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
STATE OF FLORIDA PERMIT i:56-SF-1905536
4 DEPARTMENT OF HEALTH
DOCUMENT #:FI1253249
V-3) T
ONSIE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID.11/3012018
FEE PAID:65.00 .
RECEIPT #:56-PID-3810867
Violation Number Comment
Comments
900 gal septic tank crushed and filled.Small grease trap on S side of property appeared to have been previously filled with
concrete so the remaining top portion of tank was crushed.No violations observed.Abandonment satisfactory.Emailed to
contractor.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
incorporated: 64E-6.003, 'FAC Page 2 of 3