HomeMy WebLinkAboutInspection DocsSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: P&C Construction of the Treasure Coast, LLC
AGENT: P&C Construction of the Treasure Coast, LLC
PROPERTY ADDRESS: 5260 Deanna Ln Fort Pierce, FL 34950
LOT: 7
BLOCK: 4
APPLICATION # : AP1420203
PERMIT #:56-SF-1968919
DOCUMENT #:F11321863
DATE PAID:06/21/2019
FEE PAID: 6 5.0 0
RECEIPT # :56-BID-4230677
SUBDIVISION: Green Acres ID#: 1430-702-0031-000-5
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ]
[011
TANK SIZE [1] [21
[ 1
[021
TANK MATERIAL
[ ]
[031
OUTLET DEVICE
[ )
[041
MULTI -CHAMBERED [ Y / N ]
[ 1
[051
OUTLET FILTER
[ ]
[061
LEGEND 1. 2.
[ )
[071
WATERTIGHT
[ 1
[081
LEVEL
[ ]
[09)
DEPTH TO LID
DRAINFIELD INSTALLATION
[ 1
[101
AREA [1) [21 SQFT
[ ]
[11)
DISTRIBUTION BOX HEADER
[ 1
[121
NUMBER OF DRAINLINES 1. 2.
[ 1
[131
DRAINLINE SEPARATION
[ ]
[141
DRAINLINE SLOPE
[ )
[151
DEPTH OF COVER
[ 1
[161
ELEVATION [ ABOVE / BELOW )BM
[ ]
[171
SYSTEM LOCATION
[ ]
[181
DOSING PUMPS
[ 1
[191
AGGREGATE SIZE
[ ]
[20)
AGGREGATE EXCESSIVE FINES
[ 1
[211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT
[ 1 [23) FILL TEXTURE
[ 1 [241 EXCAVATION DEPTH
[ ] (25) AREA REPLACED
[ 1 [261 REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
] [271
SURFACE WATER
FT
] (28)
DITCHES
FT
] [291
PRIVATE WELLS
FT
[301
PUBLIC WELLS
FT
] [31)
IRRIGATION WELLS
FT
] [321
POTABLE WATER
FT
1 [33)
BUILDING FOUNDATIONS
FT
] [341
PROPERTY LINES
FT
] [351
OTHER
FT
FILLED
/ MOUND SYSTEM
j [361
DRAINFIELD COVER
) [371
SHOULDERS
1 [381
SLOPES
] [391
STABILIZATION
ADDITIONAL INFORMATION
[401 UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[421 ALARMS
[431 MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[46) FINAL SITE GRADING
[471 CONTRACTOR
[481 OTHER
ABANDONMENT
[ ] [ 4 9 ] TANK PUMPED 09/19/2019
[ 1 [501 TANK CRUSHED & FILLED 09/19/2019
CONSTRUCTION L APPROVED / St. Lucie CHD
DISAPPROVED Envir ental Specialis B ' J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ): St. Lucie AHD
Environmental Specialist)] rian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page) ;
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
DATE: 09/1912019
DATE: 09/19/2019
Page 2 of 3
EH Database v 1.0.1 AP1420203 EID1968919
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1420203
PERMIT #:56-SF-1968919
DOCUMENT # : F 11321863
DATE PAID : 06/21 /2019
FEE PAID: 6 5.0 0
RECEIPT # :56-BID-4230677
Tank pumped and abandoned properly. No violations, system ok to cover. Contractor and 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 v 1.0.1 AP1420203 EID1968919