HomeMy WebLinkAboutHealth Dept. Final ApprovalAPPLICATION #: AP 1420854
STATE OF FLORIDA PERMIT #:56 -SF -1907904
DEPARTMENT OF HEALTH DOCUMENT #: F11398681
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:02/05/2020
FEE PAID -95.00
RECEIPT #:56 -PID -4288093
APPLICANT: Raphael Henri
AGENT: Scientific Construction
PROPERTY ADDRESS: 12103 Riverbend Rd Port Saint Lucie, FL 34984
LOT: 6
SUBDIVISION:
BLOCK:
Bay St. Lucie ID#: 4422-502-0010-000-2
[
[ ] [22]
FILL AMOUNT
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
[ ] [23]
FILL TEXTURE
TANK INSTALLATION
SETBACKS
[ ] [24]
[ ]
[01]
TANK SIZE [1] 1537.00 [2]
[ ] [27]
SURFACE WATER 75
FT
[ ]
[02]
TANK MATERIAL Polypropylene
[ ] [28]
DITCHES 15
FT
[ ]
[03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ]
[04]
MULTI-CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER PolylokPL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70-143-16DC4 2,
[ ] [32]
POTABLE WATER 100
FT
[ ]
[07]
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 40
FT
[ ]
[08]
LEVEL
[ ] [34]
PROPERTY LINES 5
FT
[ ]
[09]
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 905.6 [2] SQFT
[ ] [36]
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 8.00 2.
[ ] [38]
SLOPES
[ ]
[13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 04./17/2020
[ ]
[14]
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [ AHOVE / BELOW ]BM 7.00
[ ] [40]
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ] [42]
ALARMS
[ ]
[19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[
[ ] [22]
FILL AMOUNT
[ ] [47]
CONTRACTOR Abner Leyva (Leyva Plumbing
[ ] [23]
FILL TEXTURE
[ ] [48]
OTHER
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
42
CONSTRUCTIONI APPROVED / St. Lucie CHD DATE: 02/06/2020
DISAPPROVED Enviro ntal Specialist 11,506_n ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : St. Lucie CHD DATE: 04/17/2020
Environmental Specialist II 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 Page 2 of 3
EH Database v 1.0.1 AP1420854 EID1907904
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1420854
PERMIT #:56 -SF -1907904
DOCUMENT # : FI 1398681
DATE PAID:02/05/2020
FEE PAID:95.00
RECEIPT #:56 -PID -4288093
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 580
gpd.
The outlet effluent transmission line between the tank and header pipe is back pitched up. The header pipe enters the drainline
through the bottom of the end cap. The footer pipe enters the end cap through the top of the end cap. This is not in accordance
with the manufactures installation manual.
All violations corrected. No other violations. System ok to cover. Contractor notified onsite. Final inspection required for mound
system and final site grading.
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 AP1420854 EID1907904