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HomeMy WebLinkAboutHealth Dept. final approvalSTATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL APPLICANT: Edward Groenwoldt AGENT: Edward Groenwoldt PROPERTY ADDRESS: 7437 Gullottl PI LOT Port Saint Lucie, FL 34952 BLOCK. APPLICATION #:AP1506256 PERMIT #:56 -SF -1732142 DOCUMENT #:F11428547 DATE PAID:05/26/2020 FEE PAID: 470.00 RECEIPT #:56 -PID -4417570 SUBDIVISION: St. Lucie Gardens ID#: 3414-501-1106-100-9 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SYSTEM LOCATION [ ] [01] TANK SIZE [1] 1090.00 [2] [ ] [19] [ ] [02] TANK MATERIAL Polypropylene AGGREGATE EXCESSIVE FINES [ ] [03] OUTLET DEVICE FILL / EXCAVATION MATERIAL [ ] [04] MULTI-CHAMBERED [LIJ N ] [ ] [23] [ ] [05] OUTLET FILTER Polylok PL -68 EXCAVATION DEPTH [ ] [06] LEGEND 1. 70-143-11 DC3 2. [ ] [26] [ ] [07] WATERTIGHT Comments are on page 2. [ ] (08] LEVEL FT [ ] [09] DEPTH TO LID FT DRAINFIELD INSTALLATION [ ] [10] AREA [1] 384.88 [2] SQFT [ ] [11] DISTRIBUTION BOX HEADER X [ ] [12] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [13] DRAINLINE SEPARATION [ ] [14] DRAINLINE SLOPE [ ] [40] [ ] [15] DEPTH OF COVER [ ] [41] STORMWATER RUNOFF [ ] [42] [ ] [16] ELEVATION [ ABOVE / HELOW ]BM 3.00 [ ] [17] SYSTEM LOCATION [ ] [18] DOSING PUMPS [ ] [19] AGGREGATE SIZE [ ] [20] AGGREGATE EXCESSIVE FINES [ ] [21] AGGREGATE DEPTH FILL / EXCAVATION MATERIAL [ ] [22] FILL AMOUNT [ ] [23] FILL TEXTURE [ ] [24] EXCAVATION DEPTH [ ] [25] AREA REPLACED [ ] [26] REPLACEMENT MATERIAL Comments: Comments are on page 2. SETBACKS [ ] [27] SURFACE WATER FT [ ] [28] DITCHES FT [ ] [29] PRIVATE WELLS 100 FT [ ] [30] PUBLIC WELLS FT [ ] [31] IRRIGATION WELLS FT [ ] [32] POTABLE WATER 70 FT [ ] [33] BUILDING FOUNDATIONS 8 FT [ ] [34] PROPERTY LINES 8 FT [ ] [35] OTHER FT FILLED / MOUND SYSTEM [ ] [36] DRAINFIELD COVER [ ] [37] SHOULDERS [ ] [38] SLOPES [ ] [39] STABILIZATION 05/29/2020 ADDITIONAL INFORMATION [ ] [40] UNOBSTRUCTED AREA [ ] [41] STORMWATER RUNOFF [ ] [42] ALARMS [ ] [43] MAINTENANCE AGREEMENT [ ] [44] BUILDING AREA [ ] [45] LOCATION CONFORMS WITH SITE PLAN [ ] [46] FINAL SITE GRADING [ ] [47] CONTRACTOR Brian Davis (Brian Davis Sept [ ] [48] OTHER INFILTRATOR Quick4 Plus EQ36 LP ABANDONMENT [ ] [49] TANK PUMPED [ ] (50] TANK CRUSHED & FILLED CONSTRUCTION[ APPROVED / St. Lucie CHD DISAPPROVED ] ' Enviro fbntal Specialist 11 Ingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APpROVED / DISAPPROVED ]: St. Lucie CHD 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 EH Database v 1.0.1 AP1506256 EID1732142 DATE: 05/29/2020 DATE: 05/29/2020 Page 2 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Violation Number Comment Comments APPLICATION #:AP1506256 PERMIT #:56 -SF -1732142 DOCUMENT #:F11428547 DATE PAID:05/26/2020 FEE PAID:470.00 RECEIPT #:56 -PID -4417570 The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300 apd. 'onstruction inspection performed 3/22/2017, no violations. Permit expired without final approval. Owner repermitted system for Inal approval within 5 years of construction inspection. Owner submitted all required documentation. no changes to permitted -onditions. Final system approved. Contractor, building department, and owner 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 AP1506256 EID1732142 7347 Gullotti Place Port St Lucie, FL, 34952 Brian, This is a written statement affirming that nothing at the above address has changed that would affect the system as it was previously approved for construction, installed and inspected. Thank you, Edward Groenwoldt, owner.