HomeMy WebLinkAboutHealth Dept, final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Nathan Myers
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 19701 Kelly Rd Fort Pierce, FL 34945
LOT: 6 BLOCK:
APPLICATION #:AF'1396056
PERMIT #:56-SF-1921467
DOCUMENT #:F11449133
DATE PAID:02/04/2019
FEE PAID:515.00
RECEIPT #:56-PID-3853417
SUBDIVISION: ID# : 2222-600-0006-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [2]
[ ] [27]
SURFACE WATER 100
FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 87
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 100
FT
[ ] (041
MULTI -CHAMBERED [ Y N ]
[ ] [30)
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2.
[ ] [32]
POTABLE WATER 82
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 7
FT
[ ] [08]
LEVEL
[ ] [341
PROPERTY LINES 83
FT
[ ] [091
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 509.4 [21
SQFT
[ ] [36]
DRAINFIELD COVER
[ ] (111
DISTRIBUTION BOX HEADER
X
[ ] (371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 07/13/2020
[ ] [141
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ASOVE / BELOW ]BM
1.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] (41]
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] (21]
AGGREGATE DEPTH
[ ] (45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [461
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [221
FILL AMOUNT
[ ] [471
CONTRACTOR (Benjamin Drew"s Plumbing
[ ] [23]
FILL TEXTURE
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] (241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] (261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments:
Comments are on page 2.
CONSTRUCTION I APPROVED / St. Lucie CHD
DISAPPROVED EnviroE7ntal pecialist11 Bri i ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Environmental Specialist II an 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 AP1396056 EID1921467
DATE: 03/11 /2020
DATE: 07/13/2020
Page 2 of 3
4" STATE OF FLORIDA
1. DEPARTMENT OF HEALTH
c' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1396056
PERMIT #:56-SF-1921467
DOCUMENT # : FI 1449133
DATE PAID : 02/04/2019
FEE PAID:515.00
RECEIPT #:56-PID-3853417
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
3pd•
Vew ST, filter, and 5x9 long DF. No violations, system ok to cover. Contractor notified by phone. Needs final inspection for well
nspection/setback, potable water line setback, mound system, and final site grading.
=inal system approved. 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
EFI Database v 1.0.1 AP1396056 EID1921467