HomeMy WebLinkAboutHealth Dept reportSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Stacey Dyer
AGENT: Synergy Homes, LLC
PROPERTY ADDRESS: 15360 Sky King Dr Port Saint Lucie, FL 34987
LOT: 65 BLOCK:
SUBDIVISION: Treasure Coast Air Park ID#: 4224-501-0065-000-1
APPLICATION # : AP 1457017
PERMIT #:56 -SF -1770149
DOCUMENT #:F11451926
DATE PAID :12/10/2019
FEE PAID:545.00
RECEIPT #:56 -PID -4246996
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 1250.00 [2] 525.00
[ 02 ] TANK MATERIAL Polyethylene
[03] OUTLET DEVICE
[04] MULTI-CHAMBERED [ Y N ]
[05] OUTLET FILTER Polylok PL -68
[06] LEGEND 1. 70-156-12DC3
[07] WATERTIGHT
[08] LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[10] AREA [i] 600 [2]
[11] DISTRIBUTION BOX
[12] NUMBER OF DRAINLINES
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[15] DEPTH OF COVER
[16] ELEVATION [ ABOVE /
[17] SYSTEM LOCATION
[18] DOSING PUMPS
[19] AGGREGATE SIZE
[20] AGGREGATE EXCESSIVE FINE;
[21] AGGREGATE DEPTH
2, 70-156-05SC3
SQFT
HEADER X
1. 5.00 2.
BELOW ]BM 7,00
1.00
SETBACKS
/ EXCAVATION MATERIAL [ ]
[ ]
[ ] [27]
SURFACE WATER
FILL AMOUNT [ ]
FT
[ ] [28]
DITCHES
40
FT
[ ] [29]
PRIVATE WELLS
100
FT
[ ] [30]
PUBLIC WELLS
[49]
FT
[ ] [31]
IRRIGATION WELLS
100
FT
[ ] [32]
POTABLE WATER
69
FT
[ ] [33]
BUILDING FOUNDATIONS
11
FT
[ ] [34]
PROPERTY LINES
45
FT
[ ] [35]
OTHER
FT
FILLED
/ MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] [38]
SLOPES
[ ] [39]
STABILIZATION 07/16/2020
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
FILL
/ EXCAVATION MATERIAL [ ]
[ ]
[ ] [22]
FILL AMOUNT [ ]
[47]
CONTRACTOR Raymond Kane (ALL AM ERIC
[ ] [23]
FILL TEXTURE [ ]
[48]
OTHER ADS MPS -9 (9 pipes - 2 tier)
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [ ]
[49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL [ ]
[50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / / c St. Lucie CHD
DISAPPROVED ] ' En iro ental Specialist k9unter A Collier (Florida Department of Heal
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Environmental SpecialistI ian 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 AP•1457017 EID1770149
DATE: 06/25/2020
DATE: 07/16/2020
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 # : AP 1457017
PERMIT #:56 -SF -1770149
DOCUMENT #: F11451926
DATE PAID 12/10/2019
FEE PAID:545.00
RECEIPT #:56 -PID -4246996
The system is sized for 5 bedrooms with a maximum occupancy of 10 persons (2 per bedroom), for a total estimated flow of
460 gpd.
New septic tank installed. New filter. Libery 1/3 HP dosing pump, 525 gal dosing tank installed. 5x40' long DF installed. No
violations, system ok to cover. Contractor notified by phone. Needs final inspection for mound system, alarm, and final site
grading. Final 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
EH Database v 1,0.1 AP1457017 EID1770149