HomeMy WebLinkAboutHealthe Dept ReportSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Duane Bowman
AGENT: Ralph Chapin
PROPERTY ADDRESS: 8202 Lakeland Blvd Fort Pierce, FL 34951
LOT: 2 BLOCK: 87
SUBDIVISION: Lakewood Park ID#:
APPLICATION #:AP317277
PERMIT #:56 -SF -08244
DOCUMENT #:F11451417
DATE PAID: 05/12/2005
FEE PAID:405.00
RECEIPT #:S050512003
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ 1 [011
TANK SIZE [11 1090.00 [21
[ 1 [ 021
TANK MATERIAL Polypropylene
[ 1 [031
OUTLET DEVICE
[ 1 [041
MULTI-CHAMBERED [ Y N 1
[ 1 [051
OUTLET FILTER Polylok PL -68
[ ] [06]
LEGEND 1. 70-143-11DC4 2.
[ ] [071
WATERTIGHT
[ ] [081
LEVEL
[ 1 [091
DEPTH TO LID
DRAINFIELD INSTALLATION
[ 1 [101
AREA [11 384.88 [21
SQFT
[ 1 [111
DISTRIBUTION BOX HEADER
X
[ 1 [121
NUMBER OF DRAINLINES 1. 4.00 2.
[ 1 [131
DRAINLINE SEPARATION
[ 1 [141
DRAINLINE SLOPE
[ 1 [151
DEPTH OF COVER
[ 1 [161
ELEVATION [ ABOVE / BELOW IBM
17.00
[ 1 [171
SYSTEM LOCATION
[ ] [181
DOSING PUMPS
[ 1 [191
AGGREGATE SIZE
[ 1 [201
AGGREGATE EXCESSIVE FINES
[ ] [211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ 1 [221 FILL AMOUNT
[ 1 [231 FILL TEXTURE
[ 1 [241 EXCAVATION DEPTH
[ 1 [251 AREA REPLACED
[ 1 [261 REPLACEMENT MATERIAL
Comments: Comments are on nacre 2.
SETBACKS
[271 SURFACE WATER
[281 DITCHES
[291 PRIVATE WELLS
[301 PUBLIC WELLS
[311 IRRIGATION WELLS
[321 POTABLE WATER
[331 BUILDING FOUNDATIONS
[341 PROPERTY LINES
[351 OTHER
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
[371 SHOULDERS
[381 SLOPES
50 FT
FT
75 FT
FT
FT
35 FT
5 FT
5 FT
FT
[391 STABILIZATION 07/22/2020
ADDITIONAL INFORMATION
[401 UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[42] ALARMS
[431 MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[461 FINAL SITE GRADING
[471 CONTRACTOR MICHAEL W STUHR (ASHTO
[481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
[ 1 [491 TANK PUMPED
[ 1 [501 TANK CRUSHED & FILLED
CONSTRUCTION IAPPROVED / St. Lucie CHD
DISAPPROVED ] ' Environ ental Specialist II Bri Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Environmental Specialist IIBy�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 AP317277 EID350171
DATE: 06/16/2020
DATE 07/22/2020
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 #: AP317277
PERMIT #:56 -SF -08244
DOCUMENT #:F11451417
DATE PAID . 05/12/2005
FEE PAID:405.00
RECEIPT #:S050512003
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd•
New ST, and 4x8+2x9 long TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for filter installation verification, filled system, 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 AP317277 EID350171