HomeMy WebLinkAboutHealth department approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Clyde Mitchell, JR
AGENT: George and Associates
APPLICATION #:AP1430523
PERMIT #: 56-SF-1 985487
DOCUMENT #:F11453070
DATE PAID - 08/26/2019
FEE PAID:545.00
RECEIPT #..56-PID-4074982
PROPERTY ADDRESS: 3552 Avenue S Fort Pierce, FL 34947
LOT: 18 & 19
BLOCK: 3
SUBDIVISION:
Sunland Gardens ID#: 2405-601-0060-000-2
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]
[ ] [271
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Polypropylene
[ ] [281
DITCHES
FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [04]
MULTI -CHAMBERED [ LLT N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [05]
OUTLET FILTER PolylokPL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 70-143-11D C4 2,
[ ] [32]
POTABLE WATER 39
FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 5
FT
[ ] [08]
LEVEL
[ ] [34]
PROPERTY LINES 18
FT
[ ] [09]
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] (10]
AREA [1] 504 [21 SQFT
[ ] [361
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X
1 ] [37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1, 7.00 2.
[ ] [38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 07/28/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 16.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ] (421
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ] [46]
FINAL SITE GRADING
I. ] [47]
CONTRACTOR CAVALIER PLUMBI (CAVAL
[ ] [22]
FILL AMOUNT
[ ] [48]
OTHER MINERAL AGGREGATE
[ ] [23]
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/
St. Lucie CHD DATE: 06/10/2020
CONSTRUCTION
L
APPROVED
DISAPPROVED ] ' EnviroWental Special is
yeXJ Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM ( APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 07/28/2020
En ironmental 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 Page 2 of 3
EH Database v 1.0.1 AP1430523 EID1985487
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1430523
PERMIT #:56-SF-1985487
DOCUMENT #:F11453070
DATE PAID . 08/26/2019
FEE PAID:545.00
RECEIPT # :56-PI D-4074982
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
3pd•
Vew ST, filter, and 21'x24' BED DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final inspection
'or filled 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
EH Database v 1.0.1 AP1430523 EID1985487