HomeMy WebLinkAboutHealth department Approvals From: 08/03/2020 13:00 #811 P.004
eBridge Web Viewer Page 1 of 1
�(ltt APPLICATION #:AP•1222016
STATE OF FLORIDA PERMIT H:56-SF-1002734
' DEPARTMENT OF HEALTH DOCUMENT #:F]1040694
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:01/26/2016
ill Yt Sw.
FEE PAID:65.00
RECEIPT #:56-PID-2882835
APPLICANT: State of Florida DOT
AGENT: Meeks Plumbing,Inc.
PROPERTY ADDRESS: 1840 Kings Hwy Fort Pierce, FL 34951
LOT: BLOCK:
SURD M SION: iDtl: 2313-322-0003-000.7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
( ] (OS] TANK SIZE [1] [2] [ 1 [27] SURFACE WATER FT
I 1 [021 TANK MATERIAL [ 1 [28] DITCHES FT
[ 1 [03] OUTLET DEVICE [ 1 [291 PRIVATE WELLS FT
[ 1 [041 MULTI-CHAMBERED [ Y / N ] [ 1 1301 PUBLIC WELLS FT
I 1 [05] OUTLET FILTER ( 1 [311 IRRIGATION WELLS FT
[ 1 [061 LEGEND 1. 2. [ 1 (321 POTABLE WATER FT
( 1 [071 WATERTIGHT I 1 [33) BUILDING FOUNDATIONS FT
[ 1 (081 LEVEL [ 1 [34] PROPERTY LINES FT
[ 1 [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ 1 1101 AREA t1] [21 SQFT L ] [36] DRAINFIELD COVER
( ] [11) DISTRIBUTION BOX HEADER [ ] (37] SHOULDERS
( ] (12] NUMBER OF DRAINLINES 1. 2. [ 1 [38] SLOPES
( ] [131 DRAINLINE SEPARATION L 1 [39] STABILIZATION
( ] [14] DRAINLINE SLOPE
[ ) [151 DEPTH OF COVER ADDITIONAL INFORMATION
( ] [16] ELEVATION ( ABOVE / HELOt4 )BM [ ] [40] UNOBSTRUCTED AREA
( ] [17] -SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
( I [18] DOSING PUMPS [ ] 1421 ALARMS
[ J [19] AGGREGATE SIZE [ ] [43J MAINTENANCE AGREEMENT
( J 120] AGGREGATE EXCESSIVE FINES ( 1 [44] BUILDING AREA
[ ] 1211 AGGREGATE DEPTH I ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL I 1 [46] FINAL SITE GRADING
[ ) [22) FILL AMOUNT ( 1 [471 CONTRACTOR RONALD E MEEKS(0000245
I ] [23] FILL TEXTURE [ 1 [48] OTHER
[ ] (24) EXCAVATION DEPTHARAND T
[ 1 [25] AREA REPLACED ( ] [4 T __PUMPED 02/26/2016
[ 1 [261 REPLACEMENT MATERIAL [ ] [50 K CRUSHED 6 FILLED 02126/2016
Comments: Comments are on page 2.
71
CONSTRUCTION [ AP,PROVED]/ St.Lucie_ CUD DATE: 02/26/2016
DISAPPROVED 1: En u 1 'clow Fac t(Depa ntolHealthlnSl EeCounty)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St.Lucie CHD DATE: 02/26/2016
En p11Victor FaconWepartmento ealt in stucle ounty]
(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 Daial)pse a 1.0.1 AP1222016 @.101002734 1
https://s1.ebridge.cam/ebridge/3.0/webviewerNiewer.aspx?ref=dkk5Ki7Exi°/D2fNvpTQt3gTLoOX... 7/22/2020