HomeMy WebLinkAboutHeatlh department approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Earnie and Carolyn Rodriguez
AGENT: Pace 2000, Inc
PROPERTY ADDRESS: 2351 S Brocksmith Fort Pierce, FL 34945
LOT: 6 BLOCK: 2
APPLICATION # : AP 1450402
PERMIT # : 56-S F-2011906
DOCUMENT # : FI 1464990
DATE PAID-10/29/2019
FEE PAID :545.00
RECEIPT #:56-PID-4209727
SUBDIVISION: McNurlen Farms ID#: 2320-501-0022-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 1090.00 [2]
[ 02 ] TANK MATERIAL Polypropylene
[03] OUTLET DEVICE
[04] MULTI -CHAMBERED [ Y N ]
[05] OUTLET FILTER Polylok PL-68
[ 06 ] LEGEND 1. 70-143-11 DC4 2.
[07] WATERTIGHT
[08] LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[10] AREA [1] 504
[11] DISTRIBUTION BOX
[12] NUMBER OF DRAINLINES
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[151 DEPTH OF COVER
[16] ELEVATION [ ABOVE
[17] SYSTEM LOCATION
[18] DOSING PUMPS
[19] AGGREGATE SIZE
[20] AGGREGATE EXCESSIVE FINES
[21] AGGREGATE DEPTH
SETBACKS
[ ] [271
SURFACE WATER
FT
[ ] [281
DITCHES
FT
[ ] [29]
PRIVATE WELLS
100
FT
[ ] [301
PUBLIC WELLS
FT
[ ] [311
IRRIGATION WELLS
FT
[ ] [32]
POTABLE WATER
67
FT
[ ] [331
BUILDING FOUNDATIONS
8
FT
[ ] [34)
PROPERTY LINES
100
FT
[ ] [351
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [361
DRAINFIELD COVER
[ ] [37]
SHOULDERS
( ] [381
SLOPES
[ ] [391
STABILIZATION 08/06/2020
ADDITIONAL INFORMATION
[ ] (40]
UNOBSTRUCTED AREA
[ ] [41]
STORMWATER RUNOFF
[ ] [42]
ALARMS
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [441
BUILDING AREA
[ ] (45]
LOCATION CONFORMS WITH
SITE PLAN
[ ] [46]
FINAL CTMV GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [22]
FILL AMOUNT [ ]
[47]
CONTRACTOR Jeff Nelson (JEFFREY K NEL
[ ] [23]
FILL TEXTURE [ ]
[48]
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [ ]
[491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL [ ]
[50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED
[21 SQFT
HEADER X
1. 5.00 2.
BELOW ] BM 7.00
DISAPPROVED ] _(V I � r o2 St. Lucie CHD
vi onmental Specialist II Brian �J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED DISAPPROVED ]: St. Lucie CHID
Envi onmental Specialist I Hunter A Collier (Florida Department of Hea
(Explanation of Violations on following page)
DATE: 05/27/2020
DATE: 08/06/2020
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1450402 EID2011906
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 1450402
PERMIT # : 56-S F-2011906
DOCUMENT #:F11464990
DATE PAID :10/29/2019
FEE PAID :545.00
RECEIPT #:56-PID-4209727
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
apd.
Vew ST, filter, and 2x9+3x8 long TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs
`inal inspection for mound system and final site grading.
=inal system approved. Emailed to contractor and building department.
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 AP1450402 EID2011906