HomeMy WebLinkAboutHealth Dept ApprovalCONSTRUCTION [ APPROVED / DISAPPROVED l: ~
Enviroyynental Specialist
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:
En ironmental Spe isis
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1387666
1- St. Lucie CHD
ram (ENVIRONMENTAL HEALTH)
St. Lucie CHD
gram (ENVIRONMENTAL HEALTH)
t be used)
EID1908882
DATE: 03/11/2019
DATE: 08/12/2020
Page 2 of 3
APPLICATION #:AP1387666
Q" STATE OF FLORIDA
PERMIT #:56 -SF -1908882
DEPARTMENT OF HEALTH
DOCUMENT #: F1 1467029
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:12/12/2018
FEE PAID -515.00
RECEIPT #:56 -PID -3828138
APPLICANT: Bobby Garnett
AGENT: Bob Garnett Construction Inc
PROPERTY ADDRESS: 12331 Bay Tree Rd Jensen Beach, FL 34957
LOT: 18 & 19 BLOCK:
SUBDIVISION: ID # : 4504-602-0023-000-4
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] [
] [27]
SURFACE WATER FT
[ ] [02] TANK MATERIAL Polypropylene [
] (28]
DITCHES FT
[ ] [03] OUTLET DEVICE [
] [29]
PRIVATE WELLS 76 FT
[ ] [04] MULTI-CHAMBERED [ Y N ] (
] [30]
PUBLIC WELLS FT
[ ] [05] OUTLET FILTER POlylok PL -68 [
] [31]
IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-143-11DC4 2. [
] [32]
POTABLE WATER 25 FT
[ ] [07] WATERTIGHT [
] [33]
BUILDING FOUNDATIONS 6 FT
[ ] [08] LEVEL [
] [34]
PROPERTY LINES 16 FT
( ] [09] DEPTH TO LID [
] [35]
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 252 [2] SQFT [
] (36]
DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X (
] [37]
SHOULDERS
( ] [12] NUMBER OF DRAINLINES 1. 3.00 2. [
] [38]
SLOPES
[ ] [13] DRAINLINE SEPARATION [
] [39]
STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOw ]BM 60.00 [
] [40]
UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION (
] [41]
STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [
] [42]
ALARMS
[ ] [19] AGGREGATE SIZE [
] [43]
MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES (
] [44]
BUILDING AREA
[ ] [21] AGGREGATE DEPTH [
] [45]
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [
] [46]
FINAL SITE GRADING
[ ] [22] FILL AMOUNT [
] [47]
CONTRACTOR (OWNER)
( ] [23] FILL TEXTURE [
] [48]
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ] (24] EXCAVATION DEPTH
ABANDONMENT
[ ] [25] AREA REPLACED [
] [49]
TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL (
] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED l: ~
Enviroyynental Specialist
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:
En ironmental Spe isis
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1387666
1- St. Lucie CHD
ram (ENVIRONMENTAL HEALTH)
St. Lucie CHD
gram (ENVIRONMENTAL HEALTH)
t be used)
EID1908882
DATE: 03/11/2019
DATE: 08/12/2020
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 #:AP1387666
PERMIT #:56 -SF -1908882
DOCUMENT # : FI 1467029
DATE PAID: 12/12/2018
FEE PAID:515.00
RECEIPT #:56 -PID -3828138
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200
gpd.
New ST, outlet filter, and 3x7 long trench DF installed. No violation, system ok to cover. Owner/builder installed system. Notified
that it is ok to cover while onsite. Needs final inspection for well inspection/setback verification and potable water line setback.
Final system approved. Owner 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 AP1387666 EID1908882