HomeMy WebLinkAboutHealth DeptAPPLICATION #:AP1373096
STATE OF FLORIDA
PERMIT #:56 -SF -1891681
y -+b DEPARTMENT OF HEALTH
ONSITE SEWAGE
SYSTEM
DOCUMENT #:F11466417
TREATMENT AND DISPOSAL
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:08/15/2019
1,
FEE PAID .25.00
RECEIPT #:56 -PID -4056246
APPLICANT: Jorge Perelli
AGENT: Jason Harris (All About Septic Services, Inc/Jason & Elizabeth Harris)
PROPERTY ADDRESS: 4914 Margaret Ann Ln Fort Pierce, FL 34946
LOT: 1 BLOCK: 2
SUBDIVISION: Green Acres ID#: 1430-700-0018-000-2
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] [
] [27]
SURFACE WATER 100 FT
[ ] [02] TANK MATERIAL Polypropylene [
] [28]
DITCHES FT
[ ] [03] OUTLET DEVICE [
] [29]
PRIVATE WELLS 78 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 11 FT
[ ] [07] WATERTIGHT [
] [33]
BUILDING FOUNDATIONS 5 FT
[ ] [08] LEVEL [
] [34]
PROPERTY LINES 5 FT
[ ] [09] DEPTH TO LID [
] [35]
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 384.88 [2] SQFT [
] [36]
DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [
] [37]
SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 2.00 2. [
] [38]
SLOPES
[ ] [13] DRAINLINE SEPARATION [
] [39]
STABILIZATION 08/05/2020
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 7,00 [
] [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 Jason Harris (All About Septi
[ ] [23] FILL TEXTURE [
] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH
ABANDONMENT
[ ] [25] AREA REPLACED [
] [49]
TANK PUMPED 04/03/2019
[ ] [26] REPLACEMENT MATERIAL [
] [50]
TANK CRUSHED & FILLED 04/03/2019
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED _
DISAPPROVED
St. Lucie CHD DATE: 04/05/2019
Environ ental Specialis ri
ngram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED DISAPPROVED ] :
St. Lucie CHD DATE: 08/05/2020
Env ronmental Specialist II
ian 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 AP1373096
EID1891681
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1373096
PERMIT #:56 -SF -1891681
DOCUMENT #: F11466417
DATE PAID:08/15/2019
FEE PAID:25.00
RECEIPT #:56 -PID -4056246
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
300 gpd.
New ST, outlet filter, and 1x16+1x18 TRENCH DF installed. Outlet pipe pack pitched. Drainlines greater than one alternative
drainfield product unit difference in length. Drainfield not level. Grass and palm trees less than 6" away from drainline. Contractor
notified of violations and sent inspection report and violations letter.
Construction inspection violations corrected. No other violations, system ok to cover. Contractor notified onsite. Needs final
inspection for potable water line setback, building foundation setback, filled system, gutters, building area, conformity with site
plan, and final site grading.
Onsite well with abandonment permit outside of 75' setback.
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 AP1373096 EID1891681