HomeMy WebLinkAboutHealth Department Septic Approval APPLICATION #:AP1422845
• .d,i. STATE OF FLORIDA ` I V �� v `�'v�O PERMIT #:56-SF-1973299
� DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI 1427371
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:07/10/2019
FEE PAID:545.00
RECEIPT #:56-PID-4010732
APPLICANT: Brooke and Anthony Revels
AGENT: Pace 2000,Inc
PROPERTY ADDRESS: 8785 Moco Ln Fort Pierce, FL 34945
LOT: 1 BLOCK: 6
SUBDIVISION: Jay Gardens ID#: 2311-601-0068-000-0
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 100 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 75 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 9 FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES 25 FT
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 384 [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER x [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1, 4.00 2. [ ] [381 SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION 05/20/2020
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 15.00 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
.[ ] [18] DOSING PUMPS [ ] [42] ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
[ I [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 Jeff Nelson(Jeffrey Nelson Se
[ ] [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 / ._ St. Lucie cHD DATE: 03/19/2020
DISAPPROVED Envir ental Specialist) tan J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APpROVED / DISAPPROVED 1: rte- St. Lucie CHD DATE: 03/19/2020
Environmental Special) Brian 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 AP1422845 EID1973299
APPLICATION #:AP1422845
STATE OF FLORIDA PERMIT #:56-SF-1973299
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:0
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAm:07/10/210/2019
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FEE PAID•545.00
RECEIPT #:56-PID-4010732
Violation Number Comment
Comments
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 300
gpd.
New ST,filter,and 4x8 long TRENCH DF installed. No violations,system ok to cover. Contractor notified by phone. Needs final
inspection for mound system and final site grading.
Well inspected at construction inspection.
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 AP1422645 EID1973299