HomeMy WebLinkAboutHealth Department Septic Approval APPLICATION #:AP1436047
STATE OF FLORIDA PERMIT #:56-SF-1994435
DEPARTMENT OF HEALTH DocumENT #:F11433297
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE. PAm:1 O/O1IZO19
WR FEE PAID:660.00
I f ,) RECEIPT #:.56-PID-4164640
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APPLICANT: Caleb Holden I 1 V• �+
AGENT: Dave Golden(Dave Golden Homes)
PROPERTY ADDRESS: TBD Tree Top Trl Fort Pierce, FL 34951
LOT: BLOCK:
SUBDIVISION: ID#: 1418-214-0016.000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [013 TANK SIZE [1] 1090.00 [23 [ ] [273 SURFACE WATER 41 FT
[ ] [02] TANK MATERIAL Polypropylene [ 3 [28] DITCHES FP
[ ] [033 OUTLET DEVICE [ 3 [293 PRIVATE WELLS 100 FT
[ 3 [043 MULTI-CHAMBERED JLZJ N ] [ ] [303 PUBLIC WELLS FT
[ ] [053 OUTLET FILTER Polylok PL-68 [ 3 [313 IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-143-11DC4 2. [ 3 [323 POTABLE WATER 78 FT
[ ] [07] WATERTIGHT [ 3 [333 BUILDING FOUNDATIONS 9 FT
[ ] [083 LEVEL [ ] [343 PROPERTY LINES 35 FT
[ ] [09] DEPTH TO LID [ ] [35) OTHER FP
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [103 AREA [1] 509.4 [2] SQFT [ 3 [363 DRAINFIELD COVER
[ ] [113 DISTRIBUTION BOX HEADER X [ 3 [373 SHOULDERS
[ 3 [123 NUMBER OF DRAINLINES 1. 5.00 2. [ 3 [383 SLOPES
[ 3 [13] DRAINLINE SEPARATION [ 3 [39] STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW IBM 1.00 [ 3 [403 UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [413 STORMWATER RUNOFF
[ ] [183 DOSING PUMPS [ 3 [423 ALARMS
[ 3 [193 AGGREGATE SIZE [ 3 [43] MAINTENANCE AGREEMENT
I 3 [20] AGGREGATE EXCESSIVE FINES [ 3 [44] BUILDING AREA
[ 3 [213 AGGREGATE DEPTH [ 3 [453 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ I [463 FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ 3 [473 CONTRACTOR MICHAEL W STUHR(ASHTO
( 3 [23] FILL TEXTURE [ 3 [483 OTHER
[ ] [243 EXCAVATION DEPTH ABANDONMENT
[ 3 [25] AREA REPLACED [ 3 [493 TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ 3 [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 04/29/2020
DISAPPROVED Environ ental Specialist r Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 06/16/2020
ErNTrohmental Specialist rian 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, EAC Page 2 of 3
EH Database v 1.0.1 AP1436047 EID1994435
APPLICATIoN #:AP1436047
_ STATE OF FLORIDA PERMIT #:56-SF-1994435
DEPARTMENT OF HEALTH
DOCUMENT #:FI1433297
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PA=D:10/01/0/01/2019
VWX9 FEE PAID•660.00
RECEIPT #:56-PID-4164640
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 5xg 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 AP1436047 EID1994435