HomeMy WebLinkAboutHealth Dept, final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Leydi Hernandez & Yeimy Cruz
AGENT:
PROPERTY ADDRESS: 5402 HickoryDr Fort Pierce, FL 34982
LOT: 2 BLOCK: 58
APPLICATION #:AP1420421
PERMIT #:56-SF-1969308
DOCUMENT # : FI 1495879
DATE PAID : 06/24/2019
FEE PAID:515.00
RECEIPT #:56-PID-3997079
SUBDIVISION:
Indian River Estates ID#: 3402-609-0220-000-0
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] 483.00
[ ] [271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 15 FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS FT
[ ] [041
MULTI -CHAMBERED [ Y N ]
[ ] [301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER PolylokPL-68
[ ] 1311
IRRIGATION WELLS 64 FT
[ ] [061
LEGEND 1. 70-143-11DC4 2. 70-143-54SC4
[ ] [321
POTABLE WATER 43 FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 8 FT
[ ] [081
LEVEL
[ ] [341
PROPERTY LINES 5 FT
[ ] [091
DEPTH TO LID
[ ] [351
OTHER FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 679.2 [21 SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1, 10.00 2.
[ ] [38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 09/23/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 5.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS 1.00
[ ] [42]
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] .[20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [47]
CONTRACTOR Abner Leyva (Leyva Plumbing
[ ] [22]
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/
St. Lucie CHD DATE: 06/16/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED ] ' Environ ental Specialis
Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL, SYSTEM
[ APPROVED / DISAPPROVED ]: -~
St. Lucie CHD DATE: 09/23/2020
Environmental Speci I'
t II 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 AP1420421
EID1969308
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1420421
PERMIT #:56-SF-1969308
DOCUMENT # : FI 1495879
DATE PAID : 06/24/2019
FEE PAID.515.00
RECEIPT #:56-PID-3997079
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and 10x6 long BED DF installed. No violations, system ok to cover. Contractor notified onsite. System appears to
be installed as a filled system. Hold final for filled system and final site grading.
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 AP1420421 EID1969308