HomeMy WebLinkAboutHealth Department Septic Approval APPLICATION #:AP1411081
STATE OF FLORIDA PERMIT #:56-SF-1944584
DEPARTMENT OF HEALTH DOCUMENT #:F1 1495809
s ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:04/26/2019
FEE PAID:515.00
"VC, 5 _ Q a 5 RECEIPT #:56-PID-3913949
APPLICANT: Hector&Angelica Luna
AGENT: -- - -- -
PROPERTY ADDRESS: 1233 S Brocksmith Rd Fort Pierce, FL 34945
LOT:
LOT: BLOCK: `. ') 9 %Oz0
SUBDIVISION: ID#: 2317-214-0004-000-4
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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 [LIJ N ] [ ] [30] PUBLIC WELLS FT
[ ] [05'] OUTLET FILTER Polylok PL-68 [ ] [31] IRRIGATION WELLS 89 FT
[ ], [06] LEGEND 1. 70-143-11DC4 2. [ ] [32] POTABLE WATER 6 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 12 FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES 90 FT
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 679.2 [2] SQFT [ ] [36] DRAINFIELD COVER
[ } [11] DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 6.00 2. [ ] [38] SLOPES
[ ] {13] DRAI NLINE SEPARATION [ ] [39] STABILIZATION 09/23/2020
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 10.00 I [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 MICHAEL W STUHR(ASHTO
[ ] [23] FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [2.63, REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments.: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 03/31/2020
DISAPPROVED nviron ental Specials Ian J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM C APPROVED / DISAPPROVED ]: ti L St. Lucie, CHID DATE: 09/23/2020
Environmental Special I 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 r2 of 3
EH Database v 1.0.1 AP141.1081 EID1944584
• - 'df: APPLICATION #:AP1411081
• STATE OF FLORIDA PERMIT #:56-SF-1944584
DEPARTMENT OF HEALTH
DOCUMENT #:FI1495899
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:04/26I2019
FEE PA=D:515.00
RECEIPT #:56-PID-3913949
Violation Number Comment
Comments
The system is sized for 4 bedrooms with a maximum.occupancy of 8 persons(2 per bedroom),for a total estimated flow of 400
god.
New ST,filter,and 6x10 long BED DF installed. No violations,system ok to cover. Contractor notified onsite. Needs final
inspection for mound 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 0£ 3
EH Database v 1.0.1 AP1411081 EID1944584