HomeMy WebLinkAboutSewager,
-
H
APPLICATION #:,AP1.1:03624
STATE OF FLORIDA
DEPARTMENT OF HEALTH
PERMIT #:56-SF-146541'5
•
DOCUMENT #:..F1:909290
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL,
DATE PAID.:.04/17/20.13
+,fin waz
FEE PAI015.00
RECEIPT #:56-PID-2119102
APPLICANT: Jane Emmons
AGENT: Jason HarflS (All About Septic Services, Inc/Jason & Elizabeth Harris)
PROPERTY ADDRESS: 526 Campbell Rd Fort Pierce, FL 34950
LOT: BLOCK:
SUBDIVISION: ID# : 2309432-0001-000-8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR. -RULE AND MUST BE CORRECTED:
TANK INSTALLATION
SETBACKS
[ ] [01] TANK SIZE [1] 1050.00 [2] [ ]
[271
SURFACE WATER 398
FT
[ ] (02] TANK MATERIAL Concrete [ ]
[281
DITCHES 20
FT
[ ] (031 OUTLET DEVICE [ ]
[291-
PRIVATE WELLS 80
FT
[ ] (04] MULTI -CHAMBERED [ Y LNJ[ ]
[301
PUBLIC WELLS N/A
FT
[ ] [05] OUTLET FILTER Polylok [ ]
[511
IRRIGATION WELLS N/A
FT
[ ] [06] LEGEND 1. 01-011-03DC4 2. [ ]
[321
POTABLE WATER N/A
FT
[ ] [07] WATERTIGHT [ ]
[33]
BUILDING FOUNDATIONS 7
FT
[ ] [08] LEVEL [ ]
[34]
PROPERTY LINES 45
FT
[ ] [091 DEPTH TO LID [ ]
[351
OTHER N/A
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 667 [2] SQFT [ ]
[36]
D.RAINFiELD COVER
[ ] (111 DISTRIBUTION BOX HEADER X [ ]
[371
SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 5.00 2. [ ]
[381
SLOPES
[ ] [13] DRAINLINE SEPARATION [ ]
[39]
STABILIZATION.
[ ] (14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM $.00 [ ]
[40]
UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [ ]
[411
STORMWATER RUNOFF
[ ] [18] DOSING PUMPS ( ]
[421
ALARMS
[ ] [19] AGGREGATE SIZE [ ]
[431
MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [ ]
[441
BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ]
[451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL
[ ] [461
FINAL SITE GRADING'
[ ] [22] FILL AMOUNT
[ ] [4.71
CONTRACTOR
[ ] [23] FILL TEXTURE
[ ] [481
OTHER
[ ] [24] EXCAVATION DEPTH
ABANDONMENT`
[ ] [25] AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL
( ] 1501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ EROE
/
DISAPPROVED ]:
FINAL SYSTEM [ APPROVED / DISAPPROVED ];
(Explanation of Violations on following page)
Lucie CHD DATE.: 06/19/2013
itof Health In St. Lu
6✓ St. Lucie CHD DATE : 10/10/2013
tewoo(Department o ealth in S
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
PH f)ahhocn ., a n 4
AP1103524 EID1466416
Page 2 of 3
., STATE OF FLORIDA
DEPARTMENT OF HEALTH
�• ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1103624
PERMIT # : 56-SF-1465415
DOCUMENT #: F1909290
DATE PAID:04117/2013
FEE PAI015.00
RECEIPT # :56-PI D-2':119192
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons.(2 per bedroom), for a total estimated flow of 400
9pd•
Duncan Final 6121/13
DH 4016, 08109 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1103524 EID1466415
Page 2 .of 3