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HomeMy WebLinkAboutHealth Department Septic Approval 11/01/2017 23:28 7725951306 SLCHD ENV HEALTH PAGE 02/03 A1�pLzQisTZON #:AP'1, !27` 2 6 6-S= 1 ,89t] ART1d M.w OF IIFAI�.'C1it DOC{t7tIENT.# )' '1: 70/'4 0141921MAg '1'amTMLmr AND:.1)TSPOSAL. SXS.wF GONSTAlJC .',};ON. INSPSCTION :AND FTNAl APPROVAL: DATE:1?AI:D 02/0q/201.7 x;00 ogzpT nP L ...... bistlafd`; I hi�y A[a��t� .AtGanh�d and'C3esigh,. . P..RdipaRTY'ausmmss:: TBD Spring.-Hill Dr Jerlsom Bea,6, FL AOA-7 LO ;r 0-palt.ip.M. stioCFC 1 9FA$DZSSdI's SpFing Hill. ITS#: .d9b4-Et114m0(19:$'�tit10=0 Cf1ECi( O 1X3 TEM .1 tE;NOS' IN :COMPtUANCE WS2'H STATUTE OR RULE."MD MUST bE CQFt1tE�' ED. TANK INSTAL3iATSON Sp!1�AC}£9 I 1 [91] TANK SIZE . [i.} 1.bS0.Ob... [�] [ .I G2'7!1 9bt7i'AaL 9ATnR FT [ '.1. [027; TANK.MTERT7.Al. ..Concrete. i i Mal ri'xFT M3.1 Ov%'Ew:DEVSCE' { ] 025.1 pxXvATE KQL'=8 - 75 FT C ]: r d3 MC3 xS ct�arrBsRED. FSTiTElZ POlylok.PL 122. [ J '[311' M. -TGATION WELLS FT :190 NO 9. 01t)3DC4. 2. [ 3 [:3z;3: 10TASLE wriTER 2 _,VT 4071'.j'. T+jATE}3,TZGHT ' I Iia] :g .44, OUNDATION9 'FT [ I lol.l. ZEVE7;. $ ] .044 .PROpERTY:`•.xI1+FE9 _. . .,..:...._S 'E'T [ [0:9]. DEPTH TO.LID L ] [35j ZT119R FT 2)i scFilty ):NvxZ tw slxznm:`.t MOUND!.:SYSTEM ' ,ASEA tij.•_,_, 804., 0'3:-..'. s4FT I I E`M. T5R142NPZEty 166vrn. I MlI);ST#tIBU"1!ION H03L'.. HERDER X E 1 (371 SROULd3ERS. . { 1 [1z3 NUMBER:iV'13RAZNLTMS--, 1,. a.aD 2;. [ ] ('38.1 416003 { .}' :[13] DRAxNZ;ZNE 8�PA2#ATION - I ] ["397. S!�P:�xz2ZltTtibN .T).Rf<sZ:tiLZNE St eiPE [ .] .[lsj - }7EP'n. or com. AbDETIONAE 1Nro mkTZQN. C I :[163 . ELEVATION ' ( -As . . .'HETpW 7RNt ,6 b0 [ ] [i�1.03. X)NQBSTRrICTED AREk . . ( ] ...1171:. :8Y9TEM'LOCAMICN' [ 7 [•Q�.]'. 3'TOTitiS T R:ItUl 05'L' E ]' [19y: .Q0011TO ii 5 [ J E421 ILTIA1W C '1l is ]' .7SC,GFi8GA3'Y' SI253, I I t-433 MAINTENANCE AGREEMENT {. ]. C.�207 _'AG4(;ATE. :MX ] C.44--y Buttb=O:ARTA .. { i ['911: AGGREGATE DEPTH [: a: Ca5:1 :L:OCATIC)1Z'cz*ol# tY NSI!H U." ptPN` FILL: / 'EXC19.V;V.XON'..MA.TMRIAL C 7 [463 ZMAL 'SXTM: GRADING L.. ] C2 7 >]E L;;.�►f3ptJ Tfi [ ] [473 CONTRACTOR David`Whitesido.fAdcyrat�Se 'Fz' seruRal I ] [4sj, oTH>3i INF(LTf2A'fCIR'Qu]ck4 E( 30{single e t-,.24j. mkdA T1.01; DE:.ptn* Ab?1NIJfJNMENT E .1" I�_153. Mtkk-REPLACED [ 1 '(49'3' •TANK tJiQT.q G 1 060„ .RELyWtbJENT L9L'SEA%64 E 1 C'5'0'3 TANt� CRUSHES FST�LE15 `Coiam�alll:a.:. Comt¢erit9 ase rsn'page �',: ... . •coNa�lZvcrox '1 �p�o�ro'�.:f :. .. Luele: AHD i�+iTE OS/'a!�1209x' D3:$AP2EiOV.Er3 1" EYtvlpbil 'enfalSpealellstllBfia grtn'•IENUIRONMEtITAL HE �L Ally. FZIIAL:55F;STSid E; }YFPAOtT1,C . / `DISTIP.PROVk[1 ]':: 5k LUcie CHD B.ATEt :1©%97!2017 nurforYrhantal SpgelAllsf ll M grmm JEMV(R NMENTA'L H�EALTHj (EzpS9t13!} l7T1:'Of Srlbla'k3.arttr.bn't'oIldPrang. iAga) - . D}t.4.f)16r."b'B%lJ9 (Ohsi6lbt6s: #11 whddh iney not bm used-) IricbipOrataiie 64E=5:.•Q09; -FAC. EBge-2 of 3' ;BH pafay'asp V t:D.;i` APi$76226 EID17:3890 11/01/2017 23:28 7725951306 SLCHD ENV HEALTH PAGE 03103 o> > rsl v Wide :n�t�z�: �'T rr� x>J��>Er . . . . ''aoccl�rxm�� �I 7'137b'��• ;0b13I!SE S�WAbl,. 9'IAt1xtI3 DSPOgAi •SI[S ON �r7r► srxAz APpl(ov� nam ��� t�2l�9���'i7 ""o.x elafii3r« lurnb`dr. .:Oo e - The systemls sued ford bedrobins with a:maximum•occupancy of,'8 persons:(2 pet tietlracrn) dor a total estimated:New of 400 gpd.N6w-.;$T and DEF..:�x 1,122► --�3 .chambers:. No violations,system`aK.to toner Cam#Tactor notified onsite.rveeda final inspeohon for gugt 1Nelf cheoEcedatconstrucupn iTtspectlpn. .Novidl tlonS;.finaisysfem gpp'roVe�•Confrsctpr•Opi4 Oidding&pertment:amailadingl sppmva1;, DH 401;6., Oi3/09• (Oh9016bas all:psevtvdlt iMhF *11 h may Act 3 e tisaed} xiidd*:Yatad: SAM-6..003� ma Page. � :of 3 EFI DAttUfaso'V 1;U;9 AE?971b226 ETd17$8905:, .. t APPLICATION #:AP 1275226 4" STATE OF FLORIDA PERMIT #:56-SF-1738905 DEPARTMENT OF HEALTH DOCUMENT #:F11137074 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:02/09/2017 -�� FEE PAID:515.00 RECEIPT #:56-PID-3182555 APPLICANT: Donald Glancy AGENT: Atlantic Land Design PROPERTY ADDRESS: TBD Spring Hill Dr Jensen Beach, FL 34957 LOT: 5 Part of 6 BLOCK: 1 SUBDIVISION: Spring Hill ID#: 4504-604-0012-000-0 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ 1 [013 TANK SIZE [13 1050.00 [2] [ 3 [273 SURFACE WATER FT [ ] [02] TANK MATERIAL Concrete [ 3 [283 DITCHES FT [ . 1 [033 OUTLET DEVICE [ ] [293 PRIVATE WELLS 75 FT [ ] [043 MULTI-CHAMBERED [ Y N 3 [ ] [303 PUBLIC WELLS FT [ ] [053 OUTLET FILTER Polylok PL-122 [ ] [313 IRRIGATION WELLS FT [ 3 1063 LEGEND 1. 01-011-03DC4 2. [ ] [323 POTABLE WATER 24 FT [ 3 [07] WATERTIGHT [ 3 [33] BUILDING FOUNDATIONS 5 FT [ 3 [083 LEVEL [ ] [34] PROPERTY LINES 5 FT [ 1 [093 DEPTH TO LID [ 1 (353 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM ( ] [10] AREA [1] 504 [23 SQFT [ 3 [36] DRAINFIELD COVER [ ] [113 DISTRIBUTION BOX HEADER X [ 3 [373 SHOULDERS [ ] [12] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [383 SLOPES [ 1 1131 DRAINLINE SEPARATION [ 3 [393 STABILIZATION [ 3 [14] DRAINLINE SLOPE [ 3 [15] DEPTH OF COVER ADDITIONAL INFORMATION [ ] [163 ELEVATION [ ABOVE / BELOW IBM 6.00 [ 3 [40] UNOBSTRUCTED AREA [ 3 [173 SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ 3 [18] DOSING PUMPS [ ] [42] ALARMS 1 3 [19] AGGREGATE SIZE [ ] [433 MAINTENANCE AGREEMENT [ 3 [20] AGGREGATE EXCESSIVE FINES [ ] [443 BUILDING AREA [ ] [21] AGGREGATE DEPTH [ 1 [45] LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ 3 [461 FINAL SITE GRADING [ ] [22] FILL AMOUNT [ 1 [47] CONTRACTOR David Whiteside(Accurate Se [ 3 1233 FILL TEXTURE [ 3 [48] OTHER INFILTRATOR Quick4 EQ36(single c ( 1 [24] EXCAVATION DEPTH ABANDONMENT [ ] [25] AREA REPLACED [ ] [4'9] TANK PUMPED [ 1 [263 REPLACEMENT MATERIAL [ 1 [50] TANK CRUSHED s FILLED Comments: Comments are on page 2. CONSTRUCTION IAPPROVED / DISAPPROVED 3: Lucie CHD DATE: 08/14/2017 Environ ental Specialist 11 Brie gram(ENVIRONMENTAL HEALTH) FINAL SYSTEM [ APPROVED / DISAPPROVED e St.Lucie CHD DATE: 10/17/2017 ]: Environmental Specialist II Brian gram(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 AP1275226 EID1738905 RECEWED APPLICATION #:AP1275226 STATE OF FLORIDA NOV/3 2017 PERMIT #:56-SF-1738905 'i DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:02/09/ 01 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:02/09/2017 � FEE PAID•515•00 RECEIPT #:56-PID-3182555 APPLICANT: Do ald.Glancy AGENT: Atlantic Land Design PROPERTY ADDRESS: TBD Spring Hill Dr Jensen Beach, FL 34957 LOT: 5 Part of 6 BLOCK: 1 SUBDIVISION: Spring Hill, ID#: 4604-604-0012-000-0 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] [ ] [27] SURFACE WATER FT [ ] [02] TANK'MATERIAL Concrete [ ] [28] DITCHES FT [ ] [031 OUTLET DEVICE [ ] [29] PRIVATE WELDS 75 FT [ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT [ ,] [:05] OUTLET FILTER Polylok PL122 [ ] [31] IRRIGATION WELLS FT [ ] [06] LEGEND 1. 01-011,03DC4 2. [ ] [32] POTABLE WATER 24 FT [ ] [07] WATERTIGHT [ ] [33,] BUILDING. FOUNDATIONS 5 FT [ ] [08] LEVEL [ ] [:34] PROPERTY LINES 5 FT [ J [09] DEPTH TO LID [ ] [35] OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ ] [10] AREA [1] 504 [2] SQFT [ ] [36] DRAINF=ELD COVER [ ] [11] DISTRIBUTION BOX' HEADER X [ ] [37] SHOULDERS [ ] [12.] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [38] SLOPES [ ] 1131 DRAINLINE SEPARATION [ ] [39] STABILIZATION [ ] [14] DRAINLINE SLOPE [ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION [ ] [161 ELEVATION [ 'ABOVE / BELOW IBm 6.00 [ 1 [40]. UNOBSTRUCTED AREA [ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF I 1 [18] DOSING PUMPS [ ] [421 ALARMS [ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT I 1 [20] AGGREGATE EXCESSIVE FINES [ ] [44]' BUILDING' AREA [ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION MATERIAL [ 1 [46], FINAL SITE GRADING. [ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR David Whiteside(Accurate Se [ ] [23.1 FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 E036(single c [ ] [24] EXCAVATION DEPTH ABANDONMENT [ ] [25] AREA REPLACED [ ] [49]. TANK PUMPED [ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED 6 FILLED Comments: Comments are on page 2,: CONSTRUCTION [ APPROVED / ^Lucie CHP DATE: 08/'14/201.7 DISAPPROVED ° Environ ental Speclalis£II Bria rgram(ENVIRONMENTAL HEALTH) FINAL SYSTEM I APPROVED / DISAPPROVED St.Lucie CHD DATE: 10/17/2017 Environments]Specialist II Briar hyarn(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 AP1275226 EID1738906 o APPLICATION #:AP1276226 STATE OF FLORIDA -SF PERMIT #:56 -1738905 DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11137074 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:.02/09/2017 rEp, pAID_,515.00 RECEIPT 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 gpd.New ST and DF.2x11+2xl 0=42 chambers. No violations,system ok tocover.Contractor notified onsite. Needs fina'I inspection for gutters. Well checked at construction inspection. No violations,final system approved.Contractor and building department emailed final approval. DH 4016, 08109 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 2 of 3 EH Database v 1,0.1 AP1275226 EID1738905'