HomeMy WebLinkAboutHealth, approved APPLICATION #:AP1270408
STATE OF FLORIDA 1-76 I OSI'D8 PERMIT #:56-SF-1731578
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11134814
.� CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
WE01/10/2017
FEE PAID:515.00
RECEIPT #:56-PID-3167925
APPLICANT: Grande Construction
AGENT: Greg Oldakowski(Grande Construction)
PROPERTY ADDRESS: 5406 Davis St Fort Pierce, FL 34982
LOT: BLOCK:
SUBDIVISION: ID#: 3409-111-0001-030.1
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [11 900.00 [21 300.00 [ ] [27] SURFACE WATER FT
( ] [021 TANK MATERIAL Concrete [ ] [28] DITCHES 36 FT
[ ] [031 OUTLET DEVICE [ ] [29] PRIVATE WELLS
78 FT
[ ] [041 MULTI-CHAMBERED EL2�j N ] [ ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET FILTER Polylok PL-122 [ ] [31] IRRIGATION WELLS 75 FT
[ ] (06] LEGEND 1. 01-011-04DC3 2. 01-011-96SC4 [ ] [321 POTABLE WATER 65 FT
[ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 6 FT
[ ] [08] LEVEL [ ] [341 PROPERTY LINES
7 FT
[ ] (091 DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 504 [21 SQFT [ ] [361 DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS
[ ] (12] NUMBER OF DRAINLINES 1. 4.00 2. [ ] [38] SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [39] STABILIZATION
09/29/2017
[ ] [141 DRAINLINE SLOPE
[ ] (15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 1.00 [ ] [40] UNOBSTRUCTED AREA
[ ] 1171 SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS 1.00 [ ] [42] ALARMS
[ ] [19] AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
( ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL I ] [461 FINAL SITE GRADING
[ ] [22] FILL AMOUNT ( ] (471 CONTRACTOR David Whiteside(Accurate Se
[ ] [233 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 EQ36(single c
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] (251 AREA REPLACED ( ] (491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION ( APPROVED / DISAPPROVED ] St. Lucie CHD DATE: 06/21/2017
E rivirgymental Specialist II Bria gram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: e Lucie CHD DATE: 09/29/2017
Environmental Specialist II Brian ngram(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 AP127D406 EID1731678
RECEIVED 0CT 0:=3 ?�1'
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APPLICATION #:AP1270408
STATE OF FLORIDA PERMIT #:56-SF-1731578
DEPARTMENT OF HEALTH DocumENT #:F11134814
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 01/10/2017
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
•�cOD rva FEE PAID:51 5.00
RECEIPT #:56-PID-3167925
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 900 ST.New 300 DT. Liberty 1/3 hp pump.2x11+2x10. No violations,system ok to cover. Contractor notified by phone.
Needs final inspection for mound system and alarm check.
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 AP1270408 EID1731578
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