HomeMy WebLinkAboutHealth Department Septic Approval RECEIVED
FEB 15 2018 � - � � kA4LO
�Zt►! APPLICATION # AP1269783
T, LucieCoun�
! p4r i '
s ; PERMIT #:56-SF-1730589
DEPAF2TMENT OF HEALTH. DOCUMENT #:FI1157397
ONSITE SEWAGE TREATMENT AND ;DISPOSAL SYSTEM _ -
CONSTRUCTION INSPECTION AND FINAL APPROVAL, DATE PAID:01/05/2017
•��°N7 FEE PAID:5.15-00
RECEIPT :#.:56-PID-3165981
APPLICANT: Justine Sigel.(772-359-7920 call for pick up)
AGENT: Mike Spears(All County Septic)
PROPERTY ADDRESS: 11700 Appaloosa Ci Port Saint Lucie, FL 34987
LOT: 1_5 BLOCK: A
SUBDIVISION: Pony Pines ID#: 3309-605-0018-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE: OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
( ] [01] TANK SIZE [1] 1537.00 [2] 540.00. ( ] [27] SURFACE WATER 128 FT'
[ ] [02'] TANK MATERIAL Polyethylene [ ] 1281; DITCHES FT
[ ] [03] OUTLET .DEVICE [ 1 [29] PRIVATE WELLS 83FT' .
[ ] ['04] :MULTI-CHAMBERED [LZj N' ] [ ] [301 'PUBLIC WELLS FT�
[ ] [05] OUTLET ,FILTER Polylok PL-68 1 ] [311 IRRIGATION. WELLS FT
[ .] [06] LEGEND 1, 70-143-16DC4 2. 70-143-54SC4 [ ] [32] POTABLE.WATER 27 FT
] [071] WATERTIGHT [ ] 133.1 BUILDING FOUNDATIONS 7 FT
[ J [081 LEVEL 1 1 [34] PROPERTY LINES 23 FT
[' ] [09.] DEPTH TO LID E. ], [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] ['10] AREA [1] 768 [2'] SQFT [ ] [3.61 DRAINFIELD. COVER
[' ] [11] DISTRIBUTION BOX HEADER, X [ 1. 137] SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1; 8:00 2, [ ] [38] SLOPES
[ T 1131 DRAINLINE SEPARATION [, ] [39] STABILIZATION 0.2/14/2018
[ ] 1141 DRAINLINE SLOPE
] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 18,00 [ ] ['40] UNOBSTRUCTED AREA
[ ) [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
] [181 DOSING PUMPS 1,00 [ 1 [421 ALARMS'
[ ] [191 AGGREGATE SIZE [ 1 [:43] MAINTENANCE AGREEMENT
.1 ] [20] AGGREGATE EXCESSIVE FINES. [ ] ['44] BUILDING AREA
[' ] [21] AGGREGATE DEPTH. [ 1 [4511 LOCATION -CONFORMS WITH SITE PLAN
F=LL f EXCAVATION MATERIAL [. ] ['46] FINAL SITE GRADING
[ ] [221 FILL AMOUNT [. 1 [47] CONTRACTOR. Mike Spears(All County Sep
[ ] {23] FILL TEXTURE, [ ] [4811 OTHER INFILTRATOR Quick4 EQ36(single c
[ ] [24,] EXCAVATION DEPTH ABANDONMENT
] [25] AREA.REPLACED [ ] [49], TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [. 1 [50] TANK-CRUSHED 6 FILLED
Comments: C6imneat6 Ate on page 2.
CONSTRUCTION I APPROVED t:LUcle CHD DATE. 05/19/2017
DISAPPROVED ]' Envir mental Specialist II Bria gram(ENVIRONMENTALHEALTH)
FINAL,'SYSTEM [ ABpROVED / c t.Lucie
CHD DATE:. 02/14/2018
•DISAPPROVED ]:
Ellivironmental Specialist II Brian P gram(ENVIRONMENTAL HEALTH)
(Explanation of Violations.-on following page)
DH 401,6, 08/09 ,(Obsoletes a11. .previous editions. which may not be used)
Incorporated: 64E-6.D'03, FAC Page 2 of 3
EH Database v 1,0.1 AP1269783 EID1730599
oke x AQPLIcAtioH #:AP126918:3
`; .. STATE' OF FLORIDA PERMIT #,:56-SF-1730589
DEPARTMENT OF HEALTH
-ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM- DOCUMENT #.F11157397
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PA D:01/05/2017
FEE PAID:515.00
RECEIPT #:56=PID-3165981
Violation Number Comment
Comments
The system Is sized for 3:bedrooms with:a maximum occupancy of-6 persons{2 per bedroom},fora total estimated flow of 460
gpd. NEW ST,DT,.and DF.Liberty 1/3hp pump.8x8 chambers long.No violations,system ok to cover.Contractor notified by
phone.,Needs final,for mound.system,setback to well,potable water lines,alarm,and site grading.
Final'sys.tem approved.Contractor and building,department emailed final approval.
DH 4016, 08109 (Obsoletes all previous editions which may, not be used)
Incorporated: 64E-6.003, EAC Page 2 of 3
EH Database:v 1.0.1 AP1209763 EID1730599