HomeMy WebLinkAboutHealth Department Septic Approval To:17724621578 Page:2 of 3 2020.12-02 17:35:05 GMT 17729070420 "From:Rod Wall
APPLICATION #:AP 142.04199 .
STATE- OF FLORIDA PERMIT #,56-SF-08567
DEPART]±�NT� OF H}E;ALTii DocvrXNT #:FI 1393$27
ONSITE SEWAGE, TREATMENT .AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION. .AND FINAL APPROVAL DATE PAIn06/24J2019
-FEE PAID:630:00
RECEIPT #:56-PID-3997051
APPLICANT: Saeed GahaZanfar
AGENT: Sunrise City CHDO,Inc
PROPERTx :ADDRESS: 7704 Citrus Park Blvd Fort Pierce, FL 34951
LOT:. j BLOCK,: 755
SUBDIVISION: Lakewood Park I??#; 1301-G0�•01aEt:000-5
.CHECKED [X] ITEMS ARE NOT IN C0MPI,TA>.CE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[: 1 j01.I. TANK SIZE M 1,05.0.00 121 . 225.00 L l t271 SURFACE WATER FT
(: ] [021 TANK'MATERIAL Concrete [ J (28.1 DITCHES FT
I. 7 [03] OUTLET- DEVICE _ [ ]. j2.91. PRIVATE 'WELLS 76 FT
I J 1041 MULTI-C1.1;A ME= [ Y N ] L J [30•1 PUBLIC'WELL'S FT
C 1 [05.I OUTLPT FILTZR Polylok PL-68 [ 1 131•1 IRRIGATION WELLS FT
[ ] [061 LEGEND 1. 2fl-015-0003 2, 70-15 - 2S 3 [ I (321 POTABLE NATE,R 3s IT
I 3 1071 WATERTIGHT [ ] [33.I BUILDING FOUNDATIONS 5 FT
[ l [.0.1 LEVEL [ .1 j341 PROPERTY LINES 11 FT
L I. [091 DEPTH TO LID [ '.] [35] OTHER FT
DRAINFIELD INSTAT;LATION FILLED / MOUND SYSTEM
[ 'J [10] AREA. [1], 375 [23 SQFT [ ] [361 DRAINFIELD. COVER
( ] Ell] DISTRIBUTION Box HEADER X [ ] [371 SHOULDE99
[ 3 1121 NUMBER.OF DRAINLINES 1. L0, 2. —� L ] [38.] SLOPES
C ] [13] . DRAINLINE SEPARATION [ 1 (39]. STABILIZATION 03/31/2020
[I 3 [141 DRAINLINE SLOPE
[: 1 [151 DEPTH OF COVER ApDITIONAL INFORMATION
L' 1 [161 ELEVATION [ ABOVE % HELOW 3BM'27..00. [ l [403 UNOBSTRUCTED AREA
[: ] [17.1 SYSTEM LOCATION I ] (41.1 STORMWATER RUNOFF
[ ] [18.] DOSING PUMPS 1.00 I J I421 AL
P149
L 3 [191 AGGREGATE SIZE [ I (431 MAINTENANCE AQREEMEENT
[' J [20.1 AGGREGATE EXCESSIVE FINES I I (441 BUILDING AREA
[ '3 [211 AGGREGATE DEPTH [ ] [453 LOCATION CONFO'IiMS WITH SITE PLAN
FILL / 'EXCAVATIONMATERIAL, I 3 [461 FINAL SITE GRADING
G I [22.1 FILL AMOUNT [ l [47I CONTRACTOR Bruce T Mc Cullers(Reliable T
(: l (29.I' '.FILL TEXTURE [ I (48.1 OTHE$ ADS MPS..-9(9 pipes.-•2 tier)
L. I E241 EXCAVATION DEPTH ABANDONMENT
I: l L251 AREA REPLACED [ I [49] TANK PUMPED
L ] [263 REPLACEMENT MATERIAL [ ]. j501 TANK,CRUSHED, 6 FILLED
Comments: Comments are, on page 2.
CONSTRVCTTOIJ [ APPROVED St.Lucie cHA DATE:. .01
/29/2020
DISAPPROVED I° .viroDmeMal Speciallst J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED L DISAPPROVED 1: St.Lucie CHD DATE: 03/31/2020
t nvlronmental Spedal!W rian.J Ingram(ENVIRONMENTAL HEALTH)
(Explanation or.violationa.on following page)
nF); 4016, 08/09 .(ObEcletes all previous editions which. may not be used)
td/
Incorporated: 64E-6.003, FAC . Page 2 oP 3
EH Database v 1.0A AP1420410 66360504
To:17724621578 Page:3 of 3 2020-12-02 17:35:05 GMT 17729070420 From:Rod Wak
APPLICATION #:.iAP 1420419
-.- «...
STATE OF FLORIDA PERMIT #:56-SF-08567
DERARTMENT OF EEALTEi
ONSIVE SEWAGE TREATMENT AND DISPOSAL SYSTEM Docvr�NT
N #:F11393827
CONSTRUCTION INSPECTION,AND FINAL APPROVAL DATE PAID:O6I24I2O1
:.:. 630.00
FEE PRIDE
RECEIPT #;56-PID-3997051
Violation Number Commen
Comments
The system Is sized fdr 3 bedrooms with.a maximum occupancy-df 6 persons.(2'per bedroom);fora total estimated.fiovu of 300
gpdi
New ST,filter,DT,Barnes:113 hp pump,'and.U30'+1x35`long:TRENCH DF installed. No violations,system ok to cover.
Contractor notified by phone, Needs final inspection for well inspection/setback;potable water line setback,mound system,alarm
check,and final site grading.
Final system approved.. Contractor and building department emailed final approval,
DH 4016, 08/09 (Obaoletes all previous editions which may not be used)
Iacorpora.tad: 64E--6.003, FAC Page 2 of 3•
EH Database v 1.0.1 AP1420419 EI0350504