HomeMy WebLinkAboutHealth Dept Approval APPLICATION #:AP1423983
STATE OF FLORIDA PERMIT #:56-SF-1975122
.y f DEPARTMENT OF HEALTH
cQ ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11540000
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:07/16/2019
WE'S FEE PAID:660.00
RECEIPT #:56-PID-4015633
APPLICANT: Branson Troska
AGENT: ACD Builders
PROPERTY ADDRESS: 7106 Banyan St Fort Pierce, FL 34951
LOT: 3&4 BLOCK: 181
SUBDIVISION: Lakewood Park ID#: 1301-615-0233-000-7
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 1050.00 [21 [ ] [271 SURFACE WATER FT
[ ] [021 TANK MATERIAL Concrete [ ] [28] DITCHES 44 FT
[ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 100 FT
[ ] (041 MULTI-CHAMBERED [LIJ N ] [ ] [301 PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT
[ ] [061 LEGEND 1, 28-004-08DC3 2. [ ] [321 POTABLE WATER 55 FT
[ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 6 FT
[ ] [081 LEVEL [ ] [341 PROPERTY LINES 45 FT
[ ] (091 DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 375 [21 SQFT [ ] [361 DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1, 4.00 2. [ ] [38] SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 11/18/2020
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 6.00 [ ] [401 UNOBSTRUCTED AREA
[ ] (171 SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [421 ALARMS
[ ] [191 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
I ] [201 AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [471 CONTRACTOR Bruce T Mc Cullers(Reliable T
[ ] [231 FILL TEXTURE [ ] [481 OTHER PTI MPRDS(9 pipes-2 tier)
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [49] TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION t�i+
I APPROVED / v � — St. Lucie CHD DATE: 08/25/2020
DISAPPROVED ] ' Enviro ental Specialist If,H A Collier(FDOH in Broward County)
FINAL SYSTEM [ AppgOVED / DISAPPROVED ]: St. Lucie CHD DATE: 11/18/2020
Environmental Specialist I rian J Ingram(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 AP1423983 EID1975122
NFrt APPLICATION #:AP1423983
STATE OF FLORIDA PERMIT #:56-SF-1975122
DEPARTMENT OF HEALTH
+a� c ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11540000
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:07/16/2019
�v WIL's
FEE PAID:660.00
RECEIPT #:56-PID-4015633
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 ST and filter installed. 2x30'+2x32'long trench DF installed. No violations, system ok to cover. Contractor notified by
phone. Needs final inspection for private well setback,well inspection, potable waterline setback, filled system, and final site
grading.
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 AP1423983 EID1975122