HomeMy WebLinkAboutHealth Dept,1403 bradley final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Robert Moulton
AGENT: Alexander J. Piazza PSM, Inc John Erickson 772-260-5049
PROPERTY ADDRESS: 1403 Bradley St Fort Pierce, FL 34982
LOT: 1 BLOCK: 52
APPLICATION # : AP 1450993
PERMIT #:56-SF-2012886
DOCUMENT #: F11471455
DATE PAID :10/31 /2019
FEE PAID:545.00
RECEIPT #:56-PID-4222575
SUBDIVISION:
Indian River Estates ID#:
3402-608-0441-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1090.00 [2]
[ ] [271
SURFACE WATER FT
[ ] [02]
TANK MATERIAL Polypropylene
[ ] (281
DITCHES 17 FT
[ ] [03]
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 100+ FT
[ ] [04]
MULTI -CHAMBERED [LIJ N ]
[ ] [30]
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-143-11SC3 2.
[ ] [32]
POTABLE WATER 29 FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 6 FT
[ ] [081
LEVEL
[ ] [34]
PROPERTY LINES 25 FT
[ ] [091
DEPTH TO LID
[ ] [35]
OTHER FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 509.4 [2]
SQFT [ ] [361
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER
X [ ] [371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 12/04/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM
6.00 [ ] (401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [42]
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ] [46]
FINAL SITE GRADING
[ ] [47]
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [221
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [231
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [491
TANK PUMPED 08/27/2020
[ ] [26]
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED 08/27/2020
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 08/28/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED � ' E]viro
ental Specialist er A Collier (FDOH in Broward County)
FINAL SYSTEM
[ /
St. Lucie CHD DATE: 12/04/2020
APPROVED DISAPPROVED ] :
nvironmental Sped i t II Brian 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, PAC
Page 2 of 3
EH Database v 1.0.1 AP1450993
EID2012886
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1450993
PERMIT #:56-SF-2012886
DOCUMENT #:F11471455
DATE PAID :10/31 /2019
FEE PAID:545.00
RECEIPT #:56-PID-4222575
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. 9x5 long bed DF installed. No violations, system ok to cover. Contractor notified on site. Needs
Final inspection for 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 AP1450993 EID2012886