HomeMy WebLinkAboutHEALTH DEPARTMENTSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Florida Power and Light
AGENT: Culpepper & Terpening, Inc
PROPERTY ADDRESS: 2950 Aico Rd Fort Pierce, FL 34951
LOT
BLOCK:
APPLICATION #:AP1466792
PERMIT #:56-SF-2037580
DOCUMENT # : FI 1558219
DATE PAID - 06/04/2020
FEE PAID:2 5.0 0
RECEIPT #:56-PID-4441220
SUBDIVISION: ID# : 1328-132-0025-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ] [01]
TANK SIZE [1] 1537.00 [2]
[ ] [02]
TANK MATERIAL Polypropylene
[ ] (03]
OUTLET DEVICE
[ ] (041
MULTI -CHAMBERED [ LIJN ]
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [06]
LEGEND 1. 70-143-16DC4 2.
[ ] [07]
WATERTIGHT
[ ] [08]
LEVEL
[ ] [09]
DEPTH TO LID
DRAINFIELD INSTALLATION
[ ] [10]
AREA [1] 828 (21
SQFT
[ ] [11]
DISTRIBUTION BOX HEADER
X
[ ] [ 12 ]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [13]
DRAINLINE SEPARATION
( ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM
5.00
[ ] [171
SYSTEM LOCATION
[ ] [18]
DOSING PUMPS
[ ] [19]
AGGREGATE SIZE
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT
[ ] [23] FILL TEXTURE
[ ] [24] EXCAVATION DEPTH
[ ] [251 AREA REPLACED
[ ] [261 REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ ]
[27]
SURFACE WATER
FT
[ ]
[281
DITCHES
FT
[ ]
[29]
PRIVATE WELLS
FT
[ ]
[30]
PUBLIC WELLS 116
FT
[ ]
[31]
IRRIGATION WELLS
FT
[ ]
[32]
POTABLE WATER 82
FT
[ ]
[33]
BUILDING FOUNDATIONS 20
FT
[ ]
[34]
PROPERTY LINES 100
FT
[ ]
[35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[361
DRAINFIELD COVER
[ ]
[37]
SHOULDERS
[ ]
[38]
SLOPES
[ ]
[39]
STABILIZATION 12/18/2020
ADDITIONAL INFORMATION
[ ]
[40]
UNOBSTRUCTED AREA
[ ]
[41]
STORMWATER RUNOFF
[ ]
[42]
ALARMS
[ ]
(43]
MAINTENANCE AGREEMENT
[ ]
[441
BUILDING AREA
[ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
[ ]
[47]
CONTRACTOR (Cookes Environmental Sery
[ ]
[481
OTHER
ABANDONMENT
[ ]
[49]
TANK PUMPED
[ ]
[50]
TANK CRUSHED & FILLED
CONSTRUCTION [ APPROVED St. Lucie CHD
DISAPPROVED ] ' Envir mental Special's Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:
St. Lucie CHD
Environmental Specialist II Brian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page) V
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1466792 EID2037580
DATE: 10/15/2020
DATE: 12/18/2020
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1466792
PERMIT #:56-SF-2037580
DOCUMENT #: F11558219
DATE PAID.06/04/2020
FEE PAID:25.00
RECEIPT # :56-PI D-4441220
New ST, filter, and 4x14+1x13 long TRENCH DF installed. No violation, system ok to cover. Contractor notified by phone.
Needs final inspection for mound 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 AP1466792 EID2037580