HomeMy WebLinkAboutHEALTH DEPARTMENTAPPLICATION # : AP 1400084
STATE OF FLORIDA PERMIT #:56-SF-1927626
DEPARTMENT OF HEALTH DOCUMENT # : FI 1555124
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:07/12/2019
FEE PAID:25.00
RECEIPT #:56-PID-4013307
APPLICANT: Francisco & Peggy Perez
AGENT: AlexanderJ. Piazza PSM, Inc
PROPERTY ADDRESS: TBD Orange Ave Fort Pierce, FL 34945
LOT:
BLOCK:
SUBDIVISION:
ID# : 2310-412-0002-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1500.00 [2]
[ ] [27]
SURFACE WATER
FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [28]
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS
FT
[ ] [041
MULTI -CHAMBERED [ Y N ]
[ ] [301
PUBLIC WELLS
FT
[ ] [05]
OUTLET FILTER PolylokPL-68
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 70-156-15SC3 2.
[ ] [32]
POTABLE WATER 16
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 7
FT
[ ] [081
LEVEL
[ ] [34]
PROPERTY LINES 53
FT
[ ] [091
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 900 [21 SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X
[ ] [371
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 6.00 2.
[ ] [381
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 09/01/2020
[ ] [14]
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 6.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ] [421
AIMS
[ ] [19]
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [47]
CONTRACTOR (OWNER)
[ ] [221
FILL AMOUNT
[ ] [48]
OTHER INFILTRATOR ARC 24
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHID DATE: 03/25/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED ] ' Envinon ental Specialist
B -i i i J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]: le
St. Lucie CHD DATE: 09/01/2020
Environmental Specialist II 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 AP1400084
EID1927626
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1400084
PERMIT #:56-SF-1927626
DOCUMENT #:F11555124
DATE PAID.07/12/2019
FEE PAID:25.00
RECEIPT #:56-PID-4013307
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 500
gpd. New ST, filter, and 6x10 long DF installed. No violation, system ok to cover. Owner/builder notified by phone. Needs final
nspection for mound system and final site grading.
=inal system approved. 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 AP1400084 EID1927626