HomeMy WebLinkAboutHealth Dept Final �yFrt APPLICATION #:AP1453371
STATE OF FLORIDA PERMIT #:56-SF-2016731
DEPARTMENT OF HEALTH
DOCUMENT #:FI 1560282
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:11/15/2019
FEE PAID:545.00
RECEIPT #:56-PID-4232591
APPLICANT: Port St. Lucie Properties, Inc
AGENT: Alexander J. Piazza PSM, Inc
PROPERTY ADDRESS: 6004 Hickory Dr Fort Pierce, FL 34982
LOT: 8 BLOCK: 70
SUBDIVISION: Indian River Estates ID#: 3402-609-0650-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 1090.00 [2] [ ] [27] SURFACE WATER FT
[ ] (02] TANK MATERIAL Polypropylene [ ] [281 DITCHES 15 FT
[ ] [031 OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET FILTER PolylokPL-68 [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 07-053-10 2. [ ] [321 POTABLE WATER 36 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 7 FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES 5 FT
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 509.4 [21 SQFT [ ] [36] DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 6.00 2. [ ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION 01/05/2021
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 3.00 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ ] [42] ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [461 FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [23] FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 09/04/2020
DISAPPROVED Environ ental Specialis n J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : St. Lucie CHD DATE: 01/05/2021
EnvifonmenLal Specialist 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 AP i 153371 EID2016731
APPLICATION #:AP1453371
STATE OF FLORIDA PERMIT #:56-SF-2016731
�' > DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11560282
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID.11/15/2019
con wb Y¢'
FEE PAID:545.00
RECEIPT #:56-P I D-4232591
Violation Number Comment
Comments
The system is sized for 3 bedrooms with a maximum occupancy of G persons(2 per bedroom),for a total estimated flow of 300
gpd. New ST,filter, and 3x7+3x8 long BED DF installed. No violations, system ok to cover. Contractor notified onsite. 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 AP1453371 EID2016731