HomeMy WebLinkAboutHealth Department Septic Approval .� • . CATION #:: P1281003.
STATE' OF FLORIDA PERMIT #:56-SF-1747493
DEPARTMENT OF HEALTH DOCUMENT #:F11152699
'�' ONSITE SEWAGE. TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:03/16I2017
FEE PAID:515.00
RECEIPT #:56-PID-3098777
APPLICANT: Casco Construction Charlie 772-215-094.1
AGENT Laventure&Associates, Inc
PROPERTY ADDRESS: 5304 Pinetree Dr Fort Pierce, FL 34982
LOT:. 22&23 BLOCK:. 5
SUBDIVISION: Indian River Estates ID#: 3402-602-0185-000-1
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE. I'll 1090.00 [21 [ 1 [27] SURFACE WATER FT:
[ I. [021 TANK MATERIAL Polyethylene [ ] [28] DITCHES, 18 FT
( ] (.031 OUTLET.DEVICE [ 1 [291 PRIVATE WELLS 77 FT
[ ] [041 MULTI-CHAMBERED [ Y N ] [ ] .[30], PUBLIC WELLS FT
[ ] [05]' OUTLET FILTER Polylok PL-68 ( ] [31]_ IRRIGATION WELLS FT
[ ] [06] LEGEND 1, 70-143AJ DC3 2. [ ] [321 POTABLE WATER 27 FT
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[ 1 [071 WATERTIGHT [ ] .1331 BUILDING FOUNDATIONS 17 FT
[ ] IDS] LEVEL [ ] [341 'PROPERTY LINES 13 FT
[ ] [09]' DEPTH TO LID [ ] [35] OTHER I FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ 1 [161 .AREA [11 543.36 [21 SQFT [ ] [361 DRAINFIELD COVER
[ ]. [111 DISTRIBUTION BOX HEADER X [ 1 [371 SHOULDERS
[ ] [121 NUMBER OF DRA=NLINES 1. 6.00 2. 1 1 [381 SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 01/19/2018
[ ] [141 DRAINLINE SLOPE
I ] [151 DEPTH OF COVER. ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW IBM 7.00 [ 1 [401 UNOBSTRUCTED AREA
[ ] .[17] SYSTEM,LOCATION [ ] ,[41] STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ 1 [42.]. ALARMS
[ ] [191 AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT f
[ 1 1201 AGGREGATE EXCESSIVE FINES: [ ] [441. BUILDING AREA C
[ ] [211 AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION .MATERIAL I ] [46] FINAL SITE GRADING
[ 1 [22] FILL AMOUNT I 1 [4:7] CONTRACTOR MICHAEL W STUHR:(ASHTO
[ 1 [231 FILL TEXTURE [ 1 [481 OTHER INFILTRATOR Quick4 Plus EQ36'LP
[ ] ;[241 EXCAVATION DEPTH ABANDONMENT
I ] [25] AREA REPLACED [ ] [49]. TANK .PUMPED
I ] CZ61 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED &FILLED
Comments Comments are on page 2.
CONSTRUCTION. I APPROVED / / d� St:.Lucie ChD. DATE: 1�0%02/2017
DISAPPROVED ]° Environmental Specialist 11 Btfan J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM C APPROVED / ,DISAPPROVED 1: St. Lucie CHD DATE: 01/19/2018
Environmental Specialist I Dia na S.May.(Florida Department of Health
(Explanation of Violations on following;,page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
.Incorporated: 64E-6.00.3,. FAC Page 2, of 3
EH Database v 1.0.1 AP1281003 EID1747493
AgcATioN #;:AP128'1`003
•: ��'" STATE OF FLORIDA PERMIT` #:-56—SF-17, 7493
DEPARTMENT' OF HEALTH DOCUMENT .#:FI1.152699
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:03116/2017
we 515.00.
• FEE PAID:
RECEIPT # 56—PID-3198777
Violation Number Comment
Comments
The system is sized-for 2 bedrooms with a,maximum occupancy of 4 persons(2 per bedroom),for a total estimated flow of 300
gpd. New ST'and W,long DF..No violations,system ok to cover,Contractor notified by phone.Needs final inspection for mound
system and final site grading.
Final inspection ok no.violations observed, done by Brian.
DH 40161, 08/09 (Obsoletes all previous editions which may not be :used)
Incorporated: 64E.=6003, FAC Page 2' :of 3
EH Database w 1 0.1' AP1261003 E1.0174N0
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