HomeMy WebLinkAboutHealth Dept Final Inspection Approval Si>fE s APPLICATION #:AP1482899
STATE OF FLORIDA PERMIT #:56-SF-2061105
f. DEPARTMENT OF HEALTH
' T DOCUMENT #
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM .05/0 66/2020
0
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:0
Q wy FEE PAID:660.00
RECEIPT #:56-PID-4373465
APPLICANT: Odes Philippe
AGENT:
PROPERTY ADDRESS: 5901 Palm Dr Fort Pierce, FL 34982
LOT: 39 BLOCK: 61
SUBDIVISION: Indian River Estates ID#: 3402-609-0357-000-9
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
t ] [021 TANK MATERIAL Polypropylene [ ] [28] DITCHES 15 FT
[ ] [031 OUTLET DEVICE ( ] [29] PRIVATE WELLS FT
[ ] [041 MULTI-CHAMBERED [LIJ N ] [ ] [301 PUBLIC WELLS FT
[ ] [05] OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS 88 FT
[ ] [06] LEGEND 1, 70-143-11DC4 2. [ ] [321 POTABLE WATER 27 FT
[ ] (07] WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 7 FT
[ ] [08] LEVEL [ ] (341 PROPERTY LINES 7 FT
[ ] [09] DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [11 690.52 [21 SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 7.00 2. [ ] [38] SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [39] STABILIZATION 01/20/2021
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 14.00 [ ] [401 UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] (411 STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [42] AIMS
[ ] [191 AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
t ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR (OWNER)
[ ] [23] FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED ( ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 12/07/2020
DISAPPROVED ] ' Enviro ntal Speciar II B ' J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : St. Lucie CHD DATE: 01/20/2021
Environmental Specialist I 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
Eli Database v 1.0.1 AP1482899 EID2061105
APPLICATION #:AP1482899
'y STATE OF FLORIDA PERMIT #:56-SF-2061105
DEPARTMENT OF HEALTH DOCUMENT #:F11564310
�. r ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/06/2020
FEE PAID:660.00
RECEIPT #:56-PID-4373465
Violation Number Comment
Comments
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons(2 per bedroom),for a total estimated flow of 400
gpd.
New ST,filter, and 4x9+2x8 long BED DF installed. No violations, system ok to cover. Owner notified onsite. Needs final
inspection for mound system, gutters, and final site grading. Owner builder notified onsite.
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 AP14B2B99 EID2061105