HomeMy WebLinkAboutHealth Dept - Final Approval APPLICATION #:AP1606258
STATE OF FLORIDA PERMIT #:56-SF-2211985
r „ DEPARTMENT OF HEALTH DOCUMENT #:F11564317
c ' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
•``y CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:12/09/2020
FEE PAID•95.00
RECEIPT #:56-PID-4826122
APPLICANT: Matthew Schauer
AGENT: Reliable Treasure Coast Services Septic
PROPERTY ADDRESS: 663 Rio Vista Dr Fort Pierce, FL 34982
LOT: 15 BLOCK:
SUBDIVISION: Rio Vista ID#: 2426-501-0017-000-4
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ I [011 TANK SIZE [11 [21 [ 1 [271 SURFACE WATER FT
[ 1 [021 TANK MATERIAL [ I [281 DITCHES FT
[ 1 [031 OUTLET DEVICE [ 1 [291 PRIVATE WELLS FT
[ 1 [041 MULTI-CHAMBERED [ Y / N I [ 1 [301 PUBLIC WELLS FT
[ 1 [051 OUTLET FILTER [ 1 [311 IRRIGATION WELLS FT
[ 1 [061 LEGEND 1. 2. [ 1 [32I POTABLE WATER FT
[ 1 [071 WATERTIGHT [ I [33I BUILDING FOUNDATIONS FT
[ 1 [081 LEVEL [ 1 [341 PROPERTY LINES FT
[ 1 [091 DEPTH TO LID [ 1 [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ 1 [101 AREA Ill [21 SQFT [ 1 [361 DRAINFIELD COVER
[ 1 [111 DISTRIBUTION BOX HEADER [ 1 [371 SHOULDERS
[ 1 [121 NUMBER OF DRAINLINES 1, 2. [ 1 [381 SLOPES
[ I [131 DRAINLINE SEPARATION [ 1 [391 STABILIZATION
[ 1 [141 DRAINLINE SLOPE
[ 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ 1 [161 ELEVATION [ ABOVE / BELOW IBM [ 1 [401 UNOBSTRUCTED AREA
[ 1 [17I SYSTEM LOCATION [ 1 [411 STORMWATER RUNOFF
[ I [181 DOSING PUMPS [ 1 [421 ALARMS
[ 1 [191 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT
1 1 [201 AGGREGATE EXCESSIVE FINES [ I [441 BUILDING AREA
[ 1 [211 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ I [461 FINAL SITE GRADING
[ 1 [221 FILL AMOUNT [ 1 [471 CONTRACTOR Bruce T Mc Cullers(Reliable T
[ 1 [231 FILL TEXTURE 1 1 (481 OTHER
[ 1 [241 EXCAVATION DEPTH ABANDONMENT
[ I [251 AREA REPLACED [ I [491 TANK PUMPED 01/20/2021
[ 1 [26I REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED & FILLED 01/20/2021
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED St. Lucie CHD DATE: 01/20/2021
DISAPPROVED Envir mental Special' Brian J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ AppROVED / DISAPPROVED I: St. Lucie CHD DATE: 01/20/2021
Environmental Speci st II Brian 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, PAC Page 2 of 3
EH Database v 1.0.1 AP1606258 EID2211985
APPLICATION #:AP1606258
STATE OF FLORIDA PERMIT #:56-SF-2211985
i R f DEPARTMENT OF HEALTH DOCUMENT #:FI1564317
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:12/09/2020
FEE PAID:95.00
RECEIPT #:56-PID-4826122
Violation Number Comment
Comments
ST pumped and abandoned properly. No violations. Contractor and building department emailed abandonment 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 AP1606258 E102211985