HomeMy WebLinkAbouthealth dept. final approval � r APPLICATION #:AP1413818
m L _ STATE OF FLORIDA
PERMIT #:56-SF-1948840
DEPARTMENT OF HEALTH DOCUMENT #:F11562097
s ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/13/2019
�. �
FEE PAID:515.00
RECEIPT #:56-PID-3939630
APPLICANT: Wade Jurney Homes, LLC
AGENT: Wade Jurney Homes, LLC
PROPERTY ADDRESS: 7002 Penny Ln Fort Pierce, FL 34951
LOT: 10 BLOCK: 109
SUBDIVISION: Lakewood Park ID#: 1301-811-0188-000-4
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ 1 [011 TANK SIZE [11 1050.00 [21 [ ] [271 SURFACE WATER FT
[ ] [021 TANK MATERIAL Concrete [ ] [281 DITCHES FT
[ 1 [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 94 FT
[ ] [041 MULTI-CHAMBERED [ Y N ] [ 1 [301 PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [ 1 [311 IRRIGATION WELLS FT
[ 1 [061 LEGEND 1. 28-015-08DC3 2. [ 1 [321 POTABLE WATER 27 FT
[ 1 [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 5 FT
[ ] [081 LEVEL [ ] [341 PROPERTY LINES 5 FT
[ 1 [091 DEPTH TO LID [ 1 [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ 1 [101 AREA [11 525 [21 SQFT [ 1 [361 DRAINFIELD COVER
[ 1 [111 DISTRIBUTION BOX HEADER X [ 1 [371 SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1. 5.00 2. [ 1 [381 SLOPES
[ 1 [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 01/12/2021
[ 1 [141 DRAINLINE SLOPE
[ 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ 1 [161 ELEVATION [ ABOVE / BELOW ]BM 30.00 [ 1 [401 UNOBSTRUCTED AREA
[ 1 [171 SYSTEM LOCATION [ 1 [411 STORMWATER RUNOFF
[ 1 [181 DOSING PUMPS [ 1 [421 ALARMS
[ 1 [191 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
[ 1 [201 AGGREGATE EXCESSIVE FINES [ 1 [441 BUILDING AREA
[ 1 [211 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ 1 [461 FINAL SITE GRADING
[ 1 [221 FILL AMOUNT [ ] [471 CONTRACTOR Bruce T Mc Cullers(Reliable T
[ 1 [231 FILL TEXTURE [ 1 [481 OTHER ADS MPS-9(9 pipes-2 tier)
[ 1 [241 EXCAVATION DEPTH ABANDONMENT
[ 1 [251 AREA REPLACED [ 1 [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ 1 (501 TANK CRUSHED S FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 11/05/2020
DISAPPROVED � ' Enviro mental Speci�Brian gram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED 7 : St. Lucie CHD DATE: 01/12/2021
Environmental Speci t 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, FAC Page 2 of 3
EH Database v 1.0.1 AP1413818 EID1948840
APPLICATION #:AP1413818
STATE OF FLORIDA PERMIT #:56-SF-1948840
DEPARTMENT OF HEALTH DOCUMENT #:F11562097
L' r ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/13/2019
u� FEE PAID:51 5.00
RECEIPT #..56-PID-3939630
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 5x35'TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for well inspection, potable waterline setback verification, mound system, and final site grading.
Final system approved. Contractor 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 AP1413818 EID1948840