HomeMy WebLinkAboutHealth Dept. Final Approval 11 APPLICATION #:AP1413843
STATE OF FLORIDA PERMIT #:56-SF-1948882
1 DEPARTMENT OF HEALTH DOCUMENT #:F11562102
g6� t'ib ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
yc` CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/13/2019
FEE PAID:515.00
RECEIPT #:56-PID-3939821
APPLICANT: Wade Jurney Homes, LLC
AGENT: Wade Jurney Homes, LLC
PROPERTY ADDRESS: 6504 Santa Clara Blvd Fort Pierce, FL 34951
LOT: 12 BLOCK: 116
SUBDIVISION: Lakewood Park ID#: 1301-611-0339-000-8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [11 1050.00 [21 [ ] [271 SURFACE WATER FT
[ ] [021 TANK MATERIAL Concrete [ ] [281 DITCHES FT
[ ] [031 OUTLET DEVICE [ ] [291 PRIVATE WELLS 85 FT
[ ] [041 MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT
( ] [06] LEGEND 1. 28-015-08DC3 2. [ ] [321 POTABLE WATER 57 FT
[ ] [071 WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 5.5 FT
[ ] [081 LEVEL [ ] 1341 PROPERTY LINES 6 FT
[ ] [091 DEPTH TO LID [ ] (351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 672 [21 SQFT [ ] [361 DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER x [ ] [371 SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1, 8.00 2. [ ] [381 SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [391 STABILIZATION 01/12/2021
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 12.00 [ ] [401 UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ ] [421 ALARMS
[ ] [191 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [461 FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [471 CONTRACTOR Bruce T Mc Cullers(Reliable T
[ ] [231 FILL TEXTURE [ ] [48] OTHER ADS MPS-9(9 pipes-2 tier)
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION L APPROVED / St. Lucie CHD DATE: 11/10/2020
DISAPPROVED ] ' Envir mental Spec list I rian J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : St. Lucie CHD DATE: 01/12/2021
nvironmental Speciali 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 AP1413843 EID1948882
' n APPLICATION #:AP 1413843
C�• e
q" STATE OF FLORIDA PERMIT #:56-SF-1948882
DEPARTMENT OF HEALTH DOCUMENT #:F11562102
c ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.,y ! CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/13/2019
FEE PAID:51 5.00
RECEIPT #:56-PI D-3939821
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 8x28' BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final inspection
for 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 AP1413843 EID1948882