HomeMy WebLinkAboutHealth Dept Final APPLICATION #:AP1288779
STATE OF FLORIDA PERMIT #:56-SF-1759942
DEPARTMENT OF HEALTH DOCUMENT #:FI 1160138
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/02/2017
FEE PAID:51 5.00
\- ri RECEIPT #:56-PID-3227054
APPLICANT: Betty&James Jones
AGENT: Pace 2000,Inc
PROPERTY ADDRESS: 20024 Southern Star Dr Fort Pierce, FL 34945
LOT: 1 BLOCK:
SUBDIVISION: ID#: 2215-700-0003-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 1090.00 (21 [ ] [271 SURFACE WATER FT
[ j [021 TANK MATERIAL Polyethylene [ ] [28] DITCHES FT
[ ] [031 OUTLET DEVICE [ ] (291 PRIVATE WELLS 105 FT
[ ] [04] MULTI-CHAMBERED [ Y / N ] [ ] [30] PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS FT
[ J 106] LEGEND 1, 70-143-11DC3 2, [ 1 [321 POTABLE WATER 40 FT
[ ] [07] WATERTIGHT [ J [331 BUILDING FOUNDATIONS 7 FT
[ ] (08] LEVEL [ J [34) PROPERTY LINES 75 FT
[ J [091 DEPTH TO LID [ J (351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 504 [21 SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ j 137] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1, 6.00 2, [ ] [381 SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [39] STABILIZATION 02/28/2018
[ J [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16) ELEVATION [ ABOVE / BELOW ]BM 10.00 [ ] (40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS ( ] [42] ALARMS
[ j (19] AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
[ ] (20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] (22] FILL AMOUNT [ ] [47] CONTRACTOR Jeff Nelson(Jeffrey Nelson Se
[ J [231 FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 EQ36(single c
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] (26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED St. Lucie CHD DATE: 01/10/2018
DISAPPROVED ]' Environmental I Specialist 11 Br (ENVIRONMENTAL HEALTH)
J Ingram(ENVIRO
FINAL SYSTEM [ APPROVED / DISAPPROVED J: �i�O�-+-/&,. St.Lucie CHID DATE: 02/28/2018
Environmental Specialist I canna 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-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1288779 EID1759942
'ittY sr� APPLICATION #:AP1288779
�y STATE OF FLORIDA PERMIT #:56-SF-1759942
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:05/02/2017
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
FEE PAID:515.00
RECEIPT #:56-PID-3227054
Violation Number Comment
Comments
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons(2 per bedroom),for a total estimated flow of 300
gpd.New ST and 6x7 DF installed.No violations,system ok to cover.Contractor notified by phone.Needs final inspection for
mound system and grading.Well checked at construction inspection.
Final inspection for mound system and grading ok,no violations observed.Emailed to building department.
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 AP1288779 EID1759942