HomeMy WebLinkAbout5309 palm dr fa health departmentAPPLICATION #:AP1449778
STATE OF FLORIDA PERMIT #:56-SF-2010882
DEPARTMENT OF HEALTH DOCUMENT #:F11581901
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:10/23/2019
FEE PAID:545.00
RECEIPT #:56-PID-4206515
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5309 Palm Dr Fort Pierce, FL 34982
LOT: 44
BLOCK: 49
SUBDIVISION:
Indian River Estates ID#: 3402-608-0346-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1090.00 [21 [
] (271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polypropylene [
] [281
DITCHES 15 FT
[ ] [031
OUTLET DEVICE [
] [291
PRIVATE WELLS 100 FT
[ ] [041
MULTI -CHAMBERED [ Y N ] [
] [301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68 [
] [311
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-143-11 DC4 2. [
] [321
POTABLE WATER 24 FT
[ ] [071
WATERTIGHT [
] [331
BUILDING FOUNDATIONS 5 FT
[ ] [081
LEVEL [
] [341
PROPERTY LINES 18 FT
[ ] [09]
DEPTH TO LID [
] [351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 681 [21 SQFT [
] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X [
] [37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 9.00 2. [
] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION [
] [391
STABILIZATION 02/17/2021
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 5.00 [
] [401
UNOBSTRUCTED AREA
[ ] (171
SYSTEM LOCATION [
] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS [
] [421
ALARMS
[ ] [19]
AGGREGATE SIZE [
] [431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES [
] [441
BUILDING AREA
( ] [211
AGGREGATE DEPTH [
] [451
LOCATION CONFORMS WITH SITE PLAN
[
] [461
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[
] [471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [221
FILL AMOUNT
[
] [481
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [231
FILL TEXTURE
[ ] (24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [
] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL [
] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 11/04/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED Enviro ntal Specialist III
(ENVIRONMENTAL HEALTH)
J Ingram (ENVIRO
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]:
St. Lucie CHD DATE: 02/17/2021
'Brian
Environmental SpecialisP
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 Datahase v 1.0.1 AP1449778
EID2010882
STATE OF FLORIDA
J r. 2j DEPARTMENT OF HEALTH
c' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1449778
PERMIT #:56-SF-2010882
DOCUMENT #:F11581901
DATE PAID:10/23/2019
FEE PAID : 545.00
RECEIPT #:56-PID-4206515
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 5x23'+3x30'+lx22' long BED DF installed. No violations, system ok to cover. Contractor notified onsite.
Needs final inspection for mound system and final site grading.
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 AP1449778 EID20'10882