HomeMy WebLinkAboutHealth DeptSTATE OF FLORIDA
1 DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
�y CONSTRUCTION INSPECTION AND FINAL APPROVAL
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APPLICANT: Duverton and Veronica Daniels
AGENT: Jim MautZ
PROPERTY ADDRESS
LOT: 4
2990 Johnston Rd Fort Pierce. FL 34951
BLOCK:
APPLICATION #:AP1422523
PERMIT #:56-SF-1972780
DOCUMENT # : FI 1578665
DATE PAID:07/08/2019
FEE PAID:660.00
RECEIPT #:56-PID-4009250
SUBDIVISION: ID#: 1327-806-0004-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ] [01] TANK SIZE [1] 1200.00 [21
[ ) [021 TANK MATERIAL Concrete
[ ] [03] OUTLET DEVICE
[ ] [04] MULTI -CHAMBERED [LZJ N ]
[ ] [05] OUTLET FILTER Polylok PL-122
[ ] [06] LEGEND 1. 01-011-12DC3 2.
[ ] [071 WATERTIGHT
[ ] [081 LEVEL
[ ] [09] DEPTH TO LID
DRAINFIELD INSTALLATION
[ ] [10] AREA [1] 600 [21 SQFT
[ ] [111 DISTRIBUTION BOX HEADER X
[ ] [121 NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [131 DRAINLINE SEPARATION
[ ] [141 DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 19.00
[ ] [171 SYSTEM LOCATION
( ] [18] DOSING PUMPS
[ ] [191 AGGREGATE SIZE
[ ] [201 AGGREGATE EXCESSIVE FINES
[ ] (211 AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ] [241 EXCAVATION DEPTH
[ ] [25] AREA REPLACED
[ ] [26] REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ ] [27]
SURFACE WATER
FT
[ ] [28]
DITCHES
FT
[ ] (291
PRIVATE WELLS 100
FT
[ ] [301
PUBLIC WELLS
FT
[ ] [311
IRRIGATION WELLS
FT
[ ] [321
POTABLE WATER 100
FT
[ ] [331
BUILDING FOUNDATIONS 7
FT
[ ] [341
PROPERTY LINES 83
FT
[ ] [351
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] (381
SLOPES
[ ] [391
STABILIZATION 02/04/2021
ADDITIONAL INFORMATION
[ ] [40]
UNOBSTRUCTED AREA
[ ] [41]
STORMWATER RUNOFF
[ ] (42]
ALARMS
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [441
BUILDING AREA
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
[ ] [461
FINAL SITE GRADING
[ ] [471
CONTRACTOR Chris Flaherty (Accurate
Sep
[ ] (48]
OTHER INFILTRATOR Quick4 EQ36 (single c
ABANDONMENT
[ ] [ 4 91
TANK PUMPED
[ ] [501
TANK CRUSHED & FILLED
CONSTRUCTION [ St. Lucie CHD
DISAPPROVED ] ' Envir ental Specialist II J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : try____. St. Lucie CHD
Environmental Specialist 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
EH Database v 1.0.1 AP1422523 EID1972780
DATE: 11 /03/2020
DATE: 02/04/2021
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1422 23
PERMIT #:56-SF-1972780
DOCUMENT # : FI 1578665
DATE 2AID:07/08/2019
FEE PAID:660.00
RECEIPT #:56-PID-4009250
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 460
gpd.
New ST, filter, and 5x10 long TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
inspection for mound system, gutters, 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 AP1422523 EID1972780