HomeMy WebLinkAbouthealth departmentFLORIDA STATE OF
>g�DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.y Y CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5001 Sunset Blvd Fort Pierce, FL 34982
APPLICATION #:AP1450603
PERMIT #:56-SF-2012264
DOCUMENT # : FI 1588214
DATE PAID:10/29/2019
FEE PAID:545.00
RECEIPT #:56-PID-4210941
LOT: 24
BLOCK: 46
SUBDIVISION:
Indian River Estates ID#: 3402-608-0219-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [21 300.00 [
] [271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polyethylene [
] [281
DITCHES FT
[ ] [031
OUTLET DEVICE [
] [29]
PRIVATE WELLS FT
[ ] [041
MULTI -CHAMBERED [ Y N ] [
] (30]
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68 [
] [311
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-143-11DC4 2, 70-156-03SC3 [
] [321
POTABLE WATER 47 FT
[ ] [071
WATERTIGHT [
] [33]
BUILDING FOUNDATIONS 5 FT
[ ] [081
LEVEL [
] (341
PROPERTY LINES 5 FT
[ ] (091
DEPTH TO LID [
] [351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 510 [2] SQFT [
] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X [
] [37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 4.00 2. [
] [381
SLOPES
[ ] (13]
DRAINLINE SEPARATION [
] [391
STABILIZATION 03/08/2021
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 8.00 [
] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION E
] [411
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS 1.00 [
] [421
ALARMS
[ ] [19]
AGGREGATE SIZE [
] [431
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES [
] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH [
] (45]
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL [
] [461
FINAL SITE GRADING
[
] [471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [221
FILL AMOUNT
[
] [48]
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [23]
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [
] [491
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL [
] [501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/
St. Lucie CHD DATE: 12/04/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED Environ ental Specialist II
n J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]:
St. Lucie CHD DATE: 03/11/2021
Environmental Specialist II
rian 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 AP1450600
EID2012264
9" STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
who ws s�
Violation Number Comment
Comments
APPLICATION #:AP1450603
PERMIT #:56-SF-2012264
DOCUMENT # : FI 1588214
DATE PAID:10/29/2019
FEE PAID:545.00
RECEIPT #:56-PID-4210941
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, DT, liberty 1/3 hp pump, and 2x40'+2x45' long TRENCH DF installed. No violations, system ok to cover.
Contractor notified by phone. Needs final inspection for mound system, gutters, alarm check, final site grading, and pump wired
through riser wall in conduit.
Final system approved. Contractor, building department, and builder 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 AP1450603 EID2012264