HomeMy WebLinkAboutHealth Dept inspectionSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
PERMIT #:
DATE PAID:
FEE PAID:
RECEIPT #:
545.00
56-SF-2135654
DOCUMENT #:FI1567933
AP1550128APPLICATION #:
56-PID-4551327
08/06/2020
LOT:
ID#:
BLOCK:
SUBDIVISION:
APPLICANT:John Lanza
AGENT:Gale Construction Inc.
PROPERTY ADDRESS:7273 S Indian River Dr Fort Pierce, FL 34982
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
[01] TANK SIZE[][1]1090.00 [2]
[02] TANK MATERIAL[]Polypropylene
[03] OUTLET DEVICE[]
[04] MULTI-CHAMBERED[][Y ]N/
[05] OUTLET FILTER[]
[06] LEGEND[]
[07] WATERTIGHT[]
[08] LEVEL[]
[09] DEPTH TO LID[]
TANK INSTALLATION
[27] SURFACE WATER[]
SETBACKS
FT
[28] DITCHES[]FT
[29] PRIVATE WELLS[]100+FT
[30] PUBLIC WELLS[]FT
[31] IRRIGATION WELLS[]FT
[32] POTABLE WATER []15 FT
[33] BUILDING FOUNDATIONS[]6 FT
[34] PROPERTY LINES[]30 FT
[35] OTHER[]FT
[10] AREA[][1]339.6 [2]
[11] DISTRIBUTION[]
[12] NUMBER OF DRAINLINES[]
[13] DRAINLINE SEPARATION[]
[15] DEPTH OF COVER[]
[16] ELEVATION []
[17] SYSTEM LOCATION[]
[18] DOSING PUMPS[]
[19] AGGREGATE SIZE[]
DRAINFIELD INSTALLATION
SQFT
BOX HEADER X
[BELOW ]BMABOVE/50.00
[14] DRAINLINE SLOPE[]
[20] AGGREGATE EXCESSIVE FINES[]
[21] AGGREGATE DEPTH[]
[36] DRAINFIELD COVER[]
FILLED / MOUND SYSTEM
[37] SHOULDERS[]
[38] SLOPES[]
[39] STABILIZATION[]
[40] UNOBSTRUCTED AREA[]
ADDITIONAL INFORMATION
[41] STORMWATER RUNOFF[]
[42] ALARMS[]
[43] MAINTENANCE AGREEMENT[]
[44] BUILDING AREA[]
[45] LOCATION CONFORMS WITH SITE PLAN[]
[46] FINAL SITE GRADING[]
[47] CONTRACTOR[]MICHAEL W STUHR (ASHTO
[48] OTHER[]INFILTRATOR Quick4 Plus EQ36 LP
[49] TANK PUMPED[]
ABANDONMENT
[50] TANK CRUSHED & FILLED[]
[22] FILL AMOUNT[]
FILL / EXCAVATION MATERIAL
[23] FILL TEXTURE[]
[24] EXCAVATION DEPTH[]
[25] AREA REPLACED[]
[26] REPLACEMENT MATERIAL[]
Polylok PL-68
1.2.
1.2.6.00
70-143-11DC4
3507-332-0003-000-6
Comments are on page 2.Comments:
CONSTRUCTION []:/CHD DATE:
DISAPPROVED
St. Lucie 02/03/2021APPROVED
Environmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM []:/CHD DATE:DISAPPROVED St. Lucie 02/03/2021
Environmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
APPROVED
(Explanation of Violations on following page)
EH Database v 1.0.1 AP1550128 EID2135654
Page 2 of 3
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
PERMIT #:
DATE PAID:
FEE PAID:
RECEIPT #:
545.00
56-SF-2135654
DOCUMENT #:FI1567933
AP1550128APPLICATION #:
56-PID-4551327
08/06/2020
Violation Number Comment
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200
gpd.
New ST, filter, and 6x5 long BED DF installed. No violations, system ok to cover, contractor notified by phone. No final inspection
required. Final system approved. Contractor and building department emailed final approval.
Comments
EH Database v 1.0.1 AP1550128 EID2135654
Page 2 of 3
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC