HomeMy WebLinkAboutHealth Department Septic Permit APPLICATION. #:A;P1307282
g" STATE OF FLORIDA PERMIT- #:56-8F-1 780636
DEPARTMENT OF HEALTH DOCUMENT #:F11.1.9.8591
ONSITE SEWAGE TREATMENT AND .DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE. PAID:09/18/2017
�Coo'Wct FEE 'PAID:
515..00
xEeE=pT: #:56-P.fD=337069.8
APPLICANT: Si Lucie Habitat for Humanity U
AGENT: St Lucie Habitat for Humanity
PROPERTY ADDRESS:, 7803 James Rd Fort Pierce, FL 34951
LOT: 21 BLOCK: 17
SUBDIVISION: Lakewood Park ID#: 1301-603-0021-000-1
CHECKED [X] ITEMS ARE NOT IN'.COMPLIANCE WITH. STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [O1] TANK-SIZE [1] 1090.00 [2] [ ] [271 SURFACE WATER FT:
[ ] [02] TANK MATERIAL Polyethylene [ ] [2B] DITCHES FT'
[ ] [031 OUTLET DEVICE [ .] (291 PRIVATE WELLS .79 . FT
[. ] [,04] MULTI-CHAMBERED LL2�j N ] [ ] [30.1 PUBLIC WELLS FT.
[ ] [051 OUTLET FILTER Polylok PL-68 [ ] [31] IRRIGATION WELLS FT
[ ] [061 LEGEND 1. 70-143-11DC3 2: [ ] [32] POTABLE WATER" 44 FT
[ 1 [071 WATERTIGHT [ ] (331 BUILDING FOUNDATIONS 13 FT
[• ] [:08] LEVEL [ ] [341 PROPERTY LINES 6. FT
[ ] [09.] DEPTH TO-LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 509.4 [21 SQFT [ ] 1361 DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER X [ ] ['37] SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1, 6.00 2. [ ] [38] SLOPES -
[ ] [131 DRAINLZNE SEPARATION [ ] [391 STABILIZATION 07/25/2018
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER' ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 9.00 [ 1 [401 UNOBSTRUCTED AREA
[ ] [171% SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [421 ALARMS
[ ] [191 AGGREGATE SIZE [. ] [43.] MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] . '[21] AGGREGATE DEPTH [- ] [45.1 LOCATION CONFORMS WITH SITE PLAN
FILL ./ EXCAVATION MATERIAL [. ] [96] FINAL SITE GRADING
[ ] [221 FILL.AMOUNT C: ] [473 CONTRACTOR MICHAEL WI ,STUHR,(ASHTO
[ ] [23] FILL TEXTURE I 7 [481 OTHER INFILTRATOR:00&4-Plus E036 LP
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA-'REPLACED [ ] [49] TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK, CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED: r01z St. Lucie CHD DATE: 06/15/2018
DISAPPROVED ] Environmental Specialist II. rian J Ingram(ENVIRONMENTALHEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED 1: � ^'� St. Lucie CHD DATE: 07/25/2018
Environmental Specialistl DIanna S May.(Florlda Dep'artmentbf 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 ,AP1307282 EID1789636
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APPLICATION. #:AP13.07282
4" STATE OF FLORIDA
w✓' �' �j PERMIT #:56-SF-1789636
DEPARTMENT OF HEALTH DOCUMENT #:F11198591
s 'ti'Q ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
'.y CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID'.:09/18/2017
wc'
FEE PATD:515.00
RECEIPT #:66-PID-3370698
Violation Number 'Comment
Comments
The>system is:sized for:3 bedrooms with a maximum occupancy of 6 persons(2.per bedroom);for total estimated flow of 300
gpd, New:ST and3x7+3x8,DF installed-No violations,system ok.to cover.Contractor notified by phone,Final in required.
for mound system and final site grading.
Final inspection for mound-'system and final-site grading satisfactory. Emailed,to contractor and building department.
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DH 4016., 08/09 (Pbsoletes all previous. editions which may,not be used)
Incorporated: 64E-6.003, PAC Page 2 of 3
EH Database V 1.0:1 APi307282 EID1789636
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