HomeMy WebLinkAboutSewage Final ApprovalSTATE OF FLORIDA 1Sa3 r 60as I
'DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Brian and Laura Black
AGENT: Alexander J. Piazza PSM, Inc John
PROPERTY ADDRESS: Brocksmith Rd I
772-260-5049
FL34945 0q zz?1
APPLICATION .#:AP1177107
PERMIT #: 56-SF-1 521622
DOCUMENT #: F11104657
DATE pAID:02/19/2015
FEE PAID:400.,00
RECEIPT #:5.6-PID 26:091.54
LOT: 13
SUBDIVISION:
BLOCK: 3
McNurlen Farms ID#: 2320-501-0044-000-7
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 100
FT
[ ]
(02]
TANK MATERIAL Polyethylene
[
1
[281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[
]
[29]
PRIVATE WELLS 80
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[
]
[,301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER PolylokPL-68
[
]
[311
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 70-143-11DC3 2.
[
]
[32]
POTABLE WATER 50
FT
[ ]
[071
WATERTIGHT
[
]
[331
BUILDING FOUNDATIONS 7
FT
[ ]
[081
LEVEL
[
]
[341
PROPERTY LINES 75
FT
[ ]
[091
DEPTH TO LID
[.
1
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 600 [21 SQFT
[
]
[36]
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[
]
1371
:SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 5.00 2.
[
]
[381
'SLOPES
[ ]
[13]
DRAINLINE SEPARATION.
[
]
[391
STABILIZATION 03/16/2017
[ ]
1141
DRAINLINE SLOPE
[ ]
[15']
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE /' BELOW ]BM 14.00
[
]
[40]
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ]
(181
DOSING PUMPS
[
]
[421
ALARMS
[ ]
[191
AGGREGATE SIZE
[
]
[431
MAINTENANCE AGREEMENT
[ ]
1201
AGGREGATE EXCESSIVE FINES
[
]
[441
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[
]
[451
LOCATION CONFORMS WITH SITE PLAN
[
]
[46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT
[ ]
[47]
CONTRACTOR Kyle Kelly
[ ] [23] FILL TEXTURE
[ ]
[481
OTHER PTI MPRDS (9 pipes - 2 tier)
[ ] [241 EXCAVATION DEPTH_
ABANDONMENT
[ ] [25] AREA REPLACED
[ ]
[491
TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL
[ ]
[50:]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED St: Lucie CHD DATE: 12/21/201.6
DISAPPROVED ) ° Environmental Specialist n°J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [. APPROVED / DISAPPROVED ]: - St. Lucie CHD DATE: 03/16/2018
Environmental Specl 1 `11 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 Page 2 of 3
EH Database v 1.0.1 AP1177107 EID1521,622 RECEIVED MAR `2 9-2017
Violation Number
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSI.TE SEWAGE' TREATMENT AND 'DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
i
Comment
APPLICATION t:AP1177107
PENT- # : 56=SF-1.521622
DOCUMENT #:.F11104657
`DATE PAID a02/1 9/20 5
FEE PAID:4'00.00
RECEIPT #:56-PID-260,'9154
I.VIWYClI'lri1,
The system is sized for 3 bedrooms with a maximum occupancy of'6 persons (2 per b'edroom),.for°a `total estimated flow of 300
gpd. 5x40 ft PTI 9 pipe 2 tier MPRDS ,@ 3sgft/linear %
No violations, system okto cover.. Contractor notified onsite.. Needs finalinspection for mound system. Well checked at
construction inspection.
Final system approved. Contractor and building department:emailed final approval_,
DH 4416„ 08/0.9 (Obsoletes all previous editions which may not'.be used):
Incorporated: 64E-6.:o03y FAC. Paige 2 of 3
EH Database v 1.0.1 AP1177107 EID1521622