HomeMy WebLinkAbout5120 Sanibel faSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: David Agler
AGENT: Culpepper & Terpening, Inc.
PROPERTY ADDRESS: 5120 Sanibel Ave Fort Pierce, FL 34951
LOT: 10 BLOCK: 172
APPLICATION # : AP 1 473723
PERMIT #:56-SF-2048103
DOCUMENT #: F11590926
DATE PAID : 03/16/2020
FEE PAID:660.00
RECEIPT #:56-PID-4341512
SUBDIVISION: Lakewood Park ID#: 1301-615-0093-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 1090.00 [21
[021 TANK MATERIAL Polypropylene
[03] OUTLET DEVICE
[04] MULTI -CHAMBERED [ Y N ]
[ 05 ] OUTLET FILTER Tuf-Tite EF-4
[06] LEGEND 1. 70-143-11DC4
[07] WATERTIGHT
[081 LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[10] AREA [1] 384.88 [2]
[11] DISTRIBUTION BOX
[12] NUMBER OF DRAINLINES
[131 DRAINLINE SEPARATION
[141 DRAINLINE SLOPE
[15] DEPTH OF COVER
[16] ELEVATION [ ABOVE /
[17] SYSTEM LOCATION
[18] DOSING PUMPS
[191 AGGREGATE SIZE
[201 AGGREGATE EXCESSIVE FINE:
[21] AGGREGATE DEPTH
2.
SQFT
HEADER X
1. 4.00 2.
BELOW IBM 1.00
SETBACKS
[ ] [27]
SURFACE WATER
FT
[ ] (28]
DITCHES
FT
[ ] [291
PRIVATE WELLS 75
FT
[ ] (301
PUBLIC WELLS
FT
[ ] [31]
IRRIGATION WELLS
FT
[ ] [32]
POTABLE WATER 40
FT
[ ] [33]
BUILDING FOUNDATIONS 5
FT
[ ] [341
PROPERTY LINES 10
FT
[ ] [35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] [38]
SLOPES
[ ] [39]
STABILIZATION 03/19/2021
ADDITIONAL
INFORMATION
[ ] [40]
UNOBSTRUCTED AREA
[ ] [41]
STORMINATER RUNOFF
[ ] [42]
ALARMS
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [44]
BUILDING AREA
[ ] [45]
46
LOCATION CONFORMS WITH SITE PLAN
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [ ]
[ ] [22]
FILL AMOUNT
[ ] [47]
CONTRACTOR John Baker (Accurate Septic
[ ] [23]
FILL TEXTURE
[ ] [48]
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED ]
Environmental Speciali
"ti— St. Lucie CHD
A Reinhold (Florida Department of Hea
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: / < — i1St. Lucie CHD
Environmental Spec ia} 't III 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 AP1473723 EID2048103
DATE: n2/11 /2021
DATE: r13/19/2(121
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 #:AP14.73723
PERMIT #:56-SF-2048103
DOCUMENT # . FI 1590926
DATE PAID.03/16/2020
FEE PAID:660.00
RECEIPT # : 56-P I D-4341512
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 2x9+2x8 long TRENCH DF installed. No violations, system ok to cover, contractor notified onsite. Needs final
nspection for depth of cover, mound system,
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 AP1473723 EID2048103