HomeMy WebLinkAbout200 bridlewood final approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
PERMIT #:
DATE PAID:
FEE PAID:
RECEIPT #:
25.00
56-SF-1927626
DOCUMENT #:FI1555124
AP1400084APPLICATION #:
56-PID-4013307
07/12/2019
LOT:
ID#:
BLOCK:
SUBDIVISION:
APPLICANT:Francisco & Peggy Perez
AGENT:Alexander J. Piazza PSM, Inc
PROPERTY ADDRESS:200 Bridlewood Way (was TBD Orange Ave) Ave Fort Pierce, FL 34945
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
[01] TANK SIZE[][1]1500.00 [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[]FT
[30] PUBLIC WELLS[]FT
[31] IRRIGATION WELLS[]FT
[32] POTABLE WATER []16 FT
[33] BUILDING FOUNDATIONS[]7 FT
[34] PROPERTY LINES[]53 FT
[35] OTHER[]FT
[10] AREA[][1]900 [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/6.00
[14] DRAINLINE SLOPE[]
[20] AGGREGATE EXCESSIVE FINES[]
[21] AGGREGATE DEPTH[]
[36] DRAINFIELD COVER[]
FILLED / MOUND SYSTEM
[37] SHOULDERS[]
[38] SLOPES[]
[39] STABILIZATION[]09/01/2020
[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[] (OWNER)
[48] OTHER[]INFILTRATOR ARC 24
[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
70-156-15SC3
2310-412-0002-000-7
Comments are on page 2.Comments:
CONSTRUCTION []:/CHD DATE:
DISAPPROVED
St. Lucie 03/25/2020APPROVED
Environmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM []:/CHD DATE:DISAPPROVED St. Lucie 09/01/2020
Environmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
APPROVED
(Explanation of Violations on following page)
EH Database v 1.0.1 AP1400084 EID1927626
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 #:
25.00
56-SF-1927626
DOCUMENT #:FI1555124
AP1400084APPLICATION #:
56-PID-4013307
07/12/2019
Violation Number Comment
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 500
gpd. New ST, filter, and 6x10 long DF installed. No violation, system ok to cover. Owner/builder notified by phone. Needs final
inspection for mound system and final site grading.
Final system approved. Building department emailed final approval.
Comments
EH Database v 1.0.1 AP1400084 EID1927626
Page 2 of 3
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC