HomeMy WebLinkAbouthealth departmentSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5113 Birch Dr Port Saint Lucie, FL 34983
LOT: 30
BLOCK: 50
APPLICATION #:AP1413014
PERMIT #:56-SF-1947638
DOCUMENT #:F11593167
DATE PAID:05/08/2019
FEE PAID:515.00
RECEIPT #:56-PID-3934966
SUBDIVISION: Indian River Estates ID#: 3402-608-0378-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ ] [01] TANK SIZE [11 1090.00 [21 225.00
[ ] [ 02 ] TANK MATERIAL Polypropylene
[ ] [031 OUTLET DEVICE
[ ] [041 MULTI -CHAMBERED [ Y N ]
[ ] [051 OUTLET FILTER Polylok PL-625
[ ] [061 LEGEND 1. 70-143-11DC4 2. 70-156-02SC3
[ ] [071 WATERTIGHT
[ ] [081 LEVEL
[ ] [091 DEPTH TO LID
DRAINFIELD INSTALLATION
[ ] [101 AREA [1] 375 [21 SQFT
[ ] [111 DISTRIBUTION BOX HEADER X
[ ] [121 NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [131 DRAINLINE SEPARATION
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 4,00
[ ] [171 SYSTEM LOCATION
[ ] [181 DOSING PUMPS 1.00
[ ] [191 AGGREGATE SIZE
[ ] [201 AGGREGATE EXCESSIVE FINES
[ ] [211 AGGREGATE DEPTH
] [46]
SETBACKS
[ ]
[271
SURFACE WATER
FT
[ ]
[281
DITCHES
15
FT
[ ]
[291
PRIVATE WELLS
79
FT
[ ]
[301
PUBLIC WELLS
FT
[ ]
[311
IRRIGATION WELLS
FT
[ ]
[321
POTABLE WATER
31
FT
[ ]
[331
BUILDING FOUNDATIONS
5
FT
[ ]
[341
PROPERTY LINES
5
FT
[ ]
[351
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[361
DRAINFIELD COVER
[ ]
[371
SHOULDERS
[ ]
[381
SLOPES
[ ]
(391
STABILIZATION 03/29/2021
ADDITIONAL INFORMATION
[ ]
[401
UNOBSTRUCTED AREA
[ ]
[411
STORMWATER RUNOFF
[ ]
[421
ALARMS
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[441
BUILDING AREA
[ ]
[451
LOCATION CONFORMS WITH
FINAL SITE GRADING
SITE PLAN
FILL
/ EXCAVATION MATERIAL [
[ ] [221
FILL AMOUNT [ ]
[471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [231
FILL TEXTURE [ ]
[481
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [ ]
[491
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL [ ]
[501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED St. Lucie CHD DATE: 12/16/2020
DISAPPROVED En iro ental Special' I ian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED l : St. Lucie CHD DATE: 03/29/2021
Environmental Spec ia' 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 Page 2 of 3
EH Database v 1.0.1 AP1413014 EID1947638
APPLICATION # : AP 1413014
STATE OF FLORIDA PERMIT #:56-SF-1947638
DEPARTMENT OF HEALTH DOCUMENT #:F11593167
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID.05/08/2019
FEE PAID : 51 5.00
RECEIPT #:56-PID-3934966
Violation Number Comment
Comments
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, DT, and 5x25' long TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs
Final inspection for dosing pump, filled system, gutters, alarm, and final site grading.
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 AP1413014 EID1947638