HomeMy WebLinkAbouthealth departmentSTATE OF FLORIDA
DEPARTMENT OF HEALTH
c titaQ ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
.y CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Benjamin Taylor & Heather Phillips
AGENT: Pace 2000, Inc
PROPERTY ADDRESS: 10700 Carlton Rd Port Saint Lucie, FL 34987
LOT: BLOCK:
APPLICATION # : AP 147'9 285
PERMIT #:56-SF-2044630
DOCUMENT # : FI 1606154
DATE PAID:03/04/2020
FEE PAID:545.00
RECEIPT #:56-PID-4304508
SUBDIVISION:
ID # : 4210-323-0004-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE (1] 1090.00 [21 [ ]
[27]
SURFACE WATER 100 FT
[ ] [021
TANK MATERIAL Polypropylene [ ]
[28]
DITCHES FT
[ ] [031
OUTLET DEVICE [ ]
[291
PRIVATE WELLS 96 FT
[ ] [041
MULTI -CHAMBERED (LIJ N ] [ ]
[301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68 [ ]
[311
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-143-11DC4 2. [ ]
[32]
POTABLE WATER 68 FT
[ ] [07]
WATERTIGHT [ ]
[33]
BUILDING FOUNDATIONS 7.5 FT
[ ] [081
LEVEL [ ]
[34]
PROPERTY LINES 100 FT
[ ] [09]
DEPTH TO LID [ ]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 384 [21 SQFT [ ]
[36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X [ ]
[371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 4.00 2. [ ]
[381
SLOPES
[ ] [131
DRAINLINE SEPARATION [ ]
[391
STABILIZATION 04/02/2021
[ ] [14]
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 10.00 [ ]
[401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION [ ]
[41]
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS [ ]
[421
ALARMS
[ ] [19]
AGGREGATE SIZE [ ]
[43]
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES [ ]
[441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH [ ]
[451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ]
[46]
FINAL SITE GRADING
[ ] [221
FILL AMOUNT [ ]
[47]
CONTRACTOR Jeff Nelson (JEFFREY K NEL
1 ] [231
FILL TEXTURE [ ]
[481
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [ ]
[491
TANK PUMPED
t ] [261
REPLACEMENT MATERIAL [ ]
[501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 01/15/2021
CONSTRUCTION
I APPROVED
DISAPPROVED ) ' En7'Win ntal Specialist III is
gram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED 7:
St. Lucie CHID DATE: 04/02/2021
nvi onmental Specialist III B
n 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 AP1471285
EID2044630
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:A1P1471285
PERMIT #:56-SF-2044630
DOCUMENT # : FI 1606154
DATE PAID:03/04/2020
FEE PAID.545.00
RECEIPT #:56-PID-4304508
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 DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final inspection for
mound system, gutters, and final site grading.
Final system approved. Contractor, building department, and GC 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 AP1471235 EID2044630