HomeMy WebLinkAboutHealth Dept final ApprovalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Beach Treasures Property Holding
AGENT: Jeff Nelson (JEFFREY K NELSON SEPTIC)
PROPERTY ADDRESS: 20025 Southern Star SE wing Fort Pierce, FL 34945
LOT: 7
BLOCK:
APPLICATION #:AP1482126
PERMIT #:56-SF-1806243
DOCUMENT #:F11609940
DATE PAID:
FEE PAID:
RECEIPT #:
SUBDIVISION: ID# : 2215-700-0009-000-8
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ 01 ] TANK SIZE [ 1 ] 1090.00 [ 2 ] 483.00
[ 02 J TANK MATERIAL Polypropylene
[03] OUTLET DEVICE
[04] MULTI -CHAMBERED [L2�j N ]
[051 OUTLET FILTER Polylok PL-68
[06] LEGEND 1. 70-143-11DC4
[071 WATERTIGHT
[08] LEVEL
[09) DEPTH TO LID
DRAINFIELD INSTALLATION
[10) AREA Ill 384 [2;
[111 DISTRIBUTION BOX
[121 NUMBER OF DRAINLINES
[13] DRAINLINE SEPARATION
[14I DRAINLINE SLOPE
[15] DEPTH OF COVER
[161 ELEVATION [ ABOVE /
[17] SYSTEM LOCATION
[181 DOSING PUMPS
(19] AGGREGATE SIZE
[201 AGGREGATE EXCESSIVE FINE:
[21] AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ] [24) EXCAVATION DEPTH
[ ] [25] AREA REPLACED
[ J [261 REPLACEMENT MATERIAL
Comments: Comments are on pane 2.
2. 70-143-54SC4
SQFT
HEADER X
1. 4.00 2.
BELOW IBM 15.00
1.00
CONSTRUCTION [ APPROVED
DISAPPROVED 1:
SETBACKS
[ ]
[27]
SURFACE WATER
FT
[ ]
[281
DITCHES
FT
[ ]
[29]
PRIVATE WELLS 100
FT
[ )
[30)
PUBLIC WELLS
FT
[ ]
[31]
IRRIGATION WELLS
FT
[ J
[32I
POTABLE WATER 17
FT
[ ]
[331
BUILDING FOUNDATIONS 10
FT
[ ]
[34]
PROPERTY LINES 90
FT
[ I
[35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[36]
DRAINFIELD COVER
[ ]
[371
SHOULDERS
[ ]
[38]
SLOPES
[ ]
[391
STABILIZATION 04/01/2021
ADDITIONAL INFORMATION
[ ]
[401
UNOBSTRUCTED AREA
[ ]
[41]
STORMWATER RUNOFF
[ ]
[421
ALARMS
[ ]
[43]
MAINTENANCE AGREEMENT
[ ]
[441
BUILDING AREA
[ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ J
[461
FINAL SITE GRADING
[ ]
[47]
CONTRACTOR Jeff Nelson (JEFFREY K
NEL
[ ]
[481
OTHER INFILTRATOR Quick4 EQ36 (single c
ABANDONMENT
[ I
[49)
TANK PUMPED
[ ]
[50]
TANK CRUSHED & FILLED
St. Lucie CHD
J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED DISAPPROVED J:y i St. Lucie CHD
Environmental Specialist III Q ian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page) f��/
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1482126 EID1806243
DATE: 07/31 /2020
DATE: n4/n1/gng1
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 #:AP1482126
PERMIT #:56-SF-1806243
DOCUMENT #: F11609940
DATE PAID:
FEE PAID
RECEIPT #:
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, liberty 1/3 hp pump, and 4x8long TRENCH DF installed. No violations, system ok to cover. Contractor notified
onsite, Needs final inspection for well inspection/setback, potable water line setback, mound system, and final site grading.
Final system approved. Contractor 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 AP1482126 EID1806243