HomeMy WebLinkAbout5000 SUNSET - health deptSTATE 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: 5000 Sunset Blvd Fort Pierce, FL 34982
LOT: 14 BLOCK: 47
APPLICATION # : AP1464931
PERMIT # : 56-S F-2034799
DOCUMENT #: F11648554
DATE PAID . 01 /30/2020
FEE PAID :545.00
RECEIPT # :56-P I D-4284711
SUBDIVISION: Indian River Estates ID#: 3402-608-0244-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [2] [ ]
[271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polypropylene [ ]
[281
DITCHES 30 FT
[ ] [031
OUTLET DEVICE [ ]
[291
PRIVATE WELLS FT
[ ] [041
MULTI -CHAMBERED [ Y N ] [ ]
[301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68 [ ]
[311
IRRIGATION WELLS FT
[ ] [ 0 6 ]
LEGEND 1. 70-143-11 DC4 2. [ ]
[ 32 ]
POTABLE WATER 31 FT
[ ] [071
WATERTIGHT [ ]
[331
BUILDING FOUNDATIONS 5.5 FT
[ ] [081
LEVEL [ ]
[341
PROPERTY LINES 11 FT
[ ] [091
DEPTH TO LID [ ]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 375 [21 SQFT [ ]
[361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X [ ]
[37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 5.00 2. [ ]
(381
SLOPES
[ ] [131
DRAINLINE SEPARATION [ ]
[391
STABILIZATION 06/23/2021
[ ] [141
DRAINLINE SLOPE
[ ] (151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 9.00 [ ]
[40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION [ ]
[41]
STORMWATER RUNOFF
[ ] 1181
DOSING PUMPS [ ]
[421
ALARMS
[ ] [191
AGGREGATE SIZE [ ]
[431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES [ ]
[441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH [ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ ]
[461
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [221
FILL AMOUNT [ ]
[47]
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [231
FILL TEXTURE [ ]
[48]
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED [ ]
[491
TANK PUMPED
[ ] (261
REPLACEMENT MATERIAL [ ]
[501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/ GOIJt
t. Lucie CHD DATE: 02/08/2021
CONSTRUCTION
[ APPROVED
F-
DISAPPROVED //�� E vironmental S ecialis 111 ;3;;=
TAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED ] :ULM
ucie CHID DATE: 06/23/2021
Environmental S cialist Nicole Montan
ida Department of He
(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 AP1464931
EID2034799
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1464931
PERMIT #:56-SF-2034799
DOCUMENT #: F11648554
DATE PAID.01/30/2020
FEE PAID :545.00
RECEIPT #:56-PID-4284711
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 5x25' long TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
nspection for filled system and final site grading.
DH 4016, 08109 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1464931 EID2034799