HomeMy WebLinkAbouthealth dept approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: WallaceT. Lon
AGENT:
PROPERTY ADDRESS:
LOT:
2635 S Brocksmith Rd Fort Pierce, FL 34945
BLOCK: 3
APPLICATION #:AP1478697
PERMIT #:56-SF-2055307
DOCUMENT #:F11565482
DATE PAID..04/13/2020
FEE PAID:660.00
RECEIPT #:56-PID-4356063
SUBDIVISION: McNurlen Farms ID#: 2320-501-0034-000-4
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ I
[011
TANK SIZE [11 1090.00 [21
[ 1
[021
TANK MATERIAL Polypropylene
[ 1
[031
OUTLET DEVICE
[ 1
[041
MULTI -CHAMBERED [ Y N 1
[ 1
[051
OUTLET FILTER Polylok PL-68
[ 1
[061
LEGEND 1. 70-143-11 DC4 2.
[ 1
[071
WATERTIGHT
[ 1
[081
LEVEL
[ 1
[091
DEPTH TO LID
DRAINFIELD INSTALLATION
[ 1
[101
AREA (1) 384 [21 SQFT
[ 1
[111
DISTRIBUTION BOX HEADER X
[ 1
[121
NUMBER OF DRAINLINES 1. 4.00 2.
[ 1
[131
DRAINLINE SEPARATION
[ 1
[141
DRAINLINE SLOPE
( 1
[151
DEPTH OF COVER
[ 1
(161
ELEVATION [ ABOVE / BELOW IBM 13.00
[ 1
[171
SYSTEM LOCATION
[ 1
(181
DOSING PUMPS
[ 1
[191
AGGREGATE SIZE
( 1
[201
AGGREGATE EXCESSIVE FINES
[ 1
[211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ 1 [22I FILL AMOUNT
[ 1 [231 FILL TEXTURE
( 1 [241 EXCAVATION DEPTH
[ 1 [251 AREA REPLACED
[ 1 [261 REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ 1
[271
SURFACE WATER
FT
[ 1
[281
DITCHES
FT
[ 1
[291
PRIVATE WELLS 82
FT
[ 1
[301
PUBLIC WELLS
FT
[ 1
[311
IRRIGATION WELLS 81
FT
[ 1
[321
POTABLE WATER 57
FT
[ 1
[331
BUILDING FOUNDATIONS 7
FT
[ 1
[341
PROPERTY LINES 100
FT
[ 1
[351
OTHER
FT
FILLED / MOUND SYSTEM
[ 1
[361
DRAINFIELD COVER
[ 1
[371
SHOULDERS
[ 1
[381
SLOPES
[ 1
[391
STABILIZATION 06/28/2021
ADDITIONAL INFORMATION
[ 1
[401
UNOBSTRUCTED AREA
[ I
(411
STORMWATER RUNOFF
[ 1
[421
ALARMS
[ 1
[431
MAINTENANCE AGREEMENT
[ 1
[441
BUILDING AREA
[ 1
[451
LOCATION CONFORMS WITH SITE PLAN
[ 1
[461
FINAL SITE GRADING
[ 1
[471
CONTRACTOR Jeff Nelson (JEFFREY K
NEL
[ 1
[481
OTHER INFILTRATOR Quick4 EQ36 (single c
ABANDONMENT
[ 1
[491
TANK PUMPED
( 1
[501
TANK CRUSHED & FILLED
CONSTRUCTION L APPROVED St. Lucie CHD
DISAPPROVED E vironmental Specialist III Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM ( APPROVED DISAPPROVED St. Lucie CHD
Environmental S ke
ciali t II 11cole Monta a (Florida Department of He
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be us d)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1478697 EID2055307
DATE: 01010021
DATE: OFi/28/2021
Page 2 of 3
APPLICATION #: AP1478697
STATE OF FLORIDA PERMIT #:56-SF-2055307
DEPARTMENT OF HEALTH DOCUMENT #.F11565482
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AFINAL APPROVAL DATE PAID:04/13/2020
ND
FEE PAID:660.00
RECEIPT #:56-PID-4356063
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, and 4x8 long 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 inspection approved. Emailed copy to building department and contractor.
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 AP147BG97 EID2055307