HomeMy WebLinkAboutHealth Department ApprovedSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Marvin
AGENT:
PROPERTY ADDRESS: 11600 Twin creeks Dr (GUEST HOUSE) Fort Pierce, FL 34945
LOT: BLOCK:
APPLICATION #:AP1578437
PERMIT #:56-SF-2166975
DOCUMENT # : F 11660696
DATE PAID:09/15/2020
FEE PAID:660.00
RECEIPT #:56-PID-4669921
SUBDIVISION: ID# : 2333-234-0001-000-5
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [1] 1090.00 [2]
[ 02 ] TANK MATERIAL Polypropylene
[03] OUTLET DEVICE
[04] MULTI -CHAMBERED [ Y N ]
[051 OUTLET FILTER Polylok PL-68
[06] LEGEND 1. 70-143-11DC4 2.
[071 WATERTIGHT
[081 LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[10] AREA [1] 540 [2] SQFT
[11] DISTRIBUTION BOX HEADER X
(121 NUMBER OF DRAINLINES 1. 6.00 2.
[13] DRAINLINE SEPARATION
[14] DRAINLINE SLOPE
[15] DEPTH OF COVER
SETBACKS
[ ] [27]
SURFACE WATER
FT
[ ] [28]
DITCHES
FT
[ ] [29]
PRIVATE WELLS 100
FT
[ ] [30]
PUBLIC WELLS
FT
[ ] [311
IRRIGATION WELLS 100
FT
[ ] (32]
POTABLE WATER 73
FT
[ ] [33]
BUILDING FOUNDATIONS 7
FT
[ ] [34]
PROPERTY LINES 100
FT
[ ] [35]
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] [381
SLOPES
[ ] [39]
STABILIZATION 07/02/2021
[16] ELEVATION [ ABOVE / BELOW ]BM 1.00 [ ]
[171 SYSTEM LOCATION [ l
[181 DOSING PUMPS [ ]
[19] AGGREGATE SIZE [ ]
(201 AGGREGATE EXCESSIVE FINES [ ]
[21] AGGREGATE DEPTH [ ]
[ ]
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[42] ALARMS
[43] MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[46] FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [47]
CONTRACTOR (KRK Enterprises)
[ ] [22]
FILL AMOUNT
[ ] [48]
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
_ St. Lucie CHD
DATE: 03/15/2021
CONSTRUCTION
[ APPROVED
DISAPPROVED
] ' Environmental Specialist III rian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED
/ DISAPPROVED
St. Lucie CHD
DATE: O7/O2/2021
Environmental Specialist I Mathew�6 anyi (Florida 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
AP1578437 EID2166975
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1578437
PERMIT #:56-SF-2166975
DOCUMENT # : FI 1660696
DATE PAID.09/15/2020
FEE PAID:660.00
RECEIPT #:56-PID-4669921
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 6x30' long BED DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
inspection for mound system, gutters, and final site grading.
Final inspection completed. Mound system checked, gutters added, and final site grading completed. 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 AP1578437 EID2166975