HomeMy WebLinkAboutHealth 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: 5611 Spruce Dr Fort Pierce, FL 34982
APPLICATION # : AP1464945
PERMIT #:56-SF-2034819
DOCUMENT # : F 11662791
DATE PAID : 01 /30/2020
FEE PAID :545.00
RECEIPT #:56-PID-4284769
LOT: 22
SUBDIVISION:
BLOCK: 77
Indian River Estates ID#: 3402-610-0207-000-7
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1090.00 [2]
[ ] [271
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 23
FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [04]
MULTI -CHAMBERED [LIJ N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2.
[ ] [32]
POTABLE WATER 30
FT
[ ] [07]
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 6
FT
[ ] [081
LEVEL
[ ] [34]
PROPERTY LINES 8
FT
[ ] [09]
DEPTH TO LID
[ ] [35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 388 [2]
SQFT [ ] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER
X [ ) [37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [38]
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 07/13/2021
[ ] [14]
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
( ] [16]
ELEVATION [ ABOVE / BELOW ]BM
3.00 [ ] [40]
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ] [42]
ALARMS
[ ) [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ) [20)
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ) [46]
FINAL SITE GRADING
[ ] [22]
FILL AMOUNT
[ ) [47]
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [23)
FILL TEXTURE
[ ) [48]
OTHER PTI MPRDS (9 pipes - 2 tier)
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [25)
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/
t. Lucie CHD DATE: 03/18/2021
CONSTRUCTION
[ APPROVED
DISAPPROVED
] ' nvironmental Sp ialist 11 Ni le Monta
a (Florida Department of He
FINAL SYSTEM
[ APPROVED / DISAPPROVE
t.Lucie CHD DATE: 07/13/2021
Environmental S ecialis II Ni ole Montnd)
Flo Department of He
(Explanation of Violations on following page)
DH 4016, 08/09
(Obsoletes all previous
editions which may not be u
Incorporated:
64E-6.003, FAC
Page 2 of 3
EH Database v 1.0.1
AP1464945
EID2034819
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1 464945
PERMIT # : 56-S F-2034819
DOCUMENT #: F11662791
DATE PAID . 01 /30/2020
FEE PAID :545.00
RECEIPT #:56-PID-4284769
Fgp6The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
.
New ST and 2x24 + 1x25.5 + 2x28 TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs
final inspection for mound system and final site grading.
Final inspection approved. Emailed copy to building department and contractor. NMM
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 AP1464945 EID20348i9