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Home My WebLink AboutSewager: l APPLICATION #:AP1652523 STATE OF FLORIDA PERMIT 1i:56-SF-2267490 DEPARTMENT OF HEALTH DOCUMENT 4 : F11627928 . ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL, APPROVAL DATE PAID:O4�O1/2021 -�� FEE PAID:345.00 RECEIPT #:56-PID-4935760 APPLICANT: Madore Tenco AGENT: Rosetis Moctezuma (AIL Coast Septic Services Inc.) PROPERTY ADDREss: 7500 Belleau Ave Fo(t Pierce. FL 34951 LOT: 8 & 9 SUBDIVISION: BLOCK: 81 Lakewood Park IDB: 1301.607-02PMOO-S CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ J toll TANK SIZE (1] 1090.00 (2) 483.00 [ 1 [27] SURFACE WATER FT ( 1 [021 TANK MATERIAL Polypropylene ( 1 [281 DITCHES FT [ ] (031 OUTLET DEVICE ( 1 1291 PRIVATE WELLS 88 FT [ 1 1041 XULTI-CHAMBERED [L_jj N 1 t 1 (301 PUBLIC WELLS FT ( ) 1051 OUTLET FILTER Polylok PL-68 [ 1 (311 IRRIGATION WELLS FT ( ] (061 LEGEND 1, �-143-11DC4 2, Z2-143`5$SC4 I 1 1321 POTABLE WATER 67 FT ( 1 1071 WATERTIGHT [ 7 1331 BUILDING FCUIMATIONS 8 FT ( ) 100) LPL [ 1 [341 PROPERTY LINES 18 FT [ ] 1091 DEPTH TO LID [ 1 (351 OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM t 1 1101 AREA [1] 554.68 121 SQFT ( ] (361 DRAINFIELD COVER j J 111) DISTRIBUTION BOX HEADER X ( ] 1371 SHOULDERS ( ) (121 NUMBER OF DRAINLINES 1. ZM 2. ( 3 1381 SLOPES ( ] [131 DRAINLIHE SEPARATION [ 1 [391 STABILIZATION [ I (143 DRAINLINE SLOPE [ ) (151 DEPTH OF COVER ADDITIONAL INFOR44ATICN [ 1 (161 ELEVATION ( BELOW IBM 2.00 [ 1 [401 UNOBSTRUCTED AREA ( 1 1171 SYSTEM LOCATION I 1 [411 STORNWATER RUNOFF ( 1 1181 DOSING PUNS 1.00 I 1 (421 ALARMS ( 1 [19) AGGREGATE SIZE [ ] 1431 MAINTENANCE AGREEMENT' ( 1 (201 AGGREGATE EXCESSIVE FUSES [ ] 1441 BUILDING AREA ( 1 1221 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN ( ) 1461 FINAL SITE GRADING FILL / EXCAVATION MATERIAL ( ) 1471 CONTRACTOR RoseliS Mot2ezuma (Alf Coas [ ) (22] FILL AMOUNT [ 1 (481 OTHER INFILTRATOR Qilicic4 Plus E036 LP [ 1 1231 FILL TEXTURE [ ] [241 EXCAVATION DEPTH ABANDONMENT [ 1 [251 AREA REPLACED [ ) (491 TANK PUMPED 05/14/2021 [ ) 1261 REPLACEMENT MATERIAL ( ) (501 TANK CRUSHED s FILLED 05/1Q2021 Comments: Comaents are on page 2.. CONswucrzw ( APPROVED / DISAPPROVED I' ,*W-%ft . St. Lucie CHD DATE: 05/1712021 J Ingram (ENVIRONMENTAL HEALTH) FINAL SYSTEM [ ApPr�VED � DISAPPROVED 1: .-�- St. Environmental Sm (EN pecialist B►lan J IngraVIRONA (Esplanatmm of violation on following page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) incorporated: 64E-6.003, FAC EH Database v 1.0.1 AP1662523 EID2267490 CHD DATE: 05/1712021 6LTH) Page 2 of 3 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Counts APPLIcATIort e : AP 1652523 PENUT k:56-SF-2267490 DOCUN214T N : FI 1627928 DATE PAID:04/01/2021 ME PAID:345.00 RECEIPT 0:56-PID-4935760 The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300 apd. xisting ST pumped and abandoned. No violations. qew ST, filter, DT, liberty 113 hp pump,. and 7x7 long BED DF installed. No violations, system ok to cover. Contractor notified msite, No final inspection required, Final system approved. Contractor emailed final approval. DH 4016, 08/09 (Obsoletes all previous editions which may not bo usad) Incorporated: 64E-6.003, FAC Pace 2 of 3 EH Database vIA.1 AP1662523 E102287490 IVV' STATE OF FLORIDA x DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL •��IM APPLICANT: Madore Tenco AGENT: Roselis Moctezuma (AIL Coast Septic Services Inc.) PROPERTY ADDRESS: 7500 Belleau Ave Fort Pierce. FL 34951 APPLICATION # : AP 1652523 PERMIT n:56-SF-2267490 DOCUMENT 4 : FI 1627928 DATE PAw, 04101 /2021 FEE PA11045.00 RECEIPT a :56-PID-4935760 LOT: SUBDIVISION: BLOCK: a Lakewood Park IDN: 1301.807.0287.000-5 CHECKED EX] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ l [01] TANK SIZE [1] 1090.00 121 483.00 [ 3 [271 SURFACE WATER FT [ ) [023 TANK MATERIAL. Polypropylene ( ] E291 DITCHES FT [ 1 1031 OUTLET DEVICE [ 1 (291 PRIVATE WELLS 88 FT [ 1 (041 NGJLTI-CHAMBERED ( X N ] 1 1 (301 PUBLIC WELLS FT ( 3 (051 OUTLET FILTER Polylok PL-68 [ 1 1311 IRRIGATION WELLS FT [ 1 1061 LEGEND 1, 70-143-11QC4 2, 70-143-54$C4 ( 1 1321 POTABLE WATER 67 FT 1 1 1071 WATERTIGHT [ 1 [333 BUILDING FOUNDATIONS $ FT I l tool LEVEL E 1 1341 PROPERTY LINES 18 FT I l 1091 DEPTH TO LID [ 1 E351 OTHER FT DRAINFIELD INSTALLATION FILLED / YOUND SYSTEM ( 1 1101 AREA (1] 554.68 E21 SQFV i 1 E361 DRAINFIELD COVER 1 l (111 DISTRIBUTION BOX HEADER x [ 3 (371 SHOULDERS [ 1 112) MUMMER OF DRAINLINES 1. ZM 2. [ 1 1381 SLOPES [ ] E131 DRAINLINE SEPARATION [ 1 [391 STABILIZATION E ] (141 MAINLINE SLOPE [ 7 [151 DEPTH OF COVER ADDITIONAL INFORMATION [ ) [161 ELEVATION [ BELOW IBM 2,00 [ 1 1401 UNOBSTRUCTED AREA ( 1 1171 SYSTEM LOCATION I 1 (411 STOW5,1ATER RUNOFF E ) (is] DOSING PUMPS 1,00 ( ] 1421 •ALP"-9 [ 1 1193 AGGREGATE SIZE ( l 1433 MAINTENANCE AGREEMENT 1 1 1201 AGGREGATE EXCESSIVE FINES [ 3 1441 BUILDING AREA I 1 1211 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN ( 3 146E FINAL. SITE GRADING FILL / EXCAVATION MATERIAL ( ] (47] CONTRACTOR Roselis Moctezuma (AA Coas [ l (22] FILL AMOUNT [ 1 [48] OTHER INFILTRATOR'Quick4 Plus E036 LP [ ] 123) FILL TEXTURE [ 1 E241 EXCAVATION DEPTH ABANDONMENT [ ) [251 AREA REPLACED [ 1 (491 TANK PUMPED 05/1412021 ( ] (261 REPLACEMENT MATERIAL. 1 ) [501 TANK CRUSHED S FILLED 05/14/2021 Comments: Comments are on page 2. CONSTR=1w 1 APPROVED nrsa;?PtaovEn l - - _ _ St. Lucie CHI) J Ingram (ENVIRONMENTAL HEAHEALTH) FZNAL SYSTEM [ APBROVEA ! DISAPPROVED 1: asp- St. Lucie CHD Environmental $Pacialist Han J Ingram tENVIRONAtENTAL HEALTH) (Explanation of Violatiorw on following Page) DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC EH Database v 1.0A AP1662523 E102267490 DATE: 05/17/2021 DAIM : 05/1712021 Page 2 of 3 Y STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL Cortment3 APPLICATION # .- AP 1652523 PMaT a:56-SF-2267490 DOCUMMT i : FI 1627928 DATa PAID: 04/01 /2021 M PAID :345.00 RECEIPT e:56-PID-4935760 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. Existing ST pumped and abandoned. No violations. New ST, filter, DT, liberty 1/3 hp pump, and 7x7 long. BED DF installed. No violations, system ok to cover. Contractor notified onsite. No final inspection required. Final system approved. Contractor emailed final approval. DH 4016, 08/09 (Obsoletes all previous editions which may not bo usod) Incorporated: 64E-6.003, FAC Page 2 o: 3 EH Dabbasc v 1.0.1 AP1652523 EJD22874SO