HomeMy WebLinkAbout4913 AMY LN FASTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Jorge Perelli
AGENT: Jason Harris (All About Septic Services Inc.)
PROPERTY ADDRESS: 4913 Amy Ln Fort Pierce, FL 34946
APPLICATION # : AP1472873
PERMIT # : 56-S F-2046918
DOCUMENT # : FI 1680739
DATE PAID : 03/11 /2020
FEE PAID :380.00
RECEIPT #:56-PID-4339133
LOT: 1
BLOCK: 1
SUBDIVISION:
Green Acres ID#: 1430-701-0001-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR
RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1090.00 [21 [ ]
[27]
SURFACE WATER FT
[ ] [02]
TANK MATERIAL Polypropylene [ ]
[281
DITCHES 100 FT
[ ] [031
OUTLET DEVICE [ ]
[29]
PRIVATE WELLS FT
[ ] [041
MULTI -CHAMBERED [ Y N ] [ ]
[301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68 [ ]
[31]
IRRIGATION WELLS FT
[ ] [ 0 6 ]
LEGEND 1, 70-143-11 DC4 2. [ ]
[ 32 ]
POTABLE WATER 32 FT
[ ] [071
WATERTIGHT [ ]
[331
BUILDING FOUNDATIONS 8 FT
[ ] [081
LEVEL [ ]
[341
PROPERTY LINES 8 FT
[ ] [091
DEPTH TO LID [ ]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 384 [2] SQFT [ ]
[36]
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER X [ ]
[371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 4.00 2. [ ]
(381
SLOPES
[ ] [13]
DRAINLINE SEPARATION [ ]
[391
STABILIZATION 08/13/2021
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 13.00 [ ]
[40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION [ ]
[41]
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS [ ]
[42]
ALARMS
[ ] [191
AGGREGATE SIZE [ ]
[431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES [ ]
[44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH [ ]
[451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL [ ]
[46]
FINAL SITE GRADING
[ ] [22]
FILL AMOUNT [ ]
[47]
CONTRACTOR Jason Harris (All About Septi
[ ] [23]
FILL TEXTURE [ ]
[481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] (241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [ ]
[49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL [ ]
[501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
/
St. Lucie CHD DATE: 05/27/2021
CONSTRUCTION
[ APPROVED
DISAPPROVED E vironmental S ciali t II Ni ole
Mon an z Flo . Department of He
FINAL SYSTEM
[ APPROVED / DISAPPROVED
t.Lucie CHD DATE: 08/13/2021
vironmental Sp cialist I Nicol
M ne ( lorida Department of He
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be
use
)
Incorporated:
64E-6.003, FAC
Page 2 of 3
EH Database v 1.0.1 AP1472873
EID2046918
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP1472873
PERMIT #:56-SF-2046918
DOCUMENT # : F11680739
DATE PAID : 03/11 /2020
FEE PAID,380.00
RECEIPT #:56-PID-4339133
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 2x8+2x9 long TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs
final inspection for mound system and final site grading.
8-13-2021 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 AP1472873 EID2046918