HomeMy WebLinkAbouthealth departmentSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Olianne Reyes
AGENT: 011anne Reyes
PROPERTY ADDRESS: 401 E Midway Rd Fort Pierce, FL 34982
LOT: 5 & 6 BLOCK: 2
APPLICATION # : AP 1609312
PERMIT #:56-SF-2216207
DOCUMENT #:F11682728
DATE PAID:12/23/2020
FEE PAID.545.00
RECEIPT #:56-PID-4835712
SUBDIVISION:
Indian River Estates ID#:
3402-602-0050-000-6
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RUDE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 [2]
[ ] [271
SURFACE WATER 33
FT
[ ] [02]
TANK MATERIAL Polypropylene
[ ] [28]
DITCHES
FT
[ ] [03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS
FT
[ ] [041
MULTI -CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] (05]
OUTLET FILTER PolylokPL-68
[ ] (311
IRRIGATION WELLS
FT
[ ] [06]
LEGEND 1. 70-143-11DC4 2,
[ ] [32]
POTABLE WATER 35
FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 19
FT
[ ] [081
LEVEL
[ ] [34]
PROPERTY LINES 27
FT
[ ] [09]
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 509 [2]
SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER
X
[ ] [37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 8.00 2,
[ ] [381
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION 08/20/2021
[ ] [141
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM
6.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ] (421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] [45]
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
[ ] (25]
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / DISAPPROVED ]:
64 St. Lucie CHD
Patthew S Vajanyi (Florida Department of He
FINAL SYSTEM [ APpROVED / DISAPPROVED ]: / St. Lucie CHD
Environmental Sp eci t III Brian J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1609312 EID2216207
DATE: 07/02/2021
DATE: nRnn/7n71
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1609312
PERMIT #:56-SF-2216207
DOCUMENT #:F11682728
DATE PAID.12/23/2020
FEE PAID.545.00
RECEIPT # :56-PI D-4835712
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
apd.
Vew ST, filter, and 5x6+3x5 long BED DF installed. No violations, system ok to cover. Contractor notified on site. Needs final
nspection for mound system, and final site grading.
=inal system approved. Contractor and building department 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 AP1609312 EID2216207