HomeMy WebLinkAbout8932 carlton rd fa HEALTH DEPARTMENT APPROVALSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Kassandra Fasnacht
AGENT: Atlantic Land Designs of the TC
PROPERTY ADDRESS: 8932 Carlton Rd
LOT
Fort Pierce, FL 34987
BLOCK:
APPLICATION #:AP1629374
PERMIT #:56-SF-2239686
DOCUMENT #: FI 1680879
DATE PAID.02/10/2021
FEE PAID:660.00
RECEIPT #:56-PID-4883214
SUBDIVISION: ID# : 3234-231-0002-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
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SETBACKS
[ ] [271
SURFACE WATER
100
FT
[ ] [28]
DITCHES
FT
[ ] [29]
PRIVATE WELLS
81
FT
[ ] [30]
PUBLIC WELLS
FT
[ ] [31]
IRRIGATION WELLS
FT
[ ] [32]
POTABLE WATER
57
FT
[ ] [33]
BUILDING FOUNDATIONS
6
FT
[ ] [34]
PROPERTY LINES
33
FT
[ ] [351
OTHER
FT
FILLED / MOUND SYSTEM
[ ] [36]
DRAINFIELD COVER
[ ] [37]
SHOULDERS
[ ] (38]
SLOPES
[ ] [391
STABILIZATION 08/13/2021
ADDITIONAL INFORMATION
[40] UNOBSTRUCTED AREA
[41] STORMWATER RUNOFF
(42] ALARMS
[43] MAINTENANCE AGREEMENT
[44] BUILDING AREA
[45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ l [46] FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR Jason Harris (All About Septi
[ ] [23] FILL TEXTURE [ l [48] OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [491 TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
TANK INSTALLATION
[01] TANK SIZE [11 1090.00 [2]
[ 02 ] TANK MATERIAL Polypropylene
[031 OUTLET DEVICE
[04] MULTI -CHAMBERED [ Y N ]
[051 OUTLET FILTER Polylok PL-68
[06] LEGEND 1. 70-143-11DC4 2.
[07] WATERTIGHT
[081 LEVEL
[09] DEPTH TO LID
DRAINFIELD INSTALLATION
[101 AREA [11 384.88 [2] SQFT
[11] DISTRIBUTION BOX HEADER X
[121 NUMBER OF DRAINLINES 1. 6.00 2.
[13] DRAINLINE SEPARATION
[141 DRAINLINE SLOPE
[15] DEPTH OF COVER
[161 ELEVATION [ ABOVE / BELOW ]BM 2.00 [ ]
[17] SYSTEM LOCATION [ ]
[181 DOSING PUMPS [ ]
[19] AGGREGATE SIZE [ ]
[201 AGGREGATE EXCESSIVE FINES [ ]
[211 AGGREGATE DEPTH [ ]
CONSTRUCTION [ APPROVED / DISAPPROVED ]: E
St. Lucie CHD
III Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: r St. Lucie CHD
Environmental Specialist III r
n J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations 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 AP1629374 EID2239686
DATE: 0.'V99/9n91
DATE: 08/13/2021
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
CONSTRUCTION INSPECTION
Violation Number Comment
Comments
AND DISPOSAL SYSTEM
AND FINAL APPROVAL
APPLICATION # : AP 1629374
PERMIT #:56-SF-2239686
DOCUMENT #:F11680879
DATE PAID :02/10/2021
FEE PAID:660.00
RECEIPT #:56-PID-4883214
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 4x6+2x5 long TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
inspection for well inspection/setback, potable water line setback, mound system, and final site grading.
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 AP1629374 EID2239686