HomeMy WebLinkAbouttbd carlton rd fa HEALTH DEPARTMENT APPROVALAPPLICATION # : AP 1606194
STATE OF FLORIDA PERMIT #:56-SF-2211896
DEPARTMENT OF HEALTH DOCUMENT #:F11680860
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:12/09/2020
FEE PAID:660.00
RECEIPT #:56-PID-4825916
APPLICANT: Kylie Fasnacht
AGENT:
PROPERTY ADDRESS: TBD Carlton Rd Port Saint Lucie, FL 34987
LOT:
SUBDIVISION:
BLOCK:
ID# : 3234-231-0001-000-5
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 [2]
[ ]
[27]
SURFACE WATER 75
FT
[ ]
[02]
TANK MATERIAL Polypropylene
[ ]
[28]
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[ ]
[291
PRIVATE WELLS 80
FT
[ 1
[041
MULTI -CHAMBERED ( Y N ]
[ ]
[301
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER PolylokPL-68
[ ]
[31]
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC4 2.
[ ]
[32]
POTABLE WATER 17
FT
[ ]
[071
WATERTIGHT
[ ]
[33]
BUILDING FOUNDATIONS 6
FT
[ ]
[08]
LEVEL
[ ]
[34]
PROPERTY LINES 55
FT
[ ]
[09]
DEPTH TO LID
[ ]
[35]
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 384.88 [2] SQFT
[ ]
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER X
[ ]
[371
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[ ]
[38]
SLOPES
[ ]
[13]
DRAINLINE SEPARATION
[ ]
[39]
STABILIZATION 08/13/2021
[ ]
[141
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ]
[16]
ELEVATION [ AHOVE / BELOW ]BM 11.00
[ ]
[40]
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[ ]
[411
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ]
[421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[ ]
[43]
MAINTENANCE AGREEMENT
[ ]
(201
AGGREGATE EXCESSIVE FINES
[ ]
[44]
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] (221
FILL AMOUNT
[ ] [47]
CONTRACTOR Jason Harris (All About Septi
[ ] [23]
FILL TEXTURE
[ 1 [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION L APPROVED St. Lucie CHD
DISAPPROVED ] ' Enviro ental Speciali Brian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD
Environmental Speciali III Brian 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 AP1606194 EID2211896
DATE: 03/29/2021
DATE : nR/vi/2n21
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 #:AP1606194
PERMIT #:56-SF-2211896
DOCUMENT #: F11680860
DATE PAID-12/09/2020
FEE PAID:660.00
RECEIPT #:56-PID-4825916
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 300
3pd•
Vew ST, filter, and 4x7+1x6 long TRENCH DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
nspection for well inspection/setback, potable water line setback, mound system, and final site grading.
=inal system approved. Home owner, 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 AP1606194 EID2211896