HomeMy WebLinkAbout5406 deleon ave faSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Luciano Pisciotta
AGENT: Luciano PISCIOtte
PROPERTY ADDRESS:
LOT: 8
5406 Deleon Ave Fort Pierce. FL 34951
BLOCK: 160
APPLICATION #:AP161+0050
PERMIT #:56-SF-2217205
DOCUMENT #:F11647313
DATE PAID :12/29/2020
FEE PAID:545.00
RECEIPT #:56-PID-4837919
SUBDIVISION: Lakewood Park ID#: 1301-614-0098-000-5
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 900.00 [21
[ ] [27]
SURFACE WATER
FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 73
FT
[ ] (03]
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS 100
FT
[ ] [041
MULTI -CHAMBERED [ Y N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 70-156-90DC3 2.
E ] [32]
POTABLE WATER 46
FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 7
FT
[ ] [081
LEVEL
[ ] (341
PROPERTY LINES 7
FT
[ ] [09]
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 339 [2]
SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER
X
[ ] [37]
SHOULDERS
[ ] (12]
NUMBER OF DRAINLINES 1. 6.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
E ] [391
STABILIZATION 06/15/2021
E ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
E ] [161
ELEVATION I ABOVE / BELOW ]BM
1.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] (181
DOSING PUMPS
[ ] [421
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
[ 1 [461
FINAL SITE GRADING
E ] [221
FILL AMOUNT
[ ] [47]
CONTRACTOR John O Williams (Best Drainfie
[ ] [231
FILL TEXTURE
[ ] [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
E ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED ]
�ntallist 11 t
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:
Environmental Specialist III
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may n
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1610050
rtr`- St. Lucie CHD
Montanez (Florida Department of He
t5d _ St. Lucie CHD
J Ingram (ENVIRONMENTAL HEALTH)
be used)
EID2217205
DATE: 05/12/2021
DATE: 06/15/2021
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 #:AP1610050
PERMIT #:56-SF-2217205
DOCUMENT #: FI 1647313
DATE PAID:12/29/2020
FEE PAID.545.00
RECEIPT #:56-PID-4837919
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200
gpd.
New ST, filter, and 6x5 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for setbacks, mound system, and final site grading.
Final system approved. Contractor 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 AP1610050 EID2217205