HomeMy WebLinkAboutHealth Dept FinalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Johathan Santana
AGENT: Brian Davis (Brian Davis Septic and Backhoe Services Inc.)
PROPERTY ADDRESS: 2951 S Brocksmith Rd Fort Pierce, FL 34945
LOT: 16 BLOCK: 3
APPLICATION #:AP1552908
PERMIT #:56-SF-2139520
DOCUMENT # : FI 1701703
DATE PAID:08/19/2020
FEE PAID:430.00
RECEIPT # :56-P I D-4572111
SUBDIVISION: ID# : 2320-501-0047-000-8
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ 1
[011
TANK SIZE 111 1090.00 [21
[ ]
[021
TANK MATERIAL Polypropylene
[ ]
[031
OUTLET DEVICE
[ ]
[041
MULTI -CHAMBERED [LIJ N
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ]
[061
LEGEND 1. 70-143-11 DC4 2.
[ 1
[071
WATERTIGHT
[ 1
[08)
LEVEL
[ 1
[09)
DEPTH TO LID
DRAINFIELD INSTALLATION
[ ]
(101
AREA [1] 667 [21 SQFT
[ ]
(111
DISTRIBUTION BOX HEADER X
[ 1
[ 12 ]
NUMBER OF DRAINLINE S 1. 5.00 2.
[ 1
[131
DRAINLINE SEPARATION
[ ]
[141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
[ 1
[161
ELEVATION [ ABOVE / BELOW ]BM 27.00
[ ]
[171
SYSTEM LOCATION
[ ]
[181
DOSING PUMPS
[ ]
[191
AGGREGATE SIZE
[ l
[201
AGGREGATE EXCESSIVE FINES
[ 1
[211
AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ) [241 EXCAVATION DEPTH
[ ) [251 AREA REPLACED
[ 1 [26) REPLACEMENT MATERIAL
Comments: Comments are on page 2.
I
SETBACKS
[271 SURFACE WATER
[281 DITCHES
[291 PRIVATE WELLS
[301 PUBLIC WELLS
[311 IRRIGATION WELLS
[321 POTABLE WATER
[331 BUILDING FOUNDATIONS
[34) PROPERTY LINES
[351 OTHER
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
[371 SHOULDERS
[381 SLOPES
[391 STABILIZATION
149 FT
FT
82 FT
FT
FT
56 FT
5 FT
108 FT
FT
ADDITIONAL INFORMATION
[401 UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[421 ALARMS
[431 MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[461 FINAL SITE GRADING
[471 CONTRACTOR Brian Davis (Brian Davis Sept
[481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
ABANDONMENT
[ 1 [491 TANK PUMPED
[ ] [501 TANK CRUSHED & FILLED
CONSTRUCTION [ APPROVED / � A L ttil-L I - DISAPPROVED �Environmental Specialis II
Lucie CHD DATE: 06/28/2021
aartment of He
77
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: 1 St. Lucie CHD
vironme a Specia ist I Matt w 2/ yi ( orida epartment of H
(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 AP1552908 EID2139520
DATE: n9/28/2021
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 #:AP1552908
PERMIT #:56-SF-2139520
DOCUMENT # : FI 1701703
DATE PAID.08/19/2020
FEE PAID:430.00
RECEIPT #:56-PID-4572111
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and 4x12+1x11 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs
final inspection for well inspection/setback, mound system, and final site grading.
Final inspection conducted, mound system checked and final site grading completed. Needs Reinspection for well inspection and
gutters.
Final inspection completed. Gutters and well checked. Final inspection approved. Emailed copy to building department and
contractor.
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 AP1552908 EID2139520