HomeMy WebLinkAboutSewage4" STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
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APPLICATION #:AP1152635
PERMIT #:56-SF-1547945
DOCUMENT #: F1974480
DATE PAID:07/07/2014
FEE PAID:515.00
RECEIPT #:56-PID-2444025
APPLICANT:
Grande Construction
AGENT: Greg
OldakoWski
PROPERTY ADDRESS: 2415 Atlantic Beach Blvd Fort Pierce, FL 34945
LOT: 7 & 6
BLOCK: 3
SUBDIVISION:
Fort Pierce Shores ID#: 1436-601-0069-000/8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1050.00 [2] 300.00
[ ] [271
SURFACE WATER
FT
[ ] (021
TANK MATERIAL Concrete
[ ] (281
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 102
FT
[ ] [041
MULTI -CHAMBERED [ [_jj N ]
[ ] [301
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-525
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 28-015-03DC4 2. 01-011-96SC4
[ ] [321
POTABLE WATER
FT
[ ] (071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 6
FT
[ ] (081
LEVEL
[ ] [341
PROPERTY LINES 15
FT
[ ] [091
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 672 [2] SQFT
[ ] 1361
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX HEADER x
[ ] [371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 4.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] (391
STABILIZATION 11/13/2014
[ ] 1141
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] 1161
ELEVATION [ ABOVE / BELOW ]BM 4.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] (191
AGGREGATE SIZE
[ ] (431
MAINTENANCE AGREEMENT
[ ] (201
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ) [45)
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ] [461
FINAL SITE GRADING
[ ] [471
CONTRACTOR David Whiteside (Accurate
S
[ ] [221
FILL AMOUNT
"'
[ ] [48]
OTHER INFILTRATOR Quick4 EQ36 (single
[ ] [23]
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
( ] [501
TANK CRUSHED S FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED DISAPPROVESt. Lucie CHD DATE: 10/29/2014
D ) � Environmental Spec(alist II C � e Potts (Department of Health)
FINAL SYSTEM [ APPROVED / DISAPPROVED "���--- �1 'Ft`�,�St. Lucie CHD DATE: 11/17/2014
nv ronmenta pec a s ante a offs (Department o ea
(Explanation of Violations on following page)
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 AP1162635 9MV E p NOV 18 2014
Ok ;
U,. STATE OF FLORIDA
°' 3 DEPARTMENT OF HEALTH
•'{� ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION 'AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1152635
PERMIT #:56-SF-1547945
DOCUMENT #.: F1974480
DATE PAID:07/07/2014
FEE PAID :51 5.00
RECEIPT # :56-PI D-2444025
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.
Alarm in pump tank had not been connected to electricity --will check on final inspection. Please call in final inspection once the
system has been stabilized with sod and alarm is operational. Called in okay to cover to Angela at Accurate while on site,
Gutters were being installed on 11-17-14, Alarm operational. Slopes and shoulders were to code and mound was properly
stabilized with sod. The final inspection report will be sent to Grande Construction and the SLC Building Dept by email.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1152635 EID1547945
Page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDS New
AND DISPOSAL SYSTEM
APPLICANT: (Grande Construction)
PROPERTY ADDRESS: 2415 Atlantic Beach Blvd Fort Pierce, FL 34945
LOT: 7 & 8 BLOCK: 3
SUBDIVISION: Fort Pierce Shores
PERMIT #:56-SF-1547945
APPLICATION #:AP1152635
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR944541
PROPERTY ID #: 1436-601-0069-000/8 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.9065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
'WHICH SERVED AS A BASIS ' FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD
Septic
CAPACITY
A [ ] GALLONS / GPD
N/A,
CAPACITY
N [ ] GALLONS GREASE
INTERCEPTOR CAPACITY
[MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING
TANK CAPACITY I.
]GALLONS @[ ]DOSES PER 24 HRS #Pumps [
D [ 667 ] SQUARE FEE:
R [ ] SQUARE FEE:
A TYPE SYSTEM: [ ]
I CONFIGURATION: [ ]
N
F LOCATION OF BENCHMARK: Nail in C/L of Atlantic Beach Blvd
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ][ INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE [ 7.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT
L
D. F
O
T.
H
E
R
Drainfield SYSTEM
N/A SYSTEM
STANDARD [ ] FILLED [x] MOUND [ ]
TRENCH [x] BED [ ]
1LL r'Zk2U.LAZJ.7: L 3Z.uul liVGHE)b MXUAVA'1'lUN i<EUUli<EU: L J 1NUHE:6
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.
The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
s. 64E-6.013(3)(0, FAC.
SPECIFICATION
L�1 C-hantele Pot ��� TITLE: Environmental Specialist I
APPROVED BY:�—�"V�` -'� 0 J 'Y TLE: Environmental Specialist I
Chantele Potts
DATE ISSUED: 07/09/2014
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC
v 1.1.4 AP1152635
EXPIRATION DATE
SE933122
St. Lucie CHD
01 /09/2016
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