HomeMy WebLinkAboutHealth Dept Approval RECEIVED
OCT 0 6 2021 APPLICATION # AP1582259
STATE OF FLORIDA St.Lucie County PERMIT #:56-SF-2182504
DEPARTMENT OF HEALTH Permitting
v c 'fit : ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI1703562
-CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:07/13%2021
WE FEE PAID:240.00
RECEIPT #:56-PID-5087263
APPLICANT: Johnny and/or Cheryl Bennett
AGENT:
PROPERTY ADDRESS: 4009 Avenue S Fort Pierce, FL 34947
LOT: 1 &2 BLOCK: 8
SUBDIVISION: Sunland Gardens ID#: 24056601.0143-000-8
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE :WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [011 TANK SIZE [1] 1090.00 [21 [ ] [271 SURFACE WATER. FT
[ ] [021 TANK MATERIAL Polypropylene [ ] [281 DITCHES FT
[ ] [031 OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ ] [041 MULTI-CHAMBERED [ Y N ] [ ] [301 PUBLIC WELLS FT
C. ] [051 OUTLET FILTER Polylok PL-68 [ ] [311 IRRIGATION WELLS 70 FT
[ ] [06] LEGEND 1. 70-143-11DC4 2. [ ] [321 POTABLE WATER FT
] [07] WATERTIGHT [ ] [331 BUILDING FOUNDATIONS 6 FT
[ ]. [081 LEVEL [ ] [34] PROPERTY LINES 15 FT
[ ] [091 DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 679 [2] SQFT [ ] [361 DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [37] SHOULDERS
[ ] [12] NU149ER OF DRAINLINES 1. 6.00 2. [ ] [381 SLOPES
[ ], [13] DRAINLINE SEPARATION [ ] [391 STABILIZATION 10/04/2021
[ ] [14] DRAINLINE SLOPE
[ ] 1151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM 9.00 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ ] [421 ALARMS
[ ] [19.1 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA,
[ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [461 FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [47] CONTRACTOR Mike Stuhr(Ashton)
[ ] 1231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] 1241 EXCAVATION DEPTH ABANDONMENT
[. ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL] [ ] [501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ .APPROVED St. Lucie CHD DATE: '07/27/2021
DISAPPROVED E vironmental Specialist-1 Matthe Va lorida Department of He
FINAL SYSTEM [ APPROVED DISAPPROVED ]� 1 (_ l /li St.Lucie_ cHD DATE: 10/04/2021
Environmental Sp e fallst I Nfco e.Mont a a ( lorida Department of He
(Explanation of Violations on following page)
DH 401.6, 08/09 (Obsoletes all previous'editions which may not be us d)
Incorporated: 64E-6.003, FAC Page .2 of ,3
EH Database v 1.0.1 AP1582259 EID2182504
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