HomeMy WebLinkAboutHealth dept approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Diane Flanigan
APPLICATION #:AP1527811
PERMIT # : 56-S F-2112270
DOCUMENT #:F11719604
DATE PAID :07/24/2020
FEE PAID :545.00
RECEIPT # : 56-P I D-4510480
AGENT: Jared
MOdine
PROPERTY ADDRESS: 505 N Graves Rd Fort Pierce, FL 34945
LOT: 1
BLOCK:
SUBDIVISION:
Jaimes Acres ID#r : 2212-601-0002-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1050.00 [21 300.00
[ ] [271
SURFACE WATER 100 FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES FT
[ ] [03]
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 105 FT
[ ] [041
MULTI -CHAMBERED [L2�j N ]
[ ] [30]
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-156-10DC3 2. 70-156-03SC3
[ ] [321
POTABLE WATER 78 FT
[ ] [071
WATERTIGHT
[ ] [33]
BUILDING FOUNDATIONS 7 FT
[ ] [081
LEVEL
[ ] [341
PROPERTY LINES 100 FT
[ ] (091
DEPTH TO LID
[ ] [351
OTHER FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 679 [21 SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [371
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 6.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 10/28/2021
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 3.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS 1.00
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [431
MAINTENANCE AGREEMENT
[ ] [201
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
[ ] [471
CONTRACTOR Mike Stuhr (Ashton)
[ ] (231
FILL TEXTURE
[ ] [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION
[ APPROVED /
St. Lucie CHID DATE: 09/01 /2021
DISAPPROVED ] '
anez (Florida Department of He
FINAL SYSTEM
[ APPROVED /DISAPPROVED ] :St.
;�%�
Lucie CHD DATE: 10/28/2021
Environmental SpecialisxJ I 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
Page 2 of 3
EH Database v'I.0.1 AP1527811
EID2112270
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1527811
PERMIT #:56-SF-2112270
DOCUMENT #:F11719604
DATE PAID : 07/24/2020
FEE PAID:545.00
RECEIPT #:56-PID-4510480
The system is sized for 3 bedrooms with a rn iximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
gpd.
9/1/2021 New ST, Filter, DT, Liberty 1/3 HP pump, and 6x10 long BED DF installed. Well inspected. No violations, system ok to
cover. Contractor notified onsite. Needs final inspection for mound system, final site grading, and to verify that pump wires exit DT
in conduit through the riser wall and has power.
Final system approved. 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 AP1527811 EID2112270