HomeMy WebLinkAboutHealth department approvalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: RA Construction Corp FG the TC/Homes By A Burton
AGENT: Richard Adams III
PROPERTY ADDRESS: 51 Sovereign Way Fort Pierce, FL 34949
APPLICATION #:AP 155464
PERMIT # : 56-S F-2141736
DOCUMENT #:F11720440
DATE PAID:08/27/2020
FEE PAID:545.00
RECEIPT #:56-PID-4591276
LOT:
A&B
BLOCK: 2
SUBDIVISION:
Queens Cove ID#: 1414-401-0013-000-0
CHECKED [X) ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ 1
[011
TANK SIZE [11 1050.00 [21 300.00
[ 1
[271
SURFACE WATER 50
FT
[ 1
[021
TANK MATERIAL Concrete
[ 1
[281
DITCHES
FT
[ j
[031
OUTLET DEVICE
[ j
[291
PRIVATE WELLS
FT
[ )
[041
MULTI -CHAMBERED [ Y N )
[ )
[301
PUBLIC WELLS
FT
[ )
[051
OUTLET FILTER PolylokPL-122
[ j
[311
IRRIGATION WELLS
FT
[ )
[061
LEGEND 1. 01-011-09DC3 2. 01-011-96SC4
[ 1
[321
POTABLE WATER 6
FT
[ j
[071
WATERTIGHT
[ )
[331
BUILDING FOUNDATIONS 5
FT
[ )
[081
LEVEL
[ )
[341
PROPERTY LINES 15
FT
[ )
[091
DEPTH TO LID
[ 1
[351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ 1
[101
AREA Ill 672 [21 SQFT
[ 1
[361
DRAINFIELD COVER
[ )
[111
DISTRIBUTION BOX HEADER X
[ )
[371
SHOULDERS
[ 1
[121
NUMBER OF DRAINLINES 1. 7.00 2.
[ )
[381
SLOPES
[ 1
[131
DRAINLINE SEPARATION
[ j
[391
STABILIZATION
[ 1
[141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ )
[161
ELEVATION [ ABOVE / BELOW ]BM 7.00
[ 1
[401
UNOBSTRUCTED AREA
[ )
[171
SYSTEM LOCATION
[ )
[411
STORMWATER RUNOFF
[ )
[181
DOSING PUMPS 1.00
[ 1
[421
ALARMS
[ 1
[191
AGGREGATE SIZE
[ 1
[431
MAINTENANCE AGREEMENT
[ 1
(201
AGGREGATE EXCESSIVE FINES
[ )
[441
BUILDING AREA
[ )
[211
AGGREGATE DEPTH
[ 1
[451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL,
[ 1
[461
FINAL SITE GRADING
[ 1
[471
CONTRACTOR John Baker (Accurate Septic
[ 1
[221
FILL AMOUNT
[ 1
[481
OTHER
[ j
[231
FILL TEXTURE
[ 1
[241
EXCAVATION DEPTH
ABANDONMENT
[ j
[251
AREA REPLACED
[ )
[491
TANK PUMPED
[ 1
[261
REPLACEMENT MATERIAL
[ )
[501
TANK CRUSHED & FILLED
Comments: Comments
are on page 2.
CONSTRUCTION I APPROVED St. Lucie CHD DATE: 08/03/2021
DISAPPROVED � ' Enviro ental Specialist I e ajanyi (Florida Department of He
FINAL SYSTEM [ APPROVED / DISAPPROVED 3 • St. Lucie CHD DATE: 11/02/2021
nvironmen al Specialist I Ma a nyi (Florida Department 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 Page 2 of 3
EH Database v 1.0.1 AP1554640 EID2141736
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
CONSTRUCTION INSPECTION
Violation Number Comment
Comments
AND DISPOSAL SYSTEM
AND FINAL APPROVAL
APPLICATION #:AP 1554640
PERMIT #:56-SF-2141736
DOCUMENT # : FI 1720440
DATE PAID : 08/27/2020
FEE PAID:545.00
RECEIPT #:56-PID-4591276
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, DT, Barnes 1/3 hp pump, and 7x8 long BED DF installed. No violations, system ok to cover. Contractor notified by
phone. Needs final inspection for potable water line setback, gutters, mound system, depth of cover, and final site grading.
Final inspection completed. Mound system checked, gutters added, depth of cover, alarm/pump checked and final site grading
completed
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 AP1554640 EID2141736