HomeMy WebLinkAboutHD 56-SF-2241181 FINAL �yfr APPLICATION #:AP 1630453
STATE OF FLORIDA PERMIT #:56-SF-2241181
+' DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11684397
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:02/15/2021
•� WEI FEE PAID:545.00
RECEIPT #:56-PID-4886003
APPLICANT: Rodney Hall Concrete Construction, Inc.
AGENT: Rodney Hall
PROPERTY ADDRESS: 11771 Appaloosa Ct Fort Pierce, FL 34987
LOT: 23 BLOCK:
SUBDIVISION: Pony Pines ID#: 3309-605-0026-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] 1050.00 [21 [ ] [271 SURFACE WATER FT
[ ] [021 TANK MATERIAL Polypropylene [ ] [28] DITCHES FT
[ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS 100 FT
[ ] [04] MULTI-CHAMBERED [LYj N ] [ ] [301 PUBLIC WELLS FT
[ ] (05) OUTLET FILTER Polylok PL-68 [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-156-10DC3 2. [ ] [32] POTABLE WATER 65 FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS 7 FT
[ ] [081 LEVEL [ ] [34] PROPERTY LINES 74 FT
[ ] [091 DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] 679.2 [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] [371 SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 8.00 2. [ ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION
[ ] [141 DRAINLINE SLOPE
[ ] (15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ AHOVE / BELOW ]BM 22.00 [ ] (401 UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] (421 ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE EXCESSIVE FINES [ ] (441 BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [47] CONTRACTOR (All Contractors Services DB
[ ] [23] FILL TEXTURE [ ] [48] OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 08/27/2021
DISAPPROVED ] ' Environmental Specialist III Bria , Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] o �—�� St. Lucie CHD DATE: 11/23/2021
Environmental Specialist I Il�fatthe jan orida 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 AP1630453 EID2241181
Ol<c 4 APPLICATION #:AP1630453
STATE OF FLORIDA PERMIT #:56-SF-2241181
DEPARTMENT OF HEALTH DOCUMENT #:F11684397
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID
:02t/15/2021
WE5 FEE PAID:5"5.00
RECEIPT #:56-PID-4886003
Violation Number Comment
Comments
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 4x8+4x7 long BED DF installed. No violations, system ok to cover, contractor notified onsite. Site wet at time
of inspection, but not holding water. Needs final inspection for filled system, gutters, and final site grading.
Final inspection completed. Filled system checked, gutters added, 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 AP1630453 EID2241181