HomeMy WebLinkAboutHealth DeptAPPLICATION n:AP1474253
9" STATE OF FLORIDA
PERMIT f[:56-SF-2048885
DEPARTMENT OF HEALTH
FI1737320
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
DOCUMENT n:
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID:03/18/2020
FEE PAID:545.00
RECEIPT u:56-PID-4343043
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5612 Raintree Trl Fort Pierce, FL 34982
LOT: 2 BLOCK: 76
SUBDIVISION: Indian River Estates ID4: 3402.610.0147.000.8
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ 1 [011 TANK SIZE Ill 1090.00 [2) [
1 [271
SURFACE WATER FT
[ 1 [021 TANK MATERIAL Polypropylene [
1 [281
DITCHES 19 FT
[ 1 [031 OUTLET DEVICE [
1 [29]
PRIVATE WELLS FT
[ 1 [041 MULTI -CHAMBERED [ .Lk N 1 [
1 [301
PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [
1 [311
IRRIGATION WELLS FT
[ 1 [061 LEGEND 1. 70A43A1DC4 2. [
1 [321
POTABLE WATER 13 FT
[ 1 [071 WATERTIGHT [
] [331
BUILDING FOUNDATIONS 7 FT
[ 1 [081 LEVEL (
] [341
PROPERTY LINES 11 FT
( ] [091 DEPTH TO LID [
1 [351
OTHER FT
DRAINFIELD INSTALLATION
FILLED
/ MOUND SYSTEM
[ 1 [101 AREA Ill 525 (21 SQFT [
1 [361
DRAINFIELD COVER
[ 1 [111 DISTRIBUTION BOX HEADER X [
1 [371
SHOULDERS
[ 1 [121 NUMBER OF DRAINLINES 1. 7.00 2. [
1 (381
SLOPES
[ 1 (131 DRAINLINE SEPARATION (
1 (391
STABILIZATION 11/18/2021
[ 1 [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] (161 ELEVATION [ ABOVE / BELOW IBM 1.00 [
1 1401
UNOBSTRUCTED AREA
[ 1 [171 SYSTEM LOCATION [
] [411
STORMWATER RUNOFF
[ 1 (181 DOSING PUMPS [
1 (421
ALARMS
[ 1 [191 AGGREGATE SIZE [
1 (431
MAINTENANCE AGREEMENT
[ 1 (201 AGGREGATE EXCESSIVE FINES [
1 [441
BUILDING AREA
[ 1 [211 AGGREGATE DEPTH [
1 [451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [
1 (461
FINAL SITE GRADING
[ 1 [221 FILL AMOUNT [
1 1471
CONTRACTOR Bruce T Mc Cullers (Reliable T
( 1 [231 FILL TEXTURE [
1 [481
OTHER ADS ARC 24
( 1 1241 EXCAVATION DEPTH
ABANDONMENT
( 1 1251 AREA REPLACED [
1 [491
TANK PUMPED
[ 1 (261 REPLACEMENT MATERIAL [
1 [501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 07/23/2021
CONSTRUCTION [ APFFtOVED
DISAPPROVED ] Enviro ental Specialist llN
Montanez(Florida Department of He
FINAL SYSTEM [ AppgpVED / DISAPPROVED ]:
St. Lucie CHD DATE: 11/18/2021
Environmental Specialist I
rian 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 1.0.1 AP1474253
EID2048885
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION a:AP1474253
PERMIT u:56-SF-2048885
DOCUMENT s:FI1737320
DATE PAID:03/18/2020
FEE PAID:545.00
RECEIPT a:56-PID-4343043
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 7x5long BED DF installed. No violations, system ok to cover. Contractor notified. Needs final inspection for
filled system and final site grading.
Final system approved. Contractor and building department emailed final approval.
IN 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 AP1474253 EID2048885