HomeMy WebLinkAboutHealth DeptSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drev/'s Plumbing & Drain Services
PROPERTY ADDRESS: 6002 Hlckory Fort Pierce, FL 34981
LOT: 7
BLOCK: 70
APPLICATION #:AP1468167
PERMIT #:56-SF-2039668
DOCUMENT #:F11735451
DATE PAID:02/17/2020
FEE PAID:545.00
RECEIPT #:56-PID-4294155
SUBDIVISION: Indian River Estates ID#: 3402-609-0649-000-3
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[ 1
[01]
TANK SIZE [11 1050.00 [21 300.00
[ ]
1021
TANK MATERIAL Polypropylene
[ 1
[031
OUTLET DEVICE
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[ 1
[051
OUTLET FILTER Polylok PL-68
[ 1
[061
LEGEND 1. 70-156-10DC3 2. 70-156-03SC3
[ 1
[071
WATERTIGHT
[ 1
[081
LEVEL
[ ]
(091
DEPTH TO LID
DRAINFIELD INSTALLATION
[ 1
[101
AREA [1] 525 (2] SQFT
[ 1
[111
DISTRIBUTION BOX HEADER x
[ 1
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[ 1
[131
DRAINLINE SEPARATION
[ ]
[141
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
[ ]
[161
ELEVATION [
ABOVE
/ BELOW ]BM 6.00
[ ]
[171
SYSTEM LOCATION
[ ]
[181
DOSING PUMPS 1.00
[ ]
(191
AGGREGATE SIZE
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]
[211
AGGREGATE DEPTH
FILL
/ EXCAVATION MATERIAL
[ ]
[221
FILL AMOUNT
[ 1
(231
FILL TEXTURE
[ 1
[241
EXCAVATION DEPTH
[ 1
[251
AREA REPLACED
[ ]
[261
REPLACEMENT MATERIAL
Comments: Comments are on page 2.
SETBACKS
[ ]
1271
SURFACE WATER
FT
[ ]
(28]
DITCHES
FT
[ ]
[29]
PRIVATE WELLS
FT
[ 1
[301
PUBLIC WELLS
FT
[ 1
[311
IRRIGATION WELLS
FT
[ 1
[321
POTABLE WATER 31
FT
[ 1
[331
BUILDING FOUNDATIONS 5
FT
[ ]
[341
PROPERTY LINES 6
FT
[ ]
[351
OTHER
FT
FILLED / MOUND SYSTEM
[ ]
[361
DRAINFIELD COVER
[ 1
[371
SHOULDERS
[ 1
[381
SLOPES
[ ]
(391
STABILIZATION 11/19/2021
ADDITIONAL INFORMATION
(401 UNOBSTRUCTED AREA
[411 STORMWATER RUNOFF
[421 ALARMS
[431 MAINTENANCE AGREEMENT
[441 BUILDING AREA
[451 LOCATION CONFORMS WITH SITE PLAN
[461 FINAL SITE GRADING
(471 CONTRACTOR (Reliable Septic & Services)
[481 OTHER INFILTRATOR ARC24
ABANDONMENT
[ ] [491 TANK PUMPED
[ 1 (501 TANK CRUSHED 6 FILLED
CONSTRUCTION [ APPROVED / —~ Y St. Lucie CHO DATE: 08/20/2021
DISAPPROVED 1: Envlrol ental Speciallsl 11 NI c ontanez (Florida Department of He
FINAL SYSTEM [ AppRpVED / DISAPPROVED 1: /"�"`� St. Lucie CHD DATE: 11/19/2021
Environmental Specialist III Bri J Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following Pags)
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 AP1468167 EID2039668
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION fl:AP1468167
PERMIT #:56-SF-2039668
DOCUMENT n : FI 1735451
DATE PAID:02/17/2020
FEE PAID:545.00
RECEIPT a:55-PID-4294155
Violation Numbe Commen
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, DT, Liberty 1/3 hp pump, and 5x7 long TRENCH DF installed. No violations, system ok to cover. Contractor notified
onsite. Needs final inspection for mound system, alarm, and final site grading. 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 AP1468167 EID2039668