HomeMy WebLinkAbout56-SF-2221496 FINAL'APPLICATION #AP16132/3•2
STATE OF FLORIDA PERMIT #:56-SF-2221496
DEPARTMENT OF HEALTH DOCUMENT #:F11753886
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:05/20/2021
FEE PAID:25.00
RECEIPT #:56-PID-4991264
APPLICANT: Wade Tindall
AGENT: Wade Tindall
PROPERTY ADDRESS: 11652 Orange Ave Fort Pierce, FL 34945
LOT: 1
SUBDIVISION:
BLOCK:
ID# : 2309-210-0000-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE (11 1250.00 [21
[ ] [271
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Concrete
[ ] [281
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS
80
FT
[ ] [041
MULTI -CHAMBERED [LZJ N ]
[ ] [30]
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [31]
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 28-015-16DC3 2.
[ ] [321
POTABLE WATER
5
FT
[ ] [07]
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS
5
FT
[ ] [081
LEVEL
[ ] [341
PROPERTY LINES
100
FT
[ ] [091
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] (10]
AREA [1] 792 [21 SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ] [ 12 ]
NUMBER OF DRAINLINES 1. 7.00 2.
[ ] [ 38 ]
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 18.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [21]
AGGREGATE DEPTH
[ ] (45]
LOCATION CONFORMS WITH
SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [471
CONTRACTOR Roselis Moctezuma (All Coas
[ ] [221
FILL AMOUNT
[ ] [481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] (23]
FILL TEXTURE
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [50)
TANK CRUSHED & FILLED
Comments:
Comments are on page 2.
CONSTRUCTION [ APPROVED / / t. Lucie CHD DATE: 10/07/2021
DISAPPROVEDEnvironmental Specialist I Matthew S a nyi orida Department of He
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : t. Lucie CHD DATE: 12/27/2021
nvironmental Specialist I Matthew ja 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 AP1613242 EID2221496
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1613242
PERMIT #:56-SF-2221496
DOCUMENT #:F11753886
DATE PAID:05/20/2021
FEE PAID:2500
RECEIPT #:56-PID-4991264
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 460
gpd.
New ST, filter, and 7x10 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
inspection for well inspection/setback, gutters, mound system, depth of cover, and final site grading.
Final inspection completed. Mound system checked, depth of cover checked, gutters added, well inspection/setback 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 AP1613242 EID2221496