HomeMy WebLinkAboutConstruction Inspection & FinalSTATE OF FLORIDA
1 DEPARTMENT OF HEALTH
s 'L' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Adams Homes of Northwest Fla, Inc.
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5513 Myrtle Dr Fort Pierce, FL 34982
APPLICATION #:AP1508209
PERMIT #:56-SF-2088697
DOCUMENT # : F [ 1766944
DATE PAID:06/04/2020
FEE PAID:545.00
RECEIPT #:56-PID-4440843
LOT: 34
BLOCK: 54
SUBDIVISION:
Indian River Estates ID#: 3402-609-0092-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1050.00 [21 300.00 [ ]
[27]
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polypropylene [ ]
[281
DITCHES 11 FT
[ ] [031
OUTLET DEVICE [ ]
[291
PRIVATE WELLS FT
[ ] [041
MULTI -CHAMBERED [ Y N ] [ ]
[30]
PUBLIC WELLS FT
[ ] (051
OUTLET FILTER Polylok PL-68 [ ]
[31]
IRRIGATION WELLS FT
[ ] [061
LEGEND 1. 70-156-10DC3 2. 70-156-03SC3 [ ]
[32]
POTABLE WATER 31 FT
[ ] [071
WATERTIGHT [ ]
[33]
BUILDING FOUNDATIONS 7 FT
[ ] [08]
LEVEL [ ]
[341
PROPERTY LINES 11 FT
[ ] [091
DEPTH TO LID [ ]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 675 [21 SQFT [ ]
[361
DRAINFIELD COVER
[ ] (111
DISTRIBUTION BOX HEADER X [ ]
[371
SHOULDERS
[ ] (121
NUMBER OF DRAINLINES 1. 6.00 2. ( ]
[38]
SLOPES
[ ] [131
DRAINLINE SEPARATION [ ]
[39]
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 6.00 [ ]
[401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION [ ]
[411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS 1.00 [ ]
[421
ALARMS
[ ] (19]
AGGREGATE SIZE [ ]
[431
MAINTENANCE AGREEMENT
[ ] [20]
AGGREGATE EXCESSIVE FINES [ ]
(441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH [ ]
[451
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [221
FILL AMOUNT [ ]
[47]
CONTRACTOR (Reliable Septic & Services)
[ ] (231
FILL TEXTURE [ ]
[481
OTHER INFILTRATOR ARC 24
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [ ]
[491
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL [ ]
[50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
S cle CHD DATE: 08/19/2021
CONSTRUCTION
[ APPROVED
DI SAPPROV vironme a S ecialist 1 NMMontaneorida
.
Depa ent of He
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]-
St.LUCIe CHD DATE: 01/11/2022
Environmental Specialist I tthe
ajany) ( ida Depa ent 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 A P1508209
EID2088697
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP h508209
PERMIT #:56-SF-2088697
DOCUMENT # : F 11766944
DATE PAID : 06/04/2020
FEE PAID:545.00
RECEIPT #:56-PID-4440843
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 4x7+1x8+1x9 long BED DF installed. No violations, system ok to cover. Contractor
notified onsite. Needs final inspection for mound system, alarm and final site grading.
Final inspection completed. Mound system checked, alarm checked, and final site grading completed.
Final inspection approved. Emailed copy to building department and contractor.
DH 4016, 06/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1500209 EID2088697