HomeMy WebLinkAboutHealth Dept finalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Carlos Wells
AGENT: Groza Builders, Inc.
PROPERTY ADDRESS: 2825 Brocksmith Rd Fort Pierce, FL 34945
APPLICATION #:AP1605765
PERMIT #:56-SF-2211346
DOCUMENT # : F 11772473
DATE PAID :08/19/2021
FEE PAID J 75.00
RECEIPT #:56-PID-5168659
LOT: 15
SUBDIVISION:
BLOCK: 3
McNurlen Farms ID#: 2320-501-0046-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [1] 1090.00 (21
[ ] [27]
SURFACE WATER
FT
[ ] (021
TANK MATERIAL Polypropylene
[ ] (281
DITCHES 80
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 78
FT
[ ] [041
MULTI -CHAMBERED [LZJ N ]
[ ] [301
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS 93
FT
[ ] [ 0 6 ]
LEGEND 1. 70-143-11 DC4 2.
[ ] [ 32 ]
POTABLE WATER 21
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 9
FT
[ ] [08]
LEVEL
[ ] [341
PROPERTY LINES 90
FT
[ ] [091
DEPTH TO LID
[ ] (351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 667 (21 SQFT
[ ] [36]
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1. 9.00 2.
[ ] [381
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 02/07/2022
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 15.00
[ ] [40]
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] (181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [201
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 ( ] [471 CONTRACTOR Brian Davis (Brian Davis Sept
[ ] [231 FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED S FILLED
Comments: Comments are on page 2.
[ APPROVED /
St. Lucie CHD
DATE: 08/24/2021
CONSTRUCTION
DISAPPROVED ] ' Environmental S cialist I
ian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED ]:
r St. Lucie CHD
DATE: 02/07/2022
Environmental Speelalist
att Va]a lorida Department of H
(Explanation of Violations on following page)
V
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 AP1605765
EID2211346
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1605765
PERMIT #:56-SF-2211346
DOCUMENT # : FI 1772473
DATE 2AID:08/19/2021
FEE PAID:175.00
RECEIPT # :56-PI D-5168659
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
gpd.
New ST, filter, and 5x7+4x6 long BED DF installed. Violations observed. System location does not conform to site plan and
system was 7" above BM and permit requires 18" above BM. Contractor notified by phone.
Master contractor submitted new site plan and site evaluation with permit revision fees. Permit revised to new location.
Violations corrected. Installation approved. System ok to cover. Needs final inspection for mound system and final site grading.
Final inspection completed. Mound system 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 AP1605765 EID2211346