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APPLICATION #:AP1472493
STATE OF FLORIDA
PERMIT #:56-SF-2046394
" DEPARTMENT OF HEALTH
't'
DOCUMENT #:F11734604
c ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE PAID :03/10/2020
Wcon mot¢
FEE PAID.545.00
RECEIPT #:56-PID-4338166
APPLICANT: Adams Homes of Northwest Florida, Inc
AGENT: Benjamin Drew"s Plumbing & Drain Services
PROPERTY ADDRESS: 5806 Sunset Blvd Fort Pierce, FL 34982
LOT: 15 BLOCK: 65
SUBDIVISION: Indian River Estates ID#: 3402-609-0493-000-4
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 [
] [271
SURFACE WATER FT
[ ] [02] TANK MATERIAL Polypropylene [
] [281
DITCHES 30 FT
[ ] [031 OUTLET DEVICE [
] [291
PRIVATE WELLS FT
[ ] [041 MULTI -CHAMBERED [LZJ N ] [
] [301
PUBLIC WELLS FT
[ ] [051 OUTLET FILTER Polylok PL-68 [
] [311
IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 70-156-10DC3 2. [
] [321
POTABLE WATER 26 FT
[ ] [071 WATERTIGHT [
] [331
BUILDING FOUNDATIONS 6 FT
[ ] [081 LEVEL [
] [341
PROPERTY LINES 10 FT
[ ] [09] DEPTH TO LID [
] [35]
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101 AREA [1] 502 [21 SQFT [
] [361
DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [
] [371
SHOULDERS
[ ] (121 NUMBER OF DRAINLINES 1. 5.00 2. [
] [381
SLOPES
[ ] [131 DRAINLINE SEPARATION [
] [39]
STABILIZATION 02/09/2022
[ ] [141 DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ] [161 ELEVATION [ ABOVE / HELOW ]BM 0.00 [
] [40]
UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [
] [411
STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [
] [421
ALARMS
[ ] [19] AGGREGATE SIZE [
] [431
MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE EXCESSIVE FINES [
] [441
BUILDING AREA
[ ] [211 AGGREGATE DEPTH [
] [45]
LOCATION CONFORMS WITH SITE PLAN
[
] [461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT [
] [471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[
] [481
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [23] FILL TEXTURE
[ ] [24] EXCAVATION DEPTH
ABANDONMENT
[ ] [251 AREA REPLACED [
] [491
TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [
] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / - t. Lucie CHD DATE: 11/17/2021
DISAPPROVED )-Env ironmen ec alist I tthew lorida Department of He
FINAL SYSTEM [ APPROVED / DISAPPROVED LUCIe CHD DATE: O2/1O/2022
n ironmenta Specialist I Matthew janyi (F Ada 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 AP1472493 EID2046394
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1472493
PERMIT #:56-SF-2046394
DOCUMENT # : F 11734604
DATE PAID : 03/10/2020
FEE PAID:545.00
RECEIPT #:56-PID-4338166
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
New 5T, filter, and 5x33.5ft long TRENCH DF installed. No violations, system ok to cover. Contractor notified by phone. Needs
final inspection for filled system, depth of cover, and final site grading.
Final inspection completed. Mound system checked, depth of cover 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 AP1472493 EID2046394