HomeMy WebLinkAboutHealth Dept Approval 1 RECEIVED
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U1F� FEB 1 8 2021q APPLICATION #:AP1733386
STATE OF FLORIDA PERMIT #:56-&-191,2902
St.Lucie County
DEPARTMENT OF HEALTH Permitting DOCUMENT #:F11784839
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:09/28/202.1
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FEE PAID545'.00
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RECEIPT #.:56-PID-5266972
APPLICANT: Mary Tippins
AGENT: Grecnati Builders,Inc
PROPERTY ADDRESS: 19105 Okeechobee Rd Fort Pierce, FL34945
LOT: BLOCK:
SUBDIVISION: ID#: 3210-121-0011-000-6
CHECKED [X] ITEMS ARE NOT INCOMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK. SIZE [11 1090.00, [2] ( ] [271 SURFACE WATER FT
[ ] [02] TANK MATERIAL Polypropylene [ ] [281 DITCHES FT
[ ] [031 OUTLET DEVICE [ ] [29] PRIVATE WELLS 175 FT
[ ] [04] MULTI-CHAMBERED [ Y N ] [ ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET FILTER. POlylok PL-68 [ ] [311 IRRIGATION WELLS FT
[ ] [061 LEGEND 1. 70-143-11DC4_ 2. [ ] [32] POTABLE WATER 8 FT
[ ] [071 WATERTIGHT [ ] 1331 BUILDING FOUNDATIONS 6 FT
[ ] [081 LEVEL [ ] [341 PROPERTY LINES 75 FT
[ ] {09] DEPTH TO LID ( ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [101 AREA, [l] 630 [2] SQFT [ ] [361 DRAINFIELD COVER
[ ] [111 DISTRIBUTION BOX HEADER X [ ] 1371 SHOULDERS
[ ] [12] NUMBER OF DRAINL=NES 1. 5.00 2, [ ] [38] SLOPES
[ ] (131 DRAINLENE SEPARATION [ ] [39] STABILIZATION
[ ] [141 DRAINLINE SLOPE
j ] [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM 21.00 [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION j ] [411 STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ ] [421 ALARMS
{ ] [191 AGGREGATE SIZE [ ] 143] . MAINTENANCE AGREEMENT
[ ] [201 AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR Jeff Nelson(JEFFREY K NEL
[ ] [231 FILL TEXTURE [ ] [48] OTHER INFILTRATOR Q6!ck4 EQ36(single c
[ ] [24] EXCAVATION DEPTH ABANDONMENT
j ] [25] AREA REPLACED [ ] [49] TANK PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] 1501 TANK CRUSHED s FILLED:,
Comments: Comments are on page 2, fi
CONSTRUCTION I APPROVED / P- Q St. ucie CHD DATE: 01/19/2022
DISAPPROVED E ironmentalSp clalls IINie le Mo tane ridaDo rtment.ofHe
FINAL SYSTEM [ APPROVED / DISAPPROVE
t.Luci CHD DATE: 02/0012022
En Ironmental.Specl list Il Nicole ontan z(Flo id a art ant of He
(Explanation of Violations on following page) \
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DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E--6.003, FAC 1, Page 2 of 3
EH Database v 1.0.1 AP1733386 EID1912902
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� PYPPLICATION #:AP:17333$G
STATE OF FLORIDA PERMIT # 5&SFA-91,2902
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DEPARTMENT OF HEALTHONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #'::F1�.8 202
CONSTRUCTION' INSPECTION AND`FINAL 09
APPROVAL DATE PAID: �2H12OZ1•
well, .. 5,45.
FEE PAID; 00
RECEIPT #:56',PID-52669:72
Violation Number ' Comment
Comments
The system it,sized-for 3 bedrooms With a maximum occupancy of 6 persons(2 per bedroorn),for a total estimated flow 18f 400
gpd.
New ST,filter,and 3x8+2x9 long TRENCH DF installed. No violations,system.ok to cover.Gutters already installed:Contractor
notified by phone. Needs.final inspection for mound-system and final site grading.
219/2022-Final inspection approved.Emailed copy to building department and contractor:
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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 AP1733386 EID1912902 l
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