HomeMy WebLinkAbout56-SF-2204952 FINAL FINALSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
30 W"IL I
APPLICANT: Phil and Karen Episcopo
AGENT: Pace 2000, Inc
PROPERTY ADDRESS: 4953 Bald Cypress Trl Fort Pierce, FL 34951
LOT: BLOCK:
APPLICATION #:AP1601196
PERMIT #:56-SF-2204952
DOCUMENT #:F11785159
DATE PAID:02/14/2022
FEE PAID:95.00
RECEIPT #:56-PID-5454981
SUBDIVISION:
ID # : 1418-132-0005-000-7
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
[ ] [271
SURFACE WATER
FT
[ ] [021
TANK MATERIAL Polypropylene
[ ] [281
DITCHES 90
FT
[ ] [031
OUTLET DEVICE
[ ] [29]
PRIVATE WELLS 83
FT
[ ] [041
MULTI -CHAMBERED [ Y k N ]
[ ] (301
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 70-143-11DC4 2.
[ ] [321
POTABLE WATER 25
FT
[ ] [071
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS 10
FT
[ ] [081
LEVEL
[ ] [34]
PROPERTY LINES 20
FT
[ ] [091
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] 384 [21 SQFT
[ ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [371
SHOULDERS
[ ] [121
NUMBER OF DRAINLINES 1, 3.00 2.
[ ] [38]
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [391
STABILIZATION 02/09/2022
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM 21.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [421
ALARMS
[ ] [191
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ ] [46]
FINAL SITE GRADING
[ ] [221
FILL AMOUNT
[ ] [471
CONTRACTOR Jeff Nelson (Jeffrey Nelson Se
[ ] [231
FILL TEXTURE
[ ] [481
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / / tCle CHD DATE: 11/19/2021
DISAPPROVED 1. Environmental Specialist III Bria In X
am (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 02/17/2022
ERVironmentfifSpecialist I atthe aja a 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 AP1601195 EID2204952
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1601195
PERMIT #:56-SF-2204952
DOCUMENT #:F11785159
DATE PAID : 02/14/2022
FEE PAID:95.00
RECEIPT #:56-PID-5454981
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
New ST, filter, and 2x11+1x10 TRENCH DF installed. No violations, system ok to cover, contractor notified onsite. Needs final
inspection for depth of cover, mound system, and final site grading.
Final inspection conducted. Mound system checked, depth of cover checked. Violations observed. System mound shoulder S of
system did not meet 4ft shoulder requirement. Contractor notified by phone.
Re -inspection required.
Final re -inspection completed. Shoulders 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 AP1601195 EID2204952