HomeMy WebLinkAboutSewage Construction Inspection & Final ApprovalSHB S APPLICATION # : A►P1294020
STATE OF FLORIDA PERMIT #:56-SF=1768472
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #: F11154244
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/07/2017
�O uti FEE PAID:51.5.00
RECEIPT #.:56=P[D-3262859
APPiICANT: Harry Blue Builders
AGENT: Atlantic Land Design
PROPERTY ADDRESS: TBD Spring Hill Dr Jensen Beach, FL,34957
LOT': 6
SUBDIVISION:
BLOCK: 1
Spring Hill ID#,. 4504-604=0013-0007
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[O1]
TANK SIZE [1] 1050.00 [2]
[
]
[271
SURFACE WATER
FT
[ ]
[02]
TANK MATERIAL Concrete
[
]
[28]
DITCHES
FT
[ ]
[03]
OUTLET DEVICE
[
]
[29]
PRIVATE WELLS 100
FT
[ ]
[04]
MULTI -CHAMBERED [ Y N ]
[
]
[30]
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER Polylok PL-68
[
]
[31].
IRRIGATION WELLS
FT
[ ]
[06]
LEGEND 1. 01-011-09DC3 2..
[
]
[321
POTABLE WATER 75
FT
[ ]
[07]
WATERTIGHT
[
]
[33)
BUILDING FOUNDATIONS 6
FT
[ ]
[08]
LEVEL
[
]
[34]
PROPERTY LINES 19
FT
[ ]
[09]
DEPTH TO LID
[
]
[35]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10]
AREA [1] 420 [2]
SOFT [
]
[36]
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER
X [
]
'[37]'
SHOULDERS
[ ]
[121
NUMBER OF DRAINLINES 1. 7.00. 2..
[
]
[:38]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
]
(39]
STABILIZATION
[ ]
[14)
DRAINLENE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOw )BM
2.00 [
]
[401
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[
]
[41]
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
[
]
[42]
ALARMS
[(]
[19]
AGGREGATE SIZE
[
]
[43]
MAINTENANCE AGREEMENT
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[
]
[44]
BUILDING AREA
[ ]
(21]
AGGREGATE DEPTH
[
]
[451
LOCATION CONFORMS WITH SITE PLAN
[
]
(46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR David Whiteside (Accurate Se
[ ] [23] FILL TEXTURE t ] [48] OTHER
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [491 .TANK 'PUMPED
( ] [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
[ APPROVED / 6 ) - `^-� r'— St. Lucie CHD
CONSTRUCTION
DISAPPROVED ] ° Environmental Speclallst ll Br - Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]r \� St. Lucie CHD
Environmental Specialist 11 Bri Ingram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
EH Database v 1.0.1 AP1194020 EID1768472
DATE: 01/29/2018
DATE 01 /29/2018
Page 2 of 3
FED 2 2w
r
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION # : AP1294020
PERMIT #•;56-SF=1768472
DOCUMENT # : F 11154244
DATE PAID:'06/07/2017
FEE PAID.,515.00
RECEIPT #:56-PID-3262859
Violation Number Comment
is
vThe system is sized for 3 bedrooms withh-a maximum occupancy of persons (2 per bedroom), for a total estimated flow of 300
gpd. New ST and 7x5 long DF installed. No violations system ok to cover'.. Contractor notified onsite: No final inspection required.
Final system approved. Contractor and.building. department emailed final approyal.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 0£ 3
EH Database v 1.0.1 AP1294020 EID1768472