HomeMy WebLinkAboutSewage Construction Inspection & Final ApprovalSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT Keith Ta.ig
AGENT: Ameron Homfes jhc
PROPERTY ADDRESS:. 6104 E Seminole Rd Fort Pierce, FL 34951
APPLICATION #:AP1296699
PERMIT #:56-SF-1772899
DOCUMENT #:F111-53714
DATE PAID: 06I2/7/2017
FEE PAID:515.00
RECEIPT #:56-P[D-3286717
LOT:
SUBDIVISION:
BLOCK: 50
Lakewood Park ID#: 1301-605-0260=0004
CHECKED [X] ITEMS ARE 'NOT IN' 'COMPLIANCE'WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [11 900:00 [21
[
]
[271
SURFACE WATER 90
FT
[ ]
[02]
TANK MATERIAL Polyethylene .
[
]
[2'8]
DITCHES
FT
[ ]
[011
OUTLET DEVICE
[
]
[291
PRIVATE WELLS 83
FT
[ ]
[04]
MULTI -CHAMBERED [ % N ]
[
]
[30`]'
PUBLIC WELLS
FT
[ ]
[05]
OUTLET FILTER POlylok PL-68
[
]
[311
IRRIGATION WELLS
FT
[ ]
[0.6]
LEGEND 1. 70-156.9ODC3 2.
[
]
[3Z]
POTABLE WATER 50
FT
[ ]
[071
WATERTIGHT
[
]
[33]
BUILDING FOUNDATIONS 6
FT
[ ]
[081
LEVEL
[
]
[34.]
PROPERTY LINES 5
FT
[ ]
[09:1
DEPTH TO LID
[
]
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1] 375 [2]
SQFT .1
]
[361
DRAINFIELD 'COVER
[ ]
[1'1]
DISTRIBUTION BOX HEADER
X [
]
[371
SHOULDERS
[ ]
[12]
NUMBER .OF DRAINLINES 1. 5.00 2.
[
]
[38,1
SLOPES
[ ]
[13]
DRAINLINE SEPARATION
[
]
[39]
STABILIZATION 01/26/2018
[ ]
[14]
DRAINLINE SLOPE
[ ]
'[15]
DEPTH OF,COVER
ADDITIONAL
INFORMATION
( ]
[16']
ELEVATION [ ABOVE / BELOW ]BM
4.00C
.1
E4611
UNQBSTRUCTED AREA
]
[17]
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ]
[181.
DOSING PUMPS
[
]
[421
ALARMS
]
[19j]
AGGREGATZ SIZE
[
]
(43]
MAINTENANCE AGREEMENT
[ ]
1201
AGGREGATE EXCESSIVE FINES
[
]
[44]
BUILDING AREA-
[ ]
[21]
AGGREGATE DEPTH
[
]
[45]
LOCATION CONFORMS'WITH SITE PLAN
[
]'
[461
FINAL SITE zGRADINa
FILL / EXCAVATION MATERIAL
[ ]
[47]
CONTRACTOR Bruce T.Mc.Cullers (ReliableT
[ ] [22]
FILL. AMOUNT
[ ]
[481
OTHER INFILTRATOR ARC 24
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED [ ]
[49]
TANK PUMPED
[ 1 [26]
REPLACEMENT. MATERIAL [ ],
[50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
/
St. Lucie CHD DATE: 11/2012017
CONSTRUCTION
[:
APPROVED
DISAPPROVED ] ' EnOr6nmental Specialist II BrIATJ
Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED :/ DISAPPROVED. 1: - St. Lucie CHD DATE: 01/26/2018
Environmental Specialist [ nna.S May. (Florlda.Departmerit of Health
(Explanation of Violations on following, page)'
DH 40.16, 08/09. (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Datapase v 1,0.1 A01296699 EI0;1712699
r-,
Violation Number
I'
Comments
STATE OF FLORIDA
DEPARTMENT. OF HEALTH
ONSITE SEWAGE' TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL ,APPROVAL
Comment
APPLICATION 4:.AP1296699
PERMIT # : 5:6-S'F-1772899
DdMtNT #:F1.11:53714
DATE PAID:; 06/27,/201.7
ESE PA=D:51,5,.00
RECEiVT #:56-PID-3286717
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 and 5x5 DF installed.
No violations; system ok to cover. Contractor notified by phone. Needs final inspection for filled system and final site grading,
Final inspection ok, no violations observed..
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 1.011 AP1296699 EID1772099