HomeMy WebLinkAboutConstruction Inspection & Final InspectionRECEIVED
STATE OF FLORIDA JUN 16 201
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENfeM0n p=ft SYSTEM
CONSTRUCTION INSPECTION ANDUVICCooEYAPPROVAL
APPLICANT: Johnny Rambo
AGENT: Brian Davis (Brian Davis Septic and Backhoe Services Inc.)
PROPERTY ADDRESS.: 2300 Canoe Creek Ln Fort Pierce, FL 34981
APPLICATION #:AP1295581
PERMIT #:56-SF-1770999
DOCUMENT #:F11191063
DATE PAID:10/12/2017
FEE PAID :25.00
RECEIPT #:56-PID-3411656
LOT: 7
SUBDIVISION:
BLOCK:
ID#: 3404-701-0007=000-0
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE -AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
101]
TANK SIZE (1] -1090.00 [2]
[ ]
[27]
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Polyethylene
[ ]
[281
DITCHES 75
FT
[ ]
[031
OUTLET DEVICE
[ ]
[291
PRIVATE WELLS 77
FT
[ ]
[041
MULTI -CHAMBERED JL2�j N ]
[ ]
[301
PUBLIC WELLS
FT
[ ]
105]
OUTLET FILTER Polylok PL-68
[ ]
[311
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC3 2.
[ ]
[32]
POTABLE WATER 60
FT
[ ]
[071
WATERTIGHT
[ ]
[331
BUILDING FOUNDATIONS 6
FT
[ ]
[081
LEVEL
[ ]
[34]
PROPERTY LINES 75
FT
[ ]
[091
DEPTH TO LID
[ ]
[351
OTHER ,
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10)
AREA - [1] 384.88 12] SQFT
[ ]
[361
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER X
[ ]
[371
SHOULDERS
[ ]
[ 12 ]
NUMBER OF DRAINLINES 1. 4.00 2.
[ ]
[ 38 ]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[ ]
[391
STABILIZATION 06/13/2018
( ]
[141
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ AHOVE / BELOW. ]BM 14.00
[ ]
[401
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ ]
[411
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ]
[421
ALARMS
[ ]
[191
AGGREGATE SIZE
[ ]
[43]
MAINTENANCE AGREEMENT
[ ]
[201
AGGREGATE EXCESSIVE FINES
[ ]
[44]
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ ]
[451
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL /iEXCAVATION MATERIAL
[ [2] FILL AMOUNT [ ] [47] CONTRACTOR Brian Davis (Brian Davis Sept
] 2
[ ] 221 FILL TEXTURE [ ] 1481 OTHER . INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [49] TANK.PUMPED
[ ] [26] REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED
Comments: Comments are on page 2.
St. Lucie CHD DATE: 10/17/2017
CONSTRUCTION [ APPROVED / DISAPPROVED ]
Environ ntal Specialist II J m (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: a CHO DATE: 06/13/2018
Environmental Specialist If Brian J ram (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, FAC Page 2 of 3
EID1770999
EH Database v 1.0.1 AP1295501
STATE OF FLORIDA.
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
flnmmen t s
APPLICATION # : AP1295581
PERMIT #:56-SF-1770999
DOCUMENT # : FI 1191063
DATE PAID:1,0/12/2017
FEE PAID:25•00
RECEIPT #:56-PID-3411656
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
Ipd; New St and 2x9+2x8 DF installed. No violations, system ok to cover. Contractor notified by phone. No house. Needs final for
vell check, potable water lines, building foundation, mound system, gutters, building area, location conforms with site plan, and
inal site grading.
Jo violations. Final system approved. Contractor and. building department emailed final approval.
0
DH 4016, 08/09 (Obsoleted all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 2 0£ 3
EH Database v1.0.1 AP1295581 EID1770999