HomeMy WebLinkAbouthealth departmentSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICANT: Port St. Lucie Properties, Inc
AGENT: Alexander J. Piazza PSM, Inc
PROPERTY ADDRESS: 5912 Sunset Blvd Fort Pierce, FL 34982
APPLICATION #:AP1583420
PERMIT #:56-SF-2184289
DOCUMENT #:F11797802
DATE PAID :10/O8/2020
FEE PAID :545.00
RECEIPT #:56-PID-4748055
LOT: 5
SUBDIVISION:
BLOCK: 71
Indian River Estates ID#: 3402-609-0683-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR
RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 [2]
[ ]
[271
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Polypropylene
[ ]
[281
DITCHES 89
FT
[ ]
[031
OUTLET DEVICE
[ ]
(291
PRIVATE WELLS
FT
[ ]
[041
MULTI -CHAMBERED [ L2Lk N ]
[ ]
[301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ]
[311
IRRIGATION WELLS 67
FT
[ ]
(061
LEGEND 1_ 70-143-11DC4 2,
[ ]
[32]
POTABLE WATER 8
FT
[ ]
[071
WATERTIGHT
[ ]
[33]
BUILDING FOUNDATIONS 8
FT
[ ]
[081
LEVEL
[ ]
[341
PROPERTY LINES 13
FT
[ ]
[091
DEPTH TO LID
[ ]
[351
OTHER
FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1] 543 [2] SQFT
[ ]
[361
DRAINFIELD COVER
[ ]
(11]
DISTRIBUTION BOX HEADER X
[ ]
[371
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 8.00 2.
[ ]
[381
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[ ]
[391
STABILIZATION 03/25/2022
[ ]
[141
DRAINLINE SLOPE
[ ]
[15]
DEPTH OF COVER
ADDITIONAL
INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM 8.00
[ ]
[401
UNOBSTRUCTED AREA
[ ]
(171
SYSTEM LOCATION
[ ]
[411
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
( ]
[421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
[20]
AGGREGATE EXCESSIVE FINES
[ ]
(441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[ ]
(451
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] [22] FILL AMOUNT [ ] [471 CONTRACTOR MICHAEL STUHR (ASHTON
[ ] [23] FILL TEXTURE [ ] [481 OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED
[ ] [261 REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED & FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / DISAPPROVED ]:
FINAL SYSTEM [ APPROVED / DISAPPROVED ]:
(Explanation of Violations on following page)
640w —�' St. Lucie CHD
S Va]anyl (Florida Department of He
St. Lucie CHD
Specialist III Bin J Ingram (ENVIRONMENTAL HEALTH)
DATE: 01 /27/2022
DATE: 03/28/2022
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 AP1583420 EID2184289
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION #:AP1583420
PERMIT #:56-SF-2184289
DOCUMENT # : F 11797802
DATE PAID :10/08/2020
FEE PAID :545.00
RECEIPT #:56-PID-4748055
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
3Pd.
Jew ST, filter, and 8x6 long BED DF installed. No violations, system ok to cover. Contractor notified by phone. Needs final
nspection for mound system, depth of cover, and final site grading.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v1.0.1 AP1583420 EID2184289