HomeMy WebLinkAboutHealth DeptSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL
w�ao VIE "I
APPLICANT: George Martire
AGENT: Brian Davis (Brian Davis Septic)
PROPERTY ADDRESS: 10210 Carlton Rd Port Saint Lucie, FL 34987
APPLICATION #:AP1588583
PERMIT # : 56-S F-2191312
DOCUMENT # : FI 1765848
DATE PAID : 02/01 /2022
FEE PAID:25.00
RECEIPT #..56-PID-5447126
LOT:
BLOCK:
SUBDIVISION:
ID#: 4210-212-0002-000-2
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ] [01]
TANK SIZE [11 1050.00 [21
( ] [27]
SURFACE WATER
FT
[ ] [02]
TANK MATERIAL Polypropylene
[ ] [28]
DITCHES
FT
[ ] [031
OUTLET DEVICE
[ ] [291
PRIVATE WELLS 78
FT
[ ] [04]
MULTI -CHAMBERED [ LYj N ]
[ ] (301
PUBLIC WELLS
FT
[ ] [051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS
FT
[ ] [061
LEGEND 1. 70-156-10DC3 2.
[ ] [321
POTABLE WATER 16
FT
[ ] [071
WATERTIGHT
[ ] (331
BUILDING FOUNDATIONS 7
FT
[ ] [081
LEVEL
[ ] [341
PROPERTY LINES 38
FT
[ ] [09]
DEPTH TO LID
[ ] [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ] [101
AREA [1] 507 [21 SQFT
( ] [361
DRAINFIELD COVER
[ ] [111
DISTRIBUTION BOX HEADER X
[ ] [37]
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] [381
SLOPES
[ ] [13]
DRAINLINE SEPARATION
[ ] [391
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [161
ELEVATION [ ABOVE / BELOW ]BM 25.00
[ ] [401
UNOBSTRUCTED AREA
[ ] [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ ] [181
DOSING PUMPS
[ ] [42]
ALARMS
( ] [191
AGGREGATE SIZE
[ ] (431
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[ ] [441
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ] [451
LOCATION CONFORMS WITH SITE PLAN
[ ] [461
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
t ] [471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ ] [221
FILL AMOUNT
I ] [48]
OTHER ADS MPS-9 (9 pipes - 2 tier)
[ ] [23]
FILL TEXTURE
[ ] [24]
EXCAVATION DEPTH
ABANDONMENT
[ ] [251
AREA REPLACED
[ ] [49]
TANK PUMPED
[ ] [261
REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments; Comments
are on page 2.
CONSTRUCTION I. APPROVED / DISAPPROV
I Specialist I
FINAL SYSTEM [ APPROVED / /
DISAPPROVED ]•
-trivironmefffal Specialist I
(Explanation of Violations on following page)
t. Lucie CHD
Department of He
St. Lucie CHD
is Deaartment of H
DATE: 01 /06/2022
DATE: 04/05/2022
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 AP1588583 EID2191312
STATE OF FLORIDA
►- 1 DEPARTMENT OF HEALTH
t' ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,y CONSTRUCTION INSPECTION AND FINAL APPROVAL
c� WE
Y
Violation Number Comment
Comments
APPLICATION #:AP1588583
PERMIT #:56-SF-2191312
DOCUMENT # : FI 1765848
DATE PAID : 02/01 /2022
FEE PAID:25.00
RECEIPT #:56-PID-5447126
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and lx30ft+2x34.5ft+2x35ft long TRENCH DF installed. No violations, system ok to cover. Contractor notified
onsite. Needs final inspection for mound system, depth of cover, final site grading, and potable waterline setback.
Final inspection completed. Mound system, depth of cover, and potable waterline setback 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 AP1588583 EID2191312