HomeMy WebLinkAboutSEWAGE CONSTRACTION INSPECTION & APPROVAL1J
RECEIVED o� /��pPPLICATION #: t N 291536
STATE OF FLORIDA (/ C ! PERMIT #.56-SF-1764481
DEPARTMENT OF HEALTH JUL 13 2010 DOCUMENT #:F11190175
ONSITE SEWAGE TREATMENT AND DWARR�epar,(SRTeEM
CONSTRUCTION INSPECTION AND FINfCLLtAeXRQTjpkL DATE PAID:05/19/2017
FEE PAID :51 5.00
RECEIPT #:56-PID-3244442
APPLICANT: Cooper Enterprises 4.0, LLC
AGENT: Cooper Enterprises 4.0, LLC
PROPERTY ADDRESS: 5002 Hickory Dr Fort Pierce, FL 34982
LOT: 9
SUBDIVISION:
BLOCK: 46
Indian River Estates ID#: 3402-608-0204-000-9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1090.00 [21
[
]
[271
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Polyethylene
[
]
[281
DITCHES
FT
[ ]
[031
OUTLET DEVICE
[
]
[29]
PRIVATE WELLS
FT
[ ]
[041
MULTI -CHAMBERED ELZJ N ]
[
]
[30]
PUBLIC WELLS
FT
I ]
[051
OUTLET FILTER Polylok PL-68
[
]
[31]
IRRIGATION WELLS
FT
[ ]
[061
LEGEND 1. 70-143-11DC4 2.
[
]
[321
POTABLE WATER 10
FT
[ ]
[071
WATERTIGHT
[
]
[33]
BUILDING FOUNDATIONS 5
FT
[ ]
[081
LEVEL
[
]
[341
PROPERTY LINES 11
FT
[ ]
[091
DEPTH TO LID
[
]
[35]
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1] 504 [21
SQFT [
]
[361
DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX HEADER
X [
]
[371
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 7.00 2.
[
]
[38]
SLOPES
[ ]
[131
DRAINLINE SEPARATION
[
]
[391
STABILIZATION 07/11/2018
[ ]
[141
DRAINLENE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW ]BM
5.00 [
]
[401
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ]
[181
DOSING PUMPS
[
]
[421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[
]
[431
MAINTENANCE AGREEMENT
I ]
[201
AGGREGATE EXCESSIVE FINES
[
]
[441
BUILDING AREA
[ ]
[211
AGGREGATE DEPTH
[
]
[451
LOCATION CONFORMS WITH SITE PLAN
[
]
[461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ ] I471
CONTRACTOR Ernesto Gamez (SEPTIC EN
[ ]
[22] FILL AMOUNT
[ ] [4e]
OTHER INFILTRATOR Quick4 EQ36 (single c
[ ]
[231 FILL TEXTURE
[ ]
[241 EXCAVATION DEPTH
ABANDONMENT
[ ]
[25] AREA REPLACED
[ ] [491
TANK PUMPED
[ ]
[261 REPLACEMENT MATERIAL
[ ] [50]
TANK CRUSHED & FILLED
Comments: Comments are on page 2.
i
%d' St. Lucie CHD
DATE: 06/11/2018
CONSTRUCTION
I APPROVED
DISAPPROVED ] Enviro ental Specialist I D' nna S
ay (Florida Department of Health
SYSTEM
I 'APPROVED /
04 1FINAL UCIe CHD
DATE: 07/11/2018
DISAPPROVED ]:
Environmental Specialist Brian J Prarn
(ENVIRONMENTAL HEALTH)
I
(Explanation of Violations on following page)
s
DH 4016, 08/09
(Obsoletes all previous editions which may not be used)
Incorporated:
64E-6.003, PAC
Page 2 of 3
EH Database v 1.0.1 AP1291536
EID1764481
s
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
S
APPLICATION #:AP1291536
PERMIT #:56-SF-1764481
DOCUMENT #:F11190175
DATE PAID:05I19/2017
FEE PAID :51 5.00
RECEIPT #:56-PID-3244442
• 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 DF installed 7x6 chambers long. No violations observed, system ok to cover. Contractor notified by phone. Final
required for filled system and final site grading.
Final system approved. Contractor and building department emailed final approval.
DR 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 AP1291536 EID1764481