HomeMy WebLinkAboutDEPARTMENT OF HEALTH SEWAGE TREATMENT AND DISPOSAL INSPECTION AND FIANL APPROVAL 9-19-18ILE COPY",
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APPLICATION #:AP1355466
STATE OF FLORIDA
PERMIT #:56-SF-1863486
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
DOCUMENT #:F11204028
SYSTEM
APPROVAL DATE PAID:07/17/2018
CONSTRUCTION INSPECTION AND FINAL
W.
FEE PAm;315.00
RECEIPT #:56-PID-3620615
APPLI
Keith Isemia
RECEIVE
AGENT'
Benjamin
Dre%Vs Plumbing & Drain Services
SCANNED
PROPERTY ADDRESS: 6001 Myrtle Dr Fort Pierce, FL 34982
2018 By
11
sY Lucie courltg
LOT: 25
BLOCK: 66
ST, Lucie County, Permltting
SUED II
SION:
Indian River Estates ID#: 3402-609-0523-000-4
III
.CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[
]
[01]
TANK SIZE [1] 900.00 [2] I
] 127] SURFACE WATER FT
[
]
[021
TANK MATERIAL Polyethylene [
] [281 DITCHES FT
[
]
[031
OUTLET DEVICE [
] [291 PRIVATE WELLS 78 FT
[
]
[041
MULTI -CHAMBERED [ .Lk N ] [
] [301 PUBLIC WELLS FT
[
]
1051
OUTLET FILTER Polylok PL-68 [
] [311 IRRIGATION WELLS FT
[
]
[061
LEGEND 1. 70-156-90DC3 2. [
] [321 POTABLE WATER 45 FT
[
]
[071
WATERTIGHT [
] 1331 BUILDING FOUNDATIONS 5 FT
[
]
[081
LEVEL [
] [341 PROPERTY LINES 8 FT
[
]
[09].
'DEPTH TO LID - [
] [351 OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
I
]
[101
AREA [1] .__5� 25 121 S _
] I361 DRAINFIELD COVER
[
l
[111
F%
DISTRIBUTION ' BOX I
l [37] SHOULDERS
[
]
[121
NUMBER OF DRAINLINES 1. 5-�tJ 2. [
] [381 SLOPES
[
]
[131
DRAINLINE SEPARATION [
] [391 STABILIZATION
[
l
[141
DRAINLINE SLOPE
[
]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[
]
[161
ELEVATION [ ABOVE /IBM 22.00 [
] [401 UNOBSTRUCTED AREA
[
]
[171
SYSTEM LOCATION [
l [411 STORMWATER RUNOFF
[
]
[181
DOSING PUMPS [ [421 ALARMS
I
l
[191
AGGREGATE SIZE [i,1
[43] MAINTENANCE AGREEMENT
[
]
[201
AGGREGATE EXCESSIVE FINES
[441 BUILDING AREA
[
]
[211
AGGREGATE DEPTH iii
I451 LOCATION CONFORMS WITH SITE PLAN
FILL
/EXCAVATION MATERIAL.[
] [46] FINAL SITE GRADING
[
]
[221
FILL AMOUNT I
l [471 CONTRACTOR (Benjamin Drew" s Plumbing
[
]
[231
FILL TEXTURE [
] [481 OTHER INFILTRATOR ARC 24
I
]
[241
EXCAVATION DEPTH
ABANDONMENT
[
]
1251
AREA REPLACED [
] 1491 TANK PUMPED 08/22/2018
[
]
[261
REPLACEMENT MATERIAL I
l [501 TANK CRUSHED & FILLED 08/22/2018
Commen
Comments are on page 2.
St Lucie CHD DATE: 08/22/2018
CONSTRICTION
�/
I APPROVED DISAPPROVED )= Environmer�l Specialist 1 Dianna S May (Florida DepartmerR of Health
FINAL
STEM
[ AP1ROVED / DISAPPROVED ]
St. Lucie CHD DATE: 08/22/2018
IEnvironmental
Specialist 1 Dianna S May (Florida Department of Health
(Eaplanl'l
on of Violations on following page)
108/09
DE
401
(Obsoletes all previous editions which may not be used)
Incorpolllated:
64E-6.003, FAC
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EH Database v,1.0.1 AP1355466
EID9863486
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATIoN #:AP1355466
PERMIT #:56-SF-1863486
Docum=T # : F 11204028
DATE PAID:07/17/2018
FEE PA=.315.00
RECEIPT # :56-PI D-3620615
The Isand
tem is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200
NeNew DF installed 5x7 chambers long. No violations observed, system ok to cover. Contractor notified by phone. Emailed to
DE 4016, 08/09 (Obsoletes all previous editions which may not be used)
Inco[1�orated: 64E-6.003, FAC
I EH Database v 1.0.1 AP1355466 EID18634BB
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