HomeMy WebLinkAboutDEPARTMENT OF HEALTH SEWAGE TREATMENT AND DISPOSAL SYSTEM 2-1-19►E- PERMIT #:56-SF-1863486
APPLICATION #:AP1355466
STATE OF FLORIDA
•; ,j y; r t DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID:
SYSTEM
,ti iy RECEIPT #
C "� DOCUMENT #: PR1127814
CONSTIIIIRUCTION PERMIT FOR: OSTDS Repair WANNER
APPLICANT: Keith Isemia BY
PROPERTY ADDRESS: 6001 Myrtle Dr Fort Pierce, FL 34982 51 Lucie County
LOT: 25 BLOCK: 66 SUBDIVISION: Indian River Estates
PROP RTY ID #: 3402-609-0523-000-4 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
SYST�jIM MUST BE CONSTRUCTED IN ACCORDANCE WITH ' SPECIFICATIONS AND STANDARDS OF SECTION
381.Ob65, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHIC SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE(� OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
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DH 41
DESIGN AND SPECIFICATIONS
900 ] GALLONS / GPD Seotic New - • CAPACITY
0 j GALLONS / GPD CAPACITY
0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
200 ] SQUARE FEET Drainfield New SYSTEM
0 ] SQUARE FEET SYSTEM
SYSTEM: [x] STANDARD [ ] FILLED [] MOUND
IGURATION: [ ] TRENCH [X].BED [ ]
FM
TION OF BENCHMARK: Orange spot on SW corner of screen enclosure
ATION OF PROPOSED SYSTEM SITE [ 2.00 ][ INCHES FT ](ABOVE BELOW BENCHMARK/REFERENCE POINT
DM OF DRAINFIELD TO BE [ 22.001 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 45.001 INCHES
system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of
9pd•
arming Lift Dosing.
Is must be certified as suitable for distributing sewage effluent.
licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
E-6.013(3)(0, FAC. Required drainfield area based on rule 64E-6.015(6)(c)2.
I a new drainfield to achieve Drainfield size requirement.
CATIONS BY: Dianna S May TITLE: Environmental Specialist I
D BY: !'% TITLE: Environmental Specialist I -
Dianna S May
SUED: 08/01/2018 EXPIRATION DATE
08/09 (Obsoletes all previous editions which may not be used)
rated: 64E-6.003, PAC
St. Lucie CHD
�10/30/2018
P'ge 1 of 3
iSTATE' OF FLORIDA
DEPARTMENT OF HEALTH
u'_a`! ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
':► �% CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLI T: Keith Isernia
AGENT:I Benjamin Drew "s Plumbing & Drain Services
PROPEF TY ADDRESS- 6001 Myrtle Dr Fort Pierce, FL 34982
LOT: �� BLOCK: 66
Indian River Estates
ID#: 3402-609-0523-000-4
APPLICATION # : A-;-' ! ' -'
PERMIT #:56-SF-1863486
DOCUMENT #:F11204028
DATE PAID:07/17/2018
FEE , PAID:315.00
RECEIPT #:56-PID-3620615
CHECKED [XI ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
I
TANK INSTALLATION
[ ]
[01]
TANK SIZE [1] 900.00 [21
[ ]
[021
TANK MATERIAL Polyethylene '
[ ]
[031
OUTLET DEVICE
[ J
(04]
MULTI —CHAMBERED [ Y N ]
[ ]
[051
OUTLET FILTER Polylok PL-68
[ ]
[061
LEGEND 1. 70-156-90DC3 2.
[ ]
1071
WATERTIGHT
[ ]
[08]
LEVEL
[ ]
R [091
DEPTH TO LID
DRAINFIELD INSTALLATION
[ ]
[101
AREA [1] 525 [21 SQFT
[ ]
[11]
DISTRIBUTION BOX HEADER X
[ J
[121
NUMBER OF DRAINLINES 1. 5.00 2.
[ ]
[131
DRAINLINE SEPARATION
[ ]
[141
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
[ ]
[161
ELEVATION [ ABOVE / BEIAW IBM 22.00
[ ]
[171
SYSTEM LOCATION
[ ]
118]
DOSING PUMPS
[ ]
[19]
AGGREGATE SIZE
[ ]
[201
AGGREGATE EXCESSIVE FINES
[ J
[211
AGGREGATE DEPTH
FILL
/ EXCAVATION MATERIAL
[ ]
(22]
£ILL AMOUNT
[ ]
(231
FILL TEXTURE
[ ]
(24]
EXCAVATION DEPTH
[ ]
[251
AREA REPLACED
[ ]
[26]
REPLACEMENT MATERIAL
'omme
ts: Comments are on page 2,
SETBACKS
[271
SURFACE WATER
FT
[28]
DITCHES
FT
[291
PRIVATE WELLS 78
FT
[301
PUBLIC WELLS
FT
[311
IRRIGATION WELLS
FT
(321
POTABLE WATER 45
FT
(33]
BUILDING FOUNDATIONS•• 5
FT
(341
PROPERTY LINES 8
FT
FT
[35J OTHER
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
[37] SHOULDERS
1381 SLOPES
[391 STABILIZATION
ADDITIONAL INFORMATION
[ ]
[40]
UNOBSTRUCTED AREA
[ ]
[411
STORMWATER RUNOFF
[ ]
[421
ALARMS
[ ]
[431
MAINTENANCE AGREEMENT
[ ]
(441
BUILDING AREA
[ ]
[45]
LOCATION CONFORMS WITH SITE PLAN
[ ]
[46]
FINAL SITE GRADING
[ ]
(471
CONTRACTOR (Benjamin Drew s Plumbing
[ ]
[48]
OTHER INFILTRATOR ARC 24
ABANDONMENT
[ ]
[ 4 9 ]
TANK PUMPED 08/22/2018
[ ]
[50]
TANK CRUSHED & FILLED 08/22/2018
CONSTRUCTION
FINAL
YSTEM
[ APPROVED DISAPPROVED ] °
[ APPROVED / DISAPPROVED ]:
�St. Lucie cHD
Environmental Specialist 1 Dia/nn�6`VMay (Florida Department of Health
�i�9t^^—� St. LUCIe CHD
Environmental Specialist 1 Dia a S May (Florida Department of Health
DATE: 08/22/2018
DATE: 08/2?J�2018
(Explanation
o£ Violations on following page)
1
DH 4016,
Incorporated:
III
08109
(Obsoletes all previous editions which.may not be used)
64E-6.003, FAC
EN Database v I.0.1 AP1.155d66
1 page 2 of 3
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATION
PERMIT #:56-SF-1863486
DOCUMENT # : FI 1204028
DATE PAID:07/17/2018
FEE PAID :31 5.00
RECEIPT #:56-PID-3620615
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons (2 per bedroom), for a total estimated flow of 200
]pd-
Vew ST�'Ld DF installed 5x7 chambers long. No violations observed, system ok to cover. Contractor notified by phone. Emailed to
DH 4011i6, 08/09 (Obsoletes all previous editions which may not be used)
Incor grated: 69E-6.003, FAC
cIC'Ii:G3d$G
EI•I Datalmse v 1.0.1 API. 55d66
Page 2 of 3
(-"A q -0
aj
i
i
DOCUMENT H : PR1127814
b) bottom of the tank shall be opened or ruptured, or the entire tank collapsed so as to prevent the tank from retaining water,
and( ) The tank shall be filled with clean sand or other suitable material, and completely covered with soil.Have the system
a n d J(
inspected by the health department after it has been pumped and ruptured but before it is filled with sand and covered.
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