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LOT:
3 1
BLOCK:
SUBDIVISION:
River Branch Estates ID#: 3404-809-0007-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
I
[01]
TANK SIZE [11 1090.00 [21
[ ]
[271
SURFACE WATER
FT
[ ]
[021
TANK MATERIAL Polypropylene
[ ]
[281
DITCHES 70
FT
[ ]
[03]
OUTLET DEVICE
[ ]
[291
PRIVATE WELLS
FT
[ ]
[04]
MULTI -CHAMBERED [L2E_y N ]
[ ]
[301
PUBLIC WELLS
FT
[ ]
[051
OUTLET FILTER Polylok PL-68
[ 3
[311
IRRIGATION WELLS
FT
[ ]
1!'061
I
LEGEND 1. 70-143-11DC4 2.
[ ]
[321
POTABLE WATER 79
FT
[ ]
071
WATERTIGHT
[ ]
[.331
BUILDING FOUNDATIONS 5
FT
[ ]
[i08]
LEVEL
[ ]
[341
PROPERTY LINES 15
FT
[ ]
p091
DEPTH TO LID
[ ]
[351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [11 667.88 [2] SQFT
[ ]
[361
DRAINFIELD COVER
[ ]
[11]
DISTRIBUTION BOX HEADER X
[ ]
[371
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLINES 1. 6.00 2.
[ ]
[381
SLOPES
[ ]
[I13]
DRAINLINE SEPARATION
[ ]
[39]
STABILIZATION 12/04/2019
[ ]
[14]
DRAINLINE SLOPE
[ ]
[I115]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]BM 7.00
[ 1
[401
UNOBSTRUCTED AREA
[ ]
[17]
SYSTEM LOCATION
[ ]
[411
STORMWATER RUNOFF
[ ]
[18]
DOSING PUMPS
[ ]
[421
ALARMS
[ ]
[191
AGGREGATE SIZE
[ ]
[431
MAINTENANCE AGREEMENT
I l
[20]
AGGREGATE EXCESSIVE FINES
[ ]
[441
BUILDING AREA
[ ]
[21]
AGGREGATE DEPTH
[ ]
[451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL
[ ]
[461
FINAL SITE GRADING
[ ]
[22]
FILL AMOUNT
[ ]
[471
CONTRACTOR (Benjamin Drew"s Plumbing
[ ]
[23]
FILL TEXTURE
I. ]
[481
OTHER INFILTRATOR Quick4 Plus EQ36 LP
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ ]
[251
AREA REPLACED
[ ]
[491
TANK PUMPED
[ ]
[26]
REPLACEMENT MATERIAL
[ ]
[501 '
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
/
t. Lucie CHD
DATE: 10/11/2019
CONSTRUCTION
[ APPROVED
,
DISAPPROVED � '
IHEALTH)
FINAL SYS EM
[ APPROVED / DISAPPROVED ]:Lucie
=on:tist �Inqrq(ENVIRONMENTAL
CHD
DATE: 12/04/2019
En ronmental Specialist II Brian gram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09
(Obsoletes all previous editions which may not be used)
Incorporated:
64E-6.003, FAC
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1
EH Database .v 1.0.1
AP1357964 EID1867383
9
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
APPLICATION #:AP1357964
PERMIT #: 56-SF-1 867383
DocumNT #: F11357075
DATE PA ID:10/15/2018
FEE PAm:25.00
RECEIPT #:56-PID-3771023
Comments
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
ar-•
New ST, filter, and 5x10+1x9 long DF installed. No violations, system ok to cover. Contractor notified onsite. Needs final
inspection for mound system, gutters, and final site grading.
Final system approved. Contractor and building department emailed final approval.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
EH Database v 1.0.1 A P1367954 EID188T383
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