HomeMy WebLinkAboutD O H INSPECTION - FINAL APPROVAL__ _•
APPLICATION #:JAP1361179
STATE OF FLORIDA PERMIT #.56-SF-1872419
DEPARTMENT OF HEALTH DOCUMENT # : F11288264
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:08/22/2018
FEE PAID :515.00
NED RECEIPT #:56-PID-3667055
APPLICANT: Cod &Trace Jenkins ��l'�IA' Y
AGENT: ,Gary Dryden (Classic Const. of South Fla. Inc) at Lucile _ _ . _
PROPERTY ADDRESS: 8206 Penny Ln Fort_ Pierce, FL 34951
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LOT: 8 BLOCK: 94
Lakewood Park ID#: 1301-608-0169-000-5
TANK.INSTALLATION
SETBACKS
[ 1
[013
TANK SIZE [11 1090.00 (2)
[
] [271
SURFACE WATER
FT
[ I
[021
TANK MATERIAL Polypropylene
[
] [281
DITCHES'
FT
[ 1
1,031
OUTLET DEVICE
[
1 [291
PRIVATE WELLS 77
FT
[ 1
(041
MULTI -CHAMBERED [
Y
N I
[
1 [301
PUBLIC WELLS
FT
[ 1
(051
OUTLET FILTER Poiylok PL-68
[
l [311
IRRIGATION WELLS
FT
[ ]
11061
LEGEND 1. 70-143-11DC4 2.
(
1 (321
POTABLE WATER 28
FT
[ 1
[071
WATERTIGHT
[
1 [331
BUILDING FOUNDATIONS 7
FT
[ 1
[OBI
LEVEL
[
1 [34]
PROPERTY LINES 16
FT
[ 1
(691
DEPTH TO LID
[
1 [351
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[10)
AREA 113 525 [21 SQFT
[
1 [361
DRAINFIELD COVER
[ ]
[ill
DISTRIBUTION BOX HEADER X
[
1 [371
SHOULDERS
[ 1
[121
NUMBER OF DRAINLINES 1. 10.00 2.
[
1 [381
SLOPES
[ 1
[13]
DRAINLINE SEPARATION
[
1 [391.
STABILIZATION 05/22/2019
[ 1
1141
DRAINLINE SLOPE
[ 1
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ 1
[1161
i
ELEVATION ' [ ABOVE / BELOW IBM 5.00
[
I [40].
UNOBSTRUCTED AREA
[ 1
[11,71
SYSTEM LOCATION
[
1 [411
STORMWATER RUNOFF
[ 1
[1181
DOSING PUMPS
[
1 [421
ALARMS
[ 1
11191
AGGREGATE SIZE
[
1 [431
MAINTENANCE AGREEMENT
[ 1
1201
AGGREGATE EXCESSIVE FINES
[
1 [441
BUILDING AREA
[ I
[211
AGGREGATE DEPTH
[
1 [451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[
1 [461
FINAL SITE GRADING
[
1 [471
CONTRACTOR John O Williams (Best Drainfie
[ 1
[2P]
FILL AMOUNT
[
] [481
OTHER INFILTRATOR ARC 24
( 1
[231
FILL TEXTURE
[ 1
[241
EXCAVATION DEPTH
ABANDONMENT
( 1
[251
AREA REPLACED
[
1 [491
TANK PUMPED
[ ]
I
[261
REPLACEMENT MATERIAL
[
1 [501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
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St. Lucie CHD DATE: 04/05/2019
CONSTRUCTION [ APPROVED DISAPPROVED 1:
Environ ntal Specialist it n.J m (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED DISAPPROVED l: St. Lucie CHD DATE: 05/22/2019
EnAronmental Specialist II Br' J Ingram (ENVIRONMENTAL HEALTH)
(Explanationio£ Violations on following page)
DH 4016, OS/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 A013G1179 EID1872419
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STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
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Violation Number Comment
0 .
APPLICATION #:AP1361179
PERMIT #:56-SF-1872419
DOCUMENT #:FI1288264
DATE PAID:08/22/2018
FEE PAID :515.00
RECEIPT. #:56-PID-3667055
V1lLLLLQfi — I
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 300
Ipd. New ST, outlet filter, and 5x3+5x4 long DF installed. No violation, system ok to cover. Contractor notified onsite. Needs
inal inspection formound system and final site grading.
'final system approved. Contractor and building department emailed final approval.
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DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC
EH Database v 1AI AP1361179 EiD1872419
Page 2 of 3