HomeMy WebLinkAboutD O H SEWAGE TREATMENT - DISPOSAL INSPECTION - FINAL APPROVALSTATE OF FL.ORIDA.
DEPARTMENT QF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL 'SYSTEM
CONSTRUCTION .INSPECTION AND FINAL APPROVAL
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i
APPLICANT,: Nichols
AGENT,:. II Alexandet.J
PROPERTY ADDRESS':
I
LOT:
SUBDIVISION:
SCANNED
Oleander Ave Fort Pierce, FL'2
BLOCK:
=D#:: 3409-114-0004-000-2
�09a S N,
" -`�`
APPLICATION .# y s U .) Z
PERMIT, # 56-;SF 1872363
DOCUMENT #: FI126853R .
DATE. PAID 1.2/19/2018
FEE PIA D•:275.00
RECEIPT 4:56-PID-383-181.7
ST. Lucie County, Permitting
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1500.00 [21
[
] [271
SURFACE WATER 100
FT
[ ]
I[02]
TANK MATERIAL Concrete
['
j [281
DITCHES
FT
[ ]
I[031
OUTLET DEVICE
[
] [29]
PRIVATE WELLS
FT
[ ]
[041
MULTI -CHAMBERED [ Y N ]
[
] [30.]
PUBLIC WELLS
FT
[ ]
[05]
OUTLET,FILTER Polylok PL-122
[
] [3T]
SR&IGATSON WELLS 1'00
FT
[ ]
[06`]
LEGEND 1. 01-011-20DC3 2.
[
] ['32]
POTABLE( WATER 25
FT
[ ]
[07]
WATERTIGHT
[
] [331
BUILDING FOUNDATIONS 41
FT
[ ]
[OR]
LEVEL
[
] [34]
PROPERTY LINES 9
FT'
[ ]
[091
DEPTH TO LID
[
] [35,1
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM.
[10]
AREA [11 960 [2,] SQFT
[
] [361
DRAINFIELD COWER
[ ]
[111]
DISTRIBUTION BOX HEADER X
[
] [:37]
SHOULDERS
[ ]
[12]
NUMBER OF DRAINLI,NES 1. 8`.00 2„
[.
] [38]
SLOPES
[ ]
[113]
DRAINLINE SEPARATION
[
] [391
STABILIZATION 03'/12/2019
[ ]
['4]
DRAINLINE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL.INFORMATION
[ ]
[16]
ELEVATION [ ABOVE / BELOW ]'BM 3:00
[
] [40]
UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION
[
] [41]
STORMWATER RUNOFF
[ ]
118].
DOSING PUMPS.
['
] [421
ALARMS
[ ]
[19]
AGGREGATE SIZE
[
] 43.]
MAINTENANCE AGREEMENT
[ ]
[20],
AGGREGATE EXCESSIVE FINES
[
] 1441
BUILDING :AREA
[ ]
[?]1]
AGGREGATE DEPTH
[
45
1 []
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[
] [46]
FINAL SITE GRADING
[
] [97]
CONTRACTOR David Wtiteslde.(Accurate Se
[ ]
[22]
FILL AMOUNT
[
] .[481
OTHER INFILTRATOR Quick4 EQ36 ('Single_c
[ ]
[23]
FILL TEXTURE
[ ]
[24]
EXCAVATION' DEPTH
ABANDONMENT
[ ]
[25]
AREA 'REPLACED
[
] [491
TANK PUMPED
[ ]
[2161
REPLACEMENT MATERIAL
[
] [5.0]
TANK CRUSHED & FILLED
Comments,: Comments are on page 2.
CONSTRUCTION [ / +r / FoR St. L'ucle Ota DATE: 02/21/2019
APPROVED DISAPPROVED '] ' Environmental Speclali64l rian J Ingram (ENVIRONMENTAL HEALTH)
I
FINAL SYSTEM [ APPROVED ��sr+-----. St. LUCIe
CHD DATES 'O3/12/2019
DISAPPROVED ) :
Envirorimental.SupervWor] Dialfina S,May (Florida Department of Neal
,(Exmianatioll of Violations on. following page)'
DH 4016, 0I8/09 (Obsoletes all previous editions which may, not be used)
Incorporated: 64E-:t,.003•, FAC Page.2 'of 3
EN Da,abasa v ,1,0.1 AP 13k3gg Eia'187236.)
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT Aft.:,DISTOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Comment
, �"
APPLICATION #::.; .1 ;
PERMIT #:.:.'66-SF-1'872363
DO.CMENT
DATE PAID :12/19/2018
-FEE PAID275.00
-5 -1
RECEIPT 4._Q PID-3631817
The system is sized for 4 bedrooms With a maximum occU.pappy of . 8, persoris,(2 per bedroom), for a: total' estimated f1bw-of56Q
New - ST, fjlter,and .8x1 0- long OF installed. No violations, system ok to cover. Cpritractornotified by phd.nqi'.Neqds. final 'inspection
for mound system and rinal sife.grad.lqg.
Final Inspection s@U§..f..acXyNo violations obserV-e1d. Enahed to -building department Arid contractor.
bil 40101 I8/09 (Obsoletes all previous editions which may xiot be ubedj Page 2 of 3
Incorporated: 642-600.3., PAC
E", i Dn UtO �ill (, -1 1 GJ AP138)8835)