HomeMy WebLinkAboutD O H PAPERWORKON
SCANNED
STATE OF FLORIDA BY
DEPARTMENT OF HEALTH �} 1
ONSITE SEWAGE TREATMENT AND DISPALLP94LGOUn4y
CONSTRUCTION INSPECTION AND FINAL APPROVAL
APPLICATION #:AP1425721
PERMIT #:56-SF-1977956
DOCUMENT #:FI1361879
DATE PAID:07/26/2019
FEE PAID:545.00
56-PID-4023487
RECEIPT #.
APPLICANT:
Sharina Saka
AGENT:
Atlantic Land Designs of the TC
PROPERTY ADDRESS: 3901 Millisa Ter Fort Pierce, FL 34947
LOT: 4
BLOCK:
DEC 3 12019
SUBDIVISION: Hartman Heights ID#: 2417-602-0004.000-2
CHECKED [X3 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR ROLE AND MOST BE CORAEC
TANK INSTALLATION
SETBACKS
[
I
[O13
TANK SIZE Ill 1090.00 [23
[
]
[273
SURFACE WATER
FT
[
3
[023
TANK MATERIAL Polypropylene
[
1
[281
DITCHES 76
FT
[
3
[031
OUTLET DEVICE
[
3
[291
PRIVATE WELLS 100
FT
[
3
[041
MULTI -CHAMBERED ELIJ N I
[
]
[301
PUBLIC WELLS
FT
[
3
1051
OUTLET FILTER Polylok PL-68
[
3.
[3l]
IRRIGATION WELLS
FT
[
1
[061
.LEGEND 1.. 70-143-11DC4 2.
[
3
[323
POTABLE WATER 6
FT
[
3
1073
WATERTIGHT
[
3
[333
BUILDING FOUNDATIONS 6
FT
[
3
1081
LEVEL
[
3
[341
PROPERTY LINES 12
FT
[
]
[09]
DEPTH TO LID
[
3
[353
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[
3
[103
AREA Ill 684 121 SQFT
[
3
[361
DRAINFIELD COVER
'
[
3
[111
DISTRIBUTION BOX x HEADER
[
3
[37I
SHOULDERS
[
]
[123
NUMBER OF DRAINLINES 1. 6.00 2.
[
3
[383
SLOPES
[
I
[133
DRAINLINE SEPARATION
[
]
[391
STABILIZATION 12/3012019
[
1
[143
DRAINLINE SLOPE
[
]
[15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[
3
1163
ELEVATION [ ABOVE]/ BELOW IBM 1.00
[
1
[401
UNOBSTRUCTED AREA
[
3
1171
SYSTEM LOCATION
[
3
[411
STORMWATER RUNOFF
[
3
1183
DOSING PUMPS
[
3
[421
ALARMS
[
3
[193
AGGREGATE SIZE
[
I
[431
MAINTENANCE AGREEMENT '
[
3
[201
AGGREGATE EXCESSIVE FINES
[
3
[441
BUILDING AREA
[
3
[211
AGGREGATE DEPTH
[
3
[451
LOCATION CONFORMS WITH SITE PLAN
[
3
[461
FINAL SITE GRADING
FILL / EXCAVATION MATERIAL
[ 1
[473
CONTRACTOR (OWNER)
[ I
[223
FILL AMOUNT
[ ]
[483
OTHER INFILTRATOR Ouick4 EO36 (single c
[ 3
[231
FILL TEXTURE
[ 3
[24I
EXCAVATION DEPTH
ABANDONMENT
[ I
[25I
AREA REPLACED
[ ]
1493
TANK PUMPED
[ I
[261
REPLACEMENT MATERIAL
[ 3
r5O]
TANK CRUSHED S FILLED
Coaanents:
Comments are on page 2.
c St. Lucie CHD DATE: 09130/2019
CONSTRUCTION [ APPROVED / OISAPpAOVED l:
Eavlron tal Specialist II Br :gram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ ppPAOVED / DISAPPROVED 3: St. Lucie CHD DATE: 12/30/2019
_% Env nmentaISpeclallat 11Bria Ingram(ENVIRONMENTALHEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003r FAC Page 2 of 3
EH Database v 1.0.1 AP1426721 EID1977956
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAM TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation. Number Comment
comments
APPnlc=oN u:AP1425721
PzFMT (t:56-SF-1977956
DOCUMENT ti:FI1361879
DATE PAID:07/26/2019
FEE 2AID:545.00
]RECEIPT u:56-PID-4023487
The system is sized for 3 bedrooms with a maximum occupancy of 6 persons (2 per bedroom), for a total estimated flow of 400
gpd.
New ST, filter, and 3x9+3x10 long DF installed. No violations, system ok to cover. Owneribuilder notified onsite. Needs final
inspection for mound system and final site grading.
Final system approved. Building Department emailed final approval.
DR 4016, 06/09 (Obsoletes all previous editions which may not he used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v1.0.1 AP1425721 EID1977956