HomeMy WebLinkAboutD O H PAPERWORK8CANNED RECEIVED
MAR 16 2018
STATE'OF' FIORZD�... .._ _..-
"%� DEPARTMENT :OF HEALTR. ST. Lucie County, Perr
�+ ONSZTE SEWAGE TREATMENT AND DISPOSAL SYS:
.t .CONSTRUCTION INSPECTION AND FINAL APPROVAL.
N ura'sa"
LOCATION a AP1.263780.
-.PERMIT tr 56 SF-1720998 -
Docan>ENT #:F11163218"
DATE, PAID:11/16/2016
FEE PAm.:515.00 ' -
1 e911a- 6'�_i I RECEIPT #:56_PID-3142899'
APPLICANT: Phoeniz Realty Homes Inc
AGENT. Alan Tarpell
PROPERTY ADDRESS: 121 'Queen Guinevere Ct Fort Pierce, FL 34949
LOT: E BLOCK;. 2
SUBDIVISION;
Queens Cove 3D11; 1414.701-0016.000-1°
CHECKED [X] ITEMS ARE NOT IN CAMP7:IANCE WITS STATUTE OR, RCILB AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ .],
(O1]
TANK. SIZE 0.1. 1500100. [2] 1050.00
1
1
[271
SURFACE WATER 53
FT'
( ]
1023
TANK MATERIAL- 'Concrete
1
1
[291
DITCHES. ___
FT
[ 1
[031
OUTLET.DEVICE.
(
]
[291
PRIVATE WELLS _
FT
1 1
[04]
MULTI -CHAMBERED [ `Y N 7
(
1
[301
PUBLIC .WELLS
FT
3
(051
OUTLET FILTER.
[
1
(31.1
IRRIGATION WELLS
( 1
1063,
LEGEND: 1. 01-011-23SC4 2, 01-011-11SC4_
[
1
(321
POTABLE WATER 10 ._._
FT
[ ]
L071
WATERTIGHT _
[
1
[331
BUILDING FOUNDATIONS, _ 6.. _
FT
I 1
(O8,]
LEVEL
1
]
(341
PROPERTY LINES 2
fT
1 _1
(093
DEPTH TO LID
[
]'
[441
OTHER
FT
DRAINFIELD INSTALLATION
FILLED / MOUND .SYSTEM
'.I '1
[.101
AREA.' Ell 500 121 SQFT
1
1
[3Q
DRAINFIELD COVER
:[ ]
1111
DISTRIBUTION BOX HEADER. X
I
]
I371
SHOULDERS
1 `1
1123
NUMBER. OF DRAINLINES 1- 5_00• 2:.
[
1
[381
SLOPES
;1 ]
,1,131
DRAINLINE SEPARATION
(
1
1391
STABILIZATION 03/1512018
[ ]
(141
DRAINLINE SLOPE
1 ]
1151
DEPTH OF COVER
ADDITIONAL INFORMATION
_[ ]
1161;
ELEVATION :[ ABOVE. ] BELOW )BM 7.00
[
7
f40]
UNOBSTRUCTED AREA
1 'I
117]..
SYSTEX LOCATION
1
1
1411
STORMWATER RUNOFF
1 .]
r181
DOSING 'PUMPS 1.00
'1
"1
.1421
"ALARMS.
I 1
[191.
AGGREGATE SIZE
j
I
i[431
MAINTENANCE'' AGREEMENT
1 1.
[201
AGGREGATE EXCESSIVE FINES
[
1
1441
BUILDING AREA
1 3.
(2.1]
AGGREGATE DEPTH
[
1
;(451
LOCATION CONFORMS WITH_SZTE PLAN
[
]
'I467
FINAL SITE 13RADING
FILL./'EXCAVATION MATERIAL
-'
-
1 ]
1221 FILL AMOUNT
1
1
[411.
CO OR
John Baker(Accurafe Septic
1 1
[231 FILL TEXTURE
I
1
148)
OTHER
Drip irrigation=Netafim
( -]
[24]' -EXCAVATION DEPTH
ABANDONMENT-
[ ,]
(25] AREA REPLACED .
(
1
1491
TANK PUMPED
[ •]
126f REPLACEMENT 'MATERIAL
[
1
1501
TANX CRUSHED
&FILLED
Comments: Comments are on page 2.
CONSTRUCTION [ AgPROVEO J -= St: Lucie CHD DATE: 10/1112017.
DISAPPROVED jf E i r �antal SpoelallstI Dla'" MaytFlorida:Depanment of Health'.
:FINAL SYSTEM? [ APPROVED.'/ .DISAPPROVED 1: r UC1e CHD DATE: 03/15/2018
- - 'Envlronmentalspeclelstll Brian d ram[ENVIRONMEMAL HEALTH)
(Explanation, of Violations on following -Page]
AUK 4016, 08109 (Obsoletes ,all previous editions whichmay not be used)
,Incorporated: 64E-6.003, FAC Page, 2.of 3
EH Oatabaso v1.01 AP1263780 EID1720995'
f .,
APPxSCATION #..AP1263780
STATE OF FLORIDA ." PERMIT tl BB-SF='1720
DEPARTMENT .OF HEALTH DOCUMENT uF14163216
ONSITE SEWAGE TREATMENT AND DISPOSAL, SYSTEM-
':',� � CONSTRUCTION INSPECTION AND FINAL: APPROVAL DATE ,AID:11116/2016
FEE pAID:515.00 -_--
REC91PT l .56'PID-314
Violation NUmber Comment `
a systeinas sized for 4 bedrooms with a maximum occupancy of 8 persons (2 perbedroomj, fora total estimated.flow:c
tankand DF installed.
giant V2tiP pump, model # WE2QGQ5P4.21
plyheader and 5 retUrh header connections-: each 25' for a tofal'of 250linear feet of nelafilm.
olatfons observed_ System ok to cover, contractor notified onsite.
written notice from courthouse received. No oche violallons,
and butfdfng department emaited final approval..
DH 4016, 08f09 (Obsoletes all Previous editions .which may not bo used)
Incorporated; 649-6.003, FnC Page 2 of 3
EH Database v 1.e_1 AP1263780 EID1720998
SCANNED
B
APPLICATION tt:AP1263780
7
FLORIDA St. Luciecou*
PERMIT p:56-SF-1720998
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
DOCUMENT n:F11163218
SYSTEM
PAID: 11/16/2016
CONSTRUCTION INSPECTION AND FINAL APPROVAL
DATE
PAID. 515.00
RECEIVED CEIPT tr:56-PID-3142899
APPLICANT:
Phoeniz Realty Homes Inc
AGENT:
Alan Tarpell
PROPERTY ADDRESS: 121 Queen Guinevere Ct Fort Pierce, FL 3 949, Lucie County, Permitting
LOT: E
BLOCK: 2
'
SUBDIVISION:
Queens Cove IDO: 1414-701-0016-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
[ ]
[01]
TANK SIZE [1] 1500.00 [2] 1050.00 [
1 [271 SURFACE WATER 53 FT
[ ]
[021
TANK MATERIAL Concrete [
] [281 DITCHES _ FT
[ ]
[031
OUTLET DEVICE [
] [29] PRIVATE WELLS FT
[ ]
[041
MULTI -CHAMBERED [ Y N ] [
) [30] PUBLIC WELLS FT
[ 1
[051
OUTLET FILTER [
] 1311 IRRIGATION WELLS FT
[ ]
[061
LEGEND 1. 01-011-23SC4 2. 01-011-11SC4 [
] [321 POTABLE WATER 10 FT
[ ]
[07]
WATERTIGHT [
] 133] BUILDING FOUNDATIONS 5 FT
[ ]
108]
LEVEL [
] 1341 PROPERTY LINES 2 FT
[ ]
1091
DEPTH TO LID [
] [351 OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ]
[101
AREA [1] 500 [21 SQFT [
] 1361 DRAINFIELD COVER
[ ]
[111
DISTRIBUTION BOX _ HEADER X [
1 [371 SHOULDERS
[ ]
1121
NUMBER OF DRAINLINES 1. 5.00 2. [
) [381 SLOPES
[ ]
[13]
DRAINLENE SEPARATION [
] 139] STABILIZATION 03/15/2018
[ ]
1141
DRAINLENE SLOPE
[ ]
[151
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ]
[161
ELEVATION [ ABOVE / BELOW 1BM 7.00 [
] [40] UNOBSTRUCTED AREA
[ ]
[171
SYSTEM LOCATION [
1 1411 STORMWATER RUNOFF
[ ]
1181
DOSING PUMPS 1.00 [
] 1421 ALARMS
[ ]
[191
AGGREGATE SIZE [
1 [431 MAINTENANCE AGREEMENT
[ 1
1201
AGGREGATE EXCESSIVE FINES [
] [441 BUILDING AREA
[ ]
[211
AGGREGATE DEPTH [
] 1451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [
] 1461 FINAL SITE GRADING
[ ]
[221
FILL AMOUNT [
] 1471 CONTRACTOR John Baker (Accurate Septic
[ ]
1231
FILL TEXTURE [
] [481 OTHER Driplrr(gation- Netafim
[ ]
[24]
EXCAVATION DEPTH
ABANDONMENT
[ 1
(251
AREA REPLACED [
1 1491 TANK PUMPED
[ ]
1261
REPLACEMENT MATERIAL [
] [501 TAME CRUSHED 6 FILLED
Comments: Comments are on page 2.
CONSTRUCTION I APPROVED / h \cp St. Lucie CHD DATE: 10/13/2017
DISAPPROVED ) ' Envl onmental Specialist 1 We May (Florida Department of Health
FINAL SYSTEM [ pppgOVED / DISAPPROVED ]: !- ucie CHU DATE: 03/15/2018
Environmental Specialist 11 Brian jr ram (ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v 1.0.1 AP1263780 EID1720998
-
� rtst
nt, STATE OF FLORIDA
Ej DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
eao WczC�
Violation Number Comment
Comments
APPLICATION q:,4P1263780
PERMIT tf:56-SF-1720998
DOCUMENT n: FI1163218
DATE PAID:11/16/2016
FEE PAID:515.00
RECEIPT n:56-PID-3142899
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 400
New tank and DF installed.
Little giant 112 HP pump, model # WE20G05P4-21
5 supply header and 5 return header connections- each 25' for a total of 250 linear feet of netafilm.
No violations observed. System ok to cover, contractor notified onsite.
ME contract required prior to final approval.
Final required for filled system and alarm check.
ME contract received. Engineer signoff received. PBST permit issued. written notice from courthouse received. No other violations,
Final system approved. Contractor/maintenance entity, builder, owner and building department emailed final approval.
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EHD.Mbase v1.0.1 AP1263T00 EID172099B