HomeMy WebLinkAboutDOH PAPPERS 2r 1
�Y118 'UDI— n7O APPLICATION#:AP1215741
e" STATE OF FLORIDA U v O PERMIT #:56-SF-1647094
~ - - DEPARTMENT OF HEALTH DOCUMENT #:F11077418
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DATE PAID:12/08/2015
CONSTRUCTION INSPECTION AND FINAL APPROVAL
~`"��'°�`• FEE PAxD:515.00
SCANNED RECEIPT #:56-PID-2858188
BY
APPLICANT: Deborah 8: Mark Connolly St (.I ci Q
AGENT: Kerner Surveying, Inc
PROPERTY ADDRESS: 8060 Plantation Lakes Dr PortSaint Lucie, FL 34986
LOT: BLOCK:
SUBDMSION:
1
L 1
I 7
1
7
1
1
1
1
]
Reserve Plan
ID # : 3328-410-0002.000.9
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION
[01] TANK SIZE [17 1090.00 [21
[021 TANK MATERIAL Polyethylene
[031 OUTLET DEVICE
[04] MULTI -CHAMBERED [ Y N 1
[051 OUTLET FILTER POlylokPL-68
[061 LEGEND 1. 70-143-11DC4 2.
[071 WATERTIGHT
[081 LEVEL
[091 DEPTH TO LID
DRAINFIELD INSTALLATION
[101 AREA [1] 672 [21 SQFT
[111 DISTRIBUTION BOX HEADER x
(121 NUMBER OF DRAINLINES 1. 7.00 2.
[131 DRAINLINE SEPARATION
[141 DRAINLINE SLOPE
(151 DEPTH OF COVER
[163 ELEVATION [ Asov6 /
[17] SYSTEM LOCATION
[181 DOSING PUMPS
1191 AGGREGATE SIZE
[201 AGGREGATE EXCESSIVE FINES
[211 AGGREGATE DEPTH
FILL / EXCAVATION MATERIAL
[ ] [221 FILL AMOUNT
[ ] [231 FILL TEXTURE
[ ] 1241 EXCAVATION DEPTH
[ ] [251 AREA REPLACED
[ ] [261 REPLACEMENT MATERIAL
Comments: Comments are on page 2.
BELOW IBM 14.00
CONSTRUCTION I APPROVED I / DISAPPROVED 3:
FINAL SYSTEM I APPROVED / DISAPPROVED ];
(Explanation of Violations on £olloving Pogo)
[
I
I
1
1
1
]
7
7
1
SETBACKS
[271 SURFACE WATER
[281 DITCHES
[291 PRIVATE WELLS
(301 PUELIC WELLS
[313 IRRIGATION WELLS
100
FT
FT
FT
FT
FT
L321
POTABLE WATER 10
FT
[331
BUILDING FOUNDATIONS 10
FT
[341
PROPERTY LINES 35
FT
(351
OTHER
FT
FILLED / MOUND SYSTEM
[361 DRAINFIELD COVER
(371 SHOULDERS
[381 SLOPES
(391 STABILIZATION
ADDITIONAL INFORMATION
[ ]
(401
UNOBSTRUCTED AREA
[ ]
[411
STORMWATER RUNOFF
[ ]
[421
ALARMS
[ 1
[431
MAINTENANCE .AGREEMENT
[ ]
[441
BUILDING AREA
[ )
[451
LOCATION CONFORMS WITH SITE PLAN
[ ]
[461
FINAL SITE. GRADING
[ 1
(473
CONTRACTOR (All County Septic and Plum
[ 1
[483
OTHER INFILTRATOR Quick4 EQ36 (single
ABANDONMENT
[ ]
[49]
TANK PUMPED
[ ]
[501
TANK CRUSHED S FILLED
St. Lucie CHD DATE: 04/20/2016
St.
DH 4016, 08/09 (obsoletes all previous editions which may not be used)
incorporated: 64E-6.003, PAC
EH Database v1.0.1 AP1215741 E101647094
CHD DATE: 10/10/2016
Page 2 of 3
RECEIVED OCT 112016
APPLicATIoN #:AP1215741
` 4 F
Q" STATE OF FLORIDA PERMIT #:56-SF-1647094
_ ;DEPARTMENT OF HEALTH nOCOMexm #:FI1077418
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
'q. CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAIn:12/08/2015
FEE PAID:515.00
RECEIPT #:56-PID-2858188
Violation Number Comment
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
gpd.
No violations, system ok to cover. Contractor notified onsite.
Final inspection needed for mound system.
Final system approved. Contractor 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
Ex Database v 1.0.1 AP1216741 EID1647094