HomeMy WebLinkAboutPROJECT INFORMATION 1SCANNED
PROPERTY ADDRESS: 14195 Range L[ne Rd Port Sant Lucie, FL 34987
LOT.:_ ._ BLOCK; ..
SUBDIVISION: IDN': 4221-312-0040-000-1
CHECEED_[R1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MOST BE CORRECTED., .
1
TANK INSTALLATION
] [01]
TANK SIZE [1]
1090.00 _ [21 ._
[ ]
] [02]
TANK MATERIAL.
Polyethylene
C ]
1 [031
OUTLET DEVICE
[ 1
1 [041
MULTI=CHAMBERED
[ Y N
L I
1 :[051
OUTLET FILTER
PolylokPL-68_
] [061
LEGEND 1. 70-143-11DC4 2..
[ 1.
I. [071.
-WATERTIGHT
C I
] roe]
LEVEL.
[ p
J 1091
DEPTH, TO LID
[ 1
DRAINFIELD INSTALLATION
7 ,[10]. AREA [1] 271.68 [21 S4FT
] [i11DISTRIBUTION BOX HEADER X
[121 NUMBER OF DRAINLINES 1.. E_0.0. 2_
1 (13] DRAINLINE SEPARATION
1 [141 DRAINLINE SLOPE
] [151 DEPTH OF, COVER
1 [l61 ELEVATION C ABOVE / BELOW IHM',16.00
1. 1171 SYSTEM 'LOCATION
]; '[l3I DOSING' PUMPS
1, [191 AGGREGATE SIZE
] (20] AGGREGATE. EZCESSIVE' FINES
] ,[211 AGGREGATE DEPTH'
t1
L .]
'SETBACKS
[211
SURFACE WATER,
FT
1281
DITCHES
FT
[291
'PRIVATE WELLS ..100'.. ...
FT
C361
PUBLIC NELLS
FT
[31]
IRRIGATION WELLS
FT
[321
POTABLE WATER 27
FT
[331
BUILDING FOUNDATIONS _ �.$
FT
,[34]
PROPERTY LINES 200
FT
C3.5]
OTHER _ _
FT'
FILLED I HOUND SYSTEM:
[361
DRAINFIELD COVER
:[371
SHOULDERS
'.[381
SLOPES
[391
STABILIZATION 07/12/2018
ADDITIONAL INFORMATION
[40]' UNOBSTRUCTED AREA
[411 ISTORMAAT'ER RUNOFF
[42] ALARMS
[43] MAINTENANCE. AGREEMENT
[44] BUILDING AREA
C451 LOCATION CONFOR143 WITH SITE PLAN
FILL / EXCAVATION MATERIAL
L. J
I46]
FINAL SITE GRADING .. ,
1
(22] PILL AMOUNT'
'[ 1
[471
CONTRACTOR James.Bfown(Mr Brown Sep
[ 1
[231 FILL TEXTURE
C 1
4481
OTHER. INFILTRATOR Quick4. Plus'EQ36 LP
I 1
[241 EXCAVATZON DEPTH
ABANDONMSNT
[ 1
[25.1 .AREA .REPLACED
[ I
'[491
TANK 'PUMPED
C 117
[261 REPLACEMENT 'MATERIAL
I I
E501
TANK .CRUSHED 4. FILLED
Continents-: Comments are on page 2--.
'
"..Luo[e . CHD.
DATE: 02/01/2018
CONSTRUCTION
I AP4ROVED DISAPPROVED 1' En. ironmsntal Sp_ ecialist II
flan J Ingram (ENVIR_ONMENTAL HEALTH),
:FINAL .SYSTEM
[ APPROVED J DISAPPROVED I:
SL,LUCIe CHU
DATE.,... 07/f212018
Environmental Specialist 11
an J hg2m(ERVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 401fi; 08/09
(Obsoletes all previous editions which may not beused)
Incorporated:
64E-6.003, FAC �
Page 2 of 3.
EH Database v4;0.1 AP1317481
EID1006056
STATE OF 'FLORIDA
DEPARTMENT OF HEALTH
01491TE SEWAGE TREATMENT AM DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
V[diatiori Nmhar Comment
Aj?ft,1CATXoN #:AP1 317481
oE;Rx= #;5&SF71806056-
Docum=T #:F11496257
DATE p=:02/16/2018
rr'r PAID: 55M
RECEIPT #.56-PID-3483304
New. ST and 34long DF installed., No',violaflons, system ok to cover. Contractor notifted Quite, Needs final -inspection for
pqta6lewater iine,.ssetbickl-building foundation setba*,,,mound system; storm water-runoffbultifing area; locations conformity,
and final site grading,
Final system approved. Contractoremalied final approval.
DR 41016, 00/00 (Cbsolet6s all!previouseditions. Which may not. be uped)
lucwrPdrztted; 64k-6.063, FAC page 2 of 3
EHDatahaa& V40.1 AP4317*11f E10,1806056