HomeMy WebLinkAbout2421 keen rd aba final approval APPLICATION #:AP 1328357
STATE OF FLORIDA PERMIT #:56-SF-1822585
�•`.'r � DEPARTMENT OF HEALTH
c '1»b; ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11159152
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
02/13/2018
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FEE PAID:65.00
RECEIPT #:56-PID-3481047
APPLICANT: Angel Vargas
AGENT: Ashton Septic Tanks Inc.
PROPERTY ADDRESS: 2421 Keen Rd Fort Pierce, FL 34946
LOT: BLOCK:
SUBDIVISION: ID#: 1336-143-0000-000-5
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] [21 [ ] [27] SURFACE WATER FT
[ ] [021 TANK MATERIAL [ ] [281 DITCHES FT
[ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ ] [04] MULTI-CHAMBERED [ Y / N ] [ ] [301 PUBLIC WELLS FT
[ ] [051 OUTLET FILTER [ ] [31] IRRIGATION WELLS FT
[ ] [061 LEGEND 1. 2. [ ] [32] POTABLE WATER FT
[ ] [07] WATERTIGHT [ ] [331 BUILDING FOUNDATIONS FT
[ ] [081 LEVEL [ ] [341 PROPERTY LINES FT
[ ] [091 DEPTH TO LID [ ] [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER [ j [37] SHOULDERS
[ ] [121 NUMBER OF DRAINLINES 1. 2. [ ] [381 SLOPES
[ ] [131 DRAINLINE SEPARATION [ ] [39] STABILIZATION
[ ] [141 DRAINLINE SLOPE
[ ] [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [161 ELEVATION [ ABOVE / BELOW ]BM [ ] [40] UNOBSTRUCTED AREA
[ ] [171 SYSTEM LOCATION [ ] [411 STORMWATER RUNOFF
[ ] [181 DOSING PUMPS [ ] [42] ALARMS
[ ] [191 AGGREGATE SIZE [ ] [431 MAINTENANCE AGREEMENT
[ ] (20] AGGREGATE EXCESSIVE FINES [ ] [441 BUILDING AREA
[ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [221 FILL AMOUNT [ ] [47] CONTRACTOR MICHAEL W STUHR(ASHTO
[ ] [231 FILL TEXTURE [ ] [481 OTHER
[ ] [241 EXCAVATION DEPTH ABANDONMENT
[ ] [251 AREA REPLACED [ ] [491 TANK PUMPED 02/22/2018
[ ] [26] REPLACEMENT MATERIAL [ ] [501 TANK CRUSHED & FILLED 02/22/2018
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 02/22/2018
DISAPPROVED ] ' Enviro mental Spec 'ialist II Br gram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ] : Lucie CHD DATE: 02/22/2018
Environmental Specialist II Bria gram(ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 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 AP1328357 EID1822585
APPLICATION #:AP1328357
r, f STATE OF FLORIDA PERMIT #:56-SF-1822585
DEPARTMENT OF HEALTH
c DOCUMENT #:F11159152
1+Q, ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
;y CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:02/13/2018
W�ou�s FEE PAID:65.00
RECEIPT #:56-PID-3481047
Violation Number Comment
Comments
Tank pumped and destroyed properly.
Tank completely destroyed and removed. No violations, Contractor notified onsite. Contractor emailed final approval.
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EIS Database v 1.0.1 AP1328357 EID1822585