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VAR.2 9 711911 APPLICATION #t:AP1333949
STATE OF FLORIDA Permitting Departmen, PERMIT #:56-SF-1831.032
DEPARTMENT' 'OF HEALTH St. Lucie Cr.�rrtk.
'Y ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:F11165880
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:03/15/2018.
FEE PAID:.
65,00
RECEIPT 4:56-P1D-3498306
APPLICANT: Ft Pierce Contracting Corp
AGENT: Austin Sewer&Septic,Inc.
PROPERTY ADDRESS:. 4310 Glades Cut-Off Rd Fort Pierce, FL 34981
LOT: BLOCK':
SUBDIVISION: ID#: 2430-433-0001-000-4.
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [011 TANK SIZE [1] [2]. [ ] [27] SURFACE WATER FT
[ ] [02] TANK-MATERIAL [ ] [28] DITCHES FT
[ 1 [03] OUTLET DEVICE [ 1 [29] PRIVATE WELLS FT.
[ ] [04] MULTI-CHAMBERED [ Y / N ] [ ] [30] PUBLIC WELLS FT
[ ] [051 OUTLET FILTER [ ] [311 IRRIGATION WELLS FT
[ ] [06] LEGEND 1, 2, [ ] [32]! POTABLE WATER FT
[ ] [07] WATERTIGHT [ .] [33].. BUILDING FOUNDATIONS FT'
[ ] [08] LEVEL [ ] [341 PROPERTY LINES FT
[ ]. [091 DEPTH. TO LID [ ] [35] OTHER FT
DRAINFIELD 'INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] [2] SOFT [ .] [36.] DRAINF.IELD. .COVER
[ ] [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS
[ 1 [32] NUMBER OF DRAINLINES 1. 2. [ ] [38] SLOPES
[ ] [13] DRAINLINE SEPARATION [ ] [391 STABILIZATION
[ ] [141 DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM [ 1 [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM, LOCATION [ ] [41] STORMWATER,RUNOFF
[ ] [18-] DOSING PUMPS [ ] [421 ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43'] MAINTENANCE, AGREEMENT
[ ] [201, AGGREGATE'EXCESSIVE FINES [ ] 1441 BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN
FILL ./ EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR (Austin Sewer&Septic;Inc
[ ] [23] FILL TEXTURE [ ] [4'B] OTHER
[ ] [24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49.] TANK PUMPED . 03/27/2018
[ 1 [26] REPLACEMENT MATERIAL [ ] [50] TANK-CRUSHED & FILLED 03/27/2018
Comments: Comments are on page 2.
42
CONSTRUCTION i APPROVED St. Lucie CHD DATE: 03/27/2018
DISAPPROVED ) ' Environ ental:Specialist II.Bria gram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ gppROVED DISAPPROVED 7: - ^-- t.Lucie CHD DATE': 03/27/2018
Environmental Specialist II Brla Ingram(ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016., 06109 (Obsoletes all previous editions which may not be used)
Incorporated: 64E 6.003, FAC Page 2 .o£ 3
EH Databeso V 1,0.1 AP1333949 EID1831032
i'
T1 APPLICATION #:AP1333949
STATE OF FLORIDA PERMIT #:56 S F 1831032
DEPARTMENT OF HEALTH
c `pr DOCUMENT #:F11165880
ONSITE SEWAGE. TREATMENT AND DISPOSAL SYSTEM
-CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:03/15/2018
neon we s4`'
FEE PAID:65.00
.RECEIPT #,56-PID-34983.06
Violation Number Comment
Comments
Septic tank abandoned properly. No violations,Contractor and building department emailed final approval.
I
DH 40116,, 08/0.9 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6;.0'03, FAC Page 2 of :3
EH Database v>1.0.1 AP1333949 EID101632