HomeMy WebLinkAboutHealth Dept \� APPLICATION #:AP1368824
STATE OF FLORIDA PERMIT #:56-SF-1884667
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:1 98
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:10/15/2018
,� FEE PAID:65.00
RECEIPT #:56-PID-3770941
APPLICANT: Gentile Corporation
AGENT: MICHAEL STUHR(ASHTON SEPTIC TANKS INC.)
PROPERTY ADDRESS: 205 N 40th St Fort Pierce, FL 34947
LOT: 17 BLOCK:
SUBDIVISION: Wilbuwe ID#: 2408-603-0056-000-6
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED,
TANK INSTALLATION SETBACKS
[ ] (01] TANK SIZE [1] [2] [ ] [27] SURFACE WATER FT
[ ] (02] TANK MATERIAL [ ] [28] DITCHES FT
[ ] [03] OUTLET DEVICE [ ] [29] PRIVATE WELLS FT
[ ] [04] MULTI-CHAMBERED [ Y / N ] [ ] [30] PUBLIC WELLS FT
[ ] [05] OUTLET FILTER [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1. 2. [ ] [32] POTABLE WATER FT
[ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS FT
[ ] [08] LEVEL [ ] [34] PROPERTY LINES FT
[ ] [09] DEPTH TO LID [ ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ] [10] AREA [1] [2] SQFT [ ] [36] DRAINFIELD COVER
[ ] [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 2. [ ] [38] SLOPES
( ] [13] DRAINLINE SEPARATION [ ] [39] STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ ] [16] ELEVATION [ ABOVE / BELOW ]BM [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF
[ ] [18] DOSING PUMPS [ ] [42] ALARMS
[ ] [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT
[ ] [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [45] LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46] FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ] [47] CONTRACTOR MICHAEL W STUHR(ASHTO
[ ] [23] FILL TEXTURE [ ] [48] OTHER
[ ] (24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED [ ] [49] TANK PUMPED 10/17/2018
[ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED 6 FILLED 10/17/2018
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHO DATE: 10/17/2018
DISAPPROVED ]' Environ ntal Specialist II Pn J In (ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: UCIe CHD DATE: 10/17/2018
Environmental-Specialist it Brian gram(ENVIRONMENTAL HEALTH)
(Explanation of Violations on following page)
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Page 2 of 3
Incorporated: 64E-6.003, FAC
EH Database v 1.0.1 AP1368824 EID1884667
IE
o3 APPLICATION #:AP1368824
STATE OF FLORIDA PERMIT #:56-SF-1884667
DEPARTMENT OF HEALTH DOCUMENT #:F11223898
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
., CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:10/15/2018
�o w16
FEE PAID:65.00
RECEIPT #:56-PID-3770941
Violation Number Comment
Comments
Tank pumped and abandoned properly. No violations, system ok to cover. Contractor notified by phone.
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 AP1368824 EID1884667