HomeMy WebLinkAboutHealth dept IAPPLICATION #:AP1352998
STATE OF FLORIDA PERMIT #:56-SF-1859695
`f b DEPARTMENT OF HEALTH
DOCUMENT #:F11223413
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
,Y CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/29/2018
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FEE PAID:65.00
RECEIPT #:56-PID-3610327
APPLICANT: Duvilla&Marie Myrtil
AGENT: MICHAEL STUHR(ASHTON SEPTIC TANKS, INC.)
PROPERTY ADDRESS: 2208 Cortez Blvd Fort Pierce, FL 34982
LOT: BLOCK:
SUBDIVISION: ID#: 2124-234-0005-000-3
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ ] [01] TANK SIZE [1] [2] [ 3 [27] SURFACE WATER FT
[ 3 [02] TANK MATERIAL [ 3 [28] DITCHES FT
[ ] [033 OUTLET DEVICE [ 3 [29] PRIVATE WELLS FT
[ 3 [04] MULTI-CHAMBERED [ y / N ] [ 1 [30] PUBLIC WELLS FT
[ ] [05) OUTLET FILTER [ ] [31] IRRIGATION WELLS FT
[ ] [06] LEGEND 1, 2, [ ] [32] POTABLE WATER FT
[ 3 [07] WATERTIGHT [ 3 [333 BUILDING FOUNDATIONS FT
( ] [08] LEVEL [ 3 [34] PROPERTY LINES FT
[ ] [09] DEPTH TO LID ( ] [35] OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ ) [103 AREA [1] [2] SQFT [ ] [36) DRAINFIELD COVER
( ] [11] DISTRIBUTION BOX HEADER [ 3 [37] SHOULDERS
[ ] [12] NUMBER OF DRAINLINES 1. 2, [ ] [38] SLOPES
[ 3 [13) DRAINLINE SEPARATION [ ) [393 STABILIZATION
[ ] [14] DRAINLINE SLOPE
[ ] [15] DEPTH OF COVER ADDITIONAL INFORMATION
[ 3 [16] ELEVATION [ ABOVE / BELOW ]BM [ ] [40] UNOBSTRUCTED AREA
[ ] [17] SYSTEM LOCATION [ ] [413 STORMWATER RUNOFF
[ ) [18] DOSING PUMPS [ 1 [42] ' ALARMS
[ ] [19] AGGREGATE SIZE I ] [43) MAINTENANCE AGREEMENT
[ ] [20) AGGREGATE EXCESSIVE FINES [ ] [443 BUILDING AREA
[ ] [21] AGGREGATE DEPTH [ ] [453 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ ] [46) FINAL SITE GRADING
[ ] [22] FILL AMOUNT [ ) [47] CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [23] FILL TEXTURE [ ] [483 OTHER
[ ] (24] EXCAVATION DEPTH ABANDONMENT
[ ] [25] AREA REPLACED I 1 [491 TANK PUMPED 07/05/2018
[ ] [26] REPLACEMENT MATERIAL [ ] [50] TANK CRUSHED b FILLED 07/05/2018
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. LUCIe CHD DATE: 07/05/2018
DISAPPROVED ] ' Enviro ental Specialist II Br`4A ram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED ]: St. Lucie CHD DATE: 07/05/2018
Environmental Specialist II Briaii Angrarn(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 AP1352998 EID1859695
APPLICATION #:AP1352998
STATE OF FLORIDA PERMIT #:56-SF-1859695
DEPARTMENT OF HEALTH aocIIMENT #:F11223413
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:06/29/2018
WS FEE PAID:
65.00
RECEIPT #:56-PID-3610327
Violation Number Comment
Comments
Tank pumped and abandoned properly. No violations,system ok to cover.Contractor notified by phone.Abandonment approved.
DR 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 AP1352998 EID1859695