HomeMy WebLinkAbout3601 arnold rd final approvalAPPLICATION #:AP1586173
STATE OF FLORIDA PERMIT #:56-SF-04355
DEPARTMENT OF HEALTH DOCUMENT #:F11526295
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:10/21/2020
FEE PAID:9 5.0 0
RECEIPT # :56-PI D-4759891
APPLICANT: Beth Brown (Dave Golden Homes)
AGENT: Ashton Septic Tanks Inc.
PROPERTY ADDRESS: 3601 Arnold Rd Fort Pierce, FL 34981
LOT: 13 & 14
BLOCK: 3
SUBDIVISION:
Cross Trail
ID#: 2420-601-0044-000-1
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
[ ] (291
PRIVATE WELLS FT
[ ] [04]
MULTI -CHAMBERED [ Y /
N ]
[ ] [301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER
[ ] [311
IRRIGATION WELLS FT
[ ] [06]
LEGEND 1.
2.
[ ] [321
POTABLE WATER FT
[ ] [07]
WATERTIGHT
[ ] [331
BUILDING FOUNDATIONS FT
[ ] (08]
LEVEL
[ ] [341
PROPERTY LINES FT
[ ] [09]
DEPTH TO LID
[ ] [351
OTHER FT
DRAINFIELD
INSTALLATION
FILLED / MOUND SYSTEM
[ ] [10]
AREA [1] [2]
SQFT
[ ] [361
DRAINFIELD COVER
[ ] [11]
DISTRIBUTION BOX
HEADER
[ ] [371
SHOULDERS
[ ] [12]
NUMBER OF DRAINLINES 1.
2.
[ ] [38]
SLOPES
[ ] [131
DRAINLINE SEPARATION
[ ] [39]
STABILIZATION
[ ] [141
DRAINLINE SLOPE
[ ] [15]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ ] [16]
ELEVATION [ ABOVE / BELOW ]BM
[ ] (401
UNOBSTRUCTED AREA
[ ] [17]
SYSTEM LOCATION
[ ] [41]
STORMWATER RUNOFF
[ ] [18]
DOSING PUMPS
[ ] [42]
ALARMS
[ ] [19]
AGGREGATE SIZE
[ ] [43]
MAINTENANCE AGREEMENT
[ ] [201
AGGREGATE EXCESSIVE FINES
[ ] [44]
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ ] [45]
LOCATION CONFORMS WITH SITE PLAN
[ ] [46]
FINAL SITE GRADING
FILL
/ EXCAVATION MATERIAL
[ ] [471
CONTRACTOR MICHAEL W STUHR (ASHTO
[ ] [22]
FILL AMOUNT
[ ] (23]
FILL TEXTURE
[ ] [481
OTHER
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ] [25]
AREA REPLACED
[ ] [491
TANK PUMPED 11/03/2020
[ ] [261
REPLACEMENT MATERIAL
[ ] [501
TANK CRUSHED & FILLED 11/03/2020
Comments: Comments
are on page 2.
/
St. Lucie CHD DATE: 11/03/2020
CONSTRUCTION
[ APPROVED
DISAPPROVED
] ' Environmental Speciar
rian J Ingram (ENVIRONMENTAL HEALTH)
FINAL SYSTEM
[ APPROVED / DISAPPROVED
]: t
St. Lucie CHD DATE: 11/03/2020
Environmental Specia i
II Brian J Ingram (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
AP1586173
EID346188
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
APPLICATION # : AP 1586173
PERMIT #:56-SF-04355
DOCUMENT #:F11526295
DATE PAID :10/21/2020
FEE PAID:95.00
RECEIPT #:56-PID-4759891
Existing ST pumped and abandoned properly. No violations, system ok to cover. Contractor notified by phone. Abandonment
approved.
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 AP1586173 EID346188