HomeMy WebLinkAboutHealth Dept abandonment approval APPLICATION #:AP 1605147
STATE OF FLORIDA PERMIT #:56-SF-2210485
1 DEPARTMENT OF HEALTH DOCUMENT #:FI 1562383
taI ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
CONSTRUCTION INSPECTION A FINAL APPROVAL DATE PAID:12/04/2020
ND
FEE PAID:95.00
RECEIPT #:56-PID-4822455
APPLICANT: Dave Golden Homes Inc.
AGENT: Ashton Septic
PROPERTY ADDRESS: 343 Pandora Ave Fort Pierce, FL 34951
LOT: 2 BLOCK:
SUBDIVISION: Bel-Aire Estates ID#: 1312-702-0002-000-0
CHECKED [X1 ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS
[ 1 [011 TANK SIZE [11 [21 [ 1 [271 SURFACE WATER FT
[ 1 [021 TANK MATERIAL [ 1 [281 DITCHES FT
[ 1 [031 OUTLET DEVICE [ 1 [291 PRIVATE WELLS FT
[ 1 [041 MULTI-CHAMBERED [ Y / N I [ 1 [301 PUBLIC WELLS FT
[ 1 [051 OUTLET FILTER [ 1 [311 IRRIGATION WELLS FT
[ 1 [061 LEGEND 1, 2. [ 1 [321 POTABLE WATER FT
[ 1 [071 WATERTIGHT [ 1 [331 BUILDING FOUNDATIONS FT
[ 1 [081 LEVEL [ 1 [341 PROPERTY LINES FT
[ 1 [091 DEPTH TO LID [ 1 [351 OTHER FT
DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM
[ 1 [101 AREA Ill [21 SQFT [ 1 [361 DRAINFIELD COVER
[ 1 [111 DISTRIBUTION BOX HEADER [ 1 [371 SHOULDERS
[ 1 [121 NUMBER OF DRAINLINES 1. 2. [ 1 [381 SLOPES
[ 1 [131 DRAINLINE SEPARATION [ 1 [391 STABILIZATION
[ 1 [141 DRAINLINE SLOPE
[ 1 [151 DEPTH OF COVER ADDITIONAL INFORMATION
[ 1 [161 ELEVATION [ ABOVE / BELOW IBM [ 1 [401 UNOBSTRUCTED AREA
[ 1 [171 SYSTEM LOCATION [ 1 [411 STORMWATER RUNOFF
[ 1 [181 DOSING PUMPS [ 1 [421 ALARMS
[ 1 [191 AGGREGATE SIZE [ 1 [431 MAINTENANCE AGREEMENT
[ 1 [201 AGGREGATE EXCESSIVE FINES [ I [441 BUILDING AREA
[ I [211 AGGREGATE DEPTH [ 1 [451 LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL [ 1 [461 FINAL SITE GRADING
[ 1 [221 FILL AMOUNT [ 1 [471 CONTRACTOR MICHAEL W STUHR (ASHTO
[ 1 [231 FILL TEXTURE 1 1 [481 OTHER
[ 1 [241 EXCAVATION DEPTH ABANDONMENT
[ 1 [251 AREA REPLACED [ 1 [491 TANK PUMPED 01/06/2021
[ 1 [261 REPLACEMENT MATERIAL [ 1 [501 TANK CRUSHED & FILLED 01/06/2021
Comments: Comments are on page 2.
CONSTRUCTION [ APPROVED / St. Lucie CHD DATE: 01/06/2021
DISAPPROVED 1 ' Environ entaI Speci 'st II r'an J Ingram(ENVIRONMENTAL HEALTH)
FINAL SYSTEM [ APPROVED / DISAPPROVED 1 :
St. Lucie CHD DATE: 01/06/2021
Environmental Speciali 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 AP1605147 EID2210485
►�4E APPLICATION #:AP160 5147
STATE OF FLORIDA PERMIT #:56-SF-2210485
DEPARTMENT OF HEALTH DOCUMENT #:F11562383
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
;y �yN��// CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:12/04/2020
Q`. ^^u��� FEE PAID:95.00
RECEIPT #:56-PID-4822455
Violation Number Comment
Comments
Tank pumped and abandoned properly. No violations. Abandonment approved. 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
Ell Database v 1.0.1 AP1605147 EID2210485