HomeMy WebLinkAboutHealth Department Septic Permit VD MAR 3 0 201
APPLICATION #:AP`i 203'i`U8
STATE: OF FLORIDA PERMIT #:56-SF-1628336
DEPARTMENT. OF HEALTH DOCUMENT•#:FI1041551
ONSITE SEWAGE TREATMENT AN{). DISPOSAL SYSTEM
CONSTAUCTTG'N INSPECTION AND FINAL APPROVAL DATE PAID:09/0212015
FEE PAID-,65:00
RECEIPT
APPLICANT: Dannie Moore(Gentile-LLC)
AGEmv Ashton.Septic:
PROPERTY ADDRESS 2007 Edwards Rd FOTt Pleme, FL 34982
LOT: 1_3 BLOCK:: C
SUBDIVISION: Mamvilla Heights ID#: 2428=601.0126.000.4
CHECKED EX] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND MUST BE CORRECTED.
TANK INSTALLATION SETBACKS'
I {01] TANKr,SIZE. E1], [21 E [27] SURFACE WATER FT
I. [021 TANK MATERIAL L 9 [28J DITCHES FT`
E 1. [,031 OUTLET DEVICE [. 1 [291 PRIVATE.WELLS FT
I' 3 {,041 MULTI-CHAMBERED 1. Y / N I [ 3 1:301 PUBLIC WELLS FT
.[ 1 E051 OUTLRT FILTER C Ir [313 IRRIGATION WELLS FT
E 1 [069 LEGEND 1. 2. [ 3 [32) POTABLE WATER FT
E I E071 WATERTIGHT [ I [331 BUILDING FOUNDATIONS FT
[ I 1081 LEVEL E 1 E34'1PROPERTY LINES FT.
E I [091 DEPTH TO LID: E l [351- OTHER FT
DRAINFIELD: INSTALLATION FILLED- / MOUND SYSTEM
{- 1. [,101 AREA [1] 123 SQFT C 1 [361 DRAINFIELD COVER.
[ 1 Ell] DISTRIBUTION BOX HEADER [ 1 [373 SHOULDERS
E 1 [121 NUMBER OF DRAINLINES 1. 2 E 1 [38.1 SLOPES
[ .] [133 DRAINLINE: SEPARATION E ] E393 STABILIZATION
{ ] [14-1 DRAINLINE SLOPE
[ 1 [15] DEPTH OF COVER ADDITIONAL INFORMATION
E I [161. ELEVATION. [ ABOVE / BELO11 IB [ 1 [40.1 UNOBSTRUCTED.AREA
E 1 [171 SYSTEM.LOCATION [ 3 [411 STORMWATER:RUNOFF
E l tial DOSING PUMPS [ I E421 ALARMS.
E I [193 AGGREGATE SIZE. [ I E43J MAINTENANCE AGREEMENT
E 3 1201 AGGREGATE EXCESSIVE EINES 1 1 [441, BUILDING AREA:
E ] [211 AGGREGATE DEPTH [ 1 {453 LOCATION CONFORMS WITH SITE PLAN:
FILL. /" 'EXCAVATION MATERIAL E I (461 FINAL SITE GRADING
[: 1 [223 FILL AMOUNT E I [4l-1 CONTRACTOR MICHAEL VV STUHR(ASHTO
E ] 1231 FILL TEXTURE E I [481 OTHER
E 1 {241 EXCAVATION DEPTH. ABANDONMENT
E 1. (251' .AREA REPLACED [ 3 [491 TAMC' PUMPED 12102/2015
[ l: [26] REPLACEMENT MATERIAL [ I E501. TANK-CRUSHED: 6 FILLED 12102/2015
Co=ents: Comments are on page 2.
CONSTRUCTION [ AraRovEn St.Lucie CHD DATE: 12/02/2015' ,
DISAPPROVED ]: Erivironmontal Spaci4jWt I Brian J Ingram(ENVIRONMENTAL HEALTH)
FINAL sYBTENt [ APpgpVED / DISAPPROVED J; � St.LUCIe CED. DATE: 12/02/2015.
Environmentalp a an ngram. TH)
(Explanation of Violatioae on Eollpwag page)
DH 4016, 08/09 (Obsoletes all.previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page: 2 of 3.
EH.Databa0 v;1:0,1AP1203109 EID1628336
dry ABPLICATION # AP92031:08.
�4 STATE OF FLORIDA PENT g:56-SF-1-6283,36
~ DEPARTMENT OF HEALTH DOCvtMENT #:FI 9 O4'!551
ONSITE SEWAGE. TREATMOU AND DISPOSAL SYSTEM.
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE Pa p;09/02/2015:
we
FEE PAID65.00
RECEIPT #,56-PID-2770680-
Violation Number Comment
Comments
Tank:abandoned.ptopedy,
Final approval emailed to contractor.
DR 4016, 08/09. (Obsoletes all.previous editions which may not be used).
Incorporated: 64E-6.003:,.-FAC. Page-2 of 3
EH Database v1.6.1 AP1203168- EID1628336