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HomeMy WebLinkAboutInspection Docs eBridge Web'Vi'ewe'r Page 1 of 7 APPLICATION #:AP1224296 .STATE OF FLORIDA ��� O 1� PERMIT #:56-SF-165984:8 L_ DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT #:FI1O4O692 CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE pAID:02/09/2016 FEE PAID:65•00 RECEIPT #:56-PID-2888822 APPLICANT: Edmond Sandora AGENT: PROPERTY ADDRESS: 594 Beach Ave Port Saint Lucie, FL 34952 LOT: 5 BLOCK: 19 SUBDIVISION: River Park ID#: 3419-510-0237-000-1 CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR- RULE AND MUST BE CORRECTED. TANK INSTALLATION SETBACKS [ 1 [01] TANK SIZE [1] [2] [ ] [27] SURFACE WATER FT C 1 [02] TANK MATERIAL [ 1 [281 DITCHES FT [ ] [03] OUTLET DEVICE [ 1 [29.] PRIVATE WELLS FT [ 1 [04] MULTI—CHAMBERED [ Y / N ] [ ] [30] PUBLIC WELLS FT [ 1 [05] OUTLET FILTER [ ) [31]. IRRIGATION WELLS FT I 1 [06] LEGEND 1. 2. [ 1 [32] POTABLE WATER FT [ ] [07] WATERTIGHT [ ] [33] BUILDING FOUNDATIONS FT [ 1 [08] LEVEL [ 1 [34] PROPERTY LINES FT. [ 1 [09] DEPTH TO LID [ ] [-3S] OTHER FT DRAINFIELD INSTALLATION FILLED / MOUND SYSTEM [ 1 [10] AREA [1] [2) SQFT [ ] [36] DRAINFIELD COVER [ 1 [11] DISTRIBUTION BOX HEADER [ ] [37] SHOULDERS [ 1 [12] NUMBER OF DRAINLINES 1. 2. [ ] 1381 SLOPES [ ] [13] DRAINLINE'SEPARATION [ ] [39] STABILIZATION [ ] [14] DRAINLINE SLOPE ] [15] 'DEPTH OF COVER ADDITIONAL INFORMATION [ ] [16] ELEVATION [ ABOVE / BELOW )BM [ ] [40] UNOBSTRUCTED AREA [ 1 [17] SYSTEM LOCATION [ ] [41] STORMWATER RUNOFF [ 1 [181 DOSING PUNS [ ] [42] ALARMS [ 1 [19] AGGREGATE SIZE [ ] [43] MAINTENANCE AGREEMENT [ 1 [20] AGGREGATE EXCESSIVE FINES [ ] [44] BUILDING AREA [ ] [211 AGGREGATE DEPTH [ ] [451 LOCATION CONFORMS WITH SITE PLAN FILL / EXCAVATION'MATERIAL [ ] [461 FINAL SITE GRADING [ 1 [22] FILL AMOUNT [ 1 [471, CONTRACTOR (OWNER) [ 1 [23] ,FILL TEXTURE [ 1 [48] OTHER [ 1 [24] EXCAVATION DEPTH ABANDONMENT [ ] [25] AREA REPLACED [ ] 99] TANK PUMPED 02/26/2016 [ 1 [26] REPLACEMENT MATERIAL [ ] 50] ANK CRUSHED '6 FILLED 02/26/2016 Comments: Comments are on page 2. CONSTRUCTION' [� APPROVED / utile CHD DATE.: 02/26/2016 DISAPPROVED 1' Env. 11 V' r F c7artda70alth In SG Lucia County) FINAL SYSTEM [ APpgOVED / DISAPPROVED ); St. Lucie CHD DATE: 02/26/201,F) Env up I Victor aconti(Dapartmont o oat m t Lucie County) (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 Databaso v 1.0.1 AP1224296 EID1659848 RECEIVED AUG 05 2016 https//sl.ebridge.com/ebridge/3.0/webviewer/Viewer.aspx?ref--.dkk-5Ki7Ex-i%2fNvpTQt3gTLoOX2OvW7C... 8/4/2016 eBridge Web.Vie--wed Page 2 of 7 �f E APPLICATION #:AP'I224296 STATE OF FLORIDA PERMIT #:56-SF-1659848 _ DEPARTMENT OF HEALTH DOCUMENT #:F11040692 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:OZIO.9IZO16 FEE PAzn:65.00 RECEIPT #:56-PID-288.8822 Violation Number Comment Comments tanks removed,emailed applicant DH. 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page. 2 of 3 EH Datahaso v 1.0.1 AP1224296 EID1659848 https://s.l.ebridge:corn/ebridge/3.0/webviewer/Viewer.aspx?ref-dkk5Ki7Exi%2fNvpTQt3 gTLoOX2OvW7C:.: 8/4/2016