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1122 DRUID RDS1, ` CITY OF CLEARWATER - FORESTRY DIVISION 4_. TREE REMOVAL APPLICATION FORM Q NAME OF OWNER:. —1!''= Fee Rec. S -,� Date Rec: LOCATION OF WORK: 1 Ld�6 Rec. By: Clearwater,' FL Rec't ;111 RE_QUiR_ED REPLACEMENT TREES TREE REMOVAL PERMIT 2985 NA OVI PH( SITE LO( SPE fiX 1. For new construction, additions or other modifications of a a site plan Is required. This site plan must have a minimum scc site plan must include: a. Major Changes of Grade b. Structure Locations c, Driveways and Walks d. Parking Arrangement e. Required Number of Parking Spaces f. Proposed Number of Parking Space's', g. Proposed Underground Utilities h. Zoning Setbacks 2. Protective barriers are required arc Intact during construction. The barriers 3. Tree replacement minimum standar determine the number of htxl I hereby certify that as property okrfie . o to be removed Is wholly on pro P Perfiy:ow the tree(s) are located wholly or parfial Clearwater harmless in any claim mace gather with any plans submitted is a true deviation from the permit Issued shall rE Ordinances. � C7 Signature #6f owner klv op ty which Involve the removal of a protected tree(s), =.20,' foasingie family lots, or 1'=50' for all others. The > \. NAZI Y a6 a n'ts and Rights -of -Way fl Protecfedqrees Including: ) Dka"aa�"e t61� %1 :4.5' above grade (DW jVP .location -insect Infested Trees vs� jr>es to beRemoved Treel3arrlcaiie'betail & Locations during construction. These barricades must remain cirldci'r'de, #, Wlinspectors note below to that the tree(s) sought it be determined that be to hold the City of Ot; this application to- v61 of the tree(s). Any :Chapter 52, Code of / �/ DO NOT WRITE BEL01Nr;liSIfVE�xNot`s1/glid lfiligtetl 8y�iftttafictgefdrrhls D�a "tad Agent Inspector's Comments: Recommended Replacement Trees: Required Replacement Trees: Applicable Code Section: `� 2_ 3 `C!=J) Signed: ' • Date 3 Inspector Based on the inspector's comments and information submitted, the above removal application is: Approved as Submitted O Approved - Modified as Noted Above O Denied Signed: I'' =Y t -' Date: City Manager or Designee 1352.0001 -GC 10-97 NOTICE OF COMPLIANCE 11/18/1994 The City of Clearwater Environmental Management Office has completed its compliance stormwater and landscape reinspection at your site. The site now meets the requirements set forth by the stormwater and landscape ordinance's in effect at the time of site development or modification. If you have any questions regarding this report, please contact Rick Albee at (813) 462 -6598. SITE: Drs. Golomb & Burns SITE ADDRESS: 1122 Druid Rd. OWNER: Golomb & Burns Realty Inc. OWNER REP.: Dr. Golomb Original Compliance Date: 11/16/1994 INSPECTION DATE: 11/16/1994 RECOMMENDATIONS: Maintain site to insure future compliance. Typical irrigation systems cycled at twice a week do not supply enough water for newly planted landscape material. At this time Southwest Florida Water Management District (SWFWMD) allows watering of new landscape material on a daily basis for 30 days. To obtain current watering restrictions, call SWFWMD at 1- 800 - 848 - 0499. 'WI ..,. " C I T Y O F C L E A R W A T E R ,T_t,�- ;•;': POST OFFICE BOX 4748 CLEARWATER, FLORIDA 34618 -4748 NOTICE OF NON - COMPLIANCE 10/11/1994 The City of Clearwater Environmental Management Office has completed its stormwater and landscape inspection at your site. The site is in non - compliance with the stormwater and /or landscape ordinance's in effect at the time of site development or modification. If you have any questions regarding this report, please call Rick Albee at (813) 462 -6598 SITE: Drs. Golomb & Burns SITE ADDRESS: 1122 Druid Rd. OWNER: Golomb & Burns Realty. Inc. OWNER REP.: INSPECTION DATE: 10/11/1994 CODES VIOLATED:STORMWATER: Sec.43.24(g) REQUIREMENTS:STORMWATER: Remove sediment build -up in drainage pipe and pond bottom, and remove overgrowth. COMPLIANCE DATE: 11/16/1994 RECOMMENDATIONS:Request an on site meeting for a detailed explanation of the requirements. And replant pond bottom with some type of ground cover to prevent overgrowth of undesirable species. To insure compliance, a reinspection of the site will be conducted after the above compliance date. Failure to correct the requirements by the compliance date will result in the issuance of a "NOTICE OF VIOLATION ". 0 E q u a l two E m p l o y m e n t a n d A f f i r m a t i v e A c t i o n E m p l o y e r ' ' C I T Y O F C LE A R W A T E R POST OFFICE BOX 4748 4 /; "•} CLEARWATER, FLORIDA 34618 -4748 p . 3 6:,�,a J A ` ,1:5) + .rt. September 30, 1992 The City of Clearwater Environmental Management Office has completed its landscape inspection at your site. The following report is the result of our inspection. If you have any questions concerning this report, please contact Rick Albee at (813)462 -6598. SITE: DR. Golomb & Burns 1122 Druid Rd. OWNER: Golomb & Burns Realty Inc. OWNER REP.: INSPECTION DATE: 09/30/92 PASSED DEFICIENCIES: None at this time, site meets code requirements. CODES VIOLATED: COMPLIANCE DATE: RECOMMENDATIONS: INSPECTOR: Rick Albee To insure compliance, a reinspection of the site will be conducted after the compliance date. Failure to correct the deficiencies above by the compliance date will result in the issuance of a formal "Notice of Violation ". 01 ow to ''Equal Employment and Affirmative Action Employer'' APPLICATION FOR LAND CLEARING & GRUBBING PERMIT CITY OF CLEARWATER PUBLIC WORKS DEPARTMENT ENVIRONMENTAL MANAGEMENT DATE (813) 462 -6747 RECEIPT NO. A non - refundable filing fee of $10.00 is required per Resolution 86 -9. Permit applicable for 6 months from date of approval. In accordance with Section 98.30, 1 hereby apply for permit to land clear and /or grub the property described below. 1. Location of Property 2. Project Name 3. Purpose of clearing and /or grubbing 4. General description of existing vegetation, topography, and surface water (including all existing and/or proposed ditches, canals, and swales) 5. Proposed method of debris disposal 6. Date you plan to begin work 7. Proposed method of soil erosion control 8. ❑ No -Tree Verification Required ❑ Tree Removal Permit Required I AM AWARE AND UNDERSTAND THE REQUIREMENTS OF SECTION 98, CITY CODE OF ORDINANCES REGARDING TREE PROTECTION DURING CONSTRUCTION AND HAVE READ CITY'S EROSION AND SILTATION CONTROL POLICY Signature of Owner or Owners Representative Printed Name Address City State Zip Subscribed and Sworn before me this day of Signature of Notary NAME OF NOTARY COUNTY COMMISSION EXPIRES 19 Representatives' Firm Telephone Applicant must include Aerial Photograph or Scaled Drawing showing property boundaries and limits of work. This is NOT a Tree Removal Permit. DO NOT WRITE BELOW THIS LINE Comments Water Resource Spec. Date Comments Urban Forester Date Based on the above comments and information submitted, the above removal application is: Approved As Submitted U Approved — Modified As Noted Above ❑ Denied Signed: Date: City Manager or Designee White — Applicant Yellow — Environmental Pink — Inspector Rev. 9/87 STORMWATER INSPECTION REPORT \UU:o: .t SITE: Drs. Golomb & Burns PARCEL: 15/29/15/55764/006 /0190 SITE ADDRESS: 1122 Druid Rd. BASIN: Stevensons Creek BASIN No. 02- 02 -18 -02 DRAINAGE AREA: 34860 SO FT REQUIRED VOL.: 1453 CU FT PROP. VOL.: 1850 CU FT POND TYPE DRY WEIR TYPE: none WEIR: L: PROPOSED Em SKIMMER: NO UNDERDRAIN: NO UNDERDRAIN C.O.: NO LITTORAL SHELF: NO NOTES EXISTING WEIR: L: FBI SKIMMER: NO UNDERDRAIN: NO UNDERDRAIN C.O.: NO LITTORAL SHELF: NO INSP.DATE:10 /11/1994 EROSION: NO OVERGROWN: YES DENUDED: NO COLLECTION SYS: YES POND CONSTRUCTED PER PLAN YES CONTROL STRUCTURE CONST. 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