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. PER PLAN NONE
COMMENTS:STORMWATER: Remove sediment build -up in drainage pipe and pond
bottom, and remove overgrowth.
COMPLIANCE CODE :
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