HomeMy WebLinkAboutHealth Department Septic Approval C12-6-10.) -oqz*
STATE OF FLORIDA • APPLICATION # AP1468331
DEPARTMENT OF HEALTH PERMIT # 56-SF-2039924
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1254848
SITE EVALUATION AND SYSTEM SPECIFICATION —
APPLICANT: Gregory Johnson
CONTRACTOR / AGENT: George&Assoc, LLC
LOT: 1.2.3 BLOCK: A
SUBDIVISION: Sumner Heights ID#: 2405-704-0001-000-7
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR 'OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 0.53 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER-TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 1325.01 GALLONS PER-DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: orange paint spot on NE corner of catch basin NE property corner
ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 100+ FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON-POTABLE: 63 FT
BUILDING FOUNDATIONS: 7 FT PROPERTY LINES: 14 FT POTABLE WATER LINES: 67 FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X ]NO 10 YEAR FLOODING? [ ]YES [X]NO]
10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Tantile sand USDA SOIL SERIES:Tantile sand
Munsell#/Color Texture Depth Munsell#/Color Texture Depth
10YR 4/2 Sand 0 To 16 10YR 6/1 Sand 0 To 17
10YR 5/2 Sand 16 To 22 10YR 4/1 Sand 17 To 49
10YR 5/1 Sand 22 To 30 10YR 4/1 Gravel 32 To 38
10YR 6/1 Sand 26 To 34 10YR 5/1 Sand 49 To 58
10YR 2/1 Spodic Material 34 To 41 10YR 6/1 Sand 58 To 67
7.5YR 3/3 Sand 41 To 45 10YR 3/1 Sand 67 To 72
10YR 4/3 Sand 45 To 57
10YR 3/3 Sand 57 To 72
OBSERVED WATER TABLE: INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 26 INCHES [ ABOVE /BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X ]YES [ ]NO DEPTH: 26.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: 41 INCHES
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings. 10YR 611 stripping in 10YR 5/1 matrix>10%with diffuse boundaries starting
at 26"in SB1. SB1 6"above BM. S132 6"above.BM.
SITE EVALUATED BY: DATE: 02/25/2020
Collier,Hunter(Title:Environmental Specialist 1)(Florida Department of Health in St.L
DH 4015, 08109 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1468331 EID2039924 v 1.0.2