HomeMy WebLinkAboutSeptic Permit Page #3, 2.22.21STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT:
CONTRACTOR / AGENT: RJM Custom Homes, Inc
LOT: BLOCK:
SUBDIVISION: Timberlake Estates ID#: 2302-601-0027-000-3
APPLICATION # AP1582019.
PERMIT # 56-SF-1888880
DOCUMENT # SE1450550
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: 0.56 ACMES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 840.01 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 1250.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION: IR, center of cut-out, center of cul-de-sac
ELEVATION OF PROPOSED SYSTEM SITE 5.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 95 FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 70 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
RnTT. AROFTTX TWVnRMATTON ATTR 1 ROTT. DRAFTT.F. TNFORMATTON STTF. 2
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
10YR 5/1
Sand
Sand
0 To 7
7 To 30
10YR 6/1
Sand
24 To 30
10YR 3/1
Sand
30 To 44
10YR 4/4
Fine Sand
44 To 50
10YR 5/2
Sandy Clay Loam
50 To 68
1 OYR 513
MARL
68 To 72
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR 4/1
Sand
0 To 9
10YR 5/1
Sand
9 To 34
10YR 6/1
Sand
29 To 34
1 OYR 3/1
Sand
34 To 40
1OYR 4/4
Sandy Clay Loam
40 To 49
10YR 5/3
Sandy Clay Loam
49 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 24 INCHES [ ABOVE / BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: (X]YES [ ]NO DEPTH: 24.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.60 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY)
REMARKS/ADDITIONAL CRITERIA
WSWT determined using USDA WSS and soil borings.
10YR6/1 stripping in 10YR5/1 matrix >10% with diffuse boundaries starting at 25" in SB1.
S131 5" above SM. S132 7" above SM.
SITE EVALUATED BY: DATE: 11/30/2020
IngraBrian (Title: Environmental Specialist II) (ENVIRONMENTAL HEALTH)
DR 4015, 0B/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
AP1582019 EID1888880 v 1.0.2