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Home My WebLink AboutSewageLOT: 33 BLOCK: SUBDIVISION: Reserve Plantation „---- u. NA-RF_22505R2 PROPERTY ID #: 3321-803-0039-000-2 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,200 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ l D [ 767 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED DC1 MOUND I CONFIGURATION: [ ] TRENCH [x] BED [ ] F LOCATION OF BENCHMARK: site BM Set MN&17 ELEV:25.45 N PL extended E I ELEVATION OF PROPOSED SYSTEM SITE [ 11.00][ INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 4.00 ][ INCHES FT ][ ABOVE BELOW] BENCHMARK/REFERENCE POINT L D H O T H E R REQUIRED: [SS.UU] INCHES EXCAVATION REQUIRED: [ J INCHES system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd• SPECIFICATIONS BY: Brian J Ingrzm TITLE: Environmental Specialist III APPROVED BY: S / "" TITLE: Environmental Specialist III St. Lucie CHD Brian J Ingr DATE ISSUED: 05/28/2021 r EXPIRATION DATE: 11/28/2022 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC Page 1 of 3 v 1.1.4 AP1637507 SE1592700 St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: 56-SF-2250582 BILL DOC #:56-BID-5198985 CONSTRUCTION APPLICATION #: AP1637507 RECEIVED FROM: Telese Builders LLC AMOUNT PAID: $ 660.00 PAYMENT FORM: CHECK 1932 PAYMENT DATE: 03/12/2021 MAIL TO: Sureshchandra Desai FACILITY NAME: PROPERTY LOCATION: 8048 Plantation Lakes Dr Port Saint Lucie, FL 34986 33 Lot: Block: Property ID: 3321-803-0039-000-2 EXPLANATION or DESCRIPTION: QUANTITY FEE 128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) _ 1 $ 45.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application. and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Well Construction 1 $ 115.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4903437 Note: With well #59-31647 '� r►e � rF'+ STATE OF FLORIDA PERMIT NO. PS 1a DEPARTMENT OF HEALTH DATE PAID: ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT # : APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ New System [ ] Existing System [ ] Holding Tank [ ] Innovative [ ] Repairs t [ ] Abandonment [ ] Temporary [ ] APPLICANT: /''� CI� LS �D%�A l C7ei-& jeOS AGENT: OLE c� CaZS - kLL TELEPHONE ( l %Z)Z6 ,100 MAILING ADDRESS: ��/[Y PI AV /frI 0/0 L�'�C� �� • % Q (� l Jj ; �Gl �C� i `J �l �� TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. -------------------------------------------------------------- --- j\ PROPERTY INFORMATION LOT: 33 BLOCK: SUBDIVI S ION : Pt%�,i 'Uf L� J(, � J^%D, �,y� �� T1 i PLATTED: PROPERTY ID # : 3 3c� /- S03- � L) q -- DOp - d ZONING: Jr S -J I /M OR EQUIVALENT: [ Y / N ] PROPERTY SIZE: ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [/ ]<=2000GPD [ 1>2000GPD IS SEWER AVAILABLE AS 1PfER 3i81�.10065, FS?l /[ Y/N}/}] DISTANCE TO SEWER: FT PROPERTY ADDRESS: 2,L)-!SY��L.4�IlCC DIRECTIONS TO PROPERTY: Il�%�1�'. Gf-- C?Lfi13C 5 — �i�� 1luC 611 . ��,fi� 7 Pj/WW7D�J BUILDING INFORMATION K] RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 Si Anil r G7 2 3 4 [ ] Floor/Equipment Drains [ ] Other (Specify) SIGNATURE: -16azz6,�J✓�� DATE: /J DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE.SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Sureshchandra Desai CONTRACTOR / AGENT: Telese Builders LLC LOT: 33 BLOCK: SUBDIVISION: Reserve Plantation ID#: 3321-803-0039-000-2 APPLICATION # AP1637507 PERMIT # 56-SF-2250582 DOCUMENT # SE1592700 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: 1.18 ACRES TOTAL ESTIMATED SEWAGE FLOW: 460 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 2950.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 1 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1470.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1150.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: site BM Set MN&TT ELEVATION OF PROPOSED SYSTEM SITE 11.00 [ INCHES .45 N PL extended E / FT ] [ ABOVE /I BELOW I] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: FT BUILDING FOUNDATIONS: rj FT PROPERTY LINES: 12 FT POTABLE WATER LINES: 7 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: Munsell #/Color Texture Depth 10YR 3/1 Sandy Loam 0 To 4 10YR 4/1 Sand 4 To 8 10YR 5/2 Sand 8 To 17 7.5YR 5/8 CMN/PRM RF 9 To 16 7.5YR 6/4 Sand 17 To 35 7.5YR 5/3 Sand 35 To 48 5GY 6/1 Sandy Clay 48 To 55 HOLE CAVING Refusal 55 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 3/2 Sandy Loam 0 To 5 10YR 4/2 Loamy Sand 5 To 9 10YR 5/2 Sand 9 To 24 7.5YR 5/3 Sand 24 To 41 7.5YR 4/3 Sand 41 To 50 5GY 5/1 Sandy Clay 50 To 55 HOLE CAVING Refusal 55 To 72 OBSERVED WATER TABLE: 37.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 9 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 9.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sandy Loam/0.60 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [XI BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 7.5YR5/8 CMN PROM RF mottling in 10YR512 matrix>2% starting at 9" in SB1. SN1 and SB211" below BM. ry SITE EVALUATED BY: ` vv DATE: 08/30/2021 Ingram, Brian (T'tl : Environmental Specialist III) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions w .11h may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1637507 EID2250582 v 1.0.2 m on= R MEMO, . . . . . . . . . . . Custom Soil Resource Report St. Lucie County, Florida 25—Nettles and Oldsmar sands Map Unit Setting National map unit symbol: 1jpvl Elevation: 0 to 30 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance Map Unit Composition Nettles and similar soils: 41 percent Oldsmar and similar soils: 39 percent Minor components: 20 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Nettles Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Linear Across -slope shapq: Linear Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 8 inches: sand E - 8 to 33 inches: sand Bh1- 33 to 39 inches: sand Bh2 - 39 to 55 inches: sand Btg - 55 to 80 inches: fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: 31 to 50 inches to ortstein Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity: Very low (about 1.6 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: C/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) 10 Custom Soil Resource Report Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Description of Oldsmar Setting Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape' Convex Across -slope shape: Linear Parent material. Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 32 inches: (sand Bh - 32 to 42 inches: sand Btg - 42 to 80 inches: fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Poorly drained Runoff class: High Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 6 to 18 inches Frequency of flooding: None Frequency of ponding: None Maximum salinity: Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0- Available water capacity.- Low (about 4.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 4w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL;) Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G1566C141 FL) Hydric soil rating: No Minor Components Pineda Percent of map unit. 4 percent Landform: Drainageways on marine terraces, flats on marine terraces Landform position (three-dimensional): Dip Down -slope shape: ILinear Across -slope shape'.- Concave Other vegetative classification: Sandy over loamy soils on flats of hydric or mesic lowlands (G156BC241 FL) Hydric soil rating: Yes Pepper Percent of map unit; 4 percent 11 Custom Soil Resource Report Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141FL) Hydric soil rating: No Ankona Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Wabasso Percent of map unit: 4 percent Landform: Flatwoods on marine terraces Landform position (three-dimensional): Talf Down -slope shape: Convex Across -slope shape: Linear Other vegetative classification: Sandy soils on flats of mesic or hydric lowlands (G156BC141 FL) Hydric soil rating: No Oldsmar Percent of map unit: 4 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Other vegetative classification: Sandy soils on stream terraces, flood plains, or in depressions (G156BC145FL) Hydric soil rating: Yes 26—Oldsmar sand, depressional Map Unit Setting National map unit symbol: 1 jpvm Elevation: 0 to 30 feet Mean annual precipitation: 49 to 58 inches Mean annual air temperature: 70 to 77 degrees F Frost -free period: 350 to 365 days Farmland classification: Farmland of unique importance 12 Custom Soil Resource Report Map Unit Composition Oldsmar and similar soils: 90 percent Minor components: 10 percent Estimates are based on observations, descriptions, and transects of the mapunit. Description of Oldsmar Setting Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Parent material: Sandy and loamy marine deposits Typical profile A - 0 to 5 inches: sand E - 5 to 32 inches. sand Bh - 32 to 42 inches: sand Btg - 42 to 80 inches: fine sandy loam Properties and qualities Slope: 0 to 2 percent Depth to restrictive feature: More than 80 inches Drainage class: Very poorly drained Runoff class: Negligible Capacity of the most limiting layer to transmit water (Ksat): Moderately low to moderately high (0.06 to 0.20 in/hr) Depth to water table: About 0 inches Frequency of flooding: None Frequency of ponding: Frequent Maximum salinity. Nonsaline to very slightly saline (0.0 to 2.0 mmhos/cm) Sodium adsorption ratio, maximum: 4.0 Available water capacity. Low (about 4.9 inches) Interpretive groups Land capability classification (irrigated): None specified Land capability classification (nonirrigated): 7w Hydrologic Soil Group: A/D Forage suitability group: Sandy soils on stream terraces, flood plains, or in depressions (G156BC145FL) Other vegetative classification: Sandy soils on stream terraces, flood plains, or in depressions (G156BC145FL) Hydnc soil rating: Yes Minor Components Riviera Percent of map unit: 10 percent Landform: Depressions on marine terraces Landform position (three-dimensional): Dip Down -slope shape: Concave Across -slope shape: Concave Other vegetative classification: Sandy over loamy soils on stream terraces, flood plains, or in depressions (G156BC245FL) Hydnc soil rating: Yes 13 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Sureshchandra Desai PERMIT #:56-SF-2250582 APPLICATION #: AP1637507 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR1567448 PROPERTY ADDRESS: 8048 PlantatioD D _ Sarae., FL 34,9$6.,.K,,, fit, lL'ti`-11y y S LOT: 33 BLOCK: 5:i{t� s Iv2sIOH Reserve Plantation [OR [SECTION, TOWNSHIP., RANGE, PARCEL NUMBER] PROPERTY ID #: 3321-803-0039 000 2 .�, �, �. " ' :,. .; •TAX ID, NUMBER]. SYSTEM MUST BE CONSTRUCTED IN•`�-,ACCQRDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0,065, F.S., AND CHAPTER 64E-6', F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T [ 1,200 ] GALLONS / GPD Seotic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 767 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [X] MOUND [ ] I CONFIGURATION: [ ] TRENCH [X] BED [ ] N F LOCATION OF BENCHMARK: Site BM. Set MN&TT ELEV:25.45, N PL extended E I ELEVATION OF PROPOSED SYSTEM (SITE [ 41 OOP} I INCHES FT.BOV. E BOTTOM OF DRAINFIELD TO BE L D E 0 T H E R BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT ILL•REQUIRED: [33.001 INCHES 1EXCAVATION.REQUIRED:,[ ] INCHES The system is sized for 4 bedrooms with amaximum o cupari:cy-b 8-parsons"(2;'per;bedroom), for a total estimated flow of r. 460 gpd. f j SPECIFICATIONS BY-',.,4 Brian J Ingram TITLE: Environmental Specialist III APPROVED BY: �` TITLE: Environmental Specialist III St. Lucie Brice J Ingram DATE ISSUED: 05/281 021 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC v 1.1.4 AP1637507 SE1524377 11 /28/2022 CHD Page 1 of 3 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-4 43 c� J; `i,"r� s^�. mom--• � � � Mediation is not available s an Iterrtativ( Fretimedy _ > gay�*` 3� N� Your failure to submit a pe ition .for hearing V`ififlln�1dysron re(b7`ept}of this girder will constitute a waiver of your right to an admirnstrative hear�ng�and�.ttiis order shall become a 'final t order. Should this order become a final order; a }party who is adversely affectedby it is entitled to judicial review pursuant to Section 120 68, Flonda Statute"s Review proceedings are governed by the Florida Rules of Appellate Pfocedur6: Such proceedings may tie commenced by filing one copy of a Notice of Appeal witKthe Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. 1 � 1 1 STATE OF FLORIDA APPLICATION # AP1637507 DEPARTMENT OF HEALTH PERMIT # 56-SF-2250582 ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT # SE1524377 APPLICANT: Sureshchandra Desai CONTRACTOR / AGENT: LOT: 33 Telese Builders LLC BLOCK: SUBDIVISION: Reserve Plantation ID#: 3321-803-0039-000-2 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,.-- TOTAL ESTIMATED SEWAGE FLOW: P. AUTHORIZED SEWAGE FLOW: UNOBSTRUCTED AREA AVAILABLE: BENCHMARK/REFERENCE POINT LOCATION: 'sU ELEVATION OF PROPOSED SYSTEM SITE �c! ]1XFrSE}NO NET USABLE AREA AVAILABLE : 1,1$ ACRES � 14 }f^1 ,�, es�•u r,� „ , ALT;ONS,'U, ERA DAY ter[ : iDENC�`$Ss ME1 / OTHER -TABLE 2 ] ALsLOS PER b�Y " 's 15�n0""G/CRE.: OR 2500 GPD/ACRE ] QF T S;r Stu ct1.x�UN' BSTRUCED'AREA� U D 1150.00 SQFT THE MINIMUM SETBACK WHICH CAN BE MAINTA2NEI3`1ROM TFd'I1RAPOSED SY8TEM SURFACE WATER: FT DITCHES/SWALES: FT WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 12 FT SITE SUBJECT TO FREQUENT FLOODING? 10 YEAR FLOOD ELEVATION FOR SITE: ROTT. PRCI7TT.F. TM7rYPM7VTf1M CTTF. 1 FERENCE POINT 'FOLLOWING FEATURES NORMALLY WET: [ ]YES [X]NO FT NON -POTABLE: FT POTABLE WATER LINES: FT ( ]YES [X]NO 10 YEAR FLOODING? ( ]YES [X]NO) FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 4/1 Sand 0 To 7 10YR 5/2 Sand 7 To 16 7.5YR 5/8 CMN/PRM RF 9 To 16 7.5YR 6/4 Sand 16 To 35 7.5YR 5/4 Sand 16 To 23 10YR 4/3 Sand 35 To 49 5GY 6/1 Sandy Clay Loam 49 To 72 USDA SOIL SERIES: Munsell #/Color Texture Depth 10YR 312 Sand 0 To 4 10YR 4/2 Sand 4 To 9 10YR 5/2 Sand 9 To 21 10YR 518 CMN/PRM RF 11 To 21 7.5YR 4/4 Sand 21 To 29 7.5YR 6/4 Sand 29 To 37 10YR 4/3 Sand 37 To 52 5GY 5/1 Sandy Clay Loam 52 To 72 OBSERVED WATER TABLE: 60.00 INCFfE S) [-'ABOVE EXIS�TING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TALE ELEVATION 9 'INCHES-.? B [ A�BOUE / SELOW ] EXISTING GRADE P HIGH WATER TABLE VEGETATION: [ •]YES [ X ]NO NO DEPTH: 9.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING 3 (: Sand/O 6Q r,.EEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [ ] t`TRENCH (X ] BED;; [ / ] OTHER y. YSPECIFY) .au REMARKS/ADDITIONAL CRITERIA f t Y WSWT determined using USDA WSS and soil�bopfngst 7.5YR5/8 CMN PROM RF in 10YR5/2 mottling rhpAq t t) 2%3startingvat-9!.' �.4Tfi. f j NNW SB1 I V below BM. SB2 12" below BM ! 1)4 SITE EVALUATED BY: DATE: 05/27/2021 Ingram, Bri (Title: Environmental Specialist III) (ENVIRONMENTAL HEALTH) DR 4015, 08/09 (Obsoletes previous editio which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1637507 EID2250582 v 1.0.2