HomeMy WebLinkAboutHealth Department Septic Approval (2) flIe Copy
PERMIT #:56-SF-1760472
APPLICATION #:AP1282940
STATE OF FLORIDA
•_ DATE PAID:
ru DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL `�•, "° FEE PAID:
t SYSTEM RECEIPT #:
_ APR 9 2 2017 DoCQMENT #:PR1056310
PERMITTING
CONSTRUCTION PERMIT FOR: OSTDS New St.Lucie County, FL
APPLICANT: Clifford&Ann Peterson
'PROPERTY ADDRESS: 4915 Seagrape Dr Fort Pierce, FL 34982
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LOT: 44 BLOCK:- 27 SUBDIVISION: Indian River Estates
[SECTION, (TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 3402-608-0039-000-1 [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 IEERMIT 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 PROPERTYI,.
SYSTEM DESIGN AND SPECIFICATIONS
T [ 900 ] GALLONS / GPD Septic New CAPACIT
A [ ] GALLONS / GPD N/A CAPACITY
N [ J GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ]
D [ 500 ] SQUARE FEET Drainfield new SYSTEM
R [ ] SQUARE FEET N/A SYSTEM
A TYPE SYSTEM: [x] STANDARD [ J FILLED [ I MOUND [ ]
I CONFIGURATION: [ ] TRENCH [x] BED [ ]
F LOCATION of BENCHMARK: 15.78 BM on Hickory Dr I.
I ELEVATION OF PROPOSED SYSTEM SITE [ 3.00 ] [ INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT
-E BOTTOM OF DRAINFIELD TO BE [ 23.001 [ INCHES FT ] [ABOVE BELOW BENCHMARK/REFERENCE POINT
L
D FILL REQUIRED: [ 0.001 INCHES EXCAVATION REQUIRED: [ 72.00 ] INCHES
The system is sized for 2 bedrooms with a maximum occupancy of 4 persons(2 per bedroom),for a;total estimated flow of
0 300 gpd.
T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
x s.64E-6.013(3)(0, FAC.
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SPECIFICATIONS BY: Brian J Ingram TIC' Environmental specialist II
APPROVED BY: ` TITLE: Environmental Specialist II St.Lucie CHD
Brian J In am !
DATE ISSUED: 04/04/2017 EXPIRATION DATE: 10/04/2018
DR 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 AP1282940 SE1029234
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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 Clerkllfor 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 850-413-8743.
Mediation is not available as an alternative remedy.
Your failure to submit a petition for hearing within 21 days from receipt of this order will
constitute a waiver of your right to an administrative hearing, and this.order shall become a 'final
order'.
Should this order become a final order, a party who is adversely affected by it is entitled
to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are
governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced
by filing one copy of a Notice of Appeal with the Agency Clerk of the Department ofHealth 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.
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St. Lucie County Health Departmenti
5150 NW Milner Dr Port Saint Lucie, FL 3,
HEALTH
PAYING ON: PERMIT#•56-SF-1750472 BILL Doc#.56-BID-3367215 CONSTRUCTION APPLICATION#.AP1282940
RECEIVED FROM: Stewart Cooper AMOUNT PAID:. $515.00
PAYMENT FORM: CHECK 1010 PAYMENT DATE: 03/27/2017
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MAIL TO: Clifford&Ann Peterson
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FACILITY NAME :
PROPERTY LOCATION:
4915 Seagrape Dr
Fort Pierce,FL 34982
44
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Lot: Block: 27
Property ID: 3402-608-0039-000-1
EXPLANATION or DESCRIPTION: QUANTITY FEE
-1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00
123- OSTDS Construction Site Evaluation 1 $ 115.00
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126- OSTDS Construction Permit (New or Mod, Amendment) 1 I $ 55.00
4 27- OSTDS Construction System Inspection 1 $ 75.00
128- OSTDS Construction System Inspection Research Fee 1 $ 5.00
133- OSTDS Construction Reinspection 1 $ 50.00
-1 -Surcharge (All) 1 $ 15.00
-1 - OSTDS New Permit Surcharge 1 $ 100.00
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RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-3204204
,
d` PERMIT NO. SF 1 ZEy y 7�
4<, STATE OF FLORIDA
DEPARTMENT OF HEALTH DATE PAID:
P ONSITE SEWAGE TREATMENT AND DISPOSAL FEET PAID:
SYSTEM RECEIPT #
US APPLICATION FOR CONSTRUCTION PERMIT
, APPLICATION FOR:
[V/ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative
[ ] Repair [ ] Abandonment [ ] Temporary �[ ]
r APPLICANT: Stewart Copper Construction-for Clifford&Ann Peterson `
AGENT: Stewart Cooper TELE HONE: 772 359-0038
MAILING ADDRESS: stewart@cooperentllc.construction; 2511 SW Regency Rd Stuart,FL 34997 -
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 STATUTORYI GRANDFATHER PROVISIONS.
PROPERTY INFORMATION i
_ LOT: `� BLOCK: 27 SUBDIVISION: Indian River Estates,Unit 7 PLATTED:
PROPERTY ID #: ZONING: i. I/M OR EQUIVALENT: [ No ]
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. PROPERTY SIZE: 0.23 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [ V/ ]1=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ No ] DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 4915 Seagrape Drive,Ft.Pierce,F134982 j
DIRECTIONS TO PROPERTY: Seagraps drive,East of Hwy US 1 ,South of Midway Raod
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BUILDING INFORMATION RESIDENTIAL [ ] COMt4ERCIAL
• Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area Sqft Table ll' Chapter 64E-6, FAC
1 residentail 2 1327
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3 L .
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[ ] Floor/Equipment Drains [ ] Other (Specify) �.
�ff Digitally signed by Gregory J.Sawka
SIGNATURE: /y Date:2017.03.29 23:40:01-04'00' DATE: 3/29/17
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DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
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_ STATE OF FLORIDA PE IT
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
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APPLICANT: Stewart Copper Construction for Clifford&Ann Peterson AGENT: Stewart Copper Construction(352)-745-1916
LOT: 44 BLOCK: 27 SUBDIVISION: Indian River Estates,U t 7
PROPERTY ID #: 3402-608-0039-000-1 [Section/Township/Parcel No.or;ITax ID Number ]
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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: [✓] YES [ ] NO NET USABLE AREA AVAILABLE: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 300 GALLONS PER DAY [RESIDENCES-TABLE I/OTHER-TABLE2 ]
AUTHORIZED SEWAGE FLOW: 575 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 960 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT
BENCHMARK/REFERENCE POINT LOCATION: 15.78 BM on Hickory Dr.
ELEVATION OF PROPOSED SYSTEM SITE IS0.25 [FT ] [BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TOITHE FOLLOWING FEATURES
SURFACE WATER: 230 FT DITCHES/SWALES: 20 FT NORMALLY WET? [ YES [v/] NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON—POTABLE: FT
BUILDING FOUNDATIONS: 6 FT PROPERTY LINES: 10 FT POTABLE WATER LINES: 10 FT
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SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [✓] NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION. 15.5 FT MSL/NGVD
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SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE DEPTH
IOYR 2/2 sand 0 TO 4 10YR 3/2 sandl 0 TO 10
10YR 3/4 sand 4 To 18 7.5 YR 3/1 I sandi'l 10 TO 20
7.5 YR 3/2 sand 18 TO 24 1 OYR 4/3 sandl 20 TO 24
10YR 5/1 sand 24 To 28 1OYR 6/1 I sandl 24 TO 36
IOYR 6/1 sand 28 To 44 10YR7/1 sandl 36 TO 44.
1 OYR 6/2, 1 OYR 7/1 sand -stripped matrix 44 To 50 1 OYR 6/2, 1 OYR 7/1 sandl -stripped matrix 44 TO 48
5YR 3/2 sand -Bhl-spodic 50 TO 60 7.5YR 3/2 sand'Bhl-spodic 48 TO 60
10YR 4/4 sand-Bh2 spodic 60 To 66 1OYR 4/4 sandLBh2-spodic 60 To 64
1 OYR 3/4 sand 66 TO 72 I OYR 4/2 sandl 64 To 72
USDA SOIL SERIES: Immokalee USDA SOILI. SERIES: Immokalee
OBSERVED WATER TABLE: 70 INCHES ABOVE BELOW r] EXISTING GRADE. TYPE: [PERCHED/APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 44 INCHES ' [.ABOVE/!BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES NO MOTTLING: ['/] YES [ ] NO DEPTH: 44 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: sand DEPTH OF EIICAVATION: 72 INCHES
DRAINFIELD CONFIGURATION: [ ] TRENCH [�/] BED [ ] OTHER (SPECIFY),
REMARKS/ADDITIONAL CRITERIA: about 2"pine needles and 2"of soil scrapped from original surface elevation;sand texture 0-72"
Spodic horizon 48-66;spodic removal unless bottom of Drain Field is 42"or more above;the Bh-soil horizon. Seasonal high saturation
was 44"below grade at both soil borings. Soil Borings were flagged SB 1_(ele 15.48-ft)and SB2(ele 1$.58-ft) as marked on Site Plan.
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SITE EVALUATED BY: GregoryJ.Sawka,CPSS (772)359-0038 DATE: 3/23/17
DR 4015, 08/09 (obsoletes previous editions which may not be used) Incorporated: 64E-6.001,FAC Page 3 of 4
INSTRUCTIONS:
�lo -'Sr- 1�5a�j7a.
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PERMIT#: Permit tracking number assigned by County Health Department.
APPLICANT: Property owner's full name.
AGENT: Property owner's legally authorized representative. I
LOT,BLOCK,SUBDIVISION: Lot,block,and subdivision for lot.
PROPERTY ID#: 27 character number for property(property appraiser ID#or sectionhownship/range/parcel number).
PROPERTY SIZE: Check if property size at site conforms to submitted site plan. Record inet usable area available-lot area exclusive of all paved areas
and prepared road beds within public rights-of--way or easements and exclusive of streams,lakes,normally wet drainage ditches,
marshes,or other such bodies of water.
SEWAGE FLOW: Record the estimated sewage flow for the establishment from Table I((residential)or Table 2(non-residential),Chapter 64E-6,
FAC. Record the authorized sewage flow for the lot based on net usable area and water supply(1500 gallons per day per acre for
private water supplies and 2500 gallons per day per acre for public water supplies). If authorized sewage flow does not equal or
exceed the estimated sewage flow,the application must be denied.
UNOBSTRUCTED AREA: Record the square feet of unobstructed area available and the amount'required. Unobswcted area must be at least 2 times as large
as the drainfield absorption area and at least 75 percent of the unobstructed area must meet minimum setbacks in Chapter 64E-6,
FAC. The unobstructed area must be contiguous to the drainfield.
BENCHMARK INFORMATION: Record the location of the benchmark. If using a surveyor's benchmark record the actual elevation. Record the elevation of the
proposed system site in relation(above or below)to the benchmark.
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MINIMUM SETBACKS: Record minimum setbacks which can be met to all listed features. Actual measurements must be recorded or"NA"for non
applicable features. Features on site plan or within 75 feet of the applicant lot must be measured. The location of any public
drinking well within 200 feet of the applicants lot must also be verified.
FLOOD INFORMATION: Record information on lot's subject to flooding. For lots subject to flooding record 10 year flood elevation for site and actual site
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elevation.
SOIL PROFILE INFORMATION: Two soil profiles within the proposed absorption area to a minimum depth of 6 feet or refusal are required. Soil identification will
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use USDA Soil Classification methodology(Munsell colors and USDA soil textures). Refusals must be clearly documented.
i Provide USDA soil series if available,record"UNK"if the series cannot be determined.
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WATER TABLE: Record the depth of the observed water table at the time of the evaluation. Mark"perched"or"apparent"as appropriate. Record the
estimated wet season water table elevation based on site evaluation,USDA soil maps,and historical information. Indicate if there is
high water table vegetation present. Indicate if mottling is present and depth.
SOIL TEXTURE: Record soil texture or loading rate for system sizing.
DEPTH OF EXCAVATION: If applicable record depth of excavation required. Record"NA"if not applicable.
DRAINFIELD CONFIGURATION: Check drainfield configuration required.If other,specify type.
ADDITIONAL CRITERIA: Record any additional remarks pertinent to site or installation.Ex.Dosing required.
SITE EVALUATED BY: Signature of evaluator,title,and date of evaluation. Professional engineers must seal all documentation submitted.
ELEVATION WORKSHEET ELEVATION OF BENCHMARK/REFERENCE POINT IS: 15.78
BENCHMARK 15.78 SITE 1 SITE 2 SITE 3
[+]SHOT H.I. H.I. H.I.
H.I. [-)SHOT [-]-SHOT 15.58 I-1 SHOT
15.48
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.03/21/2017 12:07PM 772-595-1907 PETERSEN PAGE 01/01
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Petersen,Ann and Clifford
2213 River Branch Dr
_ Fort Pierce,FL 34981
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To whom it may concern,
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We,Ann and Cliff Petersen,authorize Stewart Cooper,Managing Member of Cooper Enterprises 4.0,
LLC,to act on our behalf for all matters pertaining to the OSTDS,proposed on our property,located at
4915 Seagrape Drive,Fort Pierce,FL 34982.
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Parcel 10,3402-608-0039-000-1
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Thank you,
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Ann and Cliff Petersen
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FDOH in St. Lucie County
Environmental Health
Site Plan Approved for Construction
LEGEND: Supersedes All Previous Site Plans for
ID IDEN77FICA7ON OSTDS#5(o SG I7.f0q 12_ &well#
A/C = AIR COMMONER pate:
R/W= RIGHT OF WA Y
WPP = WOOD POWER POLE Reviewer:
0£= OVERHEAD ELECTRIC
P = PLAT
M = MEASURED
CONC. = CONCRETE
- - - - — EL=-=-EbEVA.AON - — - - — LOT 43
NA✓D = NORTH AMERICAN VERACAL DATUM - - - -- --- -
`y l+ BLOCK 27
SPOT ELE✓A nON
NO 09S7RUC770NS
PUBLIC WATER SUPPLY USED
W
-— ---- -j- — --- — — ---
04
a
j h £X/SANG RESIDENCE y
FINISH FLOOR£L 17.90' h k�
H 34.9' 1 1'� �
3
4 I FOUND 5/8"IRON ° FOUND 5/8'IRON 90 O
ROD (NO ID) N90 00'00"E 125.00 ROD(NO/O)
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FENCE CORNER ° ° CHAIN LINK FENCE o ° FENCE CORNER
o (0.9'SOUTH) 0 (3.1'SOUAI) Q
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5'
42.0' 7. i �• i• �i /�ii / y
112 ROPOSED 1 STORY aSB IX BEDROOM 9.00' Q) _ HICKORY DRIVE
c SSZ SHED(1.1'EAST) 9.00 o 6' i o ��/I O I�OS JAO1g; c� 6,SHED(1.7EAST) 9U . ! i / IO `k. y 2
44 C,Oi �
LOT 2
LJJ
o PROPOSED DRIVEWAY I v) y
z BLOCK 27 CARPORT C z
Zjh 47 Q
z y2
e �e
WATER METER 113' 30.00' �h9ry
m
C + JK'
FOU�{D 5/8"IRON ' " ' - FOUND 5/B'IRON 0
N90 00 00,E 125 00 Rod^(No/D) ,k•
ROD (NO ID)
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g71E
STATE OF FLORIDA PERMIT NO. SF- /-75()Y-7Z
a t DEPARTMENT OF HEALTH DATE PAID:
ONSITE SEWAGE TREATMENT AND DISPOSAL FEE .PAID:
SYSTEM RECEIPT #: (C- ( O
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
[✓] New System [ ] Existing System [ ] Holdin` [; ] Innovative
[ ] Repair [ ] Abandonment [ ] Temp -a. ]
APPLICANT: Stewart Copper Construction-for Clifford&Ann Peterson ;„ - �.:; '`, AA
AGENT: � w ( r/� 1359-0038
MAILING ADDRESS: stewart@cooperentllc.construction; 2511 SWRegency d Stuart,
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TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENTI. SYST I'MUST BE CONSTRUCTED
BY A PERSON LICENSED PURSUANT TO 489.105(3) (m) OR 489.552, RIDA,,STA UTES. IT IS THE
APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DA .THE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
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LOT: 44 BLOCK: 27 SUBDIVISION: Indian River Estates,Unit 7 PLATTED:
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PROPERTY ID #: s Q" — a �7—GUU-! ZONING: ' I/M OR EQUIVALENT: [ No ]
PROPERTY SIZE 2` AC_ Sx WSft1t,`:.SUPPLY: [ ] PRIVATE PUBLIC [✓ ]<=2000GPD [ ]>2000GPD
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IS SEWER AVAILAB AS 'PER 3 .die FS? [ No ] � DISTANCE TO SEWER: FT
PROPERTY ADDRESS: 4915 Seagrape Drive,Ft.Pierce,F134982
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DIRECTIONS TO PROPERTY: Seagraps drive,East of Hwy US 1 ,South of Midway,Raod
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BUILDING INFORMATION [ ✓] RESIDENTIAL [ ] COMMERCIAL;
gn
Unit of No� stem Desi
/ y F� B i n mmercial Institut
Type ional S= 9n
No Establishment Beft4 msr,; a _- le 1 i.Chapter 64E-6, FAC•
' 1 residentail 2 � Ir ,^, ?' 0
14
3
4
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[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE: 3/24/17
DH 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Page 1 of 4
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STATE OF FLORIDA PERMIT #.
DEPARTMENT OF HEALTH 1
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATIONS
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APPLICANT: Clifford&Ann Peterson,owners AGENT: Stewart Copper Construction(354-7454916.. . . -
TTwOT: 44 BLOCK: 27 SUBDIVISION: Indian River Estates,Unit 7
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PROPERTY ID #: 3402-608-0039-000-1. [Section/Township/Parcel No.or Tax ID Number ]
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TO BE COMPLETED BY ENGINEER, HEALT DEPARTMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINEERS
MUST PROVIDE REGISTRATION NUMBERS AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE g xx� ASS [ ] NO NET USABLE AREA AV7� J+ _ 0.2 ACRES
TOTAL ESTIMATED SEWAGE FLOW: s; GAL_LONS PER DAY [RESIDENCE�$T y TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 55' ` `CONS PER DAY [1506 GPI/AC O J 0 ]
UNOBSTRUCTED AREA AVAILABLE: 960Q UNOBSTRUCTED SQFT
F; x
BENCHMARK/REFERENCE POINT LOCATION: 5. ..x a comer I� � I.A
ELEVATION OF PROPOSED SYSTEM SITE I [ ELOwi BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: 230 FT DITCHES/SWALES: 20 FT NORMALLY WET? [ I YES IV] NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: I FT: NON-POTABLE: FT
BUILDING FOUNDATIONS: 7 FT PROPERTY LINES.: 10 FT POTABLE WATER LINES: 10 FT
SITE SUBJECT TO FREQUENT FLOODING: [ I YES [✓I NO 10 YEAR FLOODING? [ ] YES [✓] NO
10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: 15.5 FT MSL/NGVD
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SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
MUNSELL #/COLOR TEXTURE DEPTH MUNSELL #/COLOR TEXTURE DEPTH
1 OYR 2/2 sand 0 TO 4 10YR 3/2 sand it 0 TO 10
10YR 3/4 sand 4 TO ]8 7.5 YR 3/1 I sand J 10 TO 20
7.5 YR 3/2 sand 18 To 24 1 OYR 4/3 sand ; 20 TO 24
I OYR 511 sand 24 TO 28 10YR 6/1 I sand !1 24 TO 36
10YR 6/1 sand 28 TO 44 10YR7/1 sand 1 36 TO 44
1OYR 6/2, 1OYR 7/1 sand -stripped matrix 44 TO 50 lOYR 6/2, I0YR 7/1 sand "stripped matrix 44 TO 48
5YR 3/2 sand -Bhl-spodic 50 To 60 7.5YR 3/2 sand-Bhl-spodic 48 TO 60
1OYR 4/4 sand-Bh2 spodic 60 TO 66 1OYR 4/4 1 sand-Bh2-spodic 60 TO 64
lOYR 3/4 sand 66 TO 72 1OYR 4/2 1 sand :1 64 TO 72
USDA SOIL SERIES: Immokalee USDA SOIL I SERIES: Immokalee
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OBSERVED WATER TABLE: 70 INCHES [ABOVE/BELOW r] EXISTING GRADE. T•YPE: [PERCHED/APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 44 INCHES [.ABOVE/BELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [✓] NO MOTTLING: [✓] YES (I NO DEPTH: 44 INCHES
SOIL TEXTURE/LOADING F«. SahNG: sand DEPTH OF EXCAVATION: 72. INCHES
DRAINFIELD CONFIGURA [ r H �y✓] BED [ ] OTHERI (SPECIFY) !I
REMARKS/ADDITIONAL 1a . t inn `,wiles and 2"of soil scrapped from original surface elevation;sand texture 0-72"
S odic horizon 48-66•spodic - al ea i A' "or more above the Bh-soil horizon. Seasonal high water table was 44"
below jyade at both soil borin W) fl
SITE EVALUATED BY: GregoryJ.Sawka,CPSS (772)3 59-003 8 1 DATE: 3/23/17
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DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001.FA Page 3 Of 4
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