HomeMy WebLinkAboutAPPLICATION FOR CONSTRUCTION PERMITtie
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STATE �-',Qp'-Ii; #qlal)
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DEPARTMENT s F--' Or�'EALTH j DATE FAID' A
'6'5W E TREATMENT' AND" DISPOSAL, FEE PAID
ONSITE-� I REATMW
RECEIPT
wa '"Pit-wimFOR doml UCTION PERMIT
APPLICAVI ON FOR'j,
New S30.teb '111, Existing. Sy, tern Holding. Tank Inuovative.
Re a--L,r Abandonmentprary
APPLIOAN
AGENT TELEBROKE Ilk
MAILING- A.DDRk9S::. 06d- Y
TO BE d6lixk't. By" Pt
OR,APPtI 18 AUTHORIZED 'AGENT'., Y TEKS,.XUST'BECONSTRUCTED
I. ,CANT ", ( 489,552, !,
w - FLORDA STATUTEP, IT, IS THE
APPLICANTIS.�P�EgPoxsxtn` %. TkTXON OP THE DATE tilii LOT, W"."'CREATED M
I TO D,
PLATT
OF STATUTORY GRAMFATHER P ROVISIONS.
'Yy)."IF •RE=sTrz4G' `CONSIDERATION'
PROPERTY INFOMOTX0141
LOT; BLOCk: PLATTED:
PROPERTY IV #: RO 1/14 OR E&WALENT; E Y N I
PROPERTY SIZE: A6A5, WATER SUPPLY: PRIVATE Puntle EX!<=2000GPD I 1>2000GPD
q.
AVAT14&'-E"Az DISTANCE TOSEWER; FT -
rs"I'E Y /C DISTANCE
PROPERTY ADDRE '
DIRECTIONS TO, PROPERTY: I K�4
J
BUILDING INF6RMiTiON
Unit Typd,pf
NO' Establishments
SiGNAT
D4:401.6'. avio"us
f 3' CObWERCIAL
,Building . Commercial/ I,nz tit,u, t.ional, System Design
:Axea •S4f t Table 1, Chktex641"6', PAC
0 �ex (Specify)
C�2
46
edi pas w1hx.'Ch may iadt be used)
Paqe.l of 4
STATE OF FLORIDA ' APPLICATION # AP1732831
DEPARTMENT 16F HEALTH 66-SF 2373503`,
PERMIT #
ONSITE" SEWAGE TREATMENT AND' DISPOSAL SYSTEM
si _. DOCUMENT #• SE1614055•
SITE"'EVALUATION AND SYSTEM SPECIFICATION
APPLICANT,': David,Westcott
CONTRACTOR / AGENT: Gem`BUilderS, Inc;
s ,
LOT: 8 and 33"•of 9. _ BLOCK: 23'
sysalVlsxON:; Indian River, Estates:. I> # 3402-607-027Z-0M8
TO BE COMPLETED 'BY ENGINEER, ,HEALTH DEPARTMENT, EWl16m, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE'
REGISTRATION,NUMBiR'AND'SIGN,ANA: SEAL EAC.H`.PAGE OFj.'SUHMITTAL. COMPLETE - ALL ITEMS.,_
PROPERTY SIZE CONFORMS TO SITE�PLAN: [L`11�10NS
S [ ]NO NET USABLE, AREA AVAILABLE: 0;68. ACRES'
TOTAL ESTIMATED SEWAGE' FLOW:,; 30O PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: , 1700.01 GLONS PER DAY [ 1500 GPD/ACREOR 2500 GPI"/ACRE- ]
UNOBSTRUCTED AREA AVAILABLE 1000.00 S' T UNOBSTRUCTED AREA REQUIRED: 750.00" SQFT
BENCHMARK/REFERENCE POINT LOCA ION: Site BlVl, orange paint triangle, CL,6f;rd, center.ofipropeity:.
ELEVATION OF PROPOSED SYSTEM,SI=1TE 13.0011 [ LNCHES / FT 'I [ ABOVE /•BEIAW j BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN�BE MAINTAINED FROM•THE'PROPOSED SYSTEM TO THE'FOLLOWING FEATURES
SURFACE'WATER: FT 8 DITdAS/SWALES: 15 FT' NORMALLY WET: [ ]'YES. [X]NO
WELLS: PUBLIC: FT LIMITED USE: , FT. PRIVATE: 75 FT NON -POTABLE:. 66 FT
BUILDING FOUNDAT=ONSr 5. FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 20 FT
SITE SUBJECT TO FREQUENT FLOOD XG? [ ]YES IX]NO 10 YEAR FLOODING? [ ]YES [XINO]
10 YEAR FLOOD ELEVATION' FOR SITE: jj IFT I MSL / NGVD I SITE ELEVATION: FT I MSL / NGVD
SOIL PROFILE.-TNFORMATT6N�SITld�-i: I SOIL PROFILE INFORMATION SITE 2
USDA SOIL',SERIES:
Munsell #/Color
Texture ! .�
.
Depth
10,YR4/1
Sand# �
0TO,% fi
10YR 5H, •
Sand • .
1.0 To 15
,
1OYR 311
Sand,-'
15 To 25,
..'
1OYR 4/1,
Sand`,;
25 fo37,
I OYR 5/1
Sand :. ? .. � ,.
37 To 40
k .
IOYR 5/2:..
Sand.: �' ,,
40 To 43. 1
t
.10YR 2/1
t,
Spodic iVleteria11i
'43 To 66
'
1 OYR 4/3
Fine Sand ';' tj
66 To 72
` to
OBSERVED, WATER TABLE: 59 00.;
ESTIMATED WET SEASON WATERiTABLE�
HIGH WATER TABLE VEGETATION: t
SOIL. TEXTURE/LOADING: RATE FOR'¢
F
DRAINFIELD CONFIGURATION:
REMARKS/ADDITIONAL 'CRITERI
t
WSWT determined using USDA WSS and
10YR5/1''st�lpping in 10YR4/1 matrix 100%
8131 and S6213'.' below SM. ;
SITE EVALUATED BY: I
ln"grf
DH 4015, 08/09 (Obsoletes pre'vious'edi
USDA SOIL SERIES:
Munsell #/Color
Texture
Depth
10YR.4/1
Fine Sand
0 To 27,
10YR 5/1
Sand'
9 To 30
IQYR.2/2,
Spodic Material
30 To 46'
1OYR 3/2
Spod[c Material
46 To 50
10YR,4/3
Fine Sand
50 To 63
1 OYR 5/4
Fine Sand .
63 To 72
CHES E ABOVE /
is
BELOW ] EXIST ING•GRADE
TYPE: I PERCHED / APPARENT ]'
EVATION:'a
INCHES -
[ ABOVE- /
BELOW ]
EXISTING GRADE
l ]YES. [ X ]NyyO
MOTTLING:
[ X ] YES [
]NO. DEPTH:
9:00. INCHES
STEM SIZ3NG:
Sand/0:60.
DEPTH,
OF EXCAVATION:
INCHES.
TRENCH [ X
] BED [ ] OTHER
(SPECIFY)
borings:
h diffuse boundaries starting, at 6" In SBl
Environm :ftal Speclalist III) (ENVIRONMENTAL HEALTH)
I not eTused) Incorporated: 64E-6.001, FAC
AP1732831 EID2373603
DATE,: 10/29/2021
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