HomeMy WebLinkAboutSewage 6-18-2012I
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND.SYSTEM SPECIFICATION
APPLICANT: Joseph W and Sondra Jaksch
APPLICATION # AP1074730
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PERMIT # 56-SF-1415149
DOCUMENT # SE873164
CONTRACTOR / AGENT: Alexander J. Piazza PSM, Inc
LOT: 6 BLOCK: 17 S
SUBDIVISION: Indrio ID# : 1416-601-0060-000-3
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: 0.30 ACRES,.
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 .]
AUTHORIZED SEWAGE FLOW: 450.00 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 500.00 SQFT UNOBSTRUCTED AREA REQUIRED: 462.00 SQFT
a
BENCHMARK/REFERENCE POINT LOCATION: EXISTING GRADE
ELEVATION OF PROPOSED SYSTEM SITE O.00 [ INCHES / FT ] [ ABOV]/ BELOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: N/A FT DITCHES/SWALES: N/A FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: N/A FT LIMITED USE: N/A FT PRIVATE: 75 FT NON -POTABLE: N/A FT
t
BUILDING FOUNDATIONS: 15 FT PROPERTY LINES: 12 FT POTABLE WATER LINES: N/A FT
SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]N
O]
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:St.
Munsell #/Color
Lucie sand
Texture Depth
1 OYR 5/1
Fine Sand 0 To 15
1 OYR 8/1
Sand 15 To 72
USDA SOIL SERIES:St.
Munsell #/Color
Lucie sand
Texture Depth
1 OYR 5/1
Fine Sand 0 To 10
1 OYR 7/1
Sand 10 To 72
OBSERVED WATER TABLE: 72.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 72 INCHES [ ABOVE / EEI EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED
r- REMARKS/ADDITIONAL CRITERIA
SITE EVALUATED BY:
I
Fine Sand/0.60 DEPTH OF EXCAVATION: INCHES
L
] OTHER (SPECIFY)
Gatewood, Andrew (Titlelfirr�ronmental SpeGf�ist II) (St Lucie ounty Environmental Hea
DH 4015, 08/09 (Obsoletes previous editions which may not be usedd) Incorporate 64E-6.001, FAC
AP1074730 EID1418149
DATE,: 06/18/2012
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