HomeMy WebLinkAboutOSTDS - SewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
PERMIT #
DOCUMENT #SE1635153
56-SF-2444746
AP1784412APPLICATION #
APPLICANT:
LOT:
ID#:
BLOCK:
SUBDIVISION:
Scott & Mary Jakab
CONTRACTOR / AGENT:Reliable Septic & Service
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.
X ]YES[]NO[NET USABLE AREA AVAILABLE:0.30PROPERTY SIZE CONFORMS TO SITE PLAN:ACRES
TOTAL ESTIMATED SEWAGE FLOW:200 GALLONS PER DAY [RESIDENCES-TABLE1 ]OTHER-TABLE 2/
AUTHORIZED SEWAGE FLOW:450.00 GALLONS PER DAY [1500 GPD/ACRE ]2500 GPD/ACREOR
UNOBSTRUCTED AREA AVAILABLE:675.00 SQFT UNOBSTRUCTED AREA REQUIRED:375.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:Site BM #1 at elevation: 12.48
10.00ELEVATION OF PROPOSED SYSTEM SITE [BELOW ] BENCHMARK/REFERENCE POINTABOVE/[INCHES ]FT/
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER:FT DITCHES/SWALES:FT ]YES[X ]NO[NORMALLY WET:
PUBLIC:FT LIMITED USE:FTWELLS:PRIVATE:76 FT NON-POTABLE:FT
BUILDING FOUNDATIONS:5 FT PROPERTY LINES:15 FT POTABLE WATER LINES:27 FT
]YES[X ]NO[SITE SUBJECT TO FREQUENT FLOODING?]YES[X ]NO[10 YEAR FLOODING?
10 YEAR FLOOD ELEVATION FOR SITE:FT []MSL NGVD/SITE ELEVATION:FT [
]
MSL NGVD/
1428-703-0013-000-9
023 & 4
TextureMunsell #/Color Depth
10YR 5/2 Sand 0 To 19
10YR 6/2 Sand 15 To 19
10YR 5/3 Sand 19 To 28
10YR 4/4 Fine Sand 28 To 38
10YR 3/6 Fine Sand 38 To 57
REFUSAL Refusal 57 To 72
TextureMunsell #/Color Depth
10YR 5/2 Sand 0 To 23
10YR 6/2 Sand 17 To 23
10YR 5/3 Sand 23 To 31
10YR 4/4 Fine Sand 31 To 43
10YR 3/6 Fine Sand 42 To 56
REFUSAL Refusal 56 To 72
SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES: USDA SOIL SERIES:
EXISTING GRADE
EXISTING GRADE TYPE:
15
OBSERVED WATER TABLE:51.00 [BELOW ]ABOVE /[APPARENT ]PERCHED /INCHES
ESTIMATED WET SEASON WATER TABLE ELEVATION:[BELOW ]ABOVE /INCHES
HIGH WATER TABLE VEGETATION:]YES[X ]NO[X ]YES[]NO[MOTTLING:DEPTH:15.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/0.80 DEPTH OF EXCAVATION:INCHES
X ] TRENCH[] BED[] OTHER (SPECIFY)[DRAINFIELD CONFIGURATION:
SHS determined by >10% 10YR 6/2 stripping in a 10YR 5/2 matrix at 15 inches in site 1. Refusal due to saturation in both sites. BM:
3'7" S1: 4'5" S2: 4'3"
REMARKS/ADDITIONAL CRITERIA
Page 3 of 4
SITE EVALUATED BY:DATE:12/29/2021
Moore, Ian (Title: CEHP 19-2072) (Soiled It, LLC)
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
v 1.0.2AP1784412EID2444746