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HomeMy WebLinkAbout0907-0243 OSTDS NEWSCANNED STATE OF FLORIDA 13Y DEPARTMENT OF HEALTH t I [tC&County ONSITE SEWAGE TREATMENT AND D per, SYSTEM CONSTRUCTION PERMIT FOR: OSTDS Repair APPLICANT: Alan Merritt PROPERTY ADDRESS: 804 Anita St Fort Pierce, FL 34982 LOT: BLOCK: SUBDIVISION: Hunts PERMIT #:56-SF-995438 APPLICATION #: AP929236 DATE PAID: FEE PAID: RECEIPT #: DOCUMENT #: PR779881 PROPERTY ID #: 3403-332-0005-000-1 [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 [ 900 ] GALLONS / GPD CAPACITY A [ ] - GALLONS / GPD .CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [IDU MUM CAPACITY SINGLE TANK:1250 GALLONS] K [ 300 ] GALLONS DOSING TANK CAPACITY [75.00 ]GALLONS @[ 4 ]DOSES PER 24 HRS #Pumps [ 1 ] D [ 450 ] SQUARE FEET R [ 175 ] SQUARE FEET A TYPE SYSTEM: [ ] STANDARD I CONFIGURATION: [ ] TRENCH N F LOCATION OF BENCHMARK: Top ofPu I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: r 0.001 INCHES 0 T H P. R SYSTEM SYSTEM [ ] FILLED [K] MOUND [x] BED [ ] tank [ 7.00 ] [1 INCHES FT ] [I ABOVE BELOW ] BENCMUMVREFERENCE POINT [ 7.00 ] [INCHES FT ] [ABOVE BELOW ]BENCMdARK/REFERENCE POINT EXCAVATION REQUIRED: [ 72.001 INCHES Excavation certification to be submitted prior to inspection. any spoils to be removed prior to final inspection. final inspection required for stabilization. WSWT determined through the prior elevation records, historical data and USDA web site soils. SPECIFICATIONS BY: John C Hanson TITLE: Environmental Specialist II ' APPROVED BY: TITLE: Environmental Specialist II St Lucie CHD John C Hanson DATE ISSUED: 07/20/2009 EXPIRATION DATE: 10/18/2009 DH 4016, 10/97 (Previous Editions May Be Used) Page 1 of 3 v 1.1.4 AP929236 SE792604 STATE OF FLORIDA DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Alan Merritt CONTRACTOR / AGENT: Ashton Septic LOT: BLOCK: APPLICATION # AP929236 PERMIT # 56-SF-995438 DOCUMENT # SE792604 SUBDIVISION: Hunts ID# : 3403-332-0005-000-1 • 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: 0.39 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCE S-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 584.99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 1000.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Top Of Pump tank ELEVATION OF PROPOSED SYSTEM SITE 7.00 [ INCHES / FT ]ABOVE / 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/ FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: n/a FT LIMITED USE: n/a FT PRIVATE: 75 FT NON -POTABLE: 50 FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 10 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 14nTT. URnFTT.R TNFORMATTON STTF. 1 SOIL PROFILE INFORMATION STTE 2 USDA SOIL SERIES:Riviera fine sand Munsell #/Color Texture Depth 10YR 6/1 Fine Sand 0 TO 15 1 OYR 6/2 Fine Sand 15 To 36 10YR 3/1 Fine Sand 36 To 42 10YR 3/1 Refusal 42 To 72 USDA SOIL SERIES:Riviera fine sand Munsell #/Color Texture Depth 10YR 6/1 Fine Sand 0 To 15 1 OYR 6/2 Fine Sand 15 To 36 1OYR 3/1 Spodic Material 36 To 42 1 OYR 311 Refusal 42 To 72 OBSERVED WATER TABLE: 34.00 INCHES [ ABOVE / HEZ;Ij ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 12 INCHES [ ABOVE / rBELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [ ]YES [X]NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Find Sand/0.60 DEPTH OF EXCAVATION: 72 INCHES DRAINFIELD CONFIGURATION: [ ] TRENCH [X ] BED [ ] OTHER (SPECIFY) RMiU%RKS/ADDITIONAL CRITERIA SITE EVALUATED BY: DATE: 07/15/2009 Hanson, John (Trtie: Environmental Specialist III (St Lucie County Environmental Heal DH 4015, 09/2006 (Previous Editions May Be Used) Page 3 of 4 AP929236 EID995438 v 1.0.2 .✓.• �V..'f♦ wv.►..r.. ..w: 'G11'i 100.00' sffe pm WN f (AR SUMEM FILL r n C. IS, t SETBACK UNE I177 ti 1 QI�i�J � T ��U � � M U i • � �'i'iy' 32.67 I / al?f 7 I oovERn e°aa'covm Polm I I I I try 22.67' N I I -3 eh I 10.00 ICI Y $!� g .J 39.95' 21.94' mlW /aTi4' U W I ONE allow 0 ^ CosFASMOICE ^ I H N N I22.04' 8.29 c 21.99' N QAItAK O OI pi 22.67' • 'M f :.PROPOSED 4' WALK SETBACK LINE lV DRIVE,. ....... 100.00' t.• C. STATE OF FLORIDA "y PERMIT NO. v DEPARTMENT OF HEALTH DATE PAID: / ONSITE SEWAGE DISPOSAL -SYSTEM FEB PAID: ) ,` APPLICATION FOR CONSTRUCTION PERMIT RECEIPT 1: ry COD WEIR' APPLICATION FOR: [ ] New System [ ] Existing Systea [ ] Holding Tank [ ] Innovative Repair [ ] Abandonment [ ] Temporary [ ] APPLICANT: � �'�'� fne r v"i Tr • AGENT. �� 5 U k'� ,��Q {}�-� ,G --T—H-A � T%1(f TELEPHONE: MAILING ADDRESS: lD CH e- f o n e 'Nri U e TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT: SYSTEMS MUST BE CONSTRUCTED BY.A PERSON L;CENSED PURSUANT TO 489.105(3)(st) OR 489.552, FLORIDA STATUTES. ROPER INFORMATION LOT: BLOCK: ::•.SUBDIVISION: T UT S PLATTED: PROPERTY ID: 4g3 S3Z ' [�C�S-C i i 3oxYNa: I/M OR EQUIVALENT: [ Y N ] PROPERY SIZE: 0,ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [�<=20000PD [ 3>2000GPD,•.. ..' `IS SEWER AVAILABLE AS PER 381.0065, F$? [ Y �DISTANCE TO SEWER: FT C4 Q© )) e -�L•f -PROPERTY ADDRESS: 804 � • DIRECTIONS TO PROPERTY: Fra , , , dw nu 60 SoyYk 0 1-) . 01-e BIZ Tv ii rn SY - `Tv ��e : J a� o �� �• 2 T'. BUILDING INFORMATION RESIDENTIAL [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System.Design'` No Establishment ; Bedrooms' Area Sqft Table 1, Chapter 645-6, PAC -r- 1 Si � t m, � � � i •1 . Floor/Equipment Drains [ ] Other (Specify) p SIGNATURE: - �/✓. DATE: `v�.7 ✓ / . - DH 4015, 10/ 7 — Page 1. ( revious editions may be used) page 1 of 3 Stock Number: 5744-001-4015-1 LOT': BLOCK: SUBDIVISION: . PROPERTY ID4: ONS AGENT: PERMIT , 7 43� [Section/Township/Range/Parcel No. or Tax ID Number TO BE COMPLETED BY ENGINEER,• HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUS' 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: ACRE; TOTAL ESTIMATED SEWAGE FLOW: GALLONS PER DAY' [RESIDENCES -TABLE 1 / OTHER -TABLE 2 AUTHORIZED SEWAGE FLOW: GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA REQUIRED: SQF' BENCHMARK/REFERENCE POINT LOCATION: a d•s ELEVATION OF PROPOSED SYSTEM SITE IS `W,._ —cH S fT] BENCHMARK/REFERENCE POIW.. THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: FT DITCHES/SWALES: FT . NORMALLY WET? [ ] YES [ ] N( WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: FT NON -POTABLE: F1 BUILDING FOUNDATIONS: FT PROPERTY'LINES: FT POTABLE WATER LINES: F1 • SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [ NO 10 YEAR FLOODING? [ ] YES! ] N( 10 YEAR FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: MSL/NGVI • SOIL PROFILE INFORMATION SITE 1 Munsell olor Texture De th AW tom :# tom j f _to tg - to to to to to to USDA SOIL SERIES: N SOIL PROFILE INFORMATION SITE 2 Texture Depth FS Ito. 6-- ton tX to to toto to' to to (USDA SOIL SERIES: ..ter:•, OBSERVED WATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE. TYPE: [PERCHED APPARE�I3''; ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ ABOVE / BELOW I EXXSTING HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: YES [ ] NO DEPTH: INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DRAINFIELD CONFIGURATION: [ ] TRENCH [ REMARKS/ADDITIONAL CRITERIA: A BED DEPTH OF EXCAVATION: INCHES [ ] OTHER (SPECIFY) Ps DH 4015, 10196 (Replaces HRS-H Form 4015 [Pape 31 which maybe used) (Stock`Number: 57.44A003 4015-1)' STATE OF FLORIDA PERMIT # ?? q 3 V DEPARTMENT OF BRALTS — ONSITS SEWAGE TREATMENT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEM REPAIR. EVALUATION APPLICANT: A / f CONTRACTOR / AGENT:' S - r LOT: BLOCK: SUBDIV: ITV r1 I S ID#: ssssssaassssssssssssssssssssssasssssssssssssassasssssssssasssaessssssssossas ssa�ssssssusassoa TO BR COM pLMTSD BY FLORIDA, RBGISTMRED RNGIIESR, EMPLOYER, SEPTIC TANK CONTRACTOR a OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITHN COMPLETE TAM CERTIFICATION BELOW OR AT'PACML LETTER FROM[ a PRRMQTTED SEPTAGE DISPOSAL SERVICE. ssssssssssssssssssssssssassssssssasssssassasssssosssssssssasssssssasassaaassasassasacssassssaa EXISTING TANK INFOON I gaol GALLONS SEPTIC TANK/QPD aTU LBG,MM,. lUkTBRXAL: t_. r1eif� IL" [ ] GALLONS SEPTIC TXWGPD MW LR®IDa [ ] GALLONS GRBASg LBGU.MS ■RTgoI,T : [ ] GUUMEOPS DOSING TANK MATT L: ER �------------ r--------- BAFFLED:IY / BAFFLED:IY / # PUMPS: [ !mliiiifsmsisi I CBMnM MUM TMME MOM NOTED MUMS WERE PMWED ON'/ � /QZ, ®VS TUB VOLUMES SPECIFIED, sTRU Y SOUND, AM HEva a I SOLIDS Oir CS / OUTLET FILTER DEVICE I INSTALLED. gxGdawuRz O LIB CO, , ACTOR BUSINESS Mm& DATE EMCISTffiG DRAZSFISt+D INFON - • [ L150 I SQUARE FEET PRIMRRY DRAIRPTI LD SYSTEK NO. OF TRBBCHSS I l01 D33MSXONS: Z_ I 7 SQUARE FEET 3YSTE[ MMO. OF TRZlW=S I I DIMENSIONS: Z • TYPE OF SYSTEM[: I ] STAMMW I I FMU= LOB I ] — •CONFIGURATION: L 7 TRRGCB $SD I ] DESIGN: Dd HwwHR [ I D-B [ ] GRAVITY SYSTEM DOSED SYSTZM— ELEVATION. OF. BOTTOM OF DRAISFIELD IN VALaL*ION TO mxsTn G GRADS � �s [ABOVE / BEL, SYSTEM FAILURE AND REPAIR INFORMATION 'SYSTEM[ INS=�T T.�+TON DATE GPD ESTIMATED SEWAGE FLOW BASED ON SITS I I DRAINAGE STRUCPURM I ] POOL CONDITIONS.- I 7 SLOP33M'G PROPERTY I I NATURE OF [ I HYDRAULIC OVERLOAD FAILURE: I 1 DRY / RUN OFF FAILURE [ 7 SENAGE ON•GROUND SYMPTOM: I 1 PLUMBING BACKUP ►J 5tMMSITTED BY: *DR 4015, 10/96 TYPM OF WASTE I ✓ J [ I COMMERc ] [ I METERED WATER [ I TABLE 1, 64E-6, FI I I PATIO / DECK [ I PARKING L I SOILS I ] [ I ROOTS I I WATER TABLE I ] SYSTM:K DAiOUM [ ] TAM I ] D BOX/HEADER [ ] DRAINFISLD r ) U V P. a r 4 TITLE/LIC NSR �? days DATE: -ions Editions may be used) Page 4 of STATE OF FLORIDA PERMIT G 6 DEPARTmEmT OF HEALTH ONSITE SEWAGE TREATMUT AND DISPOSAL SYSTEM EXISTING SYSTEM AND SYSTEK REPAIR EVALUATION APPLICANT:' 1 0 Y r1 A CONTRACTOR / AGENT:• I . 'LOT: BLOCK: SUBDIV:40,41 S ID#: 3�d3-�✓32 C,M-S_0.0--1 assaasamsassassssaasssassassasassssasassasasaaasaaassassaoaaaaaasasaasamssa•sssmassasssasasaoe 'TO BE CbMpLETED BY FLORIDA REGISTERED ENG32OMP DEPARTIESNT MOLOYEE, SEPTIC TANK CONTRACTOR C OTHER CERTIFIED PERSON. SIGN Al® SEAL ALL SUBJQTTED DOCUMMNTS. COMPL13TE ALL APPLICABLE ITM COMPLETE TANK CZRTIFICATICIN BSLOM OR AZ'rAca *E'ER FROK A PERIQTTED SEPTAGg DISPOSAL SERVICE. sssssssssssassssssssssasassssssssassssseassaasasaassasasssasssssasmaaaaammsaaaassmsessaosaase+c SEISTIAG TANS INFORmITION [ qoo 1 OMLON91 SEPTIC ZUM/!PD ATU LEI, : [ 1 GALLONS SEPTIC TAIWOPD ATQ LEOBeID: [ 1 OALLOM DA83S8 XWMRCEPTOR_ [ SVO1 GALLONS DOSIMIO TAPE Lam: Iu: a '1. :r t • rr !"a ••. MMTERXAL: B MMED: IY MdATERI�*-: ' `e)-e. # PUNPS: [ :ssaasasasaaaass:sasassessasasaasaa r/427, HAVE THE VOLUM S SPECIFIED, OUTLET FILTER DEVICE 1 INSTALLED. DATE ' SZIA T T I O DRAINFIEIrD To IF I yJ�/ ] . SQIIARS FEET PRnlARY DRAXWXMD S7[S M NO. OF TMWCB$S [ (40 1 DnMMSIONS : Z [ ] SQDaRE FRET AVC 1 [ NO. OF TREK UM I ] DZlMENSIONS: X -TIPS OF SYST=-. [ ] STANDARD I 1 FILLM X—T IMOMID I ] ' CONFIBED I ] DESIGN: j HMWRR I 1 D-BOX I ] GRAVITY SYSTM DOSED sY ELEVATION• OF BOTTOM[ OF DRAINFIELD nW RELATION TO EXISrMG GRADE �_ INC888 I ABOVE / BED . -R-,y r SYSTEM FAILURE AND REPAIR XWOME TION I ' '�-q ] SYSTEM DATE TYPE OF WASTE I Al/m I 7 CONUMCI] GM SSTIN7►TBD 88NAOE FLOW BASED ON [ 1 METERED MATER [ 1 TABLE 1, 648-6, F! SITE [ ] mama E STRUCTURES I ] POOL I 1 PATIO / DECK I 1 PARKING CONDITIONS: [ 1 SLOPING PROPERTY I ] ZIATURE OF [ ] HYDRAULIC OVERLOAD [ I SOILS I ]Mai M[ ] SYSTEM DAMAGE FAILURE: I ] DRAINAGE / RUN OFF [ 1 ROOTS [ 1 N TER TABLE [ 1 FAILURE [ ] SENAGS ON -GROUND [ 1 TANK [ ] D BOX/HFADER [ 1 DRAINFISLD SYMPTOM!: [ ] PLUMPING BACKUP I ] RENARXW/ ITXMIAL CRITERIA r I r-4 4 i � � F'1 C or c= 'D ypit SVB=TTED BY: v Z TITLE/LICENSE 2 C, d ay S a (Jc DATs: •DE 4015, 10/96 (Previous Editions may be used) Page 4 of � o ♦� �s ,. w• " •..... riii l d U& 100.00, f } SM WIMOV FAA C . T. 5MCGXS ALL Pb0v?7r d �A L) Ii t C n mot, SETBACK LINE �o , 3-7 T AlI COVEIWPORgICOVERD PORCH I )0 m I 22.87' - , , _ y�� FF cw Q N W o U PROPOSED I AMffMN n N ail i IJ a zS 'Q�vC� TAM I N o L—J 39.95' 21 94' a f0 G{151111{i 0J ONE STORY N CBS RESVENCE 22.04' 8.29' $ 21.99' ui .6' GARAGE O dq Al - STATE OF FLORIDA PERMIT # DEPARTMENT OF HEALTH ONSITE SEWAGE DISPOSAL SYSTEM WE SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: M AGE yli LOT: 'BLOCK: SUBDIVISION: PROPERTY ID # [Section/Township/Rang e/Parcel No. or Tax ID Number] 3y03- 35,a - 0009-60 TO BE COMPLETED BY ENGINEER,' HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MOST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. ---------- -------- PROPERTY SIZE CONFORMS TO SITE PLAN: J\1<1.-NO, NET USABLE AREA AVAILABLE: ACRES TOTALIESTIMATED%S,EWAGE FLOW: 46A GALLONS. PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] AUTHORIZED SEWAGE FLOW: C460 GALLONS PER DAY [1500 GPD/ACRE OR '2506 UNOBSTRUCTED AREA AVAILABLE: SQFT UNOBSTRUCTED AREA - REQUIRED: 112 IC-0 SQFT -BENCHMARK/REFERENCE 'POINT LOCATION: ELEVATION OF.PROPOSED SYSTEM SITE IS [INCHES7FT] ABOV B BENCHMARK/REFERENCE POINT T . E,..MIVIMUM 'SETBACK WHICH CAN BE MAINTAINED ,FROM THE:: PROPOSED SYSTEM TO THE FOLLOWING. FEATqRSP ,....SURFACE WATER: FT DITCHES/SWALES: FT NORMALLY WET?. '[ ]-YES NO WELLS: PUBLIC*.` FT LIMITED USE: FT PRIVATE: hl_l-'''. FT - NON -POTABLE:. FT. 'BUILDING FOUNDATIONS: �7 FT PROPERTY LINES: FT POTABLE WATER LIKES: FT YE NO 10 YEAR FLOODING? YES SITE, SUBJECT* TO. -FREQUENT FLOODING: S No 1 U YEAR FLOOD,.:,-ELEVAT ION '.FOR SITE: FT MSL/NGVD SITE ELEVATION:_— FT.MSL/kqvD ef%lrlr 130^LITT 10 TlkTWnl3VAArP T^W OTMW I •CnTT. vvnrTT.r. TwvnvuikrrTnW 4ZrrPv. 11 OBSERVED WATER TABLE: .3 Co. INCHES- [�BOVE W]I XG GRADE. TYPE: Lp_r,_RCHED APPARENT] AT ESTIMATED WET SEASON WATER TABLE EL ATION. 'yNdgEs [ ABOVE /rREI.6w � EXISTING GRADE.. HIGH WATER TABLE VEGETATION: YES. I. N?,-,, 6TTLIN�V;., �4"] YES.- NO DEPTH: �.INCHESZ 4 SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: V DEPTH OF EXCAVATION: 'INCHES DRAINFIELD CONFIGURATION: TRENCH 1>.d- BED OTHER (SPECIFY) 7 c'�>u%cY_ Q oT _.Mh4:i I'Fk '��y 0—)-N vrrn bf v 5� -ro REMARKS/ADDITIONAL CRITERIA - AXIS 7) pit Dy 111'1 FIVICY SITE EVALUATED BY: 2DATE: 4' Page 3 of 3' OH 4015, 10/96 (Replaces HRS-H For/4015 [Page 31 which may be used) (Stock Number: 5744-0031-4015-1)