HomeMy WebLinkAboutD O H SEWAGE TREATMENT - DISPOSAL SITE EVALUATION - SPECS 5-11-05r 9t STATE OF FLORIDA PERMIT # .
DEPARTMENT OF. HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
j SITE EVALUATION AND SYSTEM SPECIFICATIONS
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APPLICANT: Walter Saitta AGENT: Michael J. Grzelka PE
LOT:7 BLOCK:31' SUBDIVISION: St. Lucie Gardens
PROPERT ID'#:3414-501-1107-050-0- [Section/Township/Parcel No. or Tax ID Number]
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTEMENT EMPLOYEE,OR OTHER QUALIFIED PERSON. ENGINNEERS
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 :1.25 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE2]
AUTHORIZED SEWAGE FLOW:. 1875 GALLONS PER DAY [1500 GPD/ACRE OR 2500-GPD/ACRE]
UNOBSTRUCTED AREA AVAILABLE: 4450 SQFT UNOBSTRUCTED AREA REQUIRED:4450 SQFT
BENCHMARK/REFERENCE POINT LOCATION: Nail in PP NW of lot across Tilton Elev. = 20.02 NGVD
ELEVATION OF PROPOSED SYSTEM SITE IS 18 [(INCHES)/FT] [ABOVE/(BELOW)] (BENCHMARK)/REFERENCE
' POINT .
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
(.SURFACE (WATER:320 FT. DITCHES/SWALES:60 FT NORMALLY WET? [ ] YES [X] NO
WELLS: PIUIBLIC:n/a FT LIMITED USE:n/a FT PRIVATE:170 FT NON-POTABLE:n/a FT
BUILD ING'FOUNDATIONS:50 FT PROPERTY LINES:39 FT POTABLE WATER LINES:n/a FT
SITE.SUBJECT TO FREQUENT FLOODING.: [ ] YES [X] NO 10 YEAR FLOODING? [X] YES [ ] NO
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10 YEAR FLOOD ELEVATION FOR SITE:17.0 FT MSL/(NGVD), SITE ELEVATION:18.6 FT MSL/(NGVD)
r-' SOIL PROFILE INFORMATION SITE 1
MUNSELL #/COLOR TEXTURE DEPTH
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USDA SiOIL SERIES:
SOIL PROFILE 1NB'URMATIUN 51.1'E Y
MUNSELL #/COLOR TEXTURE DEPTH
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USDA SOIL SERIES:
OBSERVEDIWATER TABLE: INCHES [ABOVE / BELOW] EXISTING GRADE.• TYPE: [PERCHED / APPARENT]
ESTIMATED WET SEASON WATER TABLE ELEVATION: INCHES [ABOVE / BELOW] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ] YES [ ] NO MOTTLING: [ ] YES [ ] NO DEPTH: INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: DEPTH OF EXCAVATION: INCHES
pRAINFIELD CONFIGURATION: [ ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
REMARKS/i DITIONAL CRITERIA:___
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SITE EVALUATED BY:
DATE: t OPI
DH 4015, 10196 (Replaces HRS-H Form 4015 [pags 3; which may be used)
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