HomeMy WebLinkAboutD O H SEWAGE DISPOSAL SITE EVALUATION - SYSTEM SPEC - 12-23-98awl,,
STATE OF FLORIDA
PERMIT # YU yq
JREPtTMENT OF HEALTH
ONSITE SEWAGE DISPOSAL SYSTEM SCANIqED
..SITE EVALUATION AND SYSTEM
SPECIFICATIONS
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APPLI
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-BLOCK: SUBDIVISION
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PROPERTY ID
Section/Township/Range/Parcel No."pr--Tax ID Number]
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i W7 Z.. V . i 'St 1) P �'. "JJ. -. f(llfi i A,;::,5 j
BY dikiE*R,-, HEALTH. UNIT.-. EMPLOYEE„ 9K',9TAEk",QUALIFIED PERSON. ---.'ENGINEER SMUST
ATII& 'R: S I G N.A _', N� D _:, S E A L :EACH ,PAGE 'OF SUBMITTAL.' 'COMPLETE ALL ITEMS.
TO' -�.Si
FLOW:
-1 —j-
LUTH
ELEVATION,: OF PROPOSED ..'SYSTEb
:;,,PLAN,
'W7W rAYNET t'lUSABLE
Tk-4 `,AREA"hVAILAB LE t".
[RESIDENCES -TABLE ./ Of E
GALLONS R 1 TH R-TABLE'-41
"
'GALLONS'PER,DAY,' 'jlS.0,.b_bP0ACRk OR 2500`'di'D/Adftf
759, 2
SQFT UNOBSTRUCTED
Zq r SQFT
5sir
T CATION:ill
s -'A
.,
I SITE IS 7_ BELOW] NC /REFERENCEPOINT:
X,..'BE.. MAINTAINED-,, FRON..'.THE.-PROPOSED, ,SYSTEM TO THE FOLLOWING FEATURES ."-'
-:i::'�;DITCHES/SWALES Ortll,�y
.X;ZMI.TEI)..'USE :"*."�7AL>4i'-�, :"-"�'FT,...�;".',-.PRIVATE -.�15�7,
BUILDING FOUNDNXIU145: Y. FT PROPERTY LINE.S. FT,POTABLE WA R `LINES �� v+
SITE SUBJECTIT FLOODING: YES No 10 YEAR FLOODING? YES -1,KNd
j-0-L-YEAR
-_ FLOOD ELEVATION FOR SITE: FT MSL/NGVD SITE ELEVATION: FT MSL/NGVD
SOIL PROF ILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2,
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,USDA:SOIL SERIES:
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USDA SOIL SERIES:
OBSERVED WATER
R TABLE: L-) INCHES [ABOVE / ELOW EXISTING GRADE. TYPE: [PERCHED APPBitEAT
ESTIMATED WETSEASON WATER TABLE ELEVATION: ZCi INCHES [ ABOVE � BELOW ] EXISTING E.
HIGH WATER TABLE VEGETATION: YES [ J]'NO ..MOTTLING: YES [6y NO DEPTH: INCHES
Q
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: 65 DEPTH OF EXCAVATION: 40 J -J. INCHES
. i I [ VrBED OTHER (SPECIFY)
,PRAINFIELD CONFIGURATION: C ]':TRENCH
REMARKS/ADDITIONAL CRITERIA:
I
SITE.tVALUATED BY:
DH 4016..10196 (Roplaod.3 HRS-H Form 4016 (Page 31 which may be used)
(Stock Number .5744-003-4015-1)
..Page'3 of 3
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A
PERMIT #
"5A STATE OF FLORIDA
DEPARTMENT OF HEALTH,;
"�ONSI'iE SEWAGE DISPOSAL SYSTEM
``5ITIB EVALUATION AND' SYSTEM SPECIFICATIONS
AN.iBAL 8 TERESA AMARAL _
AGENT s PORT ST.. LUC I E PROPERT I ES/AYLOR, INC.-
BLOCiZ: "'' ' ' SUBDIVISION:
.
-The,Noodlands Subdivision
D #: �,.•J [Section/Township/Range/Parcel No. or
C
AID Number]
rr_I --r:de � -moo---------�------- - i ,. -
COMP7�E� BY ENG$NEER�'SEALTH'UNIT EMPLOYEE, OR OTHER: QUALIFIED PERSON. ENGINEER'S MUST
'IiOFIDE BEoISTRATION1 NUKBER AND SIGN AND SEAL EACH'PAGE OF 'SUBMITTAL,!.L:COMPLETE ALL ITEMS. ---- a
--------��0���-
14
==-- BLE AREA AVAYLABLE:4 6,354SQ.FT.. ACRES
IROPER!'w SIZE dSz' SITE PLAN.Sy ] t YES [ 1 NO NET USA
20TAL�I 9Tt�►tD JEISFFI+Ofs
300 QALLONS,PER.,DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] ;
OBS
1UTH®RI�OC^ai, �RE'rPJ6+ry -I�lbq� 0` r a GALLONS' •PER DAY :.:: [1500 GPD/ACRE OR Z500 GPD/ACRE] i
924 SQFT
,��{{ }}��.},-.0 Q.Tf ,,,- R��, �:AV.A.I BLE: 6000,", :.� SQFT- - ""UNOBSTRUCTED AREA- REQUIRED: .:�
C.r-�.:Li 7f •: ti^,C t�'.R.�u .�i: ,.r^ -, �c-_._.-II " - !1
3ENCHMAR>K/E�EFERENCE -POINT Jh&I JON: VL Woodland Dr ted red. • X -elev. 10.00
sLEVFaTIONi OF'=PROPQSED,,4TSTEM SITE IS 3 ' [INCH /FT ABOVE LO BENC FERENCE POINT
;I�,yggq EE Cg WH;CH CAN BE j0jt9TAYNED FROM THE PROPOSED SYSTEM TO THE ,FOLLOWING FEATURESNO
i5 FT RMALLY WET? [ ] !YES ]
SUY�°ACE- NATER 75 ='. ':-,F'�' iD7lT .HEM/SWALES: � NQ.._ i
200, sFT , LI ITED USE: 160 FT - PRIVATE: 75 FT NON -POTABLE: 7 5o FT '
NIEIoS3 �UELIGo p�°v I j e. Tr2 ... 11 F POTABLE .WATER LINES: NSA FT
BUILDING FOUNYDATIONS:. F �T` PAi6PERTY .,INES:
YES ] NO .. 10 YEAR FLOODING? [ ] K ] N0 .
SITE SUBJECT- TO - FREQJdFI_®_ODING s, [ ] , - 10.2 (FT jMSL NGVD
10 YEAR FLOOD ELEVATION FOR SITE: I FISL/NGVi2 SITE ELEVATION: J /
SOILPROFILE INFORMATION,, SITE�l - SOIL -PROFILE � INFORMATION SITE 2
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__.--- ------:•-_----,: USDAa_SOIL_SeFiRIES_
USDA SOIL SERIES: _.... _.
OBSEi2VED-WATER' TABI,E:NO_H2O INCHES [ABOVE / BELOW] EgISTING GRADE.- TYPE Y[PERC j "APPARENT]
--- ___ ..INCHES _ _[ ABOVE / BEL EBISTING GRADE .
ESTIMATED WET SEASON WATER TABLE ELEVAT-ON-1- NO MOTTLING: [ ] YES [X] NO DEPTH: INCHES_
HIGH. WATER- TABLE—VEGcE',I:'AT-ION-- [ _] .YES W [ T
— _
DEPTH OF EXCAVATION I INCHES
RATE,
sdlt+',3°EBT'FDRE/:I,¢F�3�!ilFAR SYSTEM SIZING:
-
v , N4ByD j[ ] OTHER (SPECIFY)
DFAINFSELD_.CONFIGURATION: [ ] TRENCH' "[` i ] ,
REMARRS',ADDITIONAL C -ERIK:
F _ ,
SITE EVALUATED BY:
. i
nrnPnF M. AYLOR. JR.-REGISTERED LAND SURVEYOR
12-11-98
DH 4015, 10196 (Replaces HRS-H Form 4016 [Pape 31 which may be used)
(Stock Number: 5744-003-4015-1)
Page 3 of 3