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HomeMy WebLinkAboutD O H SEWAGE DISPOSAL - SITE EVAL AND SYSTEM SPECS - 4-13-00i i �f� I r _ r � - C m APPLICANT: o­vf .. ,.. .. .•. A�.`E�Y.ti4.3`,ii�ticr:..r ��R�(iiZ�VrSiv.<cvr'y:)w :roe rw-...o STATE OF FLOR�RDA PERMIT # 'DEPARTMENT OF HEALTH ONS'ITE-SEWAGE DISPOSAL SYSTEM ! SITE EVALUATION'AND SYSTEM SPECIFICATIONS HOLLAND AGENT: PORT ST. LUCIE PROMW.ES/AAN ,OT: LOT 18 & BLOCK': El/2 Lot ,191 , 26 'ROPERTY ID # :� SUBDIVISION: Sunland Gardens [Section/Township/Range/Parcel No. or Tax .1 .. umber] •_______________________________ 'O BE COMPLETED BY -ENGINEER,• -HEALTH UNIT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEER'S MUST 'ROVIDE REGISTION,NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. AT IROPERTY SIZE-,'CONF:ORMS,;TO •.SITE [X) YES ( ] NO NET USABLE AREA AVAILABLE: 13,419SQ.FT-'ACRES _PLAN: DOTAL ESTIMATED SEWAGE FLOW:, W. GALLONS PER DAY [RESIDENCES -TABLE 1 / OTHER -TABLE 2] . 1UTHORIZED:SEWAGE.•FLOWs. 465 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] JNOBSTRUCTED AREA AVAILABLE: T500' SQFT UNOBSTRUCTED AREA REQUIRED: 924 SQFT',.;,. 3ENCHMARK/REFER ENgE+ P.OINT..LOCATION ' C/L Avenue "M"- alnted red "X"-elev.m10.00' 9 Ssumed. ELEVATION OF -PROPOSED SYSTEM.SITE IS 4 /FT ABOV BEL W BENCHMARK/ FERENCE POINT CHE MINIMUMSE ACK'WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES: SURFACE WATER: 75 FT DITCHES/SWALES: > 15 FT NORMALLY WET? [ ] YES (X] NO BELLS: PUBLIC: 00 FT. , LIMITED- USE:' 100 FT PRIVATE: �> 75 FT NON-POTABLE:'>50 FT 3UILDING FOUNDATIONS ' 7= FT .�PROPERTY.LINES: > 11 FT POTABLE WATER LINES: > .10 FT SITE SUBJEC`r TO. FREQUENT' FLOODING:_- [ ]'YES [X ] NO 10 YEAR FLOODING? [ ] S [x]* NO 10 YEAR FLOOD,ELEVATLON.,FOR SITE:' FT MSL/NGVD SITE ELEVATION: 10.3�F MSL/NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 r Munsell #/Color9 T'ext•ure Depth Munsell #/Color Texture Depth to to to to to '. :. to to tos to to . to'to,. . to :to- 1 USDA SOIL SERIES:. USDA SOIL SERIES:, OBSERVED WATER, TABLE ,NQ H20' ' INCHES- (ABOVE.' / BELOW] EXISTING GRADE... - 'TYP .. PERCHED'' APPARENT] ESTIMATED WET;; SEASON WATERx TALE INCHES [ ABOVE /EJ.,OW "J EXISTING =GRADE HIGH WATER TABLE .ELEVATIO,Nc VEGETATZ�f�N,9, [] YES', -[XX] 'NO` ''` MOTTLING: [ '] :YES _ [Ck-] NO„ DEPTH INCHES SOIL TEXTURE/I)OADIIyd RA`E^�0Y�EM SIZING: DEPTH OF EXCAVATION., - INCHES .' DRAINFI"EI;D ^CONFIG4Ti ' °i� ] F%NCH;.- .• [ ] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIIONATi` SITE EVALUATED, BY: : '•G9"' F 'P+11 zAYLOR,.. JR.-REGISTERED LAND SURVEYOR DATE: 4-13�00 Page 3 of 3 DH 4015. 10/96 (Replaces'HRS-H Form 40,15 [Page 3j which may be used) (Stock Number: 5744-003;4015-1)