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Home My WebLink AboutD O HEALTH PAPERWORKf Rick Scott i�,¢%xff Mission: 7t �' j Governor To protect, promote & improve the health of all inooddathroelf integratedC MD MPH P'~LAIC Rur4eoYene!al slate,wuntyJcommunityeffoHs. coon A 1'YLA a and Secretary Vision: To be the Healthiest State in the Nation Florida Department of Health in St. Lucie County Conditions for Issuance of Water Well Permits SCANNED Effective July 24, 2017 BY St. Lucie County Contact the Florida Department of Health in Saint Lucie County (FDOH — St. Lucie) prior to constructing or abandoning any well. a. Call the FDOH — St. Lucie Well Line at 772-873-4936 or email SLCDOH-WELLS2D-FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS(a-)FLHEALTH.GOV Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St Lucie County • Division of Disease Control and Health Protection Bureau of Environmental Health 5150 NW Milner Drive Port St. Lucie, FL 34983 PHONE: 7721873-4931 • FAX: 7721695.1306 FloridaHealth.gov Accredited Health Department Public Health Accreditation Board ..- �firJ t�lo.. 5�-sF-lgtlta�} " STATE OF FLORIDA PERMITAPPLICATION TO CONSTRU_ CT, REPAIR, MODIFY, OR ABANDON A WELL Permit No. 59-29091 IfF.57,y Florida Unique ID -__ 0Southwest—PLEASEFIELDS— c b Northwest (°Denote ❑s Required Fields Where Applicable} Permit Stipulations 'Required(See Attached) f."gf 13 St. Johns River - -- ' 'OSouth Florida The waferivell contreGbris resyons,We forwmp/eung - A _ thisfomlandf nglhepermdappfca4onlolhe 62S24 Quad No. befineallon No. ❑Stnvannee River appmpriafedelegaledauthonTywhemeipoc2iWe. - CgctiTv'o�v -O.DEP CUPIWUP Application No. ..' ❑DelegatedAuthority (If Applicable) -. 1. Chft.t'timhw Y GnrLtktv.� ON 3105 T2vWt255ce A*, Ft Ficvfe A. 3ggq-1 Z'l2- 601- 0000 "Owner, Legal NamarfCorporetion - - 'Address' "�- " 'City - °State `ZIP "Telephone Number �l�i lcS \ lA 2 (roc Wtx i Well Location -Address, Road Name or Number, City - - 3. 2329- wo'Z- coo a' odD - to `Parcel ID No.•(PIN).orAltemate Key(Circle One) Lot Block .Unit 4. U1 11A1:LCi -. �/r�l 'Section or Land Grant 'Township 'Range `County Subdivision Check if 62-524: Yes ✓Nri 5. �inatshn W t Umms 113`43 71Zti ` (94- 101(01 +I M W >,UL 0LVx5 q C a bet l s 'Water WeII Co tractor `License Number - 'Telephone umber, E-mail Address nC� s. 78oa wirA.D :.. F L<,V(c' FL . 3` 951 Address 'Water Well Contractor's Address :': ':. '-:..' Ci :: .. .::. -:. :State-.- ZIP. 7 Type of Work ' ConsWction Repair .> Modification Abandonment 8 Number of Proposed Wells 1 ,. 'Roaeen for Repair. Modifimlion.w a 9 Specify Intended Use(s) of Well(s): -- HST Lr D - v/omestic - Landscape Irrigation - _Agdcullurai imgation Site Investigation _Bottled Water Supply "=Recreation Area Irrigation __Livesfo,Gi.` .' ,---_Monitoring. - _Nursery Irrigation Test _Public Water Supply{Wmded Use/DOH) _ - -_ JAN 1 5 2019: Water Supply (Community or:Non-Community/DEP)=Commerrfalfindustrial- -_Earth-Coupled Geothermal ' _Public ' Golf Course tmgation HVAC'Supply _Clasg(,lnlection,- • ' .:=HVAC'Retbm :.:Class V Injectten _Recharge _Commercial/Industrial Disposal Aquifer`Storage and Recovery ._Drainage F1 OH In St Lud9Q COun R mediation[ RecoveryAir-Sparge _Other ic' 1) - ENXIIRONMENTALHEAL Official Use Only • _Ottler (Despite) - (Nola Not aO rypes arw.le0s are perint!e. by a glyon pemmng aWhorify). - 10 `Distance from Septic System if s200 ft. - 11. Facllity Descnpbon �5 �(ACK C: . 12.: Estimated Start Date 13: Estimated Well Depth 17A ft.-'.FMmated Casing Depth 100 fL .'Primary Casing:Diameter a. in. Open Hole: From To fL - 14 Estimated Screen lnt6wal From 10o To 17A- 8 - - .. 15 Pnma Casing Material- Black Steel.- ry g Galvanized PVC .Stainless Steel - ... :. ... ....Not Cased' . .-., :. —...:. -- _Other.- 16. See ondary;Casng.:. -_. TelescopeCasmgner. Sudace•Ca`sing Diameter :in. - ' 17 Secondary Casng Materiel: :Black Steel _Galvanized PVC Stainless Steel Other ' 18 Method of.Construchon; Repair, orAbandonment Auger; _Cable Tool . _- Jelled Rofary _Sonic _Corn mation (Two or More Methods) _Hand Driven (Well Point; Sand Poird)L Hydraulic Point (Direct Pus a -:Horizontat:Drillin '.Plu edb :)' h .9 -- g9 yAPprovi: Method:' �. Other (pesonbe'.- _ 19 Proposed Grouting Interval for the-PrimarySecondary, andAdditional Casing.. From ^... To . ��. Seal Material L Beptonite_.- Neat Cement -.._Other - 1 From, ._ '.To.. '-. Seal -Mated f,. Bentonde -.---:=-.Neat Ceirept-_ Other. From - To : -Seat Matenal �_Bante, 'Meat Cement=Other From To . ". Seal Material L_upmonite .Neat Cement :_Other d . - 20 1ndicatetotalnumierof,a)d ingwellsan•site ��. List numbefofexistim unused wellsonsite V 21 As this well orany existing well ocwalerwithdrawal on the owners contiguous propertycovere, under a Consumptive/water Use Permit(CUPM/UP) or CUPIWIIPApplicationg _Yes- x No .if.yes, comp late following: CUPMUP-No. - District WeILID No. 22.. Latitude. - - • Longitude. - - 23 Dafa 06tained From:_GPS —Map ._.`Survey. ." -` '-Datum-.= NAD27 -. - NAD 83. WGS 84 .I[vr&j rd6y NatlaS Mv,6;iI D0�'erWmafTeb<R FbbaMniv4ui eCoda mtl Taawabr ..' IavNYeratlam Omoivc Wva POPerM Naz Navt um Raid--Okamrdx.atl aarlanau-.vatlmY: use Fam3martlfdalnMw9a WnutHmode4hds OcsiuwA EoaEdinvd Pdolroen®r!ncinenldfoeV' Ctim,n_itler.WP�'+m.nmiai 9aWittmmar¢v,arPrPcefi'aESlitlm,fiera�c.imrGMOtilnro • nxzassary,a mnm�bm�IMtn&¢NTraor aOA(mmarm RwNedNa'vappGavmbocviu.vMvmlFSe'vrxLi. am. ..dneffaM^J: a4itu.Crbcil -- aappPcble. la9aabPla'adax»eP.� -.: .-.. a9�tfvrVwoi�. NalAo MamalarPalCed.bemuate�ma PIll mvain/ _rv.V eve amaal MeY :'- '� ��Wooarsmmbn'rppv'.'nmBo��emm�mtaiv�oelepatiauuttmpv5msss mmplodon m__ � NWna�daY ,.mover um,w:. b � ' IgnaWra of Contractor, '. License No. :Sig. __., afOwner orl�gen( "Gale _ ApProvat Granted BY. Issue Date W / Ezpira6on Dale //Irr LOAF HydrologistAPproval Fee Received S -. Receip(No. Check No. THIS PERMIT IS NOTVALIDUNTIL PROPERLY SIGNED 13YMAITTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BEAVAILABLEATTHE WELL SITE DURING ALL CONSTRUCTION, REPAIR MODIFICATION, ORABANDONMEi4TACTWMES. DEPFonn:62-532900(1) Incoiporatad in 62-532400(1)FA.C. E0ective-Date:October7,2010 Pa etof2 9 / I - - "e---------------------- W----------------------- p 90.00 p`3 to 10' D.U.E. cl I — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- 10' D.U.E./ \ ------ C I FND 4"x4" CM � \ I-PRM LS 2391 / \ w❑ 0.02' W L � I CD_ JQda . p ❑II II j DRIVEWAY PROPOSED WELL 57.33' II D pI \ coMO D X- LVri j X , rl IN O 180.00, T1 s OI in Z �1050. GAL. SEPTIC TANK bi I - ' -------— - 90.00 --`� - ----------�°- - - - - i >� 10' D.U.E. I —=--==------------ 10' D.U.E. o � BENCHMARK -------------------------- SET 5/8"IR&C 500 S.F. DRAINFIELD Lq 4286 (44) QUICK4 INFILTRATORS �16 -1 UNOBSTRUCTED AREA W C ur.reµc'irlr;tv'i' yr nr.eu,'i'n ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Christopher & Christina Dav PROPERTY ADDRESS: TBD LOT: 7 BLOCK: SUBDIVISION: PROPERTY ID #: 2329-502-0007-000-6 #: 56-SF-1911124 #: AP1389227 FEE PAID: RECEIPT #: DOCUMENT #: PR1198434 Drawdy/Brocksmith Rd [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 T [ 1,050 ] GALLONS / GPD Septic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY .N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ ] D [ 500 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED (XI MOUND [] I CONFIGURATION: [X1 TRENCH N F LOCATION OF BENCHMARK: Site SM. } I ELEVATION OF PROPOSED SYSTEM SITE E BOTTOM OF DRAINFIELD TO BE L D FILL REQUIRED: r22.001 INCHES O T H E R [ ] BED [ ] pped IR SW property corner [ 6.00 ] [ INCHES FT ] [ ABOVE [ 2.00 ] [ INCHES FT ] [ ABOVE BENCHMARK/REFERENCE POINT BENCHMARK/REFERENCE POINT system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of 9pd SPECIFICATIONS BY: Brian J Ingr TITLE' Environmental Specialist II APPROVED BY: w42TixEt Environmental Specialist II Brian J Ingr DATE ISSUED: 01/15/2019 EXPIRATION DATE: DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, FAC 1.1.4 "1389227 SE1148193 St. Lucie CHD 07/16/2020 Page 1 of 3 NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile -number -is-850-413-8743.- Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. St. Lucie County Health Department 5150•NW Milner Dr Port Saint Lucie, FL 34983 PAYING ON: PERMIT#:56-SF-1911124 BILL Doc#:56-BID-4055715 CONSTRUCTION APPLICATION #: AP1369227 RECEIVED FROM: Culpepper & Terpening, Inc AMOUNT PAID: $ 515.00 PAYMENT FORM: CHECK 1677 PAYMENT DATE: 12/21/2018 MAIL TO: Christopher & Christina Day FACILITY NAME: PROPERTY LOCATION: TBD Brocksmith Rd Fort Pierce, FL 34945 7 Lot: Block: Property ID: 2329-502-0007-000-6 EXPLANATION or DESCRIPTION: QUANTITY FEE '128 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 -1 - Surcharge (All) 1 $ 15.00 -1 - OSTDS New Permit Surcharge 1 $ 100.00 -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123 - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction System Inspection 1 $ 75.00 133 - OSTDS Construction Reinspection 1 $ 50.00 RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-3833163 WiM No. 69-5ACR �°-=`✓ APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: [ X] New System [ ] Existing System [ ] Holding Tank [ ] Innovative -[- -]- Repair- [- ]- Abandonment- -[- -] --Temporary APPLICANT: Chris AGENT: Culpepper & Terpening, Inc TELEPHONE: 772-464-3537 MAILING ADDRESS: 2980 South 25th Street, Ft. Pierce, FL TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT., SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION LOT: 7 BLOCK: SUBDIVISION: Drawdy/Brocksmith Road S/D PLATTED: Aug 2017 PROPERTY ID #: 2329-502-0007-000-6 ZONING: AG-5 I/M OR EQUIVALENT: [ Y / NO] • PROPERTY SIZE: 5.01 ACRES WATER SUPPLY: [ X ] PRIVATE PUBLIC [ ]<=2000GPD [ ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y / QN ] DISTANCE TO SEWER: FT PROPERTY ADDRESS: Brocksmith Road, Ft. Pierce, FL 64g45 DIRECTIONS TO PROPERTY: West on Okeechobee Road, North on Brocksmith 0.8 miles I BUILDING INFORMATION [X] [ ] COMMERCIAL Unit Type of No. of Building Commercial/Institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, FAC 1 single family res 2 _ [ 0 ] .FlooF/Equipment 4 2656 sf ] Other (Specify) SIGNATURE•... pF', �/, DATE DH 4015, 0;8%09,,.(0)isQIets'previous editions which may not be used) F.Incorporated::64E-6'0.01.j'PAC Page 1 of 4 STATE OF FLORIDA ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Christopher & Christina Day CONTRACTOR / AGENT: Culpepper & Terpening, Inc LOT: 7 BLOCK: SUBDIVISION: Drawdv/Brocksmith Rd ID#: 2329-502-0007-000-6 APPLICATION # AP1389227 DOCUMENT # SF114R193 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: 5.01 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER -TABLE 2 ] AUTHORIZED SEWAGE FLOW: 7515.01 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 1000.00 SQFT UNOBSTRUCTED AREA REQUIRED: 750.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: Site SM. yellow Capped IR SW property Corner ELEVATION OF PROPOSED SYSTEM SITE 6.00 [ INCBF:S / FT ] [ ABOVE / BEI BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: 100 FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100 FT NON -POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 6 FT POTABLE WATER LINES: 75 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 SOIL PROFTT.F. TNFORMATTON STTF. 1 QnTT. DRn7TT.7 TN nRMDTTAW STTF. 9 'USDA SOIL SERIES:Riviera fine sand Munsell#/Color Texture Depth 10YR 4/1 Fine Sand 0 To 6 16YR 211 Sand 6.To 12 1 OYR 5/4 Sand - 12 To 18 10YR 614 Sand 18 To 30 10YR 713 Sand 20 To 30 1 OYR 614 Sandy Clay Loam 30 To 42 10YR 612 Sandy Clay Loam 42 To 47 1OG 6/1 Loamy Sand 47 To 72 USDA SOIL SERIES:Riviera fine sand Munsell #/Color Texture Depth 10YR 3/1 Sand 0 To 9 10YR 513 Sand 9 To 17 1 OYR 7/2 Sand 17 To 32 tOYR 7/1 Sand 22 To 32 1 OYR 6/3 Sandy Clay Loam 32 To 45 10YR 612 Sandy Clay Loam 45 To 51 IOG 6/1 Loamy Sand 51 To 72 OBSERVED WATER TABLE: 65.00 INCHES [ ABOVE / EEI EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 20- INCHES [ ABOVE / Piz;; ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 20.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: 51 INCHES DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY) r REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR713 stripping In 10YRSM matrix >10% with diffuse boundaries starting at 20" in SBt and 22" In S82. S81 and SB2 6" below SM. SITE EVALUATED BY: DATE: 12/28/2018 Ingram, Brian (Title- nv[ronmental Specialist 11) (ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editiove vhie may not be used[ Incorporated: 64E-6.001, FAC Page 3 of 4 AP1389227 EID1911124 v 1.0.2 DEPARTMENT OF HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM SITE EVALUATION AND SYSTEM SPECIFICATIONS APPLICANT: Chris Day AGENT: Culpepper & Terpeninq, Inc -LOT:-7- _ BLOCK:- SUBDIVISION -:- PROPERTY ID #: 2329-502-0007-000-6 [Section/Township/Parcel No. or Tax ID Number] nrawdy/Srolrs- Suhdivision 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: 5.01 ACRES TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [RESIDENCES -TABLE 1/OTHER-TABLE21 AUTHORIZED SEWAGE FLOW: 7515 GALLONS PER DAY [1500 GPD/ACRE OR 2500 GPD/ACRE] UNOBSTRUCTED AREA AVAILABLE: - 750 SQFT UNOBSTRUCTED AREA REQUIRED: 750 SQFT BENCHMARK/REFERENCE POINT LOCATION: SW Property corner (Elev 20.65 NAVD 1988) ELEVATION OF PROPOSED SYSTEM SITE IS 0" [INCHES/FT] [ABOVE LO BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 240' FT DITCHES/SWALES: 25' FT NORMALLY WET? [ ] YES [A NO WELLS: PUBLIC: N A FT LIMITED USE: N/A FT PRIVATE: 97' FT NON -POTABLE: N/A FT BUILDING FOUNDATIONS: 14' FT PROPERTY LINES: 32' FT POTABLE WATER LINES: N/A FT SITE SUBJECT TO FREQUENT FLOODING: [ ] YES [X] NO 10 YEAR FLOODING? [ ] YES NO 10 YEAR FLOOD ELEVATION FOR SITE: N/A FT MSL/NGVD SITE ELEVATION: 24.5 FT MSL/NGVD NAVE) i USDA SOIL SERIES: DEPTH TO TO TO TO TO TO SOIL PROFILE INFORMATION SITE 2 MUNSELL #/COLOR TEXTURE DEPTH TO TO TO TO TO TO TO TO TO USDA SOIL SERIES: OBSERVED WATER 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: 0.8 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGU"TION []C], TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS /ADDITIdk.PT.''C1){xfikit SITE EVALVATEIS 'BY: DATE: J DH 4015, 06/09 '(Otisole�e's 'pYeiriCtS,s'@ditions which may not be used) Incorporated: 64E-6.001. FAC Page 3 of 4 56-sic -19u$zY Michelle Franklin, CFA- Saint Lucie County Property Appraiser "";x.. + y 8"r � Y. (!'!1 I„ - a, t fi. � £r � iE.S r %. •>+e'i,P' .C9f 2 ° QN !.} elf. r 1 ,� _ .anf'C' � • � 7�� f� `rK � � �...�(. �a '�S' �� z ;��i .f � I 1 �rh t w-t I� � ilk L }rs • „k� i"4`SJ,. N° ..,.�' ,xis aJajl { I sx • rd.t'",3•�.+y 7;. �}' t ii. a 1 rS } 'br �,�yy,7 'idy.rt.. all *fit/i y {d'J N A.' cS`�';i y'{l•�atT ` aK•'s F:_.YS ai't � t ': �xps��ly��v sib' •� Ir i�}�j�I'�'k i�'��t"'. �y�2:1< � r ~� 7*1-.FL ►qi- ,'Trw t G", ��ilAi 11 I� ,! �; t7LiIt T;T} v�, r +> s-.n .�„�, jr �• Rc ��1. y'`•�4 3Fi i �_. 7 � 1 ff Y�Le SIC ��r P,�- � 'r_'S'�.. w. .01 �-� �r•-yp��y �I r�. •"J�+e"" t` x�l s'-- j,. 1:9.028 0 0.075 0.15 0 0.1 0.2 Souris: Esri, HERE, Garton, USGS, Irltermap, IN( Esri Japarx METI, Esr China (Horg Kong), Esrl Korea, this irtonnatim is de mal to be correct al W s tine butit is suE7ect b Man 0 Capyrigr12019 SaiM Loci) CmMy Property Appr •T � ��rf `� 3" � 7 4 4 It l'i t1i 11. 21 T Ell r x� -,ti �k ' ,I >w , r��"} . I � T_a