HomeMy WebLinkAboutENGINEERING LETTER/SOS
SGAWNhU 29011W , c-firm.
�� 1510 E. Colonial Drive, Ste: 230, Orlando, F132803.
Se"t�ry pp �����3,5� g� Ph: (203)514-4221 • Fax: (407) 895-9061
-Lucib U®univ E-Mail: designwestassoc(claol.com
February 05, 2019.
To: Saint Lucie County Building Dept.
Re: AS BUILT INSPECTION
ENGINEER LETTER OF EXCEPTABLE.
Scope of Work:
Project: 6904 Ocala Ave
Fort Pierce, Fl. 34951
1.) ENGINEERING OF RECORD FIELD REPORT :INSPECTION DATE: 2/5/19 AFTER
ON SITE INSPECTION I CERTIFY AND TAKE RESPONSIBILITY : ALL BUILDING
CONSTRUCION ,CMU, FRAMING, STRAPING ,WINDOWS AND DOOR ARE
INSTALLATION AS PER. MFG. SPEC.AND FLORIDA PRODUCT APPROVAL
FINSH ,WORK AS PER ENGINERRED DRAWINGS AND MEETS FBC 2017
EDITION AND FBC 2017 ACCESSIBLTTY CODE.
ANA
FEB _ 6 2019
Permitting Department
St. Lucie County, FL
FILE COPY
"FINE ARCHITECTURAL• ENGINEERING DESIGN"
"CONSTRUCTION MANAGEMENT"
/y b-,s-- 0sgi�-
February 05, 2019.
To: Saint Lucie County Building Dept.
Re: AS BUILT INSPECTION
ENGINEER LETTER OF EXCEPTABLE.
Scope of Work:
1510 E. Colonial Drive, Ste: 230, Orlando, F132803.
Ph: (203)514-4221 • Fax: (407) 895-9061
E-Mail: designwestassocoaol.com
Project: 6904 Ocala Ave
Fort Pierce, Fl. 34951
ENGINEERING OF RECORD FIELD REPORT: INSPECTION DATE: 02-04-19 AFTER
ON SITE INSPECTION I CERTIFY AND TAKE RESPONSIBILITY ENGINEERING FIELD
REPORT: ALL INDOOR HEATING AND AIR UNITS AND VENTILATION MEETS FBCM
2017.
FEB - 6 2019
permitting Department
St. Lucie Coup
FILE C®PY
"FINE ARCHITECTURAL • ENGINEERING DESIGN "
-CONSTRUCTION MANAGEMENT-
/ Y0,3:e7c)—
February 05, 2019.
To: Saint Lucie County Building Dept.
Re: AS BUILT INSPECTION
ENGINEER LETTER OF EXCEPTABLE.
Scope of Work:
a (��a&,
1510 E. Colonial Drive, Ste: 230, Orlando, F132803.
Ph: (203)514-4221 • Fax: (407) 895-9061
E-Mail: designwestassoc(a)aol.cont
Project: 6904 Ocala Ave
Fort Pierce, FL 34951
ENGINEERING OF RECORD FIELD REPORT. INSPECTION DATE: 02-04-19 AFTER ON SITE
INSPECTION I CERTIFY AND TAKE RESPONSIBILITY ENGINEERING FIELD REPORT: ALL
PLUMBING WATER LINES WITH WATER PERSSURE GAUG @72 PSI WITH NO LEAKS
0OMTS.ALL WATER AND DRAIN LINES ARE CAPED, WITH NO METHANE GAS FROM
DRAINS., VTR ARE 12" FROM ROOFS LOWEST POINT.MEETS FBCP 2017 EDITION
SECTION 301.3
ia! � ft a .� •.
FEB - 6 28.9
Permitting Department
St. Lucie County, FL
FILE Copy
"FINE ARCHITECTURAL• ENGINEERING DESIGN"
"CONSTRUCTION MANAGEMENT"
KK I • V5I:.
February 05, 2019.
To: Saint Lucie County Building Dept.
Re: AS BUILT INSPECTION
ENGINEER LETTER OF EXCEPTABLE.
Scone of Work:
1510 E. Colonial Drive, Ste: 230, Orlando, F132803.
Ph: (203)514-4221 • Fax: (407) 895-9061
E-Mail: desianwestassoc(a)aol.com
Project: 6904 OCALA AVE
Fort Pierce, FL 34951
ENGINEERING OF RECORD FIELD REPORT: INSPECTION DATE: 02-04-19
AFTER ON SPTE INSPECTION I CERTIFY AND TAKE RESPONSIBILITY:1. ALL
ELETRICAL OUTLES ARE GCFI AND LOOP ARE MADE UP IN BOX WITH OUTLET AS
PER ENGINEERED DRAWINGS AND LOCAL AND COUNTY CODES. MEETS FBCE
2017 EDMON AND NEC 2011 ELECTRICAL CODE.
%//z
NO. 3 4
'o/�SS/ONAL�NG\��`\\\
11►1111111\\
---I E®
FEB _ 6 2019
Permitting Department
St. Lucie Coun_ tY
F ILA COPY
"FINE ARCHITECTURAL• ENGINEERING DESIGN"
"CONSTRUCTION MANAGEMENT"
;Bridge Web Viewer Page 1 of I-
v T"B'Tv� SCAMM APPLICATION #:AP1326010
�• c ° STATE OF FLORIDA BY PERMIT I):56-SF-1819128
' DEPARTMENT OF HEALTH S�ND D S,bjg1e.1PgfflltV DOCUMENT a:F11222322
2;y 1•c ONSITE SEWAGE TREATMENT AP SYSTEM
CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:01/30/2018
FEE PAID:515.00
RECEIPT s:56-PID-3473810
'APPLICANT: Miguel Guerra-Ressy
AGENT: Bruce Mc Cullers (Reliable Treasure Coast Services)
,PROPERTY ADDRESS: 6904 Ocala Ave Fort Pierce, FL 34951
LOT: 6
BLOCK: 129
SUBDIVISION:
Lakewood Park IDN: 1301.612-0254-000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH STATUTE OR RULE AND. MUST BE CORRECTED.
TANK INSTALLATION
SETBACKS
( ) [01]
TANK SIZE [1] 900.00 [21 225.00
[
]
[271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polyethylene
[
]
[28]
DITCHES FT
[ ) (031
OUTLET DEVICE
(
)
[291
PRIVATE WELLS 75 FT
( ] [041
MULTI -CHAMBERED IL2�j N ]
[
]
[301
PUBLIC WELLS FT
[ ] [051
OUTLET FILTER Polylok PL-68
[
]
(31]
IRRIGATION WELLS FT
[ ] (061
LEGEND 1. 70-156-90DC3 2, 70-156-02SC3
[
]
[321
POTABLE WATER 10 FT
•1 ] [071
WATERTIGHT
(
]
[331
BUILDING FOUNDATIONS 5 FT
1 ] (081
LEVEL
[
)
[341
PROPERTY LINES 5 FT
[ ) [091
DEPTH TO LID
(
]
[351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ ) [SO]
AREA Ill 345 [2) SQFT
1
]
(361
DRAINFIELD COVER
[ ] (111
DISTRIBUTION BOX READER x
(
]
(371
SHOULDERS
1 ] (121
NUMBER OF DRAINLINES 1. 5.00 2.
(
)
[381
SLOPES
( ] (131
DRAINLINE SEPARATION
[
]
[39)
STABILIZATION 10/04/2018
[ ) [141
DRAINLINE SLOPE
[ ] [151
DEPTH OF COVER
ADDITIONAL INFORMATION
( ) 1161
ELEVATION ( ADOVE / BELO'rl )BM 5.00
[
]
(401
UNOBSTRUCTED AREA
1 ] (171
SYSTEM LOCATION
[
]
[411
STORMWATER RUNOFF
[ ] [is]
DOSING PUMPS 1.00
(
]
[42)
ALARMs
[ ) (191
AGGREGATE SIZE
[
]
[43]
MAINTENANCE AGREEMENT
[ ) (201
AGGREGATE EXCESSIVE FINES
[
)
[441
BUILDING AREA
[ ) [211
AGGREGATE DEPTH
(
)
(451
LOCATION CONFORMS WITH SITE PLAN
FILL / EXCAVATION MATERIAL
1
]
(461
FINAL SITE GRADING
( ) [221
FILL AMOUNT
[
)
[471
CONTRACTOR Bruce T Me Cullers (Reliable T
[
)
[481
OTHER INFILTRATOR (Original 30-inch chars
1 ) [231
FILL TEXTURE
[ ] (241
EXCAVATION DEPTH
ABANDONMENT
( ] (251
AREA REPLACED
[
]
(491
TANK PUMPED
[ ] [26]
REPLACEMENT MATERIAL
[
]
(501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
/
t. Lucie CHD DATE: 02 O912018
CONSTRUCTION
[ APPROVED
DISAPPROVED )° Environmental Supervisor) Di
M11ay (Florltla 0eparlmentof Meals
FINIS SYSTEM
[ AppgpyED /
Y.LUCIe CHD DATE: 10/04/2018
DISAPPROVED ]:
Environmental Specialist 11 Bria
ngram )ENVIRONMENTAL HEALTH)
(Explanation of
Violations on following page)
/]�
DR 4016, 08/09 (Obsolates all previous editions which may not be used)
�/
Incorporated:
64E-6, 003, FAC
Page 2 of 3
EH Database v 1.0.1 AP1326010
E101819128
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Page 2 of If
t�T1E yL�
{OR STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
•:�000 ..t.1�t' CONSTRUCTION INSPECTION AND FINAL APPROVAL
Violation Number Comment
Comments
#:AP1326010
PERKIT #:56-SF-1819128
DOCUbONT u:F11222322
DATE PAID:01/30/2018
FEE PAID:515.00
RECEIPT u:56-PID-3473810
The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of 200
gpd.
New ST and DT installed with Goulds 1/3 HP pump. DF installed lx3, 2x4 and 2x6 chambers long in order to attain 75' setback
from private well. System ok to cover, contractor notified onsite. Needs final for filled system, alarm check and final site grading.
Final system approved. Contractor emailed final approval.
on 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Page 2 of 3
EH Database v1.0.1 AP1326010 EID1819128
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Page 3 of 1-
ro� V
APPLICATION B:AP1326010
STATE OF FLORIDA
PERMIT u:56-SF-1819128
7 '� '•�
b DEPARTMENT OF HEALTH
464
a♦:FI1156464
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
DOCUMENT
PAID: 01/30/018
CONSTRUCTION INSPECTION AND FINAL
APPROVAL
DATE
FEE PAID;515.00
RECEIPT ®:56-PID-3473810
APPLICANT:
Miguel Guerra-Ressy
AGENT: Bruce Me Cullers (Reliable Treasure Coast Services)
PROPERTY ADDRESS: 6904 Ocala AVe Fort Pierce, FL 34951
LOT: 6
BLOCK: 129
_
SUBDIVISION:
Lakewood Park IDk: 1301.612-0254.000-1
CHECKED [X] ITEMS ARE NOT IN COMPLIANCE WITH
STATUTE OR RULE AND MUST BE CORRECTED.
TANK
INSTALLATION
SETBACKS
[ 1 [011
TANK SIZE [1] 900.00 [2) 225.00
[ ] (271
SURFACE WATER FT
[ ] [021
TANK MATERIAL Polyethylene
[ ] [281
DITCHES FT
[ 1 [031
OUTLET DEVICE
[ 1 (291
PRIVATE WELLS 75 FT
[ 1 (04]
MULTI -CHAMBERED [ Y N 1
[ 1 (301
PUBLIC WELLS FT
[ 1 (051
OUTLET FILTER Polylok PL-68
[ ] [311
IRRIGATION WELLS FT
[ 1 1061
LEGEND 1. 70-156-90DC3 2. 70-156-02SC3
[ 1 [321
POTABLE WATER 10 FT
[ ] [071
WATERTIGHT
[ 1 [331
BUILDING FOUNDATIONS 5 FT
[ ) [081
LEVEL
[ 1 (341
PROPERTY LINES 5 FT
[ 1 [091
DEPTH TO LID
[ ] (351
OTHER FT
DRAINFIELD INSTALLATION
FILLED / MOUND SYSTEM
[ 1 [10]
AREA [1] 345 121 SQFT
[ ] [361
DRAINFIELD COVER
[ 1 [11)
DISTRIBUTION BOX _ HEADER X
1 1 (37]
SHOULDERS
[ 1 [12]
NUMBER OF DRAINLINES 1. 5.00 2.
[ ] 1381
SLOPES
[ ) [131
DRAINLINE SEPARATION
[ 1 [391
STABILIZATION
[ ] 1141
DRAINLINE SLOPE
[ ] [IS]
DEPTH OF COVER
ADDITIONAL INFORMATION
[ 1 [161
ELEVATION [ ABOVE / BELOW IBM 5.00
[ 1 [401
UNOBSTRUCTED AREA
[ 1 [171
SYSTEM LOCATION
[ ] [411
STORMWATER RUNOFF
[ 1 [181
DOSING PUMPS 1.00
[ ] [42)
ALARMS
[ 1 (191
AGGREGATE SIZE
[ 1 1431
MAINTENANCE AGREEMENT
I 1 [201
AGGREGATE EXCESSIVE FINES
[ 1 [44]
BUILDING AREA
[ ] [211
AGGREGATE DEPTH
[ 1 (451
LOCATION CONFORMS WITH SITE PLAN
FILL
/ EXCAVATION MATERIAL
[ 1 146]
FINAL SITE GRADING
[ ] [221
FILL AMOUNT
[ 1 [471
CONTRACTOR Bruce T Mc Cullers (Reliable T
[ 1 (231
FILL TEXTURE
[ 1 [48)
OTHER INFILTRATOR(Original 30-inch chant
[ ] [241
EXCAVATION DEPTH
ABANDONMENT
[ ) (251
AREA REPLACED
I 1 [491
TANK PUMPED
[ ) [261
REPLACEMENT MATERIAL
[ 1 [501
TANK CRUSHED 6 FILLED
Comments: Comments are on page 2.
,/pl
[ APPROVED / 16ey
-/
St. LUCIe CHD DATE: 02109I201iy
CONSTRUCTION
DISAPPROVED 1: Environmental Specialist I Dianna "ay (Florida Department of Health
FINAL SYSTEM
[ APPROVED / DISAPPROVED /-,_
Aa �
SL Lucie CHD DATE: 091 18
Environmental Specialist lDianna S May(Florlda Dapartmont or Hoaun
(Explanation of
Violations an following page)
DH 4016, 08/09 (Obsolotes all previous editions which may
not be used)
Incorporated:
64E-6.OW, FAC
P a 2 of 3
EH Databoso v 1.0.1 AP1326010
EID1819128
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Page 4 of 1-
'Ou' � APPLICATION #:AP1326010
STATE OF FLORIDA PERMIT tt:56-SF-1819128
DEPARTMENT OF HEALTH
DOCUMENT tt:F11156464
2 cY'a ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM 01/30/2018
FEE PAID:
a
.? CONSTRUCTION INSPECTION AND FINAL APPROVAL DATE PAID:
515.00
RECEIPT et56-PID-3473810
Violation Number Comment ,
=omments__
The system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of 200
gpd.
New ST and DT installed with Goulds 1/3 HP pump. DF installed 1x3, 2x4 and 2x6 chambers long in order to attain 75' setback
from private well. System ok to cover, contractor notified onsite. Needs final for filled system, alarm check and final site grading.
DR 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC Pago 2 of 3
EH Dabbaso v 1.0.1 AP1326010 EID1819128
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Page 5 of 1-
STATE OF FLORIDA
r- DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
\fib ut S�
CONSTRUCTION PERMIT FOR: OSTDS New
APPLICANT: Miguel Guerra-Ressy
PROPERTY ADDRESS: 6904 Ocala Ave Fort Pierce, FL 34951
PERMIT 4:56-SF-1819128
APPLICATION #:AP1326010
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1092711
LOT: 6 BLOCK: 129 SUBDIVISION: Lakewood Park
PROPERTY ID #: 1301-612-0254-000-1 [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 Seolic now CAPACITY
A [ ] GALLONS / GPD NIA CAPACITY
N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK: 1250 GALLONS]
K [ 150 ] GALLONS DOSING TANK CAPACITY 133.00 [GALLONS @[ 6 ]DOSES PER 24 HRS #Pumps [ 1 ]
D [ 334 ] SQUARE FEET Draini0e[d new SYSTEM
R [ ] SQUARE FEET NIA SYSTEM
A TYPE SYSTEM: [ ] STANDARD (X) FILLED [ ] MOUND
I CONFIGURATION: [ ] TRENCH [X] BED [ ]
N
F LOCATION OF BENCHMARK: orange painted "x" CL of Rd center of property
I ELEVATION OF PROPOSED SYSTEM SITE [ 10.00It INCHES FT ]
E BOTTOM OF DRAINFIELD TO BE [ 5.00 1 [F:ENCHESq FT ]
L
D E
0
T
H
E
R
BELOW]BENCHMARK/REFERENCE POINT
BELOW) BENCHMARK/REFERENCE POINT
L RSQUlay: i 10.UUi 1NCiiss GECAVA'1'lun 1 WuQ 88u: i
ie system is sized for 1 bedrooms with a maximum occupancy of 2 persons (2 per bedroom), for a total estimated flow of
10 gpd. Performing Llft Dosing.
imps must be certified as suitable for distributing sewage effluent.
to licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with
64E-6.013(3)(0, FAG,
SPECIFICATIONS BY: Brian J Ingrann TITLE' Environmontal Specialist II
APPROVED BY: E: Environmental Specialist II St. Lucie CHD
Brian J Ingram
DATE ISSUED: 02/07/2018 tl EXPIRATION DATE: 08107/2019
DR 4016, 08109 (Obsolotes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC �n ago 1 of 3
v 1.1.4 AP2326010 SE1063sal
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Page 6 of 1-
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.
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Page 7 of 1
Pori a
HEALTH
PAYING ON:
RECEIVED FROM:
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
PERMIT a: 56-SF-1819128 BILL Doc a:56-BID-3663180 CONSTRUCTION APPLICATION#: AP1326010
Reliable Treasure Coast Services AMOUNT PAID: $ 515.00
CHECK 5096 PAYMENT DATE: 01/3012018
MAIL TO: Miguel Guerra-Ressy
FACILITY NAME:
PROPERTY LOCATION:
6904 Ocala Ave
Fort Pierce. FL 34951
6
Lot: Block: 129
Property ID: 1301-612-0254-000-1
EXPLANATION or DESCRIPTION:
128 - OSTDS Construction System Inspection Research Fee
-1 - Surcharge (AII)
-1 - OSTDS New Permit Surcharge
-1 - OSTDS Construction Application and Plan Review,New
123 - OSTDS Construction Site Evaluation
126 - OSTDS Construction Permit (New or Mod, Amendment)
127 - OSTDS Construction System Inspection
133 - OSTDS Construction Reinspection
RECEIVED BY: WhiohamJL
QUANTITY FEE
1 $
5.00
1 $
1.5.00
1 $
100.00
1 $
100.00
1 $
115.00
1 $
55.00
1 $
75.00
1 S
50.00
AUDIT CONTROL NO. 56-PID-3473810
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RECEIVED 01/29/2018 06:$OM
Jan 2918,05:05p
Page 8 of 1-
w a
STATE OF FLORIDA
DEPARTMENT OF HEALTH
3 r ONSITE SEWAGE TREATMENT AND DISPOSAL
„���, SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
PERMIT NO ,)jLjL-_1ZL ! IF
DATE PAID •
FEE PAID:
RECEIPT 0•
a^�rlaN-Fc
-� i Nov System ( Sxisting System C I Holding Tank C I Innovative
Repair Abandcnmenit I 1 Temporary
APPLICANT: MIGUEL GUCM1-RESSY
;ANT: RELIABLE TREASURE COAST SERVICES R4DIAN RIVER SEPTIC TELSPH021E: 772-5624242
MAILING ADDRESS- PO Eox 1116, Vero Beach, FL 32961
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, FLORID%+ STATUTES. IT IS TEE
APPLICANT'S RESPONSIBILITY TO PROVIDE CCCUMENTATIOY OF THE DATE TEE LOT WAS CREATED OR
PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRAMPATHER PROVISIONS -
`PROPERTY INFORMATION
LOT: 6 Bwcax- 129 SUBDIVISION: LAKEIVOODPARK PLATTED:
PROPERTY ID 11: 1301-612-0254-080.1
ZONING: RS-4
I/M OR EQUIVALENT:
I Y/N )
PROPERTY SIZE: 0.24 ACRES WATER SUPPLY:
Ix PRIVATE
PUBLIC I 1<-2000GPD (
)>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [
yANl.1
DISTANCS•TO SEWER:
—6---FT
PROPERTY ADDRESS: 6904 OC--ALA AVE rORT PIERCE FL 34951
DIRECTIONS TO PROPERTY: X-Stme-1 DELEON AVE
Locatc ri:
/Requested:
BUILDING INFORMATION
Unit Type of
No Establishment
[ ,/ I RESIDENTIAL [ 3 CObLIORCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area 6 Table 1 Chapter 64E-6 PAC
1 SINGLE FAMILY 1BED
l�2
3
4
C I Floc
SIGNATURE:
DR 4015, -E
Drains (8 11 Other (Specify)
which may not be used)
DATE: 01/10/2018
Page 1 of 4
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ii Tom' Qi STATE OF FLORIDA APPLICATION 4 AP1326010
n` ; t; • t DEPARTMENT OF HEALTH
PERMIT k 56-SF-1819128
_ ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION DOCUMENT A SE1063581
• qe ..1,
oo uT�•
APPLICANT: MJquel Guerra-Ressy
CONTRACTOR / AGENT: Reliable Treasure Coast Services
LOT: 6 BLOCK: 129
SUBDIVISION: Lakewood Park ID#: 1301-612.025400d-1
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE
REGISTRATION tUMER AND SIGN AND SEA. EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: IX]YES [ ]NO NET USABLE AREA AVAILABLE: 0.24 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES —TABLET / OTHER —TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 359,99 GALLONS PER DAY [ 1500 GPD/ACRE OR 2500 GPD/ACRE ]
UNOBSTRUCTED AREA AVAILABLE: 500.00 SQET UNOBSTRUCTED AREA REQUIRED: 500.00 SQFT
BENCHMARK/REFERENCE POINT LOCATION:
"x"CLofRdc
ELEVATION OF PROPOSED SYSTEM SITE 10.00 [ INCHES / FT ] [ ABOVE / BELOW ] BENCHMARX/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER; FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 75 FT NON —POTABLE: FT
BUILDING FOUNDATIONS; 5 FT PROPERTY LINES: 5 FT POTABLE WATER LINES: 25 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
unit. oCreTT.s. TMmlMhTTnN OTTP 1 SnTT. PRnFTLE TNFDRMATTON STTE 2
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
1 OYR 613
FII - Sand
0To 13
10YR 411
Sand
13 To V
t0YR 511
Sand
17 To 30
1 OYR 611
Sand
27 To 36
1 OYR 2/1
Spodic Material
36 To 43
7.5YR 3/3
Spodic Material
43 To 53
7.5YR 514
Sand
53 To 65
10YR413
Sand
65 To 72
USDA SOIL SERIES:Lawnwood sand
Munsell #/Color Texture
Depth
10YR 613
R[I - Sand
0To 14
1 OYR 4/1
Sand
14 To 18
10YR 5/1
Sand
18 To 33
10YR 611
Sand
29 To 37
10YR 2/1
Spodic Malarial
37 To 46
7.5YR 313
Sand
46 To 55
7.5YR 514
Sand
55 To 63
10YR 414
Sand
63 To 72
OBSERVED WATER TABLE: 51.00 INCHES [ ABOVE / EEW ] EXISTING GRADE TYPE:
ESTIMATED WET SEASON WATER TABLE ELEVATION: 29 INCHES [ ABOVE / SELON [
HIGH WATER TABLE VEGETATION: [ ]YES [X ]NO MOTTLING: [X]YES [ ]NO
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:
DRAINFIELD CONFIGURATION: [ ] TRENCH [X J BED
r' REMARKS/ADDITIONAL CRITERIA
[ PERCHED / APPARENT ]
EXISTING GRADE
DEPTH: 29.00 INCHES
Sand/0.60 DEPTH OF EXCAVATION: 53 INCHES
[ ] OTHER (SPECIFY)
✓SV7r determined using USDA WSS and soil borings.
OYR611 stripping In 1OYR511 matrix >10 % starling at 29" in SB1. S8210" above BM. SB211" above BM.
SITE EVALUATED BY:
Ingram, Brian (TWe: Enuiron lfin] Specialist II) (ENVIRONMENTAL HEALTH)
on 4015, 08/09 (Cbaoletaa psevioua edition which m4y not a used) Tneocporated: 64E-6.001L FAC
AP1326010 EID1819120
DATE: 02/06/2018
Page 3 of 4
v 1.0.2
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Property Card Page I of I
5(o-Sr— I X I 9 1 2, i
Michelle Franklin, CFA — Saint Lucie County Property Appraiser — All rights reserved.
Property Identification
Site Address: 6904 OCALA Parcel
ID:1301-612-0254- Accountg:2976 See/Town/Range:
AVE 000-1
01/34S/39E
Map ID: INOIS Zoning: RS-4 Use Type: 0100 Jurisdiction: Saint Lucie
County
Ownership
Legal Description
Miguel A Gucrm-Ressy
LAKEWOOD PARK -UNIT 10- BLK 129 LOT 6 (MAP
- - Claudia CCuba
1310 IS) (OR 4082-1285)
7104 Santa Clam BLVD
Fort Pierce, FL 34951-1259
Current Values
Historical Values 3-year
Just/Market: $51,100 Assessed:
$34,485 Year Just/Market Assessed Exemptions
Taxable
Exemptions: $o Taxable:
S34,485 2017 $51,100 $34,485 $0
$34,485
2016 $33.500 S31,350 $0
S31,350
2015 $28,500 $28,500 $0
$28,500
Sale History
Date Book/Page
Sale Code Deed Grantor
Price
Primary Building Information
Finished Arcs of this building: 1,188 SF
Gross Area of this building: 1,243 SF
View:
Year Built: 1989
Primary Wall: Wood/Sheath
Bedrooms: I
Full Baths: I
Half Baths: 0
Roof Cover: Fibrgiss Shg
Frame:
Story Height: 2 Story
A/C %: 100%
Heated %: 100%
Sprinkled %: 0%
Exterior Data
Roof Structure: Gable
Grade: C-
No. Units: 1
Interior Data
Electric: MAXIMUM
Heat Type: FmdHotAir
Float Fuel: ELEC
Total Areas
Building Type: HC-
Effective Year. 1989
Secondary Wall:
Primary Int Wall:
Avg Hgt/Floor. 0
Primary Floors: CONC GRD
Finished/UnderAir 1,188
(SF):
Gross Area (SF): 1,243
Land Size (acres): 0.24
Land Size (SF): 10,480
Total Building Count: I
Special Features and Yard Items
Type Qty Units Year Bit
This information is believed to be correct at this time but it is subject to change and is not warranted.
® Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved.
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Page 11 of 1`_
Aher Recording Return to,
Ja-Ann wabster
Slewan Title C=Paay
33317th Street. Sure F
Veto Beach, FL 32060
64,SF, IM/"
This Instrument Prepared or.
Jo4dla Webster
Stewart Tieo Company
33317th Street. Sidle F
Veto Beach. FL 32960
as a necessary incident to the futRunenl of wnditicns
contained in a tale insurance commianent Issued by a.
Property Appraisers Parcel I.D. (Folio) Number(s):
1301-612-0254-000-1
File No.: 155207
WARRANTY DEED
This Warranty Dead, Made the 27th day of December, 2017, by Eugene Elchelberger and Caryn
Eichelborger, whose post office address is: PO Box 651217. Vero Beach, FL 32965, hereinafter tailed
the "Grantor", to Miguel Angel Guerra-Ressy and Claudia Cecilia Cuba, husband and wife, whose
'post office address is: 7104 Santa Clara Blvd, Fort Pierce, FL 34961. hereinafter wiled the "Grantee•.
WITNESSETH: That said Grantor, for and In consideration of the sum of Ten Dollars and No Cents
(510.00) and other valuable Considerations, receipt whereof is hereby acknowledged; hereby grants,
bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee, all that certain land
situate In Saint Lucie County, Florida, to wit:
Lot No. 6, Block No. 129, Unit No. 10, Lakewood Park, St. Lucie County, Florida, as per Plat on foe in Plat
Book 11, Pages 29A, 29B, 29C and 29D, of the Public Records of St Lucie County, Florida.
The property is not the homestead of the Grantor(s) under the laws and constitution of the state of Florida
in that neither Grantor(s) or any member of the household of Grantors) reside thereon.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or In anywise
appertaining.
To Have and to Hold, the same in fee simple forever.
And the Grantor hereby Covenants with said Grantee that the Grantor is lawfully seized of said land in fee
simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor
Hereby fully warrants the title to said land and will defend the same against the lawful claims of all
persons whomsoever, and that said land is free of all encumbrances, except taxes accruing subsequent
to December 31, 2017, reservations, restrictions and easements of record, if any.
(The terra, -Graelo-ard'Grentee'h^rein shellac cmuUued to inCude aAssmfers aril shgulam p9aalas the eantazthsdka/eaJ
IN WITNESS WHEREOF, Grantor has hereunto set Grantors hand and seal the day and year first
above written.
SIGNED IN THE PRESENCE OF THE FOLLOWING WRNESSES
TWO SEPARATE DISINTERESTED WITNESSES REQUIRED
Witness Signature .✓ it. 10).
Printed Name: uuggl�e e Eichelberget—,�
Witnes
Printed-Name: 70.1111f1 y')2 (�'4Cf Caryn Er Iberger
State of Florida 'J
County of Indian River
The foregoing instrument was acknowledged before me this 27th day of December, 2017 by Eugene
EI helber� 41 ndaryn Elc Colberger, who has produced driver license(s) as Identification.
r
Wif 11 My Commission Expires: 5131/2017
NdtairPublib Signature (SEAL)
Printed Name: Jo -Ann Webster
•t .Jwa1,1WE13IInt"a
tFf
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Page 12 of 1
LAKEWOO) PARK. UNIT-10 BLOCK 12a
ACCORDING TO THE PLAT THEREOF AS RECORDED W
PLAT BOOK 11. PAGE 29 OF THE PUBLIC RECORDS
OF ST. LUCIE COUNTY. FLORIDA,
CCHTAINNG 0.24 ACRES HOPE OR LESS.
FLOOD ZONE, % PANEL NO. 220GI00070 J
MULL A. GUERRA
LOT 10 111 LOT 9
LOT 5
SURVEY NOTES
I. LANDS SHOWN HEREON WERE NOT ABSTRACTED FOR
RIGHTS -OF -WAY AND/OR EASEMENTS OF RECORD.
2. THIS SURVEY 15 CERTEICD ONLY TO THE GAMED INDIVIDUALS.
3. ELEVATIONS OF SHOWN) HEREON ARE BASED ON
NAND. Q'IBB). UNLESS OTHERWISE NOTED.
4. LEGAL DESCRYTION SUPPLIED BY CLIENT.
S. NO STRUCTURES OR UTIUMS THAT ARE BENEATH
THE SLRFACE HAVE BEEN LOCATED.
G. ALL LOT DMENSIONS ARE PLAT ADD MEA5URED
UDRESS OTHERWISE NOTED.
7. ALL SET CAPS LABELED PSM WEH 441G
ARE SUPPORTED WITH AN 15' LONG A5 REBAR
0 I \ LOT 8
c• ODD F r
0UP. /
fNO. Yi LP.-
-ay° D'nEoz
i I � u I � ^ya• /
'J a c m _ _ \'J /u\
0 \213LOCK 129 /
°' LOT G
\ 1 STORY
b STORAGE/ /\
V A FRAM,F GARAGE— \
/ 500 0fT. FDOH InWe CCUW7 7
cc)' �e�b�`z / Environ alai Health
Site Plan Appr ved for Construction \
Supersedes All revious Site Plans for a
9 OSTDS #55-5 ,I Ma & Well #601 M} a z
0
(Date: 'Y I '
Review r: -
�� I PKDPD �, J
,YELL 101A'
FrID4 CAF r'r•9. IxLR.—
\
y�R
AVE.
70' P./W J 20• PAVCI'RNT
FIND. DAP 10' UTILITY
C34773 ) I F DP.AWAGC EASEMENT
LEG D ' Y AHB�IAT'BNS
\
I
ULD EAHE ➢RAWAGE b U,IRT,
➢�9 HELTAT ElEVhTIDN IF. IFD11 ROD
A/C AIR gYHITIGYg L LO"M�-
BLN HLDC% M M'eAZ11RED
B]L HEtanY.RRK NSD NAIL b DLTK
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H,H. - HEARDID HASP NR FMfT RA➢IAL
C CALRD DUST DNV pkgN -H
CH C40z➢ RCARIHG P PLAT
00RD DHSTANLi P/I( PARKg-K
C
C.e.S CDNCRE,E HLOG( HYPE DP NAIU '
MAIL
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STRUCTNiC ova veo..mm evcreo�c
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Page 13 of 1
FDOH in St. Lurie COUIdy
Environmental Health
Site Plan Approved for Construction
supersedes All Previous Site Plans for '
DS# - • I 4MY & Well.# 9-1 052
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II ACC 0W1 /Qi.o+ KI%ww/bl,
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Page 14 of 1_
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Page 1 of I
STATE OF FLORIDA WELL COMPLETION REPORT
°tme
I:ISouthweal
P{r C Fllloi?AU—UC RElaa
C1Northwost rounmlas Requimd Flolda Whom AppUcabrd,
g •+ _
CISt,,.r.�ohms River
[55outn Florida, '
rsoawgrs°�
OSuvmnnee River /�
ODEP 0
-
ODalegaled Authorily(1(Applicable) 16
7:Permit Numbers/.0 �n S7
4.'Complo6on
-Section Land Grant '
8. Latitude Longitude
9, Data Cbleined Fmm:_GPS _Map _Survey ( Datum:_
10.'iypoefWork Conowction Repair Modification Abandonment
J
Dab awnp
joO - 9 20,18
r;
[iRlDbjlri-f
,°•ri
EN s
A— E2-S24 Delineation No. r '
p 01"G ed, mpaked, arobandoned
MS. Fiodtla UNquo ID
'TownsNp -Range_
.
NAD a3 WGS 84
17.-Specifylntended Use(s) of Woll(s):
�omoslic Irrigation
_AgdcuHuml irrigation
Site Investigstron
_Landscape
Bolded Water Supply Rccrowlan Arco lrrigagon
Uvestack �
`Nursery lidgailon
_Monlladng
_Test
Public Water Sup* (Unified USo10OH)
_Commoru4akindualrial
Eest Coupled Goomarmol
_PabGeSVater Supply (CommunityorNon-CommunilyfDEP)
_GONCoursolmgagon
_MVAC Supply
Glass l lry'ewicn
••
_RVAC Return
Class V injection: _Roche rgo_ CommomiaglndusldN Disposal _Aqulfor-Slomgo and Rocovory_Orainago -
Romodlatiare Recovery _AfrSpar9a _ONarlw®n,al
12.-DNI McNad: _Au➢ar _CahlaTcol _Ralary __C=binaUon (Two or More kAaitiods) _Jetted _SoNc
_Horizontal On7Cmg
_Hydraulic Pelnt(DlmdPt :h) _Other
1$'rleaswnd Slade Wafer Levei (L
Measuned Pumping Wausr L5vcl ft Altuf Houtsal GPM
14,•r.leasurirv�Pwnt(Oc.vlbo}
Wh)chb R Above____Pebw Land Surfa4a 'Flawing:_Yes No
16:Coong Material; Slew —Staln1cl-Slew Carad
—Black _Galwnhod
LLL 16.-Total Wan Depth/ Cased Depth
,PVC __Not 'Other
/ Oa. 'Open Hofw Fmm—To,R 'Saeem Fmm -? Clro Xft, Sbl Sze , /}2L
17; Abandorment _Olner(Fxplain)
From 9. TO—ft. No. of Bags_
Seal Material (Check Ono): Naa1 Camont eenlawla Omer
• From To R. No. or Bags_
Seal hialerinl(Chock Ono): —Neal Cement Bentanile Other
_tL
Fmm_IL To No.af Bags
Seal Material (Check One)_Neal Comenl Bantanile Omer
Fmm IL Toth. No.or Bags
Bow Material (Check Ono):_Naal Cement Senlowle Other.
From_IL To tL No.af Baggy` Seal Material (Chock One):_ Neal Cement Benlonite Other,
18.'Surfnce, Casing Diameter and Depth:
Dia_In. From ' fL To n.
No. or Bags Saw Mwadal(Cherk Ono))::�Neat Cement Banlonho Omer
Cta_In. Fmm_IL T=IL
_
No_of Bags Seal fdatodal (Check Orrer Neat Cement Benlcnite Omer
19.1'rim as! ng Diamel nntl DoDBs,
Cia lm Fmm R To 7� 8.
Dla In. Frort IL TO T R
"
No. of Bags �O Seal Malarial (Check One); 'Neal Cement BenfoNle Other�,�./l
No. of bags Seal Malarial (Check One)�Neat Cement Benlonite Omer'[py�(
.�.0
Dta p. From To_Q.
No. of BogsSeal Maturial(Check OneY.__.�eat Cement_`$enumpe oinor*[[[•„
Die In. From_ik To fL
No. of Bags Seal Malarial (Chock Ono Cement Bentontto Other
Dia_In. From fL Ta_R
Neat
No. of Bags Seal Material (Check One): --Naar Cemenl_9enbn8a Other
20.'Unor Casing Diameter and Depth:
'
Din In. Fmm____.JL Tc
No. of Bags Seal Material (Check Onep Neal. Cemont_Bomonhe Omer
_B.
Oia_Im Fmm_fL Tv iL
No. of Bags Seal Mate" (Check O o); Neot Cemen{_-Bentonite Omar
DFa_In. FmmfL TOR
No. of Sags Seal Material (Check One}_fleal CemenoBentonlle Omer
21: Telescope Casing Diameter and Depth:
Diu in. From_h. To_It.
No. of Bags_ Seal Malarial tChawr Ona)'Nm aal Ceent Benlonfle__Olher '
Oia In. Fmm fL Tc_h.
No. ofOags _ Saefflaterial(Chock Onok _Neat Cement—Sentongo _Other
Dia in. From IL To h.
No. of Ssgc __ Seal Malarial (Chock OnoJ_Neal Comanl_Bentordle_Other
22. Pump Type (If Known):
_Cenblfugal _Jot _SUbmersihie _Turbine
HarsepowRr Pump Capacity(GPM)
Pump Depm_H. Wake Depth it
24. Water Well ContractorNumber_
(
Number r • P bmaJ
I
'Contrawor Name
'Conmaclor's Slnm
'OrlQor'u Name (Flint
_ DEPFom U2-572ea0(2) Iraurperatadin 12,c)Z41% FAG. EQeri.a Date: OCcav7, 2Ufe
23. ChomicalAnalysis (When Regpimd):
Iron dpan Sulfate ppm Chloride cam
_LabmatoryTesl _TFleld Tasl Kit n
Pegal oft
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Page 1 of ]
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
2379 BROAD STREET, SROOKSVILLE, FL34604-6899
PHONE: (352) 796-7211 or (800) 423-1476 '
W W W.SWFW MD.STATE.FLUS
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
4049 REID STREET, PALATKA, FL 32178-1429
PHONE: (386) 329-4500
WW W.SJRWMD.COM
NORTHWEST FLORIDA WATER MANAGEMENT DISTRICT
152 WATER MANAGEMENT DR, HAVANA, FL 32333-4712
(U.S. Highway.90. 10 miles west of Tallahassea)
PHONE (850) 539-5999
W W W.NWFWMD.STATE.FL.US
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
P.O. BOX 24680
3301 GUN CLUB ROAD
WEST PALM BEACH, FL 33416-4680 ,
PHONE: (661) 68"800
W W WSFWMD.GOV
SUWANNEE RIVER WATER MANAGEMENT DISTRICT
9225 CR 49 -
LIVE OAK, FL 32069
PHONE: (386) 362-1001 or(800) 226-1066 (Florida only)
W W WMYSUWANNEERIVER.COM
'DRILL CUTTINGS LOG (Examine wtangs evary20 IL cratformallon changes. Note,mvidwand depth to producing mno. Grain S1m:.F=Fme,
M=Medfum and C--Coarse (� ' ,n
From O' ft To� I R Ccior Gram Sim IF. M. C)__ Material weZQ
From R TO R Color Grain Sim (F. M. CL_ Material
From .' f4 To R Color 7 Grain Size (F h1, C)_ , Malarial
From
IL
TO R
Caor
Grain Size (F. h1, Cj_ Malona I
From R
From R
From 8.
Fmm R
From IL
From iL
From-ft.
From n.
From it
,Fmm fL
From IL
From R
From R
From fL
From tL
From tL
From IL
From IL
From . fL
From-ft.
From--ft.
Fmm R .
To
To
To
To
To
Tc
To
To
To
To
To
Ta
To
To
Ta
Tc
TO
To
To .
To
To
To
IL
0.
--ft.
IL
fL
R
f .
fL
R
IL
fL
fL
LL
IL
R
R
2
iL
It.
it
fL
fL
CNar
Ca-r
Ccior
Com
Color
Color
Cater
Color
Cater
Color
Color
Cofer
Color
Cola
Color
Cdor
Color
Color
Cola f
Color
Color
COlor
Grain Sim IF, M. C)_ Malarial /
Grain Size IF, M. C)__ Material
Grain Sim (F M, C)__ Material
Groln Size IF, M, C) Material
Grain Sim (F. M, C)__ ,•material
Grain Sim'(F, M, Cl , Melerlal
Grain Size (R M. C)__ Material
Grain Size IF, M, C) Material
Grain Sim (F. M. C) Material
Grain Sim IF. M. C) Material
Grain Size (F M. C) Malarial
Grain Sim (F. M, C)_ Material
Grain Sim (F. Id, C)_ Malertal
•Graln Size (F. M. C)_ Material
Grain Sim (F. M, CL_ Material
Grain Size IF, M. CL_ Material '
Grain Stet IF, M. C) - Material
Grain Size IF, M. C)_ Material
Grain Size IF, M, C)J_ Material
Grain Size (F. M, 0) Material
Grain Sae (F. M, C)_ 'Material
Grain Size (F, M. C)_ Malarial '
Ccmmr as:
-Detailed Site Map of Well Location
1
Fora 925R.a00(2J InoulvraleaNRS32410, FhG. Ept�,n'a lJalarrx+ou¢r•au r,r ..
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