HomeMy WebLinkAboutD O H PAPERWORKJlUd - UOL-1I
STATE OF FLORIDA
DEPARTMENT, OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL ,,,]So
SYSTEM
CONSTRUCTION PERMIT FOR:
APPLICANT:
PERMIT #:56-SF-2010882
APPLICATION #:AP1449778
NOV 9.,tme7, 2019
nt
pe going Deep rtV
OSTDS New
of Northwest Florida. Inc)
DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1281992
'SCANNED
PROPERTY ADDRESS: 5309 Palm Dr Fort Pierce, FL34982 --
LOT: 44 BLOCK: 49
SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-608-0346-000-6 [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAR 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 [
1,050 ]
GALLONS / GPD
SeDtiC 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 pc] MOUND
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM „X„ painted in road ELEV=16.02
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D E
O
T
H
E
R
I
%.00 ][1 INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
5.00 ][INCHES FT ][ABOVE BELOW BENCRMARK/REFERENCE POINT
"L tt Wuitt U: tCU.UUJ INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd. G O
SPECIFICATIONS EY: Dianna S May TITLE: Environmental Supervisor I
APPROVED BY: TITLE: Environmental Supervisor I St. Lucie CHD
nianna S May
DATE ISSUED: 11/22/2019 EXPIRATION DATE: 05/22/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC 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.
;u
HEALTH
PAYING ON:
RECEIVED FROM
PAYMENT FORM:
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL.34983
#: 56-SF-2010882 BILL I= #:56-BID-4465224 CONSTRUCTION APPLICATION #: AP1449778
Benjamin Drew"s Plumbing & Drain Ser AMOUNT PAID: $ 545.00
CHECK 180790 PAYMENT DATE: 10/23/2019
MAIL TO: (Adams Homes of Northwest Florida, Inc)
FACILITY NAME :
PROPERTY LOCATION:
5309 Palm Dr
Fort Pierce, FL 34982
' 44
Lot:
Property ID: 3402-608-0346-000-6
EXPLANATION or DESCRIPTION:
49
Block: _
QUANTITY FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-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-4206515
STATE OF FLORIDA
s DEPARTMENT OF HEALTH
p ONSITE SEWAGE TREATMENT AND
SYSTEM
APPLICATION FOR CONSTRUCTION
APPLICATION FOR:
[ y New System [ ] Existing System
[ ] Repair [ ] Abandonment
PERMIT NO.6b;AE-PWX&X
DATE PAID: LQ
DISPOSAL FEE PAID:
RECEIPT #: �g�1q�
PERMIT
Holding Tank [ ] Innovative
Temporary I 1
�/
APPLICANT:_�n-r--n}� OZM S l1(�fhjt)V4- (/y��]� �li�Y 1 p •
I. Y_Y I /)--
AGENT: 1ry-\\n 11I�P. f47, i'L�A LI TELEPHONE:,,
MAILING
ADDRESS:
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: 14q� BLOCK: L[9 SUBDIVISION: TnU (,i. h G 1 I-:Sj@— S PLATTED:
PROPERTY ID #:3.�2'lQbB''O3�(cv'lx��'lD ZONING: 95-A I/M OR EQUIVALENT: [ Y / N�
PROPERTY
SIZE:
ACRES
WATER
SUPPLY:
[ ] PRIVATE
PUELIC [X]<=2000GPD [
1>2000GPD
IS SEWER
AVAILABLE AS
PER 381.0065,
FS? [ Y
/ NN
DISTANCE TO SEWER:
AA FT
PROPERTY ADDRESS:
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION
Unit Type of
No Establishment
[�] RESIDENTIAL [ ] COMMERCIAL
No. of Building Commercial/Institutional System Design
Bedrooms Area Sq£t Table 1 Chapter 64E-6 FAC
noun
2
3
4
[ ] Floor/Equipment Drains
SIGNATURE:
DH 4015, 08/09 (Obsoletes p
Incorporated 64E-6.001, FAC
] Other (Specify) [�
DATE: 2I 1
editions which may not be used)
Pagel of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Adams Homes of Northwest Florida, Inc
CONTRACTOR /. AGENT: Benjamin Drew"s Plumbing & Drain Services
LOT: 44 BLOCK: 49
SUBDIVISION: Indian River Estates ID#:3402-608-0346-000-6
APPLICATION #
PERMIT # 56-SF-2010882
DOCUMENT # SE1230867
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: EX ]YES [ ]NO NET USABLE AREA AVAILABLE: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 575.01 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 BM "X" painted in road ELEV=16.02
ELEVATION OF PROPOSED SYSTEM SITE 7.00 I INCHES / FT ] [ ABOVE / [!HOW ] BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100+ FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 11 FT POTABLE WATER LINES: 30 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 I MSL / NGVD
cnTr. nunvTT.R TNPORMATTON RTTE I SOIL PROFILE INFORMATION SITE 2
USDA SOIL SERIES:Waveland
Munsell #/Color
fine sand
Texture
Depth
10YR 3/1
Sand
0 To 14
10YR 511
Sand
14 To 25
1 OYR 611
Sand
22 To 25
10YR 412
Sand
25 To 36
10YR 612
Sand
36 To 43
REFUSAL
Refusal
43 To 72
USDA SOIL SERIES:Waveland fine sand
Munsell #/Color Texture
Depth
1 OYR 3/1
Sand
0 To 12
1 OYR 411
Sand
12 To 20
1 OYR 611
Sand
20 To 38
1 OYR 6/2
Sand
34 To 45
REFUSAL
Refusal
45 To 72
OBSERVED WATER TABLE: 25.00
ESTIMATED WET SEASON WATER TABLE
HIGH
INCHES [ ABOVE / HE ]
ELEVATION: 22 INCHES
EXISTING GRADE
[ ABOVE
TYPE:
/ BELOW ]
[ PERCHED / APPARENT ]
EXISTING GRADE
WATER TABLE VEGETATION:
[ ]YES [X]NO MOTTLING• [X]YES
[ ]NO
DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION:
DRAINFIELD CONFIGURATION: [X ] TRENCH [ ] BED [ ] OTHER (SPECIFY)
r REMARKS/ADDITIONAL CRITERIA
determined using USDA WSS and soil borings.
1 stripping in a 110YR511 matrix >10 % with diffused boundaries starting @ 22" in SBt. Refusal due to saturation in both
:. SB1 7" below BM. SB2 9" below BM.
INCHES
SITE EVALUATED BY: 1ley. ++- a DATE: 11/06/2019
May, Dianna (Title: Environmental upervisor 1) (Florida Department of Health in St Lu
DE 4015, 06/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND—MSiVED
SYSTEM
PERMIT #:56-SF-2010882
APPLICATION #:AP1449778
DATE PAID:
FEE PAID:
RECEIPT #:
D€C 0 9 %�'g DOCUMENT #: PRt�11281992
ST, Lucie County, Permitting SCAf�B�ED
CONSTRUCTION PERMIT FOR: OSTDS New BY
APPLICANT: (Adams Homes of Northwest Florida, Inc) Stluc(eCoijnb?
PROPERTY ADDRESS: 5309 Palm Dr Fort Pierce, FL 34982
LOT: 44 BLOCK: 49 SUBDIVISION: Indian River Estates
PROPERTY ID #: 3402-608-0346-000-6 [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 [ 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 [X] MOUND
I CONFIGURATION: [X] TRENCH [ ] BED [ ]
N
F LOCATION OF BENCHMARK: Site BM "X" painted in road ELEV= 16.02
I ELEVATION OF PROPOSED SYSTEM SITE [ 7.00 ]
E BOTTOM OF DRAINFIELD TO BE [ 5.00 ]
L
a
0
T
H
E
R
FT ][ABOVE 4 BELOW BENCHMARK/REFERENCE POINT
FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
ncyuineu: tGU.UU] INCHES EXCAVATION REQUIRED: [ ] INCHES
The system is sized for 4 bedrooms with a maximum occupancy of 8 persons (2 per bedroom), for a total estimated flow of
400 gpd.
SPECIFICATIONS BY: Dianna S
TITLE: Environmental Supervisor I
APPRO
VED
BY: TITLE: Environmental Supervisor I St. Lucie CHD
Dianna S May
DATE ISSUED: 11/22/2019 EXPIRATION DATE: 05/22/2021
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, FAC 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
HEALTH
5150 NW Milner Dr Port Saint Lucie, FL.34983
PAYING ON: s:56-SF-2010882 BILL DOC#.56-BID-4465224 CONSTRUCTION APPLICATION 4: AP1449778
RECEIVED FROM: Benjamin Drew"s Plumbing & Drain Ser AMOUNT PAID: $ 545.00
PAYMENT FORM: CHECK 180790 PAYMENT DATE: 10/23/2019
MAIL TO: (Adams Homes of Northwest Florida, Inc) —
FACILITY NAME: _
PROPERTY LOCATION:
5309 Palm Dr
Fort Pierce, FL 34982
44 49
Lot: Block:
Property ID: 3402-608-0346-000-6
EXPLANATION or DESCRIPTION:
QUANTITY
FEE
128 - OSTDS Construction System Inspection Research Fee
1
$
5.00
-1 - Surcharge (All)
1
$
45.00
-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-4206515 1
c� STATE OF FLORIDA
DEPARTMENT OF HEALTH
p° ONSITE SEWAGE TREATMENT AND DISPOSAL
SYSTEM
APPLICATION FOR CONSTRUCTION PERMIT
APPLICATION FOR:
New System [ ] Existing System [ ] Holding Tank
[ ] Repair [ ] Abandonment
[ ] Temporary
APPLICANT:
AGENT:
MAILING ADDRESS:
I
t
PERMIT NO.54]�8F-1(ig$�
DATE PAID: to Ict
,_--
FEE PAID:
RECEIPT #: lK�'1g0
[ ] Innovative
TELEPHONE: II Z- O 9r)-2 %P1
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: � BLOCK: 49
1 SUBDIVISION: z�VIff =1-�.i. PLATTED: ./'%
PROPERTY ID #:3. 022-oa, Ae-rV1 _� ZONING: �S'L I/M OR EQUIVALENT: [ Y / ND
`11.,ry
PROPERTY SIZE: _ ACRES WATER [ ] PRIVATE PUBLIC ['X]<=2000GPD [ ]>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y // N n DISTANCE TO SEWER: 'Y A FT
PROPERTY ADDRESS: ���� onlm 17viW�
DIRECTIONS TO PROPERTY:
BUILDING INFORMATION [If] RESIDENTIAL [ ] COMMERCIAL
Unit Type of No. of Building Commercial/Institutional System Design
No Establishment Bedrooms Area SgPt Table 1, Chapter 64E-6 FAC
I �e ��n�; a nounu0(�__--tom
3
4
[ ] Floor/Equipment Drains [ ] Other (Specify)
SIGNATURE: DATE: _!__
DR 4015, 08/09 (Obsoletes previous editions which may not be used)
Incorporated 64E-6.001, FAC Pa4e l of 4
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM
SITE EVALUATION AND SYSTEM SPECIFICATION
APPLICANT: Adams Homes of Northwest Florida, Inc
CONTRACTOR / AGENT: Benjamin Drew"s Plumbing & Drain Services
LOT: 44 BLOCK: 49
SUBDIVISION_ Indian River Estates ID#: 3402-608-0346-000-6
APPLICATION #
PERMIT # 56-SF-2010882
DOCUMENT If SE1230867
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: 0.23 ACRES
TOTAL ESTIMATED SEWAGE FLOW: 400 GALLONS PER DAY [ RESIDENCES -TABLET / OTHER -TABLE 2 ]
AUTHORIZED SEWAGE FLOW: 575.01 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 BM "X" painted in road ELEV= 16.02
ELEVATION OF PROPOSED SYSTEM SITE 7.00 [ INCHES / FT ] I ABOVE / Eidl BENCHMARK/REFERENCE POINT
THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES
SURFACE WATER: FT DITCHES/SWALES: 15 FT NORMALLY WET: [ ]YES [X]NO
WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 100+ FT NON -POTABLE: FT
BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 11 FT POTABLE WATER LINES: 30 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
SOTT. PPn7TT.F Tunnnunmr,...
USDA SOIL SERIES:Waveland
Munsell #/Color
fine sand
Texture
Depth
1 OYR 3/1
Sand
0 To 14
1 OYR 5/1
Sand
14 To 25
10YR 6/1
Sand
22 To 25
1 OYR 412
Sand
25 To 36
1 OYR 6/2
Sand
36 To 43
REFUSAL
Refusal
43 To 72
SOIL PROFIT.F TNF PMMITnM cTmo e
USDA SOIL SERIES:Waveland
Munsell #/Color
fine sand
Texture
Depth
10YR 3/1
Sand
0 To 12
1 OYR 4/1
Sand
12 To 20
1 OYR 6/1
Sand
20 To 38
10YR 612
Sand
34 To 45
REFUSAL
Refusal
45 To 72
OBSERVED WATER TABLE: 25.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ]
ESTIMATED WET SEASON WATER TABLE ELEVATION: 22 INCHES ( ABOVE / EELOW ] EXISTING GRADE
HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 23.00 INCHES
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Sand/0.80 DEPTH OF EXCAVATION: INCHES
DRAINFIELD CONFIGURATION: [XI TRENCH [ ] BED [ ] OTHER (SPECIFY)
F REMARKS/ADDITIONAL CRITERIA
determined using USDA WSS and soil borings.
1 stripping in a 10YRS/1 matrix>10% with diffused boundaries starting @ 22" in SBi. Refusal due to saturation in both
SBt 7" below BM. SB2 9" below BM.
SITE EVALUATED BY:
May, Dianna (Title: Environmental Apervisor 1) (Florida Department of Health in St Lu
DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC
DATE: 11/06/2019
Page 3 of 4