Form Cep-3 "Application for Large Flow Development" - Alabama

Form CEP-3 or the "Application For Large Flow Development" is a form issued by the Alabama Department of Public Health.

Download a PDF version of the Form CEP-3 down below or find it on the Alabama Department of Public Health Forms website.

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CEP-3
REQUIREMENTS FOR THE SITE DEVELOPMENT PLAN (SDP)
(1
is
)
A Site Development Plan (SDP)
required for the following:
(a)
Large-Flow Development (including subdivisions).
(b)
Large-Flow Systems.
(c)
Establishments generating flow of over 1,800 gpd.
(2)
The primary purpose of a SDP is to initiate early involvement of the County Health
Department (LHD) in a project, so as to protect the proposed EDF and REDF area(s) from any
disturbance that will affect the performance of the OSS (such as removing or compacting soil), aid the
ADPH in determining the suitability of a site for OSS, determine the type and location of the system(s) to
be installed, and avoid costly and untimely delays later on in the project. A SDP shall be submitted
before a Permit To Install/Repair will be issued.
(3)
The SDP process is completed in three parts and consists of the CEP-3 Section A Part 1
Preliminary SDP, CEP-3 Section A Part 2 SDP Review, and culminates in the Final SDP, or CEP-3
Section A, Part 3. Worksheets for Part 1, 2, and 3 should be completed as part of the SDP process.
(4
CEP-3 Section A Part 1 Preliminary SDP: The applicant shall schedule an appointment
with a public health environmentalist and other members of the design team. The applicant shall
provide the Preliminary SDP portion (Section A, Part 1) of the CEP-3 application, a preliminary soils
map meeting the requirements of Rule 420-3-1-.73 (2)(a), vicinity map, and topographic map. The
approximate property boundaries shall be shown as applicable on these maps or a separate map.
These maps shall be the basis of a discussion of the proposed site which shall cover such subjects as
development ideas, site evaluation methods to be used, potential site restrictions, availability of public
sewer, water supply and lot sizes. Following the Preliminary SDP meeting and discussion, the LHD shall
provide to the applicant, a Part 1 Site Development Report summarizing the discussion points and
establishing plans to proceed to Section A Part 2 of the SDP. Information and material outlined in
Section A Part 2 that is required before an official site visit with the local health department should be
discussed at this time. A tentative site visit date (Section A, Part 2) shall be scheduled at this time.
(5)
CEP-3 Section A Part 2 SDP Review: The applicant shall initiate the Site Evaluation
Criteria as outlined in the Site Evaluation Section of Chapter 420-3-1. The applicant shall provide the
SDP Review portion (Section A Part 2) of the CEP-3 application which includes a preliminary plat. The
plat shall contain, when applicable, the lot and street layout with a soils map overlay and topographic
overlay, easements, lot sizes/dimensions/configurations, the proposed or probable
dwelling/establishment locations, and description of all the existing, and to the extent known, proposed
structures, including, but not limited to, driveways, parking areas, sidewalks, walls, locations of any
existing/proposed wells and water lines, and soil tests locations. The LHD shall conduct a SDP review.
Following the SDP review, the LHD may conduct a site visit with all concerned parties (Section A, Part
2). At this time these individuals and the LHD shall discuss site evaluation results (soil types and
limitations, such as restrictive layers, groundwater and groundwater indicators, site slopes/topography,
rock, etc.) and EDF/lot size as applicable. Additionally, existing/proposed site or lot modifications shall
be considered and discussed with respect to their impact upon the soil test results and proper
functioning of the proposed OSS(s). Also discussed at this time will be the water supply, the types of
OSSs the applicant may wish to consider, and the actions that will be taken to protect the EDF/REDF
areas. Should an agreement not be reached on any of the above items, additional soil tests and
evaluations may be necessary (including, but not limited to, a professional soils classifier
visiting/mapping the site and/or a geologist to determine underlying rock formations and movement of
subsurface water through these formations, etc.) The LHD shall provide to the applicant a Part 2 Site
Development Report with conclusions and recommendations to include but not limited to, soil
characteristics and their limitations, protection of the EDF/REDF, existing/proposed site/lot
modifications, and recommendations for disposition of lots based on site evaluation results.
(a)
On some occasions it will be possible to determine a suitable location for the OSS without
evaluating the entire site. In such cases, only those areas to be used for the OSS need be evaluated and
CEP-3 3/2017
CEP-3
REQUIREMENTS FOR THE SITE DEVELOPMENT PLAN (SDP)
(1
is
)
A Site Development Plan (SDP)
required for the following:
(a)
Large-Flow Development (including subdivisions).
(b)
Large-Flow Systems.
(c)
Establishments generating flow of over 1,800 gpd.
(2)
The primary purpose of a SDP is to initiate early involvement of the County Health
Department (LHD) in a project, so as to protect the proposed EDF and REDF area(s) from any
disturbance that will affect the performance of the OSS (such as removing or compacting soil), aid the
ADPH in determining the suitability of a site for OSS, determine the type and location of the system(s) to
be installed, and avoid costly and untimely delays later on in the project. A SDP shall be submitted
before a Permit To Install/Repair will be issued.
(3)
The SDP process is completed in three parts and consists of the CEP-3 Section A Part 1
Preliminary SDP, CEP-3 Section A Part 2 SDP Review, and culminates in the Final SDP, or CEP-3
Section A, Part 3. Worksheets for Part 1, 2, and 3 should be completed as part of the SDP process.
(4
CEP-3 Section A Part 1 Preliminary SDP: The applicant shall schedule an appointment
with a public health environmentalist and other members of the design team. The applicant shall
provide the Preliminary SDP portion (Section A, Part 1) of the CEP-3 application, a preliminary soils
map meeting the requirements of Rule 420-3-1-.73 (2)(a), vicinity map, and topographic map. The
approximate property boundaries shall be shown as applicable on these maps or a separate map.
These maps shall be the basis of a discussion of the proposed site which shall cover such subjects as
development ideas, site evaluation methods to be used, potential site restrictions, availability of public
sewer, water supply and lot sizes. Following the Preliminary SDP meeting and discussion, the LHD shall
provide to the applicant, a Part 1 Site Development Report summarizing the discussion points and
establishing plans to proceed to Section A Part 2 of the SDP. Information and material outlined in
Section A Part 2 that is required before an official site visit with the local health department should be
discussed at this time. A tentative site visit date (Section A, Part 2) shall be scheduled at this time.
(5)
CEP-3 Section A Part 2 SDP Review: The applicant shall initiate the Site Evaluation
Criteria as outlined in the Site Evaluation Section of Chapter 420-3-1. The applicant shall provide the
SDP Review portion (Section A Part 2) of the CEP-3 application which includes a preliminary plat. The
plat shall contain, when applicable, the lot and street layout with a soils map overlay and topographic
overlay, easements, lot sizes/dimensions/configurations, the proposed or probable
dwelling/establishment locations, and description of all the existing, and to the extent known, proposed
structures, including, but not limited to, driveways, parking areas, sidewalks, walls, locations of any
existing/proposed wells and water lines, and soil tests locations. The LHD shall conduct a SDP review.
Following the SDP review, the LHD may conduct a site visit with all concerned parties (Section A, Part
2). At this time these individuals and the LHD shall discuss site evaluation results (soil types and
limitations, such as restrictive layers, groundwater and groundwater indicators, site slopes/topography,
rock, etc.) and EDF/lot size as applicable. Additionally, existing/proposed site or lot modifications shall
be considered and discussed with respect to their impact upon the soil test results and proper
functioning of the proposed OSS(s). Also discussed at this time will be the water supply, the types of
OSSs the applicant may wish to consider, and the actions that will be taken to protect the EDF/REDF
areas. Should an agreement not be reached on any of the above items, additional soil tests and
evaluations may be necessary (including, but not limited to, a professional soils classifier
visiting/mapping the site and/or a geologist to determine underlying rock formations and movement of
subsurface water through these formations, etc.) The LHD shall provide to the applicant a Part 2 Site
Development Report with conclusions and recommendations to include but not limited to, soil
characteristics and their limitations, protection of the EDF/REDF, existing/proposed site/lot
modifications, and recommendations for disposition of lots based on site evaluation results.
(a)
On some occasions it will be possible to determine a suitable location for the OSS without
evaluating the entire site. In such cases, only those areas to be used for the OSS need be evaluated and
CEP-3 3/2017
protected, provided no lot modifications are proposed or conducted within 25 feet of the proposed EDF
and REDF area(s).
(6)
CEP-3 Section A Part 3 Final SDP: An engineer shall prepare the Final SDP (Section A,
Part 3). The engineer shall not develop the Final SDP (Section A, Part 3) until Parts 1 and 2 are
completed. The submittal shall include the following:
(a)
The site evaluation (including all test results) on the site as outlined in the Site Evaluation
Section of Chapter 420-3-1.
(b)
A plat of the property that includes the following items drawn to scale and in compliance
with Rule 420-3-1-.52 Professional Signatures and Seals
1.
Lot dimensions, sizes, and layouts (including the net & gross total square footage or
acreage of each lot.) The plat is to be based on the site evaluation and the individual lots/parcels sized
so that proposed dwellings/establishments meet required setback and separation distances in Rule
C10-.45 Setback/Separation Distances and C11-.46 Additional Setback/Separation for a Large
System.
2.
The locations of any surface waters (including swamps, marshes, wetlands, springs, etc.),
hydric soils, frequently flooded areas, any existing or proposed surface or subsurface drainage features
or systems, storm water retention areas and in-ground swimming pools on the property or within 50
feet of any part of any existing/proposed EDF/REDF.
3.
Location(s) of any wells (existing or proposed) and EDF/REDF(s) on the property and/or
within 100 feet of any property line of the proposed development.
4.
Locations and descriptions of any landfills, dumps (covered or opened), surface mining
operations, caves and sinkholes on the property and within 300 feet as measured from the closest edge
or entrance, to the nearest property line of any part of the development.
5.
The locations of any sewer systems, underground utility and underground utility
easements, public water sources, or water lines serving and/or within 500 feet of any property line of
the proposed development.
6.
The locations of any existing or proposed dwellings, structures, or establishments on the
property.
7.
A soils map overlay and the locations and results of all soil tests performed and the area
included in the site evaluation.
8.
Property elevations and slopes (two-foot maximum contours) specifically designating areas
of slope greater than 25 percent.
(c)
The Final Site Development Plan (SDP) that is documented on form CEP-3, Section A, Part
3 and is either on the plat, submitted with the plat or fully completed on form CEP-3, Section A, Part 3.
It includes the following:
1.
Site Protection Plan (SPP) submitted in writing which includes the following:
(i)
A description of the measures that shall be taken to protect the EDF and REDF areas prior
to and during construction and development activities for the Large-Flow development.
(ii) Once their locations are determined, the primary EDF and REDF areas shall be physically
protected, in a manner dictated by the LHD that has a reasonable chance to protect the areas prior to
and during construction and development activities for the Large-Flow development. The EDF and
REDF areas should be designated in such a manner to communicate that these areas are for sewage
disposal and shall be restricted from activities.
(iii) Prior to individual lot development and/or dwelling /establishment construction protection of
the EDF and REDF accomplished in (ii) above shall be reinforced if needed and additional measures
taken. If there is going to be considerable time between Final Development approval and lot
development and/or dwelling/establishment construction the LHD may accept a plan to protect the
area instead of actual physical protection.
CEP-3 3/2017
2. Lot modification plan submitted in writing for proposed or existing lot modifications which
includes the following:
(i) A description of, and reasons for, any existing or proposed lot modifications (for each lot to
have an individual OSS), such as existing or proposed cut or fill areas, embankments, or areas which
have received, or will receive, extensive grading or modification, and a detailed evaluation (if applicable)
by the appropriate soil professional(s) as outlined in Rule 420-3-1-.95 Lot Modification – Planned and
Unplanned of how these modifications may impact the placement/operation of an OSS and the
EDF/REDF areas.
(ii)Modifications involving fill, cuts, or cuts with addition of fill shall not be allowed unless based
on accepted design provisions found in Rule 420-3-1-.94 Controlled Fill Mound System and 420-3-1-
.95 Lot Modification – Planned and Unplanned, and 420-3-1-.97 Recognized Mound Systems proposed
as part of an advanced treatment OSS design acceptable to the ADPH.
3. It shall be the responsibility of the applicant to see that the plan to protect the EDF and REDF
is carried out and the lot is not modified or disturbed in a manner that affects its ability to properly
accept, treat, or dispose of effluent. If this is not done any approval that has been given may be revoked.
4. Site/lot modifications not approved in the SDP within 25 feet of the proposed OSS or EDF and
REDF areas shall require a detailed professional evaluation as determined by the Department. This
evaluation shall address the effect of the modifications on the performance and operation of the OSS or
EDF and REDF areas.
(7) If a Performance Permit for a Large-Flow System is required, the application may be submitted
with the SDP, but it should be noted that conditions set forth in the Performance Permit, particularly on
type of system and permit conditions, may depend on results of investigation done for the SDP.
(8) The LHD shall provide to the applicant a Part 3 Final Development Report indicating approval
or disapproval of the development, along with final conclusions and recommendations.
CEP-3 3/2017
CEP-3
CEP-3
APPLICATION FOR LARGE FLOW DEVELOPMENT
(A DEVELOPMENT WITH A SYSTEM OR SYSTEMS OF COMBINED FLOW OVER 1,800 GPD or 13 BEDROOMS OR MORE)
NOTE: This is an application ONLY. Completion does not constitute an approval or Permit To Install or approval for use
For Department Use Only
ALABAMA DEPARTMENT
______________County Health Department
______________Date Fee Paid
OF PUBLIC HEALTH
______________Co. Health Dept. I.D. No.
______________Fee Amount
New
Revision
______________Date Received
______________Fee Code
______________Receipt No.
SECTION A
PRELIMINARY SITE DEVELOPMENT PLAN(SDP)
Part 1
To Be Completed and Signed By the Owner/Responsible Person *
Name of Development or Establishment _______________________________________________________________________________
Property Size/Acres: ___________
Section __________ T _____ R _____
____________________________ _____________________________________ , _____________________________________
Last Name(Responsible Person)
First Name
Title
________________________________
________________________
_____
_____________ _________________________
Address
City
State
ZIP
Telephone #
_________________________
________________________________
Fax #
E-Mail
Directions to Site __________________________________________________________________________________________
TYPE DEVELOPMENT
Dwellings
Establishments
Large-Flow Development with Small-Flow systems
Proposed # of Lots/Spaces ______
Proposed Minimum Lot size _______
Large-Flow Development with Large-Flow system(s). SECTION A and SECTION B to be completed.
SEWAGE DISPOSAL
Projected flow _________ Proposed Treatment_________________________________________________________________________
Distance to Nearest Public Sewer ________ Size ______ Name of System___________________________________________________
WATER SUPPLY
□ Public
□ Individual (Specify)_______________ Name of System __________________________________________________
ATTACHMENTS
Preliminary soils map with soils overlays on the Plot Plan.
Legal description or certified copy of deed
Plot Plan showing property boundaries
Topographic map overlay of property (a USGS 1:24,000 map
Vicinity map
or equivalent is acceptable).
I acknowledge that the above items marked have been submitted to the County Health Dept and that this application constitutes request for
a Preliminary SDP discussion/meeting as outlined above.
Responsible Person (Please Print): ______________________________________________________________________________
Responsible Person’s Signature: ____________________________________________________ Date: ______________________
This application shall be signed by the individual meeting the requirements of Rule 420-3-1-.45 Signatories to a Permit Application and Report and See
Rule 420-3-1-.54 Recording Requirements
CEP-3 3/2017
4
CEP-3
SECTION A Part 1 Site Development Plan
PRELIMINARY SDP - WORKSHEET
Name of Development or Establishment: ______________________________________________________________________
Preliminary SDP Scheduled Meeting Date: __________________ County Health Department____________________________
Local Health Department Contact: ________________________________________________ Phone no.___________________
Planned Attendees: ________________________________________________________________________________________
Soil Professional/Engineer:______________________________________________________ Phone no.____________________
Discussion points to be reviewed during Preliminary SDP based on preliminary soils map as
outlined in Site Evaluation Section to meet requirements of Part 1 Preliminary Site Development Plan:
Preliminary Soils Map including soil boundaries and ratings from published soil survey (USDA
– NRCS) with topographic overlay
Development ideas / Project Type
Single-family dwellings; Number of bedrooms; Multiple-family dwellings – apartments,
condominiums, mobile home park
Establishment(s) – nature of business, # of buildings, sizes of buildings
Treatment method – Individual systems, engineered systems, pretreatment, centralized system
Precautions for building development and lot construction relative to the proposed EDF &
REDF areas. Grading plans, road construction, utility work, traffic lanes, cuts & fills, drainage plans,
tree removal, terrace row modification, dwelling & structure placement should be discussed to minimize
any lot modifications and to protect the EDF and REDF areas .
SITE EVALUATION CRITERIA
Site Limitation Determination (SLD) / Potential site restrictions
All sites on which an OSS is proposed shall be evaluated and rated using the following six(6)
factors:
1. Permeability methods
Percolation method (Permeameter testing may be substituted for percolation test)
Unified Soils Classification method
Soil Morphology method
Detailed Soil Mapping method
2. Depth to Average Seasonal High Extended Saturation (ASHES)
3. Depth to Rock or other restrictive layers
4. Slope and landform limitations
5. Potential for flooding
6. Presence of hydric soils, wetlands, drainage features
The most limiting factor shall determine the suitability of the site for a conventional OSS and in
Table 15
some cases suggest a type of engineered system if needed. Refer to Appendix A
.
Limitation ratings of severe or extreme may dictate the need for further evaluation such as wet
season testing or evaluation by a Professional Soil Classifier.
Lot sizes
CEP-3 3/2017
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