HomeMy WebLinkAboutS-1607 ApplicationARKANSAS DEPARTMENT OF HEALTH
CUSTOMER NAME MEINTS DAVID A
CUSTOMER ID. NO. 2602139378
TRANSACTION DATE 11/01/07
RECEIPT NUMBER 601720071101ST075184
PAID BY
OWNER'S NAME
SITE -LOCATION
SUBDIVISION
LOT NUMBER
LEGAL DESCRIPTION:
D. R. NUMBER
SERVICE RENDERED
SANITARIAN
MEINTS DAVID A
MASSEY JEFF
BARRETT ROAD
LITTLE ROCK, AR
N/A
TT B
TNSHIP 2N RANGE 14W SCTION 5
0198
SEPTIC TANK PERMIT
HOLT MIKE
AMOUNT RECEIVED $ 150.00
THANK YOU FOR YOUR PAYMENT
Pulaski ..County Health Unit
3915-West 8th Street
Little Rock AR-72203-
Arkansas Department of Health and Human Services
Division of Health, Environmental Health Protection
4815 West Markham, Little Rods, Arkansas 72205-3867
Individual Onsite System Permit Application
Permit Type ® New Installation
❑ Alteration/Repair
Part 1 Treatment Tvne (check onel
Receipt Number
(001-70- 51
Fee Schedule for Structures
Structures 1500 sq feet or less $ 30.00
Structures more than 1500 sq ft and up to 2000 sq ft $ 45.00
Structures more than 2000 sq ft and up to 3000 sq ft $ 90.00
Structure more than 3000 sq ft and up to 4000 sq ft $1,1](?.
Structures more than 4000 sq ft
Alteration and Repair $ 50.00
Disnosal Method (check one)
® STD = Standard Septic Tank ❑ ATU = Aerobic Treatment Plant
® STD = Standard Absorption Field ❑ LPD = Low Pressure Distribution
❑ ISF= Intermittent Sand Filter ❑ RSF = Recirculating Sand Filter
❑ SUR = Surface Discharge ❑ HLD = Holding Tank
❑ PMF = Proprietary Media Filter ❑ RGF = Recirculating Gravel Filter
0 CPF = Capping Fill ❑ SRL = Serial Distribution
❑ OTH = Other (Describe) ❑ HLD = Holding Tank
❑ OTH = Other ❑ DRP = Drip Irrigation
I. Owners/Applicant's Name
2. Phone Number
JEFF MASSEY
519-5000 (JEFF)
4. County
3_ Mailing Address
11310 OTTERCREEK EAST BLVD, MABELVALE, ARKANSAS 72103
PULASKI
i. Address of Proposed System (if a 911 address is not available, attach detailed directions or map.)
3ARRETT ROAD
3. Subdivision Name
7. Approval Date
8. Date Recorded
9. Lot Number
4/A
N/A
N/A
B
10. Lot Dimensions
11. Total Area (Acres)
12. No. of Bedrooms or No. of Persons (Commercial)
13. Est, Daily Flow (GPD)
>-20' X 496'
2.5 ACRES
4 BEDROOM
450 GPD
14. Brief Legal Description of Property (Attach a separate sheet of paper if necessary.)
3E 1/4, SE 1/4, SECTION 5, TOWNSHIP 2 NORTH, RANGE 14 WEST, PULASKI COUNTY, ARKANSAS
15. Water Supply (Specify supplier if Public Water.) 16. GPS Coordinates
AAUMELLE WATER ASSOCIATION PRIMARY 34.83752 N 92.51297 W ALTERNATE 34.83766 N 92.51286 W
21"
c. MSWT I d_ LSWT
32" 1 NIA
th to items a f if observed in the soil (designate inches).
e. Adi_ MSWT I f_ Adi- LSWT I q. H_C_/Depth h._Lc
28" 1 NIA I MOD/48" 0.73
•8"+
1 20"
J 31"
f N/A
1 28"
J N/A
MOD/48" 0.73
9. Percolation Test minlin
— non -soil certified DRs
20. S tem Size
Late for Hole 1
N/A
a_ Size of Septic Tank
1250
gal
f. Trench Depth
1 18
inches
Late for Hole 2
N/A
b. Size of Dose Tank
250
al
a. Trench Soacino
1 10
feet
late for Hole 3
N/A
c. Abso tion Area
600
h. Media
ROCK i PIPE
,It Area Perc
N/A
d. Number of Field Lines
4
,verage Perc. (1-3)
N/A
e. Length of Field Lines
80
ft.
:omments DOSED TO MANIFOLD.
1. I certify that I have conducted the above tests and that the above listed information is in accordance with the latest requirements of the
Arkansas Division of Health Rules and Regulations Pertaining to Onsite Wastewater Systems, Designated Representatives and Installers.
3 n
DESIGNATED REPRESENTATIVE 0198
Signature — Title D.R. Number
IAVID A. MEINTS 10/28/07 821-3837 804-0837
Typed Name Date Phone Number
2. Approval of Health Authority: The information above has been reviewed and found to meet the requiren
onsite wastewater systems.
The Division has visited the site, examined the soils and made an interpretation of the soil properties.
A PERMIT FOR CONSTRUCTION is hereby issued.
of Health for
nvironmental Health Specialist 1 l/ilfj{� Date
HP-19 (R 3/07)
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Reference Section - Notes for Environmental Specialist / DR
Measurements Laken from existing ground elevations
Stub Out 5' 0"
"
Inlet TV
Outlet 4' 11 "
D-box 3' 9"
Beg
Mid
End
Line 1 311111
31911
3' 11"
Line 2 4' 0"
41011
4' 0"
Line 4'3"
412"
412"
Line 4 4' 6"
41411
4' 6"
Line 5 ' to
' it
' "
Line 6 of
I"
Line 7 it
I"
Line 8 "
f It
"
Well Elevation 01011
Bench Mark
41711
Location OAK TREE NEAR ENDS OF LINE
Unusual Site Conditions NONE NOTED
Plumber section - Show this permit to your plumber before he begins
Please note stub out location and maximum depth coming out of house. This design is based on the
plumbing coming out of the house at this depth. If depth cannot be obtained, then contact the DR or
local environmental specialist. If you stub out too deep, you may be adding additional costs -
to the septic system:
Always mark your stub out location with a 2x4 or some type of stake.
Builder / Contractor section - Show this 1)crinit to your builder
Do not excavate or add fill material to the primary or alternate site noted on this permit.
Do not drive heavy equipment on the primary or alternate site noted on this permit.
Clearly communicate with the plumber where the stub out is to be located, and what the maximum depth
of the plumbing is to be. If this cannot be obtained, then contact the DR or local environmental
specialist.
Do not dig an electrical ditch through either of the primary or alternate sites noted on this permit.
Excavating, compacting, or trenching through the sites noted on this permit will void this permit
for construction.
Installer Section - notes and instructions for your licensed installer
Calculations assume maximum stub out depth of 12" at flow line
Maximum fall to inlet 2"
See pump curve for pump specs
Manifold inverts max depth 6" from surface
It is very important to install the Manifold at the highest point in the lateral field as possible. Calculations on
loading the soil are based on the capacity of the soil to the surface. Understand the manifold placement
before you begin installing line 1.
4" schedule 40 or 4" DWV celluar core pipe from stub out to septic tank inlet, and 1-1/2' from septic
tank dose chamber to manifold.
4" SDR-35 solid pipe to field lines. Always use glue and check joints before covering.
D2729 or 17810 perforated pipe for field lines. Use approved washed rock/gravel for trench media
Field lines to be installed in dry conditions only, and installed on contour. Always check flags left
in field for accuracy.
Homeowner Section - Please read and understand
An effort has been made to design and eventually install a septic system that will renovate
the domestic waste coming from your residence in a safe and responsible way. However, this
permit does not guarantee that your septic system will work forever. Care must be taken to
keep things working.
Once your septic system has been installed, do not drive or park on your septic system. Do not construct
a building or structure over any part of the septic system. Do not dig or ditch near your septic system.
A septic system is a biological process. Be mindful of what you put down your drains. Do not put grease
down your sink. Do not shock your system with harsh chemicals. What goes into the drains in your
home directly effects the efficiency of your septic system.
Mark the location of your septic tank. Mark the location of your manifold.
Have your septic tank pumped on a regular basis. We recommend every 3 - 5 years. Keeping the
septic tank pumped on a regular basis will keep your lateral lines working as they were intended too.
If you have any questions at all about your septic system, we are there to try to help. It is easier
to do preventative maintenance on your septic system than it is to start totally over on down the
road.
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ARKANSAS DEPARTMENT OF HEALTH
CUSTOMER NAME MEINTS DAVID A
CUSTOMER ID. NO. 2602139378
TRANSACTION DATE 11/01/07
RECEIPT NUMBER 601720071101ST075183
PAID BY
OWNER'S NAME
SITE -LOCATION
SUBDIVISION
LOT NUMBER
LEGAL DESCRIPTION:
D. R. NUMBER
SERVICE RENDERED
SANITARIAN
MEINTS DAVID A
MASSEY JEFF
BARRETT ROAD, LOT A
LITTLE ROCK, AR
N/A
TT A
TNSHIP 2N RANGE 14W SCTION 5
0198
SEPTIC TANK PERMIT
HOLT MIKE
AMOUNT RECEIVED $ 150.00
THANK YOU FOR YOUR PAYMENT
Pulaski County Health Unit
3915 West 8th Street
Little Rock AR 72203
Arkansas Department of Health and Human Services
Division of Health, Environmental Health Protection
4815 West Markham, Little Rock, Arkansas 72205-3867
Individual Onsite System Permit Application
Permit Type ® New Installation
❑ Alteration/Repair
Part 1 TrPntmanf Tuns+ Irharlr nnpl
Receipt Number
Fee Schedule for Structures
Structures 1500 sq feet or less 5 30.00
Structures more than 1500 sq ft and up to 2000 sq ft $ 45.00
Structures more than 2000 sq ft and up to 3000 sq ft $ 90.00
Structure more than 3000 sq ft and up to 4000 sq It 5.12 9-89
Structures more than 4000 sq ft 150
Alteration and Repair 0.00
nknncal Mathnrl lrhprk nnPl
® STD = Standard Septic Tank ❑ ATU = Aerobic Treatment Plant ® STD = Standard Absorption Field ❑ LPD = Low Pressure Distribution
❑ ISF= Intermittent Sand Filter ❑ RSF = Recirculating Sand Filter ❑ SUR = Surface Discharge ❑ HLD = Holding Tank
❑ PMF = Proprietary Media Filter ❑ RGF = Recirculating Gravel Filter ❑ CPF = Capping Fill ❑ SRL = Serial Distribution
❑ OTH = Other (Describe) ❑ HLD = Holding Tank ❑ OTH = Other ❑ DRP = Drip Irrigation
1. Owner's/Applicant's Name 2. Phone Number
JEFF MASSEY 519-5000 (JEFF)
3. Mailing Address
4. County
11310 OTTERCREEK EAST BLVD, MABELVALE, ARKANSAS 72103
PULASKI
5. Address of Proposed System (If a 911 address is not available, attach detailed directions or map.)
BARRETT ROAD
3. Subdivision Name
7. Approval Date
Date Recorded
9. Lot Number
WA
N/A
JU
A
10. Lot Dimensions
11. Total Area (Acres)
12. No. of Bedrooms or No. of Persons (Commercial)
13. Est. Daily Flow (GPD)
220' X 496'
2.5 ACRES
4 BEDROOM
450 GPD
14. Brief Legal Description of Property (Attach a separate sheet of paper if necessary.)
3E 1/4, SE 1/4, SECTION 5, TOWNSHIP 2 NORTH, RANGE 14 WEST, PULASKI COUNTY, ARKANSAS
15. Water Supply (Specify supplier if Public Water.) 16, GPS Coordinates
IAAUMELLE WATER ASSOCIATION PRIMARY 34.83689 N 92.51362 W ALTERNATE 34.83683 N 92.51332 W
17. Soil Determination
Prima
Area
Indicate the
de th to items a-f if observed in the soil
desi nate inches .
a. Bedrock
b. BSWT
c. MSWTI
d. LSWT
e. Ad'. MSWT
f. Ad'. LSWT
I cl. H.C./De th
I h. Loading Rate GPD
W'+
28"
1 33"
1 N/A
t3l"
N/A
I MOD/49'
1 0.75
18, Soil Determination
Seconds
Area
Indicate the
de th to items a-f 4 observed in the soil
desi hate inches .
a_ Bedrock
b_ BSWT
c. MSWT
d_ LSWT
e_ Ad'. MSWT
I f. Adj_ LSWT
I a. H.C./Depth
h. Loading Rate GPD
18"+
18"
1 31"
1 N/A
t27"
I N/A
MOD/48"
0.68
9. Percolation Test (min/in - non -soil certified DRs 20. System Size
Zate for Hole 1 N/A
a. Size of Septic Tank 1250
al
f. Trench Depth
18 1 inches
fate for Hole 2 N/A
b. Size of Dose Tank 250 al
. Trench Spacing
1l feet
fate for Hole 3 N/A
c. Absorption Area 600
h. Media ROCK & PIPE
►It Area Perc N/A
d. Number of Field Lines 4
►verage Perc. (1-3) N/A
e. Lenath of Field Lines 80 ft.
:omments I DOSED TO MANIFOLD
1. 1 certify that I have conducted the above tests and that the above listed information is in accordance with the latest requirements of the
Arkansas Division of Health Rules and Regulations Pertaining to Onsite Wastewater Systems, Designated Representatives and Installers.
-h!� , d'= DESIGNATED REPRESENTATIVE 0198
Signature Title D.R. Number
)AVID A. MEINTS 10/28/07 821-3837 804-0837
Typed Name Date Phone Number
2. Approval of Health Authority: The information above has been reviewed and found to meet the requirements of the Division of Health for
onsite wastewater systems.
❑ The Division has visited the site, examined the soils and made an interpretation of the soil properties.
A PERMIT FOR CONSTRUCTION is hereby issued.
'44 nvironmental Health Specialist
Date
HP-19 (R 3107)
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Reference Section - Notes for Environmental Specialist / DR
Stub Out
Inlet
Outlet
D-box
511011
51611
51711
3' 11 "
Beg
Mid
End
Line 1
41211
41011
41211
Line 2
41211
41011
41211
Line 3
41311
4' 1"
41311
Line 4
41511
4' 5"
4' 6"
Line 5
' "
' it
' "
Line 6
' "
it
' of
Line 7
1
if
' "
Line 8
1
V1
' "
Well Elevation
01011
Bench Mark
41911
Location FENCE POST
Unusual Site Conditions NONE NOTED
Plumber section - Show this permit to your plumber before he begins
Please note stub out location and maximum depth coming out of house. This design is based on the
plumbing coming out of the house at this depth. If depth cannot be obtained, then contact the DR or
local environmental specialist. if you stub out too deep, you may be adding additional costs
to the septic system.
Always mark your stub out location with a 2x4 or some type of stake.
Builder / Contractor section - Show this permil to your builder
Do not excavate or add fill material to the primary or alternate site noted on this permit.
Do not drive heavy equipment on the primary or alternate site noted on this permit.
Clearly communicate with the plumber where the stub out is to be located, and what the maximum depth
of the plumbing is to be. If this cannot be obtained, then contact the DR or local environmental
specialist.
Do not dig an electrical ditch through either of the primary or alternate sites noted on this permit.
Excavating, compacting, or trenching through the sites noted on this permit will void this permit
for construction.
Installer Section -notes and instructions for your licensed installer
Calculations assume maximum stub out depth of 12" at flow line
Maximum fall to inlet 2"
See pump curve for pump specs
Manifold inverts max depth 6" from surface
It is very important to install the Manifold at the highest point in the lateral field as possible. Calculations on
loading the soil are based on the capacity of the soil to the surface. Understand the manifold placement
before you begin installing line 1.
4" schedule 40 or 4" DWV celluar core pipe from stub out to septic tank inlet, and 1-1/2' from septic
tank dose chamber to manifold.
4" SDR-35 solid pipe to field lines. Always use glue and check joints before covering.
D2729 or F810 perforated pipe for field lines. Use approved washed rock/gravel for trench media
Field lines to be installed in dry conditions only, and installed on contour. Always check flags left
in field for accuracy. -
Homeowner Section - Please read and understand
An effort has been made to design and eventually install a septic system that will renovate
the domestic waste coming from your residence in a safe and responsible way. However, this
permit does not guarantee that your septic system will work forever. Care must be taken to
keep things working.
Once your septic system has been installed, do not drive or park on your septic system. Do not construct
a building or structure over any part of the septic system. Do not dig or ditch near your septic system.
A septic system is a biological process. Be mindful of what you put down your drains. Do not put grease
down your sink. Do not shock your system with harsh chemicals. What goes into the drains in your
home directly effects the efficiency of your septic system.
Mark the location of your septic tank. Mark the location of your manifold.
Have your septic tank pumped on a regular basis. We recommend every 3 - 5 years. Keeping the
septic tank pumped on a regular basis will keep your lateral lines working as they were intended too.
If you have any questions at all about your septic system, we are there to try to help. It is easier
to do preventative maintenance on your septic system than it is to start totally over on down the
road.
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2008001612 Received: 1/8120081-T2.48 PM
Recorded: 01/08/2008 01:47:13 PM Filed &
BILL OF ASSURANCE Recorded in Official Records of PAT O'BRIEN.
PULASKI COUNTY CIRCUIT/COUNTY CLERK
TO: THE PUBLIC 1 Fees $15.00
KNOW ALL MEN BY THESE PRESENT
That whereas James Theron Morgan is the owner of : Part of the NW 1/4 SW 1/4, Section 4, T-2-N, R-14-W, Pulaski
County, Arkansas, more particularly described as follows: Begin at the Southwest corner of said NW 1/4 SW 1/4, thence N
01 007'37" E, along the West line of said NW 1/4 SW%, 400.0 feet; thence N 86°21'49" E, 524.71 feet; thence S 01 °07'37" W,
parallel with the said West line, 433.29 feet to a point on the South line of said NW I/4 SW 1/4; thence West 523.00 feet to the
point of beginning.
That I, James Theron Morgan is hereinafter termed grantor, have caused the said tract of land to by surveyed by
Brooks Surveying Inc., Professional Registered Land Surveyor and a plat thereof made which is identified by the title of Lot 1 A
and 1 B, James Morgan Single Family Lot Split Addition, Pulaski County, Arkansas.. By the signature of the said surveyor and
the said grantors and bears a Certificate of Approval executed by the Little Rock Planning Commission and is on record in the
Office of Circuit Clerk and ex -off icio Recorder of Pulaski County Arkansas in Plat Book Page
and the grantors do hereby make this Bill of Assurance.
That, I, James Theron Morgan, does hereby dedicate the following property to the City of Little Rock for right of way
of Barrett Road as put forth by the Master Plan. Property described as: Part of the NW 1/4 SW 1/4, Section 4, T-2-N, R-14-W,
Pulaski County, Arkansas, more particularly described as follows: Begin at the Southwest corner of said NW 1/4 SW 1/4,
thence N 01 007'37" E, along the West line of said NW 1/4 SW'/4, 400.0 feet; thence N 86°21'49" E, 30.1 feet; thence S
01 00737" W, 401.91 feet to a point on the South line of said NW 1/4 SW 1/4; thence West 30.1 feet to the point of beginning.
The grantors do hereby certify that they platted said real estate in accordance with said Plat. The lands embraced
in said plat shall be forever known as designated on said plat and every deed of conveyance for said property shall use this
designation.
The purpose of plat is split a 5 acre tract and right of way dedication. All buildings shall be constructed at 30 feet
from the Western property as shown on the recorded Plat. All City of Little Rock Rules and Regulations must still be followed
as far as set backs are concerned.
The filing of this Bill of Assurance and plat for record in the Office of the Circuit Clerk and ex-officio Recorder of
Pulaski County shall be valid and complete delivery and dedication of the streets and easements shown on the said plat.
WITNESS, my hand this -__ day of
James Theron Morgan
ACKNOWLEDGEMENT
STATE OF ArV�b
COUNTY OF
Rsv*%yod only for inclusion of minimum standards
required by th3 City of Little Rock subdivision rQ,uixtionc.
Bill of Assuranoe provisions established by tht,
developer may excsed minimum regulations of tho
Little Rock subdivision and zoning ordinance.
[-
of Little Rock Planning Commission
BE IT REMEMBERED that on this day came before me a Notary Public within and for the County and State
aforesaid, the above signed, the above signed that I, James Theron Morgan, have signed the foregoing Bill of Assurance.
MY COMMISSION EXPIRES:
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C1RCU�J �'• ` NOTARY PUBLIC
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RES
CIVIL ENGINEERING DIVISION
FINAL PLAT FILING APPROVALS
NAME---JAMES MORGAN LOT SPLIT LOTS 1A & 1B
INSPECTOR REPORT
I have made a final inspection of the improvements and find that:
All improvements shown on construction drawings for the development are constructed and in conformance
with City requirements/standards.
Certain Improvements remain uncompleted and a punch list has been prepared and sent.
Engineering Specialist
ADDRESSING SPECIALIST'S REPORT
Date:
I have reviewed the plat and find that the street names and street configuration are acceptable.
Addressing Specialist Date: 6
TRAFFIC ENGINEER REPORT
I have reviewed the plat and find that:
All streetlight installation, stripping, signage and other traffic improvements have been constructed and are in
conformance with City requirements/standards.
Work orders have been prepared for signage and street lights.
Indicate the number of street signs ordered for this plat for billing to developer
Certain improvements remain uncompleted and a punch list has been prepared and sent.
Traffic Engineer
CIVIL ENGINEER REPORT
I have reviewed the file for this matter and find that:
The maintenance bond has been submitted and it is the proper type and amount.
Financial assurance for the uncompleted improvements listed above has been received.
All other requirements for final plat approval have been satisfied. Civil Engineer I/II Date: �' -7 / % 03
SURVEYOR'S REPORT
I have reviewed the plat and find that:
All requ( ements final lat approval have been satisfied.
Surveyor Date:10 t-�
MANAGER APPR VAL
All Civil Engineering requirements for filing this final plat have been satisfied.
y �•�— Date:_ I /-7 0?
February 2007
City of Little Rock
Planning and Development
Filing Fees JAN D F
iF:l.l
Date:
Annexation
Board of Adjustment
Cond. Use Permit/T.U.P
Final Plat
Planned Unit Dev.
Preliminary Plat
Special Use Permit
Rezoning
Site Plans
Street Name Change
Street Name Signs
Number at
Public Hearing Signs
Number" at ea.
Total
Nw
T
ea.
1- -i LE ROCK
UiLOING CODE
$
$
S
$
$ l`L .4)-
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