HomeMy WebLinkAboutS-1687 Map 1SEPTIC PERMIT:
4625 & 4621 GEYER SPRINGS CUT-OFF
F ARKANSAS DEPARTMENT OF HEALTH Recdpt Numb«
ENVIRONMENTAL HEALTH PROTECTION
Individual Onslte Wastewater System Application Fes SdwdNs forSSYwrm J
Smcwe4l•AO wRalns fM.00 ❑
Permit Type ❑ New installation Sacurw more men 1500 w0.andwb2000 w0. f 45.00 ❑
Adoration s90.00
❑
- svuwmmRn pen 3000 wiled wn4og0wn s+x.ao ❑
flrwWn me4 thm4000 pR sim.m
ARwatlon sin Repdr f 30.OD
DR Environmental I.D. Of
t,.
'11661 Treatment Tvoe !check one) Disposal Method (check anal
SP2
S D • Standard Septa TaM El ATU • Aembb Thomson Pi
STD • Sceei Absorption Red LPD • Lax Pnewn D eldbutbn
MermleentSaid Flow ❑ RSF • Redmu4tnp Send Fmer
❑ SUR • Sump paNrpe ❑ NLD • ",king Tea
❑ PMF • PropretaryMedh filar ❑ RGF • Redlolamq Onevel Fair
❑ cw • amppho Fm ❑ SRL • SMA DIseibNdn
❑ OTH • Omw(Deeaibs) ❑ HLD • Hddm Tank
❑ OTII • DElar ❑ DRIP • pip Initiation
1.. OwnefstAppllcanl's Name
2. Phone Number
GABRIEL VILLEGAS
5M-247-2968
3. Mailing Address
4. County
46d2�5� GEYER SPRINGS CUT-OFF, LR, 72206
PULASKI
5. Atldrssad Proposed System (if a 911 address is not available, aead, dpbta dinctms Or map.)
6. Subdivision Name
7. AplxoveNADow
6. Date Recorded 9. Lot Number
NA
10. Lot (lmensbns,
11. Taal Mee (Ares)
12. k Badrderns k People 13. DeityFFbw (GPO)
447
5D
,14. Brief Legal Description of Properly (Attach a separate sheet M Paper If necessary.)
NE14, NE> , SEC.18, T15,- R12W
-15. Water Suppy (SPodfy supplier If PUNIC Wow.)
CAW
Ill. (9PS Cowdlll>�es I r51.1 n
N 3, 3823.r W 92.19
Rate for Hole 1
X
a. Sire of WOO Tan'
XiSt.101100
get
I I. Trench Depth
32
Inches
Rate for Hole 2
b. She of Does Tank
X
al
. Trench S d
8-14
feel
Rate far Hole 3
0. Ala Ara
GQI
R
h. Tnridl Media
Trench WMN
Pit Aros Pero.
d. Number et FlNd Una
4
[pipe & gravel
24 - In.
Aver a Pam to
e. Len th d FIeW Una
75
it
I x
x In.
Comments
21: I C6mry mat I nave Conducted an a • P6l"amprinunumn to M acccroance mm me latest requirements er me
Arkansas Department of Health Rol W"Iewatoo Systems, Designated Representatives end
Installers. -
STEVEN R. EVANS. D.R. 9199 Son Credited A. O No
Signature E & E COMMERCIAL; ING. Tne
P.O_ . BOX 17831, N.L.R.. AR 72117' 10-8-12
Typed N. 1)890-8556 (501)967-26ft' Phone Number
22. Approval of Health Authority. The Information above has been reviewed and found to meal the requirement, of the Arkansas Department of
Health for Onaite Wasawater Systems. D m 9nin tePmentalveRtandijnstallers.
A PERMIT FOR CONSTRUCTION Is hereby I
Environmental Health Specialist 41 Dole
i
SEPTIC PERMIT•,
4623 GEYER SPRINGS CUT -OF?
' ARKANSASDEPARTMENT OF HEALTH Number Ot�
ENVIRONMENTAL HEALTH PROTECTION
Individual Onsite Wastewater System Application
Permit Type ❑ New Installation
M.H. 02 (7 awegod / Repair
AS-1I3UIL-r (L.R.R.0.3
Fee Schedule for Sauchxee
J
Slludres 1500 M R or ion
f 30.00
❑
Str,c,ees more than 1500 w I end up b 2000 M ft
14&00
❑
Saudvnmon than 2000 MR and up b 3000 M R
$90.00
❑
Saudbae nwnlhan 3000 all Rand vpb4aW a4R
sim.00
❑
S1nucloesmorothan4000,gft
f1S0.00
❑
Aaanpon and Roper It 30.00
DR Envi onmerlhl I.D. to
-, _ r•I_e _, r .-A Mat Irhwnk nnwl
STD •Standard Sepw T4N, El ATU • Aambt Treatment palll
❑ ISF a IMvdaen Send Rkw ❑ RSF • Redcubeb SoN Fib,
❑ PMF • ptopdwey Mina Flhsr ❑ RGF • RedlOwpy Grove Flow
❑ OTN • t)NN foewnee) ❑ HIM • H.WM Tor"
STp • 5rdad Aesorpibn Frob L➢D •Lnw Ressrs pedbAion
❑ SUR • Sudooe iNsdurge ❑ 11LD • Nobim Tank
❑ CpF • QM va Fix ❑ SRL - SMe psatbulbn
❑ OTH • okw ❑ DIRP • Drip tm*atm
1, Ovm d`s/Applicanrs Name
GABRIEL VILLEGAS
2, Phone Number
501-247-2968
3. Mailing Address
4625 GEYER SPRINGS CUT-OFF, LR, 72206
4. County
PULASKI
5. Adg� s poff pprmoppoosed S tam ((If a 911 address is not available, attach detailed directors or map.)
4hM GEYER SP21NG5 CUi-OFF LR 72206
6. Nil imsion Name
7. Approval Dale
B. Dale Recorded
9. Lot Number
"I04✓♦
66i3
11. Total Area (Aces)
12. k B Zrooms k People
3. DZ1361" (GPD)
at Descnptan °f Property (Nash a sapanta shah d paper d rnc"sary.)
Epply(speify
fflet
supplier ePublicwaler.) 18. GPS CoNprdl4138'23.7e W 92e19'51.1e
17. Sot net in (Primary PF") Indicate the depth to items a-f, observed In the sal (deslgruta mares).
a. Bedrock US a MSWT
d. LSWT e. Adj. MSWT
I. A4 LS WT
g. H.CJDepth
h. Loading Rate (GP D )
EXISTVST
li. Sd ndary Area) Indicate tha deem a Hems a-faebaennd in the sal (designate Inch s).
gb.BSWT
eerpck
o. MSWT
d. LSWT
e. AOI. MSwT
1. A4 LSWT
g. H.C,Depm
h. Loading Rate (GPO )
>48
28 %
X
X
X
mad/iB
1 .75
foroleI -
x
• Sized tic Tank
EXIST,
f. Trench D th
EXIST.
Inches
Hole 2
b Sze of Doss Tank
. Trench Spacing
feet
ob 3
c. Nee
RI
h. Trench Media
Trench Width
erc.
PRA
tl. Number d FleM Lin"
b.
am 1-3
-
s. L th of Fbid Lin"
ft
in.
nts AS -BUILT WITH ALTERNATE SITE AS REQUIRED
21, 1 ceraly that l have OVIOUM y �y�ep9pg�Le°mnprmeae, �e ,,. ,•w,•:•,., ••,w,••„wv.,e„••..,•v ,._
Arkansas DeparmsM�l Health � � Twto Wssbwater Systems, Designated Represenatves and
msaners. STEVEN R. EVANS, D.R.#199 Sollcerined llryes ONO
Slgna��t E�GOMR�TERC Tits I
�P(.�O. BOX 17531, N.L.R., AR 72117 12-28-12
I Q Date PMne Number
22, Approval of Health Authority. The hfarmeton above has been avlewed and found a meet the requirements of the Arkansas Department of
Health for Grotto Wastewater Systems, Des Representatives and Installers.
A PERMIT FOR CONSTRUCTION is hereby I
Environmental Health Specialist Dale
If I
EHP-19 (R 5112) TO WALLER. GOMIAC
EHP-19 (R S/12) gl l (� „ bANITARIAN ATbPPIO
.�fTahIANK' MBr"rNNING STAI,I_AtION
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STEVEN R. EVANS, D.R. #199
E & E COMMERCIAL, INC.
P.O. BOX 17531, N.L.R., AR 72117
(501) 690.8558 (501) 961-2565
9S iETOINSTALLER. COWW;
- ANiTARIAN ATI, PRjOT
ern ncyy{Ny{I"r:� *;CTA!_L 1•iCDI
in
SEPTIC PE-F2MI-I-:
122.10 HIL ARO SPRINGS RD.
Arkansas Deam'brtent of Health
Ohioan of NvlramwRm HUM Plaaafbn
4419Wea Mw , UMI Reek, Alk4aw, 122l"ffr
Individual Sewage Disposal System Perrnit Application
Part 1 7p*cmmioRa
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de"ous eyeue ke oM sin 14y4u1, leatOn of a met4 dlwesll Rsb, IasUN Of woe, d1t w ldit Ord spry *ddblW information elf d" SVe m
fans m, estdwl sposm layout Iwal a 4rernl a a minimum "a of i- • W 1MM2a. Also kdask en thk n layout tk hem Val system Is orb,
drew ale ft Mee Ill the tell ndomd F"" ansa e* hem Merl b prop" law.
22 I theffbird, owAWN the obarms vie Ond that thease-klTeWMW b In a a anana%Mh a,a ra-fngY1'wmra
p w4 r Health f�Rt`N ea RR4pd/rr Palms I In b Indvidual llawaW D%Pwsl byawns.
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21 APprovM ar Hwhh AuMry. • IMrwwbn ea0ya tlw aw Owed sin b Irwtma rsgY4naln a ma Aerer N:auk urt fw
leopa Net. A PIDIMIT POlaCONST 1saryerMDe bMd.Ataw vlafsd ea airs,4nmMN thawlb,and mHaan YlbrpMwM real
paynnM. APSRMR MRCO/NSAT'RVCTION Yhree/N`P�N9P9.�1
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AULASKI COUNTY OtNTRAL HEALTH;
lttVIAONMEMTA, HEALTHPROTECTIFN,
LITTLEeTH BTREET
LEGAL DE$UlrlOn: Par R of QQNpEy�
18, T-1-81 d-12-N1 more Dastiolzlarl� deso> follpxal
/{��y, y1� `• Segirmine at the ITS oar of io&a 93% NE*, FE}, than,*
'.'South 416.2 ft, themoe S 89 dw a4 min if 300
,/
,yl
South 220.0 ft, then,47
* B 89 deg 44 min U i •0 ft, thence
Borth 634-C ft, thence ]P 89 dog 22 min 4.4 ft, thence
it to the
• � �• yoirlt of b*ginnil3p more containing j.01 scree more or leas,
With the North and 3"'b line eali to a 30 ft
I I1
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`s _ _ GEYEf2-SPI�1~FV�S'Vtt�S -C�JY-OFF +II
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I FOR HOUS
1 I & M.H.# 2
_ Iff��t N
EXIST. FIELD LINE IN►•
FOR HOME. "-
( rna1functi0n ) 5fl r- I F 1'"'1 r3i �h CO
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NEW REI'AIR SITE -
FOR 3 BR HOUSE. i r
OVERSIZED FOR
M.H.# 1 1 I I
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LINES
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EXIST.FIELD LINES
FOR M.H.# 3
( Imormitted y
ALT. SITE r
\in FOR M.H.#3 I
M 1 1
M
1 GIAI
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T._OUT;IJiL.rAWf s
(T-rFIGALa)_
I
NOTE (10-15-12) EXIST. FIELD LINES FOR M.H.# 2 & M.H.# 3
APPEARED TO BE IN ORDER THE DAY OF SNSPECTION.
NO EVIDENCE OF PREVIOUS MALFUNCTIONS.
THE FIELD LINES FOR THE HOUSE & M.H.#CIS TO BE REPAIRED.
sal i = at /
t
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