HomeMy WebLinkAboutS-1687 Map 2SEPTIC PERMIT:
4625 & 4621 GFVER SPRINGS CUT-OFF
• A411i
F ARKANSAS DEPARTMENT OF HEALTH Rapalpo Numbs
ENVIRONMENTAL HEALTH PROTECTION
f
Individual Onsite Wastewater System Application Fes sdaaw rase-avrea
Structures; uwtsot m a er4.1 i30.e0 ❑
Permit Type ❑ New InstallatlonStructures;man than 15001 a rm up M 2" w a f 45.0D ❑
W Alteration epalr Sbudum npn lMn2000s9 cram upm 3000 aqa S 9D.00 ❑
structures mNation3000wArnow o400Dsga $120.00 ❑
eaulan moregU 4000 W A e150.00
Abandon am Repair It W.00
DR Environmental I.D. of
Y Pcd.1 Tm.finenf T. 1rhnrdr.1 M.eneal MMhM fg*I r non,
STD- standard SntcT.M ATU-Aarebk Tms1mwo Pl.d
STO- surround AworNbn flea LPD• Lax Pressure Distribution
❑ ISF• kaennMent Sam Filer ❑ RSF• ReamWap S.MF
❑ BUR• s,rfau Dledwpa ❑ Hip-Had,y Tank
❑ PMF-PmpNelaryMmo RMr ❑ RGF-Reds b Groin Few
❑ CPF-Capping Rl ❑ SRL-Serlal Dbaib,.Non
❑ OTH-gha(Ds•pbbs) ❑ HLD•(bid,p T.M
❑ OTH - Other ❑ MP -dip Immmon
1. -Owner VAppllcant's Name
2. Phone Number
GABRIEL VILLEGAS
501-247-2968
3. Mailing Address
4. County
4625 GEYER SPRINGS CUT-OFF, LR, 72206� -
PULASKI
5. AgWpf Proposed Sys(em (Ifs 911 address b real available, atladl detailed tllmcdons or map.)
6. SSI�N`i'Aslon Name
7. ApnovalAab
6. Data R� ad
ban
e.LNA
10. Lot merntions,
11. Total Am (Acres)
12. Al Bedrooms a People
13. unily'r (GPO)
44714 x 634
5
3
4�0
,14. fitar Legal Description of Property (Attach a separate sheet of paper If necessary.)
NE)L, NE3y, SEC.18, T1S, R12W
M Water Supply(Spedy supplier N Publle Water.)
16. OPS Caordlfi�es1
CAW
f "
- N 34 38 23.7" W 92419 51.1
17. Soil Determination (Primary Ana) Indicate the depth to Nemt s! N ooearved In the ace (dnignaN kviis).
a. Bedmck
b. BSWT
c. MSWT
d. LBWi
e. tot. MSNT f.Ikt. LBNT g. H.ClDepth h. LomNiD Rate (OPD )
> 4B
nDne
x
x
x x MOCV32 1 .75 W 32ft =
I SPz
18. Soil
Rate for Hole
x
a. Size of SnagTank
8XISt-1011111
joad
f. Trench Depth
32
inches
Rate for Hole 2
It. Size of foes Tank
x
got
a. Trench Spacing
8-14
1 feel
1
Rate for Hole 3
a Absorption Nee
600
Rt
h. Trench Media
Trends
ils Alt MPar-.
d. Number d Field Linn
4
pipe II, (il aval
24wWth In.
Aver a Peril 1111
e. Length of Field Lai•
75
it
IIt
x in,
Comments '
21: 1 party that I have conducted "a tl a "too soon N In accordance with the latest requirements of the
Arkansas Department of Health Weslewahx Systems. Designated Representathms and
Imtallaro. - STEVEN R. EVANS, D.R. 0199 Soil Carload A. O Na
Signature E Fit E COMMERCIAL; ING. roe I
P.O. BOX 17§31, N.L.R., AR 72117 10-8-12
Typed N 1) 690-8558 (501) 90-25W Phone Number
22. Approval of Health Authority'. The Information above has been reviewed and found to meet the requirements of the Arkansas Depafwent of
Health for Onsite wastewater Systems, Dnpnat offesenlatlives andlInshilleam.
A PERMIT FOR CONSTRUCTION M hereby
Environmental Health Specialist Date
EHP-19 (R 5112) 17
'a 1 11ql b rt -
NNITAIAN A' t .
'� 8rr.IPvNiN� I AI
SEPTIC PERMIT•,
4623 GEVER SPRINGS CUT-OFFS
' ARKANSAS;DEJOARTMENT OF HEALTH c i I Number j� �,
ENVIRONMENTAL HEALTH PROTECTION
Individual Onsite Wastewater System Application Fees; a Ala Swdur'
sincmes 1500 so a a lest n3040
Perna Type ❑ New Installation suWues mom Ih•n 15ot so It am up W 2000 sa it It 45.00 ❑
❑ Atemfion ( Repair Baueaw more than 2" sq a am up IU SpotaR a s 90.00 ❑
M.H. #Z 1 ' steddes mat sin 3DOO sq 4 am up M 4000 sq b s12o.o0 ❑
AS -BUILT (L.R.P.C-� studieamonman4o0o"It s15u,au ❑
Mention am Repair a 30.00
DR Environmental I.D. a
9B
o_w , T-nnn f Tvne trhlem onal Disoosal Method (check one)
STD-SUMard Bapac Tank ATV-AeroNC Treatment%ant
STD•SaMud ADaapiion FaH LPD=Low Pressuro DlSWMan
❑ k5F•laer,dasa SaM FaN ❑ RSF•RearudaWp Sand Filer
❑ SUR-Sudan DisWrpe ❑HUD-YbWmp TsnN
❑ PMF • PfOpMWy Aledr FlMr ❑ RGF • ReclmdatNp Gravel Fihar
❑ CPF • Uppinp Fri ❑ SRL • Bedd daldwlbn
❑ OTH • Othm (Desaiba) ❑ MLD • Y4ainp Tart
❑ OTH • Otl,m ❑IMP •Drip XNpaaM
1. OwnerelApplitanl's Name
2. Phone Number
GABRIEL VILLEGAS
50/-247-2968
1. Mailing Addrees
4. Couny
4625 LEVER SPRINGS CUT-OFF, LR, 72206
PULASKI
5. s of P sari S taco (If a 911 address is not available, aaarh delaNed dkecticos or map.)
462 GEV SFNGS CUT-❑FF LR 72206
a. Msbn Name
7. Approval Date
6. Dale RecorOed
9. LIJIANumber
N�pA�
10.447'We 6iG5
44/' X 63
11. TotalS NI(Aces)
12. 68edroems pPnde
3. D2y pow (GPD)
!tl
14, Brad Legal Desaiptlen of Property (Allarh a separate sheet of paper N necessary.)
NE
ts.
Suppy (Scaly euppNvNPadre weta.l
16. Gas ood34j138'23.7" W 92a19'51.1"
Reba for Hole 1
x
a. Size of Septic rank
EXIST.
am
I. Trench Depth
EXIST.
Mines
Rafe for Note 2
b. Size of Doss Tank
. Tranch S ed
feet
Rate for Hole 3
s ten Area
At
h. Trench Media
Trendy Width
All Ada Pero.
d. Number of Field Lines
in.
A Pero. 1.3
-
e. Lenoth of Field Linea
h
in.
Comments AS -BUILT WITH ALTERNATE SITE AS REQUIRED
21. I Certy that I have-Niumer� las ri�. v„m,,,.w•, v,.. -.•..,,,,., ,. ,,, ,, . ,.,.... ................
Mkan"s Departmed of Health le WasMwaler Systems. Dnigna(ed Representetvem and
Installers. STEVEN R. EVANS, D.R. 0199 Soll Certified W(Yes D No
Slgnatu C , TWO
P.O. BOX 17531, N.L.R., AR 72117 12-2B-12
Typ Data Phone Number
22. Approval of Health Aa01oN(Y' The Information above has been reviewed and found to meet the requirements of the Arkansas Department of
Health for OnslRe Wmisvro(er Systems, Des Representatives and Instaien.
A PERMIT FOR CONSTRUCTION is hav I
Environmental Health Specialist Date
EHP-19 (R 5112) V v4TE TO INSTALLER. CONPACi'
bANITARIAN AT�PPIOr
M BWANNING STALLFTION
• === �G� �4+74.1
t7EP-
z
gal ONNAWuj
Uj
.�
Z
I ,
y
g:
1 1
1
I
iFraI I
Pro' LOAKT
L_J
t L--J
_ ejLOT PLAN
APPROY
011
STEVEN R. EVANS, D.R. #199
E & E COMt1AERCIAL, INC.
P.O. BOX 17531, N.L.R., AR 72117
(501)620-8558 (501)98t-2566
as,;ETO INSTALLER. CONTAG'
yANITARIAN AT��Y! Pp..
i? BcI)InTI"r, *IsTv_c . I
SI:=PTIC PERMIT:
12210 HIIARO SPRINGS RD.
Arkansas Depoyinent of Heakh
olNN nrarraHUM tkx'.
A,aw4dv4~1L1`J4 Resk A+u.446 rzYre
Individual Sewage Disposal System Pemnit Appllaatlon
Pant aosr:8katio s
er �J
QO ai
New Installation
Akeraton
❑ Repair
a 'a • taaiw aydam
❑ RPR • Apek •hnt Fltr
❑E. Oenaan Lapwn
❑ SAL . a4nuiwtaen pwElCPR.I'.awYi PM ❑ Late. 4nr Pressure Gump I
aHL.O • Hdage TnY ❑ MF • IN4mleam toad Roar ❑ Rise • ReaYauNOe NM flb
n Mrs a NMahunei-mairrom Pant ❑oT1i.c_e_Nr-
owners R"
' gtaLtL V LLL I*eaNe4
or
: I"\ha7b 9m4S■AMnw
�z
(afa•apF)s .n � � sots
f•OA1L_ asaa�-
4 ea'�- 1� ,
cY'_lAi�fT-4_
erA••e propaea 4l'alanl
\2 t IO �ILalw
a 11 wYT5 ays bola, f, Mdr4dba44rfwp)
ru^ 3 1`47 ITrl.s I•�dir.� ,
C`ir•4 Met.,at+kEvS
add aa,N
/�
As ` 1r+t
1V
.�%•^lie,M
1 `Ta4r
Lot lati
H Ares w)
1 Na. of bww OR a.
Palaan (asm
L' a ( 0)
14 eder wRrplen rapwy seam • a 40 ",Navy)
QDF- Wr1 "t i 1J61' 4- L S 1>•-1 1 • L: (Sa.a. ATrPat'+HtTaa
1 watt WRf(rose' a-pPb N pub wear)
1 N. a beaww ntam raawvsymmm
`,' T L Is-
,T (Ad=at
same 0 01, dimahl,Nang
ale
earn
ems, aawik4mlyT
p
IA 4. AdI. MSWF r. Adf.L
1
0. .IOMa
R LnMYpRO (OPOI
i
yea 0 �aap
41w
a_.eaOxY
rfiY.a. amkl..r
I yW a. AS ILLwF
f;+Ra. Hr•eta.F - .
a H. 19W R to "Rot foPOI
It a
Twt/qYMi5��0.
EA-
"Areas
a s d Sww 't a
a eiadOwe Tank 1,F5,
L
a AhadpWnAres raq
0
a. Numbat N mew UmS
5
a. LWO dFMM LYtw
2, d
Atlli*MmiiMX11""Mb MMM pwbRa N
dimanial saNm leedsn ant Iryrd, lwtler of bate <aaoW eAM, 1w1u(A
jace,I
OM an S OM i MAMA mdo o a" b a nW11111a d"K e/ M . o AN
dasaMa sm M aydam N qa M nwnd paOanY M'iE Ind yNK4 pent rw0a N p
I qN INWOaalwaYM un Wm*wl 4s1en Wdnew Min
DapWmvN of Realm RWw and RaipuMlMn ParMaeyta ININ"I eawaya OMawal.
r. 'rain One, 1!1-41 in
CAL F. TnaaaMarisa yI R
its b. AWAts
R
we evaadMn Pia, kni en of aanaaaaxr Net arias,
llwi en qa lorwA tl - stem cram vnN awls
S . A OR- -2,a L•
O.R.�V1Fr of
�i �,1 e, �4K 'S•z.3 �
Indwaud 8awapr d4pead rydema.laiygat qs O.psamaM hw votes thed4,anmkie llrwlY,Wm4lam NiMpot anorad
,"rosom APFRMR FOR CONSTRUCTION M hereby louse.
Fnvinnm.ntal3pasN OaN _
� 7r
'' I " �. �l'"(ER i(iLLm1k"4 G,sY01FT
SOLba 'Ct4�11iL•*ititttue..l
' i1RtNat k�ew'rye '1'tsA••,4.►v( 1+1T
�I Tat,
�_-n 4aat° SM04lwLt
4e AN" loom"
5 lalvk," 64 LnJk :t
tA4G•+n
rir�aa H e: lwa 3 p l '_,.'-'is•++�•�
x • bye A+.eolnq , A, I �•r
i4eart"TAIse P
4iN i1 or die O
1
03AOZ3dw 4 L� I t`iel�f
Hid T
i'1ie PO4M ►HOaI: � Y,} I �'� e�t� ti# a^4.P it Saudi 4AN6a 7rZ--- .
-cstaaM,wm�hgo4Arl.'cah'T%++ `/
eLtik B' ` ri
ULASKI COUNTY CtNTRAI_ HEALTH
ErIVIRONMENTA4-HEALTHPROTECTIC:h:
3015 W,OTH STREET
fix LEGAL DESCR:PTIONLITTLE ROC6o %j220d•2�a
a 18 T-1-8 &- 2-W Katy m tb'21
�rsy f(JY I s 1 more yartie23ar1 duorSDed u follcxab
8e9itmine at the ITS oar of said ETk'}•, RR}, AE}, thence
'O 'South 418.2 fir thence 8 89 dry' 44 m1n H 300
,00
l &rn . GA I
ence
South 220.0 ft, thence 8 89 dK' 44 min w 147.3 ft�ina oil
Acrth 634.0 ft, thence N 89 dsg 12 Dirt E 447.4 ft to the
poiliit of baQinnin[t+ coatainuld 5.01 acres rore or leas,
with the North and Nast line subject to a 30 ft
EXIST. FIELD LIN
FOR HOME.
( malfunction )
NEW REPAIR SITE
FOR I BR HOUSE.
OVER'JIZED FOR
I
1
I
r
4�EYER-
SPRI^65'G� £T-OFF
a.
447.41 ~
1
�c1�iTl Itil-rK• • SEJZVI Gt:
I
M
NW
mrF-.
3
I
4t7.
31
r. h�
N
1
ALT.SITE
I
I
FOR HOUS
(
z
1 I
& M.H.# 2
x
lU
I g ._+ I
I
TI
N
O
p�
II
r
1�L
L
IELD INE SiI
CR
EXIST.FiELD LINES
=0R M.H.# 3
L
H2
P5
( permitted
�
I 5Y3
,
I
a
I
- I
•V4
I
I' L_J
ALT. SITE
1
FOR M.H•#3
M I
t
In 1
I
>! I
/ T•
Pay 4r3
147.5`
I 1
I
I I
I
I _-i---puT�Jl l-r>I NGS
---� TYPlCnAL
300.0'
NOTE (10-15-12) EXIST. FIELD LINES FOR M.H.# 2 8 M.H.# 3
APPEARED TO BE IN ORDER THE DAV OF .INSPECTION.
NO EVIDENCE OF PREVIOUS MALFUNCTIONS.
THE FIELD LINES FOR THE HOUSE 8, M.H.#1IS TO BE REPAIRED.
UTILITY PLOT PLAN C SBPtic ) 1"' = 50 ft.
ter•®
14E1e MINT=ON NO. lO CtaAPUM