HomeMy WebLinkAboutS-1773-A Application' 6/1;3/2016
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Nj bing rnaps
3815 W 8th St, Little Rock, AR 72204 17 min, 12.1 mi
17001 Elvin Rd, Little Rock, AR 72210 Light traffic (19 min without traffic)
Via 1-630 W, Lawson Rd
John is parceling off the 2 acres behind 17001 Elvin Road. If you drive beside 17001, the
pasture behind the house is where the soil pits are and the stakes.
Q 3815 W 8th St, Little Rock, AR 72204
1.
Depart W 8th St toward S Oak St
r->
2.
Turn right onto S Oak St
I+
3.
Turn right onto Maryland Ave
4.
Turn right onto S Pine St
5.
Turn left onto W 7th St
6.
Take ramp left for 1-630 W
7.
At exit 813, take ramp right and follow signs for 1-430 South
N 8. At exit 4, take ramp right and follow signs for AR-300
9.
Bear right onto Colonel Glenn Rd
10.
Turn left onto Lawson Rd
+1
11.
Turn left onto Harkins Ave
12.
Turn right onto Elvin Rd
Arrive at Elvin Rd
11
The last intersection is Harkins Ave
If you reach Sullivan Rd / CR-202, you've gone too far
17001 Elvin Rd, Little Rock, AR 72210
154 ft
331 ft
331 ft
0.1 mi
413 ft
4.3 mi
2.7 mi
0.3 mi
0.5 mi
3.2 mi
0.6 mi
338 ft
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Arkansas Department of Health Receipt No.
�. Environmental Health Protection
Individual Onsite Wastewater System Installation Specifications
(Must be signed and returned to ADH Authorized Agent within five working days.)
Name of Applicant TB = Trench Bottom Elevation
PE = Top of Pipe Elevation
Location of System GE = Ground Elevation
FL = Flow Line Elevation (Top of Pipe Elev. + 4")
Name of Installer License # TE = Tank Lid Elevation
Septic Tank Size
Type of System
Orifice Head
Trench Media
Stub -out
Gal I Dose Tank Size
ft I Pump Run
FL
Gal urawoown
Inches
j Number and Length of
Lines
min sec Pump Rest
Tank Inlet
FL
GE
TE
Tank Outlet
FL
GE
TE
D-box Inlet FL GE [D--box Outlet FL
I ina 1
Trench Width
GE
Benchmark
at ft
min sec
Dose Tank Inlet
FL
GE
TE
Dose Tank Outlet
FL
GE
TE
Other
GE Devices �GE
PE
Line Length
Beginning
Middle
End
TB
TB
TB
GE fl
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
EHP-6 (R 6/13)
Receipt Na.
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line Length
Beginning
Middle
End
TB
TB
TB
GE
GE
GE
Line 10 _
Line Length Beginning Middle End
TB TB TB
GE GE GE
Environmental Health Specialist
Date
I have installed this system as designed and in compliance with all Rules and Regulations Pertaining to Onsite Wastewater Systems.
Installer Signature
License Number
Date
EHP-6 (R 6/13)
6 N ��inc0
WASTEWATER SYSTEMS
References are found in the Arkansas State Board of Health Rules and Regulations Pertaining to Onsite
Wastewater Systems Effective 12/1/2014.
LEGEND TO AutoCAD DRAWING
A Sewer stub out location. Maximum depth of flow line from existing grade is 0 ". Show this
drawing to your plumber. (Reference 11.8)
B 2-way clean out location. Sewer popper required. Install clean out and sewer popper at or above
grade. (Reference 11.10) Fall to inlet of septic tank can be no less than 1/8" per foot, and no
more than %" per foot. (Reference 11.9)
C Septic tank location. Risers to grade over inlet and outlet, minimum 18" diameter. (Reference
11.6.8) Effluent filter required. Orenco FTS-044-36 or equivalent. (Reference 11.6.6) Bed and
backfill septic tank with %" or smaller gravel. (Reference 11.4) Septic tank must meet or exceed
manufacturer requirements, 5000 psi, aged 28 days minimum. (Reference 11.6.1— 11.6.8.1)
D Distribution box location. Tuff Tite 7-hole. Pipe seals and dial -a -flow levelers required. Bed and
backfill distribution box with %" or smaller gravel. (Reference 9.10.4)
E Primary disposal site location. Install field lines on contour. (Reference 9.10.1— 9.10.3 and
9.10.6)
F Secondary disposal site location.
G Primary pit location.
H Secondary pit location.
I Soil pit location, if applicable. Not used due to shallow seasonal water tables or contour issues.
J Proposed water line. Water line must be installed 10' from any part of wastewater system.
(Reference 6.2.8)
K Benchmark location.
L Primary disposal site slope. 0%
M Secondary disposal site slope. 0%
PIPE SPECIFICAITONS
House stub out to septic tank inlet, 4" schedule 40 pipe.
Septic tank outlet to distribution box, 4" schedule 40 pipe.
Distribution box outlets to field lines, 4" sdr-35 solid pipe.
Field lines, 4" sdr-35 perforated pipe, Washed Rock. Acceptable alternative. Ez Flow 1201
EFFLUENT STRENGTH
Biochemical oxygen demand < 300 mg/L
Total suspended solids < 300 mg/L
Fats, oil, and grease < 25 mg/L
(Reference 9.41 and Appendix B, Footnotes)
Any changes or substitutions to the notes and specifications in this permit must be approved by the
Designated Representative.
0
=Nnco
f WASTEWATER SYSTEMS
GROUND AND INSTALLED ELEVATIONS
What
Ground
Installed
Fall
Stub Out
04-10"
04-10"
0"
Inlet
04-09"
05-02"
4"
Outlet
04-10"
05-05"
3"
D-box
05-05"
06-01"
8"
Line 1
05-05"
06-11"
18"
Line 2
05-05"
06-11"
18"
Line 3
05-05"
06-11"
18"
Benchmark
04-10"
Tree.
NOTES
None noted. Use flow line of outlet to load disposal field. Flat ground installation.
Any changes or substitutions to the notes and specifications in this permit must be approved by the
Designated Representative.
2016053525
JOHN PAUL JOKES SUBDIVISIO
Name )
To: The Public )
)
RECORDED 08-26-2016 12 25 01 PM
In Official Records of Larry Crane Circuit/County Clerk
PULASKI CO, AR FEE $20.00
BILL OF ASSURANCEco
Oil ld"f'`I ,1'4;
rr r,lli I P11101t�,
iiiiiiiiiiiiiliiiiii iii i iiiil iii
PRESENTED 08-26-2016 12 20 15 PM
WHEREAS, John Paul Jones and Edith Jones are the sole owners of the following
described lands in the County of Pulaski, State of Arkansas to wit:
Part of the SW1/4 NW1/4, Section 25, T-1-N, R-14-W, Pulaski County, Arkansas, more
particularly described as follows: beginning at a point which is 304.75 feet East of the Southwest comer
of the SW1/4 NW1/4, Section 25; thence N 0°53'10" W, 624.23 feet; thence N 89°03'40" E, 264.21 feet
along the South line of Elvin Road; thence S 0°30'00"E, 623.94 feet; thence S 88°59'40" W, 260.00 feet
to the point of beginning, area containing 3.7551 acres, more or less.
AND, WHEREAS, it is desirable that all of the above described property be platted.
NOW, THEREFORE, WITNESSETH:
THAT we, the said owners, hereinafter termed grantors, have caused said tract to be
surveyed by Johnny R. Tweedle, R.L.S. #1203, State of Arkansas, and a plat thereof made which
is identified by the title JOHN PAUL JONES SUBDIVISION, and the date April 11, 2016 and
by the signature of the said surveyor and the said grantors and bears a Certificate of Approval by
the Little Rock Planning Commission and is on record in the Office of the Circuit Clerk, and ex-
officio Recorder of Pulaski County, Arkansas, in PLAT BOOKS l (o 53 �5 PAGE
and the grantor(s) do hereby make this Bill of Assurance.
AND, the Grantors hereby certify that they have laid off, platted, and subdivided, and do
hereby lay off, plat and subdivide said real estate in accordance with said plat. The lands
embraced in said plat shall be forever known as designed on said plat; and every deed of
conveyance for said property shall use this designation.
This Bill of Assurance shall run for a period of ten (10) years and thereafter shall
automatically renew itself every ten (10) years unless amended or terminated by a majority of the
property owners of the lots in the subdivision.
All buildings constructed on said lots shall be constructed no nearer to the street than the
building line shown on the plat, and all buildings shall be constructed in conformance with the
Building Code and Zoning Ordinance of the City of Little Rock, Arkansas.
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 a valid and complete delivery and dedication of the
streets and easements shown on the said plat.
. 1-2
WITNESS, our hands this day of ' A
ACKNOWLEDGMENT
STATE OF ARKANSAS)
) ss.
COUNTY OF PULASKI)
BE IT REMEMBERED, that on this day came before me a Notary Public, within and for
the County and State aforesaid, duly qualified, commissioned, and acting, the within named John
Paul Jones and Edith Jones, and stated and acknowledged that they had executed and delivered
the foregoing Bill of Assurance.
IN TE TIMONY WHEREOF, I have hereunto set my hand and official seal this,
day of , 2016,
� � L
My Commission Expires:
Prepared by:
Johnny R. Tweedle
8114 Cantrell Road
Little Rock, AR 72207
0
=G,�,�7missicn
OBS
UNTY
ARKANS'S 20t8
[MyFebruary
. •� .krrr.'�7�i..�iiiiti.'•ii �a......ci�i''�
Bill of A=rarm ora': isia ns €st.:.: iad b:•t'-*
deva4c .ray ehQicd m:,M ' u;n n%gutdor., of ft
Lids Rock subdvision and zorlin ordinances.
City of Lit iWRock Planning Commission
,r1V.V1.X1W-
Arkansas Department of Health
$Y� Environmental Health Protection
�r
Individual Onsite Wastewater System Permit Application
Permit Type ❑✓ New Installation
❑ Alteration / Repair
DR Environmental ID #
7 1 6 1 0 1 1 0 1 5 1 5 1 5 1 4 1 7
0 4 4 Anntirm4inn Trontmonf Tina Irhark nnal
Receipt Number
r
Fee Schedule for Structures
Structures 1500 sq ft 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
Structures more than 3000 sq ft and up to 4000 sq ft
$120.00
Structures more than 4000 sq ft
$150.00
Alteration and Repair
$ 30.00
r)icnncal Mathnrf (rhRrk nne)
[ STD = Standard Septic Tank ❑ ATU = Aerobic Treatment Plant
❑p STD = Standard Absorption Field ❑ LPD = Low Pressure Distribution
❑ ISF = Intermittent Sand Filter ❑ RSF = Re -circulating Sand Filter
❑ SUR = Surface Discharge ❑ HLD = Holding Tank
❑ PMF = Proprietary Media Filter ❑ RGF = Re -circulating Gravel Filter
❑ CPF = Capping Fill El SRL = Serial Distribution
❑ OTH = Other (Describe) ❑ HLD = Holding Tank
❑ OTH = Other ❑ DRP = Drip Irrigation
1. Owner's/Applicant's Name 2. Phone Number
John Jones (501)944-8372
3. Mailing Address 4. County
17216 Elvin Road, Little Rock, Arkansas 72210 Pulaski
5. Address of Proposed System (If a 911 address is not available, attach detailed directions or map)
Behind 17001 Elvin Road, Little Rock, Arkansas 72210
6. Subdivision Name
7. Approval Date 8. Date Recorded
9. Lot Number
n/a
n/a n/a
n/a
10. Lot Dimensions
11. Total Area (Acres) 12. # Bedrooms # People
13. Daily Flow (GPD)
230' x 240'
1.5 3
370
14. Brief Legal Description of Property (Attach a separate sheet of paper, if necessary)
Section 25, Township 1 North, Range 14 West, Pulaski County, Arkansas
15. Water Supply (Specify supplier, if Public Water) 16. GPS Coordinates
Central Arkansas Water 34.694684,-92.464422 34.694639,-92.463907
17. Loading Rates d/ftz 18. System Specifications
Primary Area 0.75 a. Size of Septic Tank 1000 dal f. Trench Depth 18 inches
Secondary Area
0•64
b. Size of Dose Tank
n/a
al
9. Trench Spacing 8
feet
Percolation Test
min/in
c. Absor tion Area
494
ftz
h. Trench Media (List Below)
i.Trench Width
Primary Area Avg
n/a
d. Number of Field Lines
3
Rock & Pipe
24 in
Secondary Area n/a e. Length of Field Lines 90 ft Ez Flow 1201 Geo 18 in
TO THE OWNER
The permit for construction may be deemed invalid by the local Environmental Health Specialist before the start of construction, if the site and/or
soil conditions have changed after approval of this permit, or if the information within this permit is inaccurate or has been found to be
misrepresented. Approval for operation does not constitute a guarantee that the system will function properly. The approval states that the
system was designed and installed according to the Arkansas Department of Health, Rules and Regulations Pertaining to Onsite Wastewater
Systems, unless there are exceptions or deviations noted in the comments. A Permit for Construction is valid for one (1) year from the date of
approval. The authorized agent must revalidate a permit more than one (1) year old prior to the start of any construction.
19. Utilization Verification
I hereby attest that item 12, the number of bedrooms (number of persons for commercial) and square footage of the structure that will
utilize the designed individual onsite wastewater system in this permit application, is accurate. I have reviewed the permit application and
understand the layout, installation, maintenance, operation and expense(s) that may be associated with this system.
��
Owner/Applicant Signature Date
20. 1 certify that I have conducteofie above tests and that the above listed information is in accordance with the latest requirements of the
Arkansas Department of Health Rules and Regulations Pertaining to Onsite Wastewater Systems.
DaAri & A. M e i.wly �__ PV i gr%.a�Fe o� Re,�C- Soil Certified ®Yes ❑ No
Designated Representative Signature Title
David A. Meints 06/19/2016 501-821-3837/501-804-0837
Print Name Date Phone Number
21. Approval of Health Authority
mati nd specifications in the application has been reviewed and found to meet the requirements of the Arkans Dep ment of
The infor/3-0
Health Rul nd Reg tions a ini TITOns' Wastewater Systems. A PERMIT FOR RUCTEON is he y ' ued.
14, Az j 1.�_ -
Environments eci st nature EHS Number at
EHP-19 (R 8/I3j Page 1
Individual Onsite Wastewater System Permit Application
Receipt Number
Continue Part 1
22. Soil Criteria (Primary Area) Indicate the depth to items a-f, if observed in the soil (designate in inches)
a. Bedrock
b. BSWT
c. MSWT
d. LSWT e. Adj. MSWT
f. Adj. LSWT
g. H.C./Depth
h. Loading Rate (gpd/ft2)
>48"
32"
46"
Not Obsv 41"
n/a
Mod/48"
0.75
23. Soil Criteria (Secondary Area) Indicate the depth to items a-f, if observed in the soil (designate inches)
a. Bedrock
b. BSWT
c. MSWT d. LSWT e. Adj. MSWT
f. Adj. LSWT
g. H.C./Depth
h. Loading Rate (gpd/ft?)
42"
25"
30" Not Obsv 28"
n/a
Mod/42"
0.64
24. Seasonal Water Table (SWT) Classes Detail
Primary Area
List Redoximorphic Features and/or Clay Content Restrictions
Brief
in
Iron concentrations or depletions noted on 20% or less of ped surface or interior. Depletion chroma >= chroma 3.
Moderate
in
Depletions noted on more than 20% of ped surface or interior. Depletion = chroma 3.
Long
in
Not Observed
Secondary Area
List Redoximorphic Features and/or Clay Content Restrictions
Brief
in
Iron concentrations or depletions noted on 20% or less of ped surface or interior. Depletion chroma >= chroma 3.
Moderate
in
Depletions noted on less than 50% of ped surface or interior. Depletion <= chroma 2.
Long
in
Not Observed
Comments
None noted. Use flow line of outlet to load to disposal area. Flat ground installation.
Part 2 Installation Inspection
Septic tank manufacturer
Pump information
Septic tank material
Trench media and width
Dose tank manufacturer
Depth of interceptor drain
Dose tank material
Depth of settled fill
I
Name of Installer
License Number
Installation Inspected by ❑ Environmental Health Specialist ❑ Designated Representative
(check one or installer signs System Installation Verification below)
Signature EHS / License Number Date
System Installation Verification
have installed this system as designed and in compliance with all Rules and Regulations Pertaining to Onsite Wastewater Systems.
Installer Signature
License Nurnbe.* Date
Part 3 Permit Tor uperation
The information contained in Part 1 and 2 of this form has been reviewed and found to meet the requirements of the Arkansas Department of
Health. THE PERMIT FOR OPERATION of this system is hereby issued.
Environmental Health Specialist
Comments
Site Revalidation conducted by
(check one)
EHS Number
❑ Environmental Health Specialist ❑ Designated
/ License
Date
EHP-19 (R 8/13) Page 2 of 2
DRIVEWAY
PARKING
3BEDROOM
PROPOSED WATER LINE -J (2) 1 (
10,
105'D-BOX REFERENCE
15'
8'
8'
30'
- (D
8 8-
/DISTURBED DISTURBED LOW AREA
75'D-BOX REFERENCE
T48
n 4 "MMING N
d
,'I OT "'i 'A
Appal
FENCE
AT ON
NORTH
M
8'
8'
8 - -
8-
8'
8'
FENCE
ELVIN ROAD
Received
JUN 2 7 2076
Pulaskl Central LFIU
FENCE
FENCE