n iqq.7
j
ru** Installation
*
Modification
OfficeUsaOntY
HAMILTON COUNTY
lpptlcaBon Xo.
APPLICATION FOR ON-SITE SEWAGE FACIUTY 09-Waco (TCEQ Regional Number) COU NTY OF
INSTALTATION'Hamilton Amount
1.
PropertY Ownefs Name:.
2.
CurrentMailingAcldrss: 1-l-
3.
*',t:l'#J6*flT-'i-'"qkr>*
4. 911 Site 5.
']
L?rtt*- rYtr-'flvl'---
'rr -" L'-.-' - I
r6x--=tla*r
Address:-
Sec..-
Legal Description:
Lot-
Block-
PIat
Date
7.SourceofWater:/privateWellDPublicWatersuppIy
B.
Single Famity Residence: No' of
n
Living Area (sq ft)
Bedrooms-;J---
-'
r
'
,
'
iqq.7
=
===,
g.C.ommerciaUinstitutional(includingmulti-familyresidences)Type: Days OccuPied Per Week:
License
,-
11. Designer: Phone No.:
11. Installer:
a 1:
e-'
1,
Y6.
LicenseNo.(PE
la,./oo
License
No.
f?5 tt a o a?L q-7
'
or{s) 09aao ?Lf) /!S
Aa*o2Y'7
propertvfo*he I certify that the above s.l?teryentsjl':j':.::::.::T*:::1"":::t"1t *',:HIIT:;;*'i:::1fi:fiJ:J""'[i1f[T L"ffiH,'*T**:,::?,".'il*:t:1fft,:lii,i,i:i:.'fii::,*"i*i:i?::Hr.;;;;;;";escribed racilitv' and investlg;ti'" ,r1" on-site sewase
l"rffi:yJil?,iT,I;l;;uiuition
you have suestions on l9w 99 fittouj*:f?ll/j:::":*:::;X:,:#f|ff!'!.f;::{:f;!l:;::,f;:f:f"li::, IfyouhaveguestionsonhowtofitloutthisfarmoraooutweQll.sllc,lrYayE'aw'',.,,J.va.,iii,iu*theirpesonalinfornilitiffi If to re1uest ar;, ZS+SAiiSte' Individuats are,inentitled the Hamitton Aurry Ciriis-omri or at their inrormation infarmation corrected' cOffected, their
*Z!;#"#:,tr';#:i{[; :{';;;;.' #i'*r a* niii,,r
e*ors in
To review
L2.
of Gruner)
PROPERTY UPON WHICH THIS YOUR FOR PLAT SURVEY THE ATTACH A COPY OF niiruCiEiiro. (ADoPr ED 4-26-2004) SYSTE}I
ft ;d
New Construction Application
Page 1
of 2
Mackv- Thedford 323'667'7 4O4
Cell Z5+842'7L78
HAMILTON COUNTY ON.SITE SEWAGE FACIUTY PERI'IIT TECHNiCAL INFORMATION FOR ATPROYAL' BEGIN CONSTRUCTTON PruON TO APPJ'ICATION PENALTIES'
%
uNAurHoRrzED coNsrRucrroN cax
t/,
Owne/s Name: Professiohal design required? tr Yes
I,
II.
N" I-*,
drain): " S( 4 * o Type and size of tip", 3 DAIL' wAsTEwATER usA€E RATE: q= TREATMENT A,
il
Yes
r,,unw'
"? ila ^ ) /y'" tr Y.es tr No
L.fessionat-ddign attached:
./ t ft ,le' Slope of Sewer Pipe wnnr:
SEWER (House
Water Saving Devices:
IIf.
nriliirm iivrlarvolofnpurxtsrnarr'E
?
j
{s
-s
i t-
'7-{
(gatlons/day)
dfto tr Aerobic Unit g,"*53"{quiaDepth
UNIT: EdePticTank
to outlet):
(Bottom of rank r Tank Dimensions , l/2"1 SizeProposed: r SizeRequired:, t rs?'e'-/' g' { octc''e/L . Manufact urer: B'qutra-J, S.erri2c. Materiat/Model (qal) tr No D N/A Tank: D Yes Size : . Pretreatment
B. N.
Other:
",rx::TH;"'onlou, r Required: le Area
v.
'
nli ly'-o len /d* *e/s
/en JS - .
i
. Area Vroposea: * il iy'rnczk
ADDITIONAL IN FORMATION: NoTE-THISINFoRMATI0NMUSTBEATTACHEDFoRREvIEwToBECoMPLETED.
A,
Soil/SiteEvaluation
B,
Planning Materials
each of these categories' items that must be addressed under The attached checkrist detairs those
flS Oee-_%. Ucense No'
New Constructhn APPlication
PageTof 2
Maclcv
Thedford 3?;5'667'7 4O4 Cell 254-842'7L78
HAIT,IILTON COUNTY OTU-SITE PROGRAM SITE ETTALUAITON AND PI.AHNIT{G }IATERIAI.S FOR AN ON.SITE SEWAGE FACILITY The following informafion must be submitted
with the
dexsign package
fg
County. levierr by llamitton
failire to indude or address all of the following items may rerult in approval delays'
ApplicaUon
No.-
I{ame Address City, State, Zip Phone No. CounW
Name Address City, State, Zip Phone No, License No.
4( *.r,',t- [a1*,
;vri
frn /ayI
*lt?,Tx
Additional Infornation
Infonq{iqn .Feac- #t, r/e'?-
Site Evalualor
Applica nt/Site Information
tfnm t LI-fi\ Lb
B#* 3fL
fl,tbt Htr.*o r/a J cxos Ba.f 'L */f - 3 tl O u-f oaa 4b8rf
:
SITE EVALUATION: A minimum of two soil borings or backhoe piE must be excavated at opposite ends of the proposed disposal area, The borings or pits must be excavated to a depth of two feet below the proposed excavation, or toa res6ictive horizon, whichbver is less. The boring or pit locations must be indicated. This report shali include a groundwater evaluation, a surhce drainage analysis, and all applicable minimum separaUon requirements.
PLANNING f"t*ffRlnls: The proposed treatment and disposal system shall be prepared based on the site evaluation, The submithl requirements must include the following details.
u A scale drawing of the on-site sewage facili$, showing all structures served. t] Submittals preiared by a professionll enginler or professional sanitarian must be sealed, dated and tr
n
signed.' Proposed designs must comply with all separation distances identified in Table X. A sectional viJw of the tanks, including pump tanks, and excavations must be submitted.
Soil Bo 0 1
I,ft, sco,ii'
z 3
C
l"r4;.
Pit Number
,l/" 4 L
4 5 6
7
Site Evaluation and Planning Materials
Page 1
of2
4rtqe
l/,:n q-
Soil
1_
Pit Number. qrarel &elW!S-
ToIo,l
No.f
oiostfl
3_ 4_
ll
?
ote-
oi,!{.
6_
Schematic of Lot or Tract/Site Drawing Scale: 1 inch=50 feeVor approprlate
Ftv I certifo that the
?7
ond ore occumte to thc bcst of my obiffry' of this report are based on my site observotions
746
Site Evaluation and Planning Materials
oare 94Page?of 7
?
1-
-
HAHILTOT{ COUIITY Oil-SITE SEWAGE FACITITY PROGRAI{ I}ISTALIATIOil IHVESTIGATIOH REPORT STAT{DARD SYSTEM Pagetof 2
Property Owner
Permit ilumber
Bt_v,ol [io.l,L
Region Number
Installer Name & License Number Site Evaluator Name & License Number
fnvestigator I!__!ITE AND SOrL
ffag;e- ffe r.to *
osadoa7qf frogt, Harrao P; aaa ECFT
CONDTTTONS &. SET BACK DTSTANCES
N
Site and Soil Conditions ConsistentwiBr SubmiEed Planning ttJteriats s285.30 & S28s.31 Setback Distances Fleet Minimum Standards 528s.30(bx4), 528s,31(d) &. 9285.e1(10)
Ir.
SEWER PIPE
l!!erType
'
Du*ilalron,
Scn.
9ope from tre
ft19
ltfy
ITT,
.N
q285.32faX1-
Pipe from SFudurE to Disposalsystem (Cast lron,
ru** Installation
*
Modification
OfficeUsaOntY
HAMILTON COUNTY
lpptlcaBon Xo.
APPLICATION FOR ON-SITE SEWAGE FACIUTY 09-Waco (TCEQ Regional Number) COU NTY OF
INSTALTATION'Hamilton Amount
1.
PropertY Ownefs Name:.
2.
CurrentMailingAcldrss: 1-l-
3.
*',t:l'#J6*flT-'i-'"qkr>*
4. 911 Site 5.
']
L?rtt*- rYtr-'flvl'---
'rr -" L'-.-' - I
r6x--=tla*r
Address:-
Sec..-
Legal Description:
Lot-
Block-
PIat
Date
7.SourceofWater:/privateWellDPublicWatersuppIy
B.
Single Famity Residence: No' of
n
Living Area (sq ft)
Bedrooms-;J---
-'
r
'
,
'
iqq.7
=
===,
g.C.ommerciaUinstitutional(includingmulti-familyresidences)Type: Days OccuPied Per Week:
License
,-
11. Designer: Phone No.:
11. Installer:
a 1:
e-'
1,
Y6.
LicenseNo.(PE
la,./oo
License
No.
f?5 tt a o a?L q-7
'
or{s) 09aao ?Lf) /!S
Aa*o2Y'7
propertvfo*he I certify that the above s.l?teryentsjl':j':.::::.::T*:::1"":::t"1t *',:HIIT:;;*'i:::1fi:fiJ:J""'[i1f[T L"ffiH,'*T**:,::?,".'il*:t:1fft,:lii,i,i:i:.'fii::,*"i*i:i?::Hr.;;;;;;";escribed racilitv' and investlg;ti'" ,r1" on-site sewase
l"rffi:yJil?,iT,I;l;;uiuition
you have suestions on l9w 99 fittouj*:f?ll/j:::":*:::;X:,:#f|ff!'!.f;::{:f;!l:;::,f;:f:f"li::, IfyouhaveguestionsonhowtofitloutthisfarmoraooutweQll.sllc,lrYayE'aw'',.,,J.va.,iii,iu*theirpesonalinfornilitiffi If to re1uest ar;, ZS+SAiiSte' Individuats are,inentitled the Hamitton Aurry Ciriis-omri or at their inrormation infarmation corrected' cOffected, their
*Z!;#"#:,tr';#:i{[; :{';;;;.' #i'*r a* niii,,r
e*ors in
To review
L2.
of Gruner)
PROPERTY UPON WHICH THIS YOUR FOR PLAT SURVEY THE ATTACH A COPY OF niiruCiEiiro. (ADoPr ED 4-26-2004) SYSTE}I
ft ;d
New Construction Application
Page 1
of 2
Mackv- Thedford 323'667'7 4O4
Cell Z5+842'7L78
HAMILTON COUNTY ON.SITE SEWAGE FACIUTY PERI'IIT TECHNiCAL INFORMATION FOR ATPROYAL' BEGIN CONSTRUCTTON PruON TO APPJ'ICATION PENALTIES'
%
uNAurHoRrzED coNsrRucrroN cax
t/,
Owne/s Name: Professiohal design required? tr Yes
I,
II.
N" I-*,
drain): " S( 4 * o Type and size of tip", 3 DAIL' wAsTEwATER usA€E RATE: q= TREATMENT A,
il
Yes
r,,unw'
"? ila ^ ) /y'" tr Y.es tr No
L.fessionat-ddign attached:
./ t ft ,le' Slope of Sewer Pipe wnnr:
SEWER (House
Water Saving Devices:
IIf.
nriliirm iivrlarvolofnpurxtsrnarr'E
?
j
{s
-s
i t-
'7-{
(gatlons/day)
dfto tr Aerobic Unit g,"*53"{quiaDepth
UNIT: EdePticTank
to outlet):
(Bottom of rank r Tank Dimensions , l/2"1 SizeProposed: r SizeRequired:, t rs?'e'-/' g' { octc''e/L . Manufact urer: B'qutra-J, S.erri2c. Materiat/Model (qal) tr No D N/A Tank: D Yes Size : . Pretreatment
B. N.
Other:
",rx::TH;"'onlou, r Required: le Area
v.
'
nli ly'-o len /d* *e/s
/en JS - .
i
. Area Vroposea: * il iy'rnczk
ADDITIONAL IN FORMATION: NoTE-THISINFoRMATI0NMUSTBEATTACHEDFoRREvIEwToBECoMPLETED.
A,
Soil/SiteEvaluation
B,
Planning Materials
each of these categories' items that must be addressed under The attached checkrist detairs those
flS Oee-_%. Ucense No'
New Constructhn APPlication
PageTof 2
Maclcv
Thedford 3?;5'667'7 4O4 Cell 254-842'7L78
HAIT,IILTON COUNTY OTU-SITE PROGRAM SITE ETTALUAITON AND PI.AHNIT{G }IATERIAI.S FOR AN ON.SITE SEWAGE FACILITY The following informafion must be submitted
with the
dexsign package
fg
County. levierr by llamitton
failire to indude or address all of the following items may rerult in approval delays'
ApplicaUon
No.-
I{ame Address City, State, Zip Phone No. CounW
Name Address City, State, Zip Phone No, License No.
4( *.r,',t- [a1*,
;vri
frn /ayI
*lt?,Tx
Additional Infornation
Infonq{iqn .Feac- #t, r/e'?-
Site Evalualor
Applica nt/Site Information
tfnm t LI-fi\ Lb
B#* 3fL
fl,tbt Htr.*o r/a J cxos Ba.f 'L */f - 3 tl O u-f oaa 4b8rf
:
SITE EVALUATION: A minimum of two soil borings or backhoe piE must be excavated at opposite ends of the proposed disposal area, The borings or pits must be excavated to a depth of two feet below the proposed excavation, or toa res6ictive horizon, whichbver is less. The boring or pit locations must be indicated. This report shali include a groundwater evaluation, a surhce drainage analysis, and all applicable minimum separaUon requirements.
PLANNING f"t*ffRlnls: The proposed treatment and disposal system shall be prepared based on the site evaluation, The submithl requirements must include the following details.
u A scale drawing of the on-site sewage facili$, showing all structures served. t] Submittals preiared by a professionll enginler or professional sanitarian must be sealed, dated and tr
n
signed.' Proposed designs must comply with all separation distances identified in Table X. A sectional viJw of the tanks, including pump tanks, and excavations must be submitted.
Soil Bo 0 1
I,ft, sco,ii'
z 3
C
l"r4;.
Pit Number
,l/" 4 L
4 5 6
7
Site Evaluation and Planning Materials
Page 1
of2
4rtqe
l/,:n q-
Soil
1_
Pit Number. qrarel &elW!S-
ToIo,l
No.f
oiostfl
3_ 4_
ll
?
ote-
oi,!{.
6_
Schematic of Lot or Tract/Site Drawing Scale: 1 inch=50 feeVor approprlate
Ftv I certifo that the
?7
ond ore occumte to thc bcst of my obiffry' of this report are based on my site observotions
746
Site Evaluation and Planning Materials
oare 94Page?of 7
?
1-
-
HAHILTOT{ COUIITY Oil-SITE SEWAGE FACITITY PROGRAI{ I}ISTALIATIOil IHVESTIGATIOH REPORT STAT{DARD SYSTEM Pagetof 2
Property Owner
Permit ilumber
Bt_v,ol [io.l,L
Region Number
Installer Name & License Number Site Evaluator Name & License Number
fnvestigator I!__!ITE AND SOrL
ffag;e- ffe r.to *
osadoa7qf frogt, Harrao P; aaa ECFT
CONDTTTONS &. SET BACK DTSTANCES
N
Site and Soil Conditions ConsistentwiBr SubmiEed Planning ttJteriats s285.30 & S28s.31 Setback Distances Fleet Minimum Standards 528s.30(bx4), 528s,31(d) &. 9285.e1(10)
Ir.
SEWER PIPE
l!!erType
'
Du*ilalron,
Scn.
9ope from tre
ft19
ltfy
ITT,
.N
q285.32faX1-
Pipe from SFudurE to Disposalsystem (Cast lron,
