waller county
TRANSCRIPT
WALLER COUNTY
Environmental DivisionTonya Mewis, D.R. 30240David Ottmer, D.R. 22969
Brandee Tiemann, D.R. 35520 Shane Schroeter, D.R. 35868
929 5th St, Hempstead, Texas 77445 Phone: 979-921-0391
APPLICATION FOR PRIVATE SEWAGE FACILITY LICENSE
On-site sewage facilities (OSSF) are commonly known as septic systems; our office provides
information, education, permitting and inspection for new and existing septic systems. We also
investigate complaints related to failing or improperly maintained septic systems.
Onsite sewage facilities (OSSF) are wastewater systems designed to treat and dispose of effluent on
the same property that produces the wastewater. Regular maintenance and inspection of OSSF
protects public and environmental health and enhances private property use and value.
It is a violation of state law to discharge sewage onto the ground.
Permits and an approved plan to construct, alter, repair, extend and operate an On-Site Sewage
Facility are required. Applications may be obtained at https://www.co.waller.tx.us/page/
environment or at the Environmental office, 929 5th St, Hempstead, Texas.
A completed application and permit fee must be submitted to the Waller County Environmental
Division after a Flood Plain Development/Exemption has been issued from Waller County Road
and Bridge. All required forms must be included with the application when submitted. You may submit the application in person or email to [email protected]
Required Forms:
1) Application completely filled out
2) Design/Planning Material/Site Evaluation
3) Floor plan4) Well Log
5) Affidavit to the Public - must be recorded in the County Clerk's Officeprior to submitting to Environmental (only for Aerobic Systems)
6) Maintenance Contract (Aerobic Systems) Two year Service for new systems
7) Permit Fee $310.00 Single Family Dwelling/ $510.00 for all other type of
OSSF (payable by cash, check (made to Waller County) or online atwww.co.waller.tx.us/page/environment)
A final inspection is required and will be made upon completion of installation. If a re-inspection is
required a fee of $150.00 for a single family dwelling and $250.00 for all other types of OSSF. The fee is due before re-inspection. Request for a final inspection should be made by notifying our office, a minimum of 24 hours prior to the proposed completion time.
If you should have any questions, please contact the office at 979-921-0391.
Tonya Mewis Designated Representative #30240
WALLER COUNTY ENVIRONMENTAL DEPARTMENT
APPLICATION FOR AN ON-SITE SEWAGE FACILITY
Residential Application Application valid one year from date of authorization to construct
Applying for: New System_________ Existing System (permit #_________) Alteration/Repair _________
Owner’s Name: _____________________________________________________________________________________
Mailing Address: ______________________________________________ City/State: ________________ Zip: ________
Owner's E-mail: __________________________________________________ Phone: (____) ______________________
Address at Site: _______________________________________________ City/State: _______________ Zip: _________
Property Description: Subdivision_____________________________ Sec: _________ Lot: ________ Block: __________
Survey Name: _____________________________________________Abstract: _______ Tract: _______ Acres: _______
Property ID#: ____________________ Precinct: ____________________ Gate Code: _____________________
In the Floodplain: (circle) YES / NO (If in the floodplain; Approved Elevation Certificate required)
Information about Structure Type: Single Family Dwelling ________ Mobile Home ________ Other ________________
Square Footage: __________________ Number of Bedrooms: __________________
Water Saving Devices: (circle) YES / NO
Source of Water: _____ Private Well _____ Existing (well log required)
_____ New ______________________________________________________ (Name of Well Driller)
_____ Public Water Supply __________________________________________ (Name of Supplier)
Engineering Plan and Specifications in Support of Application Submitted:
Engineer or Sanitarian Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
Site Evaluator Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
System Installer Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
AUTHORIZATION is hereby given to Waller County, Texas, the Texas Commission on Environmental Quality and to the agents, or designees,
singularly or jointly, to enter upon the above describe property during daylight hours for the purpose of inspecting sewage facilities for any reason
consistent with the water quality program of the Texas Commission on Environmental Quality.
Signature of Owner: ________________________________________________________ Date: ___________________
929 5th St, Hempstead, TX 77445 Phone 979-921-0391 Email [email protected]
OFFICE USE ONLY: Cash $ ____________ Check $ ____________ # __________ CC $ ____________ #_____________
PERMIT NUMBER
WALLER COUNTY ENVIRONMENTAL DEPARTMENT
APPLICATION FOR AN ON-SITE SEWAGE FACILITY
Commercial Application Application valid one year from date of authorization to construct
Applying for: New System_________ Existing System (permit #_________) Alteration/Repair _________
Owner’s Name: _____________________________________________________________________________________
Mailing Address: ________________________________________________ City/State: ______________ Zip: ________
Owner's E-mail: ___________________________________________________ Phone: (____) _____________________
Address at Site: _________________________________________________ City/State: _____________ Zip: _________
Property Description: Subdivision ____________________________ Sec: _________ Lot: ________ Block: __________
Survey Name: _________________________________________ Abstract: _______ Tract: _________ Acres: _________
Property ID#: ____________________ Lot Size: __________________ Precinct: ____________________
In the Floodplain: (circle) YES / NO (If in the floodplain; Approved Elevation Certificate required)
Information about Structure Type: _____ Industrial/Manufacturing _____ Business/Office Other: ________________
Square Footage: _________________ Number of Employees: _________________
Source of Water: _____ Private Well _____ Existing (well log required)
_____ New ______________________________________________________ (Name of Well Driller)
_____ Public Water Supply __________________________________________ (Name of Supplier)
Engineering Plan and Specifications in Support of Application Submitted:
Engineer or Sanitarian Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
Site Evaluator Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
System Installer Name: ______________________________________ Phone: (____) _____________________
Email Address: ________________________________________ TCEQ No. ________________
AUTHORIZATION is hereby given to Waller County, Texas, the Texas Commission on Environmental Quality and to the agents, or designees,
singularly or jointly, to enter upon the above describe property during daylight hours for the purpose of inspecting sewage facilities for any reason
consistent with the water quality program of the Texas Commission on Environmental Quality.
Signature of Owner: ________________________________________________________ Date: ___________________
929 5th St, Hempstead, TX 77445 Phone 979-921-0391 Email [email protected]
OFFICE USE ONLY: Cash $ ____________ Check $ ____________ # __________ CC $ ____________ #_____________
PERMIT NUMBER
WALLER COUNTY OWNER(S)
ORIENTATION CERTIFICATE
________________________________________ Installer Company Name
________________________________________ Address
________________________________________ City, State, Zip Code
________________________________________ Phone Number
Septic Permit #: ______________________________
Customer: __________________________________
Site Address: ________________________________
City: _______________________________________
I HAVE SUCESSFULLY COMPLETED MY OWNER(S)
ORIENTATION. I HAVE RECEIVED A COPY OF MY SERVICE
POLICY, WARRANTY, OWNERS MANUAL, AND ANY OTHER
RELATED PAPER WORK (DRAWINGS, PUMP OUT MANIFEST,
ETC.). I HAVE BEEN INFORMED ON THE BASIC OPERATION
OF MY AEROBIC SEPTIC SYSTEM.
Customer Signature: _________________________________
Date: _______________________
Installer Signature: ____________________________________
Date: _______________________
WALLER COUNTY Environmental Office
929 5th St, Hempstead, Texas 77445 Ph: 979-921-0391 Fax: 979-921-0402
EFFECTIVE FEBRUARY 6, 2019
RE: CONDITIONAL PERMITTING OF ON-SITE SEWAGE FACILITY APPLICATION
Texas Administration Code Title 30 Chpt. 285.3 (a) (4) Conditioning of Permits:
The permitting authority may require conditions to a permit in order to ensure that the permitted OSSF system will operate in accordance with the planning materials and system approval. Failure to comply with these condition is a violation of the permit and this chapter. Any violation of a condition of a permit that would be considered an alteration as defined in Chpt. 285.2 (2) of this title would require a new permit.
AN INSPECTION WILL NOT BE SCHEDULED WITHOUT A COPY OF THE WELL LOG. WELL LOG MUST BE RECEIVED IN OUR OFFICE PRIOR TO INSPECTION.
________________________ Property ID
_______________________ Date
________________________ Date
________________________
__________________________________________ Site Address:
__________________________________________ Homeowner Signature
__________________________________________ Installer Signature
__________________________________________ Waller County Environmental Designated Rep Date
AFFIDAVIT TO THE PUBLIC For Aerobic Only
THE COUNTY OF WALLER
STATE OF TEXAS
CERTIFICATION OF OSSF REQUIRING MAINTENANCE
……….According to Texas Commission on Environmental Quality Rules for On-Site Sewage Facilities, this document is filed in the Deed Records of Waller County, Texas.
I
The Texas Health and Safety Code, Chapter 366 authorizes the Texas Commission on Environmental Quality (commission) to
regulate on-site sewage facilities (OSSFs). Additionally, the Texas Water Code (TWC), 5.012 and 5.013, gives the commission
primary responsibility for implementing the laws of the State of Texas relating to water and adopting rules necessary to carry
out its powers and duties under the TWC. The commission, under authority of the TWC and the Texas Health and Safety Code, requires owner’s to provide notice to the public that certain types of OSSFs are located on specific pieces of property. To
achieve this notice, the commission requires a recorded affidavit. Additionally, the owner must provide proof of the recording
to the OSSF permitting authority. This recorded affidavit is not a representation or warranty by the commission of the suitability of this OSSF, nor does it constitute any guarantee by the commission that the appropriate OSSF was installed.
II
An OSSF requiring a maintenance contract, according to 30 Texas Administrative Code 285.91(12) will be installed on the property described as ________________________________________________________________. Legal Description
(Abstract No., Survey Name, Tract, Acres) (Subdivision Name, Section, Block, Lot)
This property is owned by __________________________________________.
Owner’s full name
This OSSF must be covered by a continuous service policy for the first two years. After the initial two-year service policy, the
owner of an aerobic treatment system for a single family residence shall either obtain a maintenance contract within 30 days or maintain the system personally after being certified.
Upon any sale or transfer of the above-described property, the permit for the OSSF shall be transferred to the buyer or new
owner; after a written notice to the permitting authority of the sale on the above property. A copy of the planning materials for
the OSSF can be obtained from Waller County the Permitting Authority
______________________________
Print Owner(s) name
______________________________
Owner(s) Signature
SWORN TO AND SUBCRIBED BEFORE ME ON THIS _____DAY OF __________________, _____________.
______________________________ Signature of Notary Public, State of Texas
______________________________ ________________________ Notary’s Printed Name My Commission Expires
SITE EVALUATION FORM
Date: _________________
Property Owner: ________________________________________________________________
Physical Address: _______________________________________________________________
LEGAL DESCRIPTION
Subdivision: ____________________________ Sec: ________ Block: ________ Lot: ________
Survey Name: _____________________________ Abstract: _____ Tract: _____ Acres: ______
Property ID#: ____________ Precinct: _____________
Existing or Proposed Structure to be served: Single Family Dwelling _____ Mobile Home _____
TOPOGRAPHY
Site Evaluation: A minimum of two backhoe pits (profile holes) must be excavated at opposite
ends of the proposed disposal area, at least one upslope and at least one downslope. These
profile holes should be excavated in areas that are representative of the soil in the whole drain
field. The profile holes must be excavated to a depth of three feet below the proposed
excavation, or to restrictive horizon, whichever is less. The profile hole locations must be
indicated on the site plan drawing.
Profile Hole #1
Depth (feet) Soil Class Gravel
Analysis
Restrictive
Horizon Groundwater Comments
Profile Hole #2
Depth (feet) Soil Class Gravel
Analysis
Restrictive
Horizon Groundwater Comments
Slope: Vegetation: Drainage:
Flat > 2% Grass / brush Poor
Slight <6% Lightly wooded Adequate
Severe > 30% Heavily wooded Good
Note: If slope is severe, to topo survey with half foot contours must be provided with this form on the design. If site
drainage is poor or slope is flat then a detailed drainage plan must be provided on the design if a subsurface system
is proposed.
FLOOD HAZARD
Property is located: (if property is in the flood plain boundary must be shown on the site plan
drawing)
Outside 100 year flood plain
In 100 year flood plain
In 500 year flood plain and/or floodway
WATER SUPPLY
Community: __________ Name of water supplier: ________________________________________
Private Well: __________ (if well is on-site complete the following:)
Driller Name: __________________________________________________________________
Private water lines, private wells, and neighboring wells within 100 foot from the property line, must be
shown on the site plan drawing.
Year drilled Pressure cemented?
Depth (feet) Sealing block present?
Size Well house protecting well?
Distance from disposal area Neighboring well within 100’ of property line?
I certify under penalty of law that the results of this report are based on my site observation and
are, to the best of my knowledge and ability, accurate.
Site Evaluator’s Signature: _______________________________________________________
Date: ____________________________ License Number: ____________________________
Name Address City, TX, Zip Phone License Number
Beckford, Raymond 5431 Harper Forest Dr Houston, 77088 832-867-8871 RS 3687/OS0025275
Cedillo, Jorge 816 B Sabine St Houston, 7707 281-703-4467 RS 3379/OS0011454
Gerland, Charles PO Box 891 Brenham, 77834 979-218-2042 RS 2990/OS0010438
Gonzalez, Steven 701 Navarro Dr College Station, 77845 979-764-7158 RS 3781/OS0008947
Hale, Marisa 10929 FM 2621 Brenham, 77833 979-551-0060 RS 4974/OS0032451
Hubert, Wes 22973 Continental Quarters Montgomery, 77316 936-597-5558 RS 3367
Hyder, William 36830 Deer Valley Magnolia, 77355 936-931-7345 RS 4463
Meiners, Jennifer PO Box 226 Pinehurst, 77362 713-253-5161 RS 3234/OS0006334
Pate, Steve 25002 Butterwick Dr Spring, 77389 281-351-1481 RS 4672
Pickens, David 10202 N Downling Rd College Station, 77845 979-693-8334 RS 2390/OS0012427
Ross, Andrew PO Box 1167 Pinehurst, 77362 281-384-3976 RS 3781/OS0027998
St.Germain, Don 16031 Maycrest Ct Tomball, 77377 281-435-4698 RS 3367
Sturman, Stephanie PO Box 2282 League City, 77574 832-876-2067 RS 3364/OS0028789
Weishuhn, James 906 Milam St Columbus, 78934 979-732-6997 PE 69128/OS0012109
represent Waller County Environmental Department.
Registered Sanitarians and Professional Engineers
These individuals have requested to be placed on the list of available Registered Sanitarians &
Professional Engineers in the Waller County area. Waller County Environmental Department does not
recommend or endorse any of these individuals as they do not work for or
Name Company Name Address City, TX, Zip Phone
Licensed
Installer
Licensed
Maintenance
Allen, Frank (Bill) B & R Water Wells 40619 FM 149 Magnolia, 77354 281-356-4679 OSII 6558 MP 351
Bonds, Glen 25143 FM 1488 Magnolia, 77355 936-931-2443 OSII 3045 MP 772
Bonds, Ricky Aerobic Management 23421 Hargrave Rd Hockley, 77447 936-931-5214 OSII 3046 MP 201
Boyles, Jeremy Septic Innovations & Construction 12671 Maxwell St Willis, 77378 936-900-0841 OSII 34149
Brounkowski, David Aero-Septic Maintenance PO Box 1410 Tomball, 77377 281-351-9681 OSII 29833 MP 1772
Brown, Jerrial C. Brown Aerobic Service Co. 2500 SH 159 LaGrange, 78945 979-966-7378 OSII 19046 MP 461
Brown, Rashaud Brown Aerobic Service Co. 21022 Twila Springs Dr Houston, 77095 281-858-1553 OSII 29989 MP 1307
Burchfield, Daniel Burchfield Septic PO Box 247 Weimer, 78962 281-543-8549 OSII 7258 MP 589
Burttschell, Steve Burttschell Septic Service 3328 Kurtz Rd Sealy, 77474 713-553-0694 OSII 19884 MP 244
Butts, Kenneth K & B Septic 3431 CR 186 Anderson, 77830 936-825-4979 OSII 10
Castillo, Baltazar Guzman Septic Services LLC 17914 E Hardy Rd Houston, 77073 281-642-2355 OSII 35940
Chaffin, Mark AAA Wastewater 1514 Dodge Rd Wallis, 77485 979-478-7256 OSII 1639 MP 1088
Christian, Ronnie Christian Wastewater 1274 Blake Rd Conroe, 77304 936-588-1852 OSII 28444 MP 462
Corlis, Creighton Distinguished Construction, LLC 10929 FM 2621 Brenham, 77833 979-551-0060 OSII 258568 MP 1808
Daniels, Nicholas AES Septic 30703 N Cripple Creek Dr Magnolia, 77354 281-356-5000 OSII 30873 MP1933
Derkowski, Darren Derkowski Septic Service PO Box 697 Brenham, 77834 979-270-2151 OSII 31161 MP 1920
Domino, Timothy South Texas Environmental PO Box 1789 Waller, 77484 832-404-2469 OSII 4128 MP 91
Erb, Mark First Class Septic Service 2621 FM 2158 Midway, 75852 713-553-7717 OSII 21079 MP 297
Flukinger, Dale D & J Services 35766 Mayer Rd Hempstead, 77445 281-381-1577 OSII 0021
Frank, John Waller County Plumbing PO Box 505 Waller, 77484 936-931-0328 OSII 27824
Galle, Brett Galle Construction 1424 Rock House Rd New Ulm, 78950 979-257-2565 OSII 24918
Garcia, Louis 20102 Cypreswood Lake Dr Spring, 77373 832-723-9776 OSII 29307 MT 429
Giacono, Pete A & P Aerobic Systems 6606 FM 1488 #148-359 Magnolia, 77354 936-851-2169 OSII 28346 MP 1184
Gonzales, Freddie Affordable Septic Systems 2250 Colorado St Hempstead, 77445 979-221-4914 OSII 30092
Harrison, Cody KHR Environmental 32522 Phlying Rd Waller, 77484 713-870-0579 OSII 32407 MP 2047
Harrison, Terry Harrison Septics 33062 Joseph Rd Waller, 77484 281-932-4065 OSII 6058
Hartman, Daniel L Flo-Rite Septic LLC 452 Old Hickory Dr Conroe, 77302 281-850-0225 OSII 22663 MP 1545
Hartman, Joey Big Papa Joe’s WW PO Box 1111 Pinehurst, 77362 281-252-0777 OSII 26527 MP1354
Hurst, Joseph Hurst Water Well & Septic Systems 8920 Little Bird Ln Navasota, 77868 832-493-2046 OSII 28448
Hurt, John Hurt's Wastewater Man. PO Box 662 Ganado, 77962 800-841-3447 OSII 1240 MP 763
Husky, Kraig Rafter H Septics LLC 11684 Lakeview DR W Plantersville, 77363 281-906-2079 OSII 36109
Hyder, William Blackhorse Environmental 36830 Deer Valley Magnolia, 77355 936-931-7345 OSII 29158 MP 1725
Jones, Chris Precision Septic Service PO Box 371 Hockley, 77447 281-849-9599 OSII 32563 MP 2073
Jorgensen, Erik Likely Grove Engineering & Land Services 2460 Pebblebrook Cir Conroe, 77384 262-210-2772 OSI 36577
in the Waller County area. Waller County Environmental Department does not recommend or endorse
any of these individuals as they do not work for or represent Waller County Environmental Department
State Certified Installers and Maintenance Providers
These individuals have requested to be placed on the list of available Registered Installer & Maintenance Provider
Name Company Name Address City, TX, Zip Phone
Licensed
Installer
Licensed
Maintenance
Lopez Jr, Maximo Max Equipment PO Box 115 Pattison, 77466 979-270-1816 OSII 34790
Love, Marshall Let It Flow Septic LLC 31171 Pinyon Rd Waller, 77484 713-516-8244 OSI 34830
Lucherk, Brian L Repairs Service PO Box 973 Hempstead, 77445 979-830-5719 OSII 4420
McCaffety, Andrew A Advanced Septic 23122 Kobs Rd Tomball, 77377 713-553-4078 OSII 33977 MP 2232
McDonald, Toby Two Sons Environmental 23565 FM 1314 Porter, 77365 281-354-9284 OSII 8395 MP 255
Mundine, William Meiners Construction, Inc. PO Box 2778 Spring, 77383 832-856-4003 OSII 6682 MP 255
Moy, Nathan 5875 County Rd 215 Anderson, 77830 936-873-9933 OSII 19894 MP 151
Pattillo, Richard Advance Septic System 11602 Hickory Road College Station, 7784 979-596-1940 OSII 23927 MP 1357
Porter, Jay A Tex Maintenance PO Box 771 Anderson, 77830 281-541-9564 OSII 30531 MP1856
Ratliff, Thomas TER Septic Site & Utilites LLC 22039 Lutheran Church Rd Tomball, 77377 281-516-9530 OSII 6003 MP 2016
Reum, Donnie I-69 Septic Plumbing Solutions LLC 12490 Hwy 59 S Shepherd, 77571 281-223-0034 OSII 22903 MP 1297
Santos, Maurico M&M Santos Construction 19894 Sherwood Dr Cleveland, 77328 936-718-3708 OSII 34480
Schmidt, Sterling Besa Wastewater Services Inc 2613 CR 360 El Campo, 77437 979-332-2008 OSII 35798 MP 2364
Sheppeard, James A-1 Cleaning Septic 27507 Calvert Rd Tomball, 77377 281-440-5004 OSII 2734 MP 389 & 390
Sheppeard, Timothy TBS Mechanical/Plumbing & Septic 6315 B FM 1488 #167 Magnolia, 77354 832-473-7222 OSII 26054 MP 282
Shivers, John (Trey) 3-S Septic 31626 Wisteria Rd Magnolia, 77355 281-415-4671 OSII 30804
Smith, Mark Advanced Aerobics PO Box 57 Hockley, 77447 713-249-8181 OSII 8056 MP 470
Swartz Jr, William Swartz Septic 5462 FM 2621 Brenham, 77833 979-661-6042 OSII 7211
Thibodeaux, Mike Ace Environmental PO Box 1534 Waller, 77484 936-419-6455 MP 1122
Trice, Joseph Cortex Excavating Inc. PO Box 3664 Conroe, 77304 936-760-4947 OSII 7947 MP 1596
Tyer, Mathew Ace Aerobic Septic Company LLC 23311 FM 1314 Porter, 77365 281-883-8367 MP 2303
Van Cleve, Travis Southern Utilities PO Box 691002 Houston, 77270 281-447-8478 OSII 27922 MP 884
Vences, Lucio S-Toro 21351 IH 10 Wallisville, 77597 832-607-9726 OSII 35469
Veselka, Alton Alton's Aerobic 5230 Fenske Ln Needville, 77461 832-595-4357 OSII 25724 MP 110
Wade, Robert Jr. Wade Construction 40025 Mill Creek Rd Magnolia, 77354 281-356-9397 OSII 3524
Wearden, Nathan Sunshine Septic PO Box 742 Magnolia, 77353 281-789-4649 MP 335
Welsh, William Septex 27379 Wigwam Trail Hockley, 77447 832-731-2753 OSII 9021
Whitley, Mark A Quality Septic PO Box 303 Conroe, 77305 936-597-6976 OSII 6156 MP 1200
Whitley, Paul Paul Whitley Construction PO Box 813 Montgomery, 77356 936-520-2092 OSII 1126
Whitley, Philip Conroe Septic PO Box 273 Conroe, 77305 936-597-5530 OSII 5912 MP 1048
Wright, Kenneth Lonestar Aerobic Maintenance 615 Hicks St Tomball, 77375 281-290-9620 OSII 28461 MP 360