IPAC RHTE # fil-s -5Vje6,- Harritt County Department of Public...dth 27990
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: —,,J /—&
ISSUED TO: SUBDIVISION LOT#
NEW E2'— REPAIR ❑ EXPANSION ❑
Type of StructureV Care -,?�2C7b
Proposed Wastewater System Type:
Projected Daily Flow: J --OC; GPD
Number of bedrooms: Number of Occupants: "` max
Basement ❑Yes 2"No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: Oes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community V'Public ❑ Well Distance from well feet Permit valid for: wive years
Permit conditions: ❑ No expiration
Authorized State Agent:: I /'1%x, IZL`/t`/ Date: it/ z11'z 1q SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1951, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout.
ISSUED T0: PROPERTY LOCATION: e) oc Tt kr ""c 'ed.
SUBDIVISION LOT #
Facility Type: L3. --v Co.' e 2' -New ❑ Expansion ❑ Repair
Basement? ❑ Yes 9'10 Basement Fixtures? ❑ Yes ❑ No
Type of Wastewater System** Po 4. ccc,tL/c -k-' P,-9- (Initial) Wastewater Flow: Sbo GPD
(See note below, if applicable ❑)
-k (Repair)
Installation Requirements/Conditions Number of trenches
Septic Tank Size` -Oe gallons 12,5-6 Exact length of each trench -�=��' feet Trench Spacing: Feet on Center
Pump Tank Sizes/--QQ-431gallons %;s'6 Trenches shall be installed on contour at a Soil Cover: C-- /8 inches
G",/xTr4 Maximum Trench Depth of: 16 -JO inches (Maximum soil cover shall not exceed
(Trench bottoms shall be level to +/-1/4" 36" above the trench bottom)
in all directions)
Pump Requirements: ft. TDH vs. GPM inches below pipe
A regate Depth: inches above pipe
Conditions: Yev,'fit�r t' ,-r ! inches total
�— /CV a,4 JVfen-.
WATER LINES (INCLUDING IRRIGATION) MUST BE LOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
**If applicable: /understand the ryrtem type specified is different from the type specified on the application. / accept the specifIcations of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site Plan, Plat or the intended use chanees. The Construction Authorization shall not be transferred when there is a channe in nwnershin of rhe cite This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
C
d State Agent: 2 c/ 'L I i �/ c�✓c
Authorizet,.�v..,. �� Date:
Construction Authorization Expiration Date: 2f 9 zr/aGry
HTE# 2
Permit # a ! ?9Q
�■ County. 1 . 11 • of Public..
Site Sketch
PROPERTY LOCATON:
ISSUED T0: )-rov e SUBDIVISION LOT #
Authorized State Agent:4Date: � � 7�" // / ?/ / 1i q