IPAC RR103
HTE#Hat.__tt County Department of Public _11alth
28767
Improvement Permit
A building permit cannot be issued with only an lTprovement Per
PROPERTY LOCATION: W NL,,3v tviovc.
ISSUED TO: � a, -)A ONS aTE hlprnE, SUBDIVISION \AA N of'(2py4r- 1
NEW�J REPAIR ❑ KPANSIO�j ❑ LOT # Site Improvements re aired prior to Construction Authorizat on Issuance:
Type of Structure: 9F0
�(ri'.1�1 IHs_a a tgw.po+woy �E a s fs rc No s6
Proposed Wastewater System Type: o15"Ie Iht��OVG ie a g� ,
Projected Daily Flow: 360 GPD S ,TE p o �s asT� e1P �T
Number of bedrooms: _"4 Number of Occupants: max n 1 aaK p
Basement ❑Yes 'Rio PR EvE aT A rav ` Iyt � N a,T¢ve, f , otj e2 AF�� (�
Pump Required: ❑Yes �'No El May be required based on final location and elevations of facilities O v tJrLA\4 .61 a, (�R p,
Type of Water Supply: ❑ Community �K Public ❑ Well Distance from well lni� feet Permit valid for. XFive years
Permit conditions:
❑ No expiration
Authorized State Agent: N RL-.�` Date: > SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no ay guarantees the iuuan 'n. The permit holdeeisis resilonsible for checkingwith a ro riate
site is subject to rnecation if the site plan, plat. or the intended use changes. The Im rovemen Pe PPP governing bodies in meeting their requirements. This
R ,�_� riol Rexed by a change in ownership of the site. This permit is wbjea to compliance with the provisions of
the laws and Rules for Sewage treatment and Disposal and ro conditions of this pernim.� \\ ,
&&A5 Qct bo
Construction Authorization
squired for Building Permit)
The construction attached
and installation requirements of Rules .1950, .1951, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall he mel. Systems shall be installed in accordance
with Me atmched system layout.
ISSUED T0:�il �Na1�E iied+v�ESPROPERTY LOCATION: GrLar (�p
6 LOT # I
SUBDIVISION \ I Pa v v(
Facility Type: FO L�� x �~) New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes �Fo
Type of Wastewater System" I NT'sL%n,PtO(L (Initial) Wastewater Flow 11E'b GPD
(See note below, if applicable ❑)
I, N F 1 LA Q -N—> p(L ID .,...:.1
Installation Re uirements/Conditions
q
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Number of trenches 1
Septic Tank Size L ooO gallons
Exact length of each trench 35b feet
Pump Tank Size gallons
Trenches shall be installed on contour at a
Maximum Trench Depth of. S 7. inches
(Trench bottoms shall be level to +/_I/4"
n all directions)
Pump Requirements: ft. TDH vs.
_ GPM
Conditions:
Trench Spacing: 9 Feet on Center
Soil Cover. 1�—inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
inches below pipe
Depth: inches above pipe
inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE ]OFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
'If applicable / undeatand the ryrtem type spec/!ed is different lizor the type specified on the app/intiaa / accept the specificatons of this oemit.
Construction
Authorized State Agent:
site plan, plat or the intended use changes. The Construct
provisions of the laws and Rules for Sewage Treatment and
Construction Authorization
Date:
mations shall not be mnslmred when there i
and to the conditions of this permit
Date: 3 IG
Expiration Date: -3/1
SEE ATTACHED SITE SKETCH
SOUTHEASTERN SOIL & ENVIRONMENTAL ASSOC., INC,
PROPOSED SUBSURFACE WASTE DISPOSAL SYSTEM DETAIL SHEET
SUBDIVISION:
6w VE
INITIAL SYSTEM;
APPROVED 25% RECUCTION
DISTRIBUTION:
-f c.
BENCHMARK: 100 .0
NO. BEDROOMS: 3
LINE FLAG COLOR ELEVATION
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TYPICAL PROFILE /k+! T
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LOT /
REPAIR
DISTRIBUTION tern t�
LOCATION
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LENGTH
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DATE o sltsrr
® THERE SHALL BE NO GRADING,
CUTTING, LOGGING OR OTHER SOIL
® /,DISTURBANCE IN SEPTIC AREA
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I MICHAEL P. GRIFFIN , ce-tl& Mol .md , daectlwr and
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REV151ON: MOVE FORWARD 4 LEFT. REMOVE PATIO 2/23/16
Cl R=30.00'L=49.11'583°37'16'E43.81'
S E T B A C K S
FRONT
35
REAR
25 •
51DE
p•
I
CORNER 51DE
20'