IPAC RV, Harneh County Department of Public health
Improvement Permit 26885
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Q) oc6 qtp
ISSUED TO: H 4- lri C--v v- A%Qve- K0(('S SUBDIVISION n LOT # t
NEW'X REPAIR ❑ PANSION ❑ , Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: =� ' �t 5�1 " 5O
Proposed Wastewater System Type: 9y e G:)Un1
Projected Daily Flow: Gs ®® GPD
Number of bedrooms: —'-'> Number of Occupants: l ® max
Basement ❑Yes �Z No
Pump Require - .`Yes ❑ No ❑ May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community Public ❑ Well Distance from well tIZ:)C) feet Permit valid for: Five years
Permit conditions: - ` ❑ No expiration
Authorized State Agent::
The issuance of this permit by the Health Department in no way guarantees he nce
site is subject to revocation if the site plan, plat, or the intended use changes. The Imp
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Date: SEE ATTACHED SITE SKETCH
of other permits. The permit hoer is re onsible for checking with appropriate governing bodies in meeting their requirements. This
vement Permit shall not be affec d by a ch nge in i of the site. This permit is subject to compliance with the provisions of
(2I N )c Eca 2411 q13
ICJ
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: Qas QZ
SUBDIVISION Q7 Wksfla r<-, LOT # }
Facility Type: ��9 �'� �"� �" New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes —XNo
Type of Wastewater System" u Tyy Ta �° /, lZEpvc.-�-sc) N Sy3 rG5'n (Initial) Wastewater Flow: QQd GPD
(See note below, if applicable ❑)
9vcYR \ a 1-35% SS vQA- y-N (Repair)
Installation Requirements /Conditions Number of trenches z-i
Septic Tank Size gallons Exact length of each trench ' C'Q feet
Pump Tank Size ��`® gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: l-% 'ate inches
(Trench bottoms shall be level to +/ -1/4"
in all directions)
Pump Requirements: ft. TDH vs. GPM
Conditions:
Trench Spacing: C)I Feet on Center
Soil Cover: G D--, inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
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.
inches below pipe
inches above pipe
inches total
* *If applicable: /understand the system type speciped is different from the type speciped on the app /ication. /accept the specifications of this permit.
Owner /Legal Representative . e: Date:
This Construction Authorization is subject to revocation i �,jan r the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization ct to compliant ith tLaws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH
Authorized State Agent:
(fir , `�� 13
Q 0-4%\5 Date: N la-7 I )"a,
Authorization Expiration Date:
HTE# Permit # ajb
Harnett County Department of 1-�rblic Health
Site Sketch
ISSUED T0:
Authorized State Agent:
L4:bl
P�,dG-
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