HomeMy WebLinkAboutIPAC RNEW REPAIR ❑ EXPANSION ❑
Type of Structure:
Proposed Wastewater System Ty e: d'
Projected Daily Flow: GPD
Number of bedrooms: Number of Occupants: max
Basement 2r es ❑ No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: ❑Yes ❑ No P7''i°fay be required base on final location and elevations of facilities �
Type of Water Supply: ❑ Community F-1 E� Public Well Distance from well ` feet Permit valid for: 2 Five years
Permit conditions: ❑ No expiration
Authorized State A Date: /0 — ! 3 — / SEE ATTACHED SITE SKETCH
The issuance of this permit by 0ealth 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 i e 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 TO: c1 �° _ PROPERTY LOCATION. Ate/ ' r'
SUBDIVISION LOT # `
Facility Type: �7° w ❑ Expansion ❑ Repair
Basement? C' Yes ❑ No Jasement Fixtures? ❑ Ye Cho
Type of Wastewater System** r (Initial) Wastewater Flow: �" GPD
(See note below, if applicable ❑)
(Repair)
Installation Requirements /Con 'tions Number of trenches
Septic Tank Size t3 gallons Exact length of each trench feet Trench Spacing: Feet on Center
Pump Tank Size gallons Trenches shall be installed on contour at a Soil Cover: Z inches
Maximum Trench Depth of: Z Z- �7fS 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
j Aggregate Depth: inches above pipe
Conditions: '�; ! inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
* *If applicable: /understand the system type specified is different from the type specified on the app /ication. / 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 changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal nd to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Date: 13— 1-f
Construction Authorization Expiration Date: -13—/9
HTE# /3-5 ' 311 8 Z/z Permit # 2$0-75-"
Harnett County ]Department of Public ealth
Site Sketch
n PROPERTY LOCATON: '.4 -170 / .G�?�s'" 6!YZ �7 S
ISSUED T0: �G�i1�� �, ri SUBDIVISION LOT # L
Authorized State Age / Date:
4 Old P- r -f ey�— , 7?"741,
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