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IPACHTE# Harnett County Department of Public Health Improvement Permit 2 6 9 3 4 A building permit cannot be issued with only an Improvement Permit M / PROPERTY LOCATION: cJ oed- ISSUED TO: / t e /~`rJy C' it c, i a r SUBDIVISION LOT # NEW 5?r REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: F .r.~l,., c d U(c~- Proposed Wastewater System Type: C% tx r4 i S Projected Daily Flow: c23- GPD Number of bedrooms: Number of Occupants: max Basement ❑Yes ❑ No Pump Required: ❑Yes ZNo ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ❑ Public C~ Well Distance from well cs feet Permit valid for: ©'rve years Permit conditions: ❑ No expiration Authorized State Agent:: Date: z 2L Z SEE ATTACHED SITE SKETCH The issuance of this permit by Health Department in no way guarantees the issuance of other permits. The permit holder is responsib be 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 with the attached system layout. by references into this permit and shall be met. Systems shall be installed in accordance ISSUED T0: PROPERTY LOCATION: led. SUBDIVISION LOT # Facility Type: - L r 41 du l~New ❑ Expansion ❑ Repair Basement? ❑ Yes C~ o Basement Fixtures? ❑ Yes ❑ No Type of Wastewater System** "~-'X;l -1'j (Initial) Wastewater Flow: pb- GPD (See note below, if applicable (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size /000 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: inches Maximum Trench Depth of: 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 Conditions: 0.b c !n T -Jo o / 8 X /6 F % w. ( ( 6 Aggregate Depth: inches above pipe ✓1 e ed 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: / understand the system type specified is different 1=7 the type specified on the app/ication. / accept the spedficationr of this permit. Owner/Legal Representative Signature: This Construction Authorization is subject to revocation if the site plan, plat, or the intended use changes. The Construction Authorization is subject to Date: Authorization shall not be transferred when there is a with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. e in ownership of the site. This SEE ATTACHED SITE SKETCH Authorized State Agent:/: Date: 41 2- .2-6/-Z Construction Authorization Expiration Date: .2- a o ` HTE# Permit ~~`S3 14(arnett County Department of _ ib ica el t h Site Sketch i PROPERTY LOCATON: 3AS' ferc--e, ISSUED TO: 1j, a (,'n c ~o r SUBDIVISION LOT # Authorized State Agent: ~cl-- e6f Date: j/ X71- y~ Z J P,4 2 z f, k rte- 0,,-, A+.