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IPAC RRHTE#~ Isz~ Harnett County Department of Public Health 2 5 4 6 0 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: J~C C ~z L~ ~s ~b ISSUED TO: 5 ~s3 s 6 ~PKFI2~.. SUBDIVISION ao rv rJ LOT NEWA, REPAIR ❑ EXPANSI0❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: Mc,swr.-A2. Proposed Wastewater System Type: Po f No Selo ec-.00(:'}ot" Projected Daily Flow: GPD Number of bedrooms: 3 Number of Occupants: max Basement ❑Yes X No Pump Required:Yes ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community X Public ❑ Well Distance from well k C) feet Permit valid for: Permit conditions: C bit Qt-ow"T-o P\ OE rt it Q \7c;` -~c' Q>itt p~ {e C~ c~ F LL Authorized State Agent.: 2S The issuance of this permit by the Health Department in no way guarantees ance site is subject to revocation if the site plan, pla4 or the intended use changes. The Impr the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.. Date: S I S bGI SEE ATTACHED SITE SKETCH of other permits. The permit holder is responsible for checking with appropriate governing bodies in meeting their requirements. This verrent Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of 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: aC C~~~ Cab SUBDIVISION Qxz Et~t LOT # I Facility Type: dQU~ ~~L Q-50'-New ❑ Expansion ❑ Repair Basement? ❑ Yes '[2, No Basement Fixtures? ❑ Yes \5~ No Type of Wastewater System** 0~-' C"P 7C) 0 2C ~Lac~ •Ct ej (Initial) Wastewater Flow: GPD (See note below, if applicable R y f"9-\ 0 W)' \,A Q (Repair) Installation Requirements/Conditions Number of trenches Septic Tank Size S ©O0 gallons Exact length of each trench 3co 0 feet Pump Tank Size 0 gallons Trenches shall be installed on contour at a Maximum Trench Depth of. 36 - -204 - inches (Trench bottoms shall be level to +/-1/4" in all directions) Pump Requirements: ft. TDH vs. GPM Trench Spacing: GI Feet on Center Soil Cover. 1$ inches (Maximum soil cover shall not exceed 36" above the trench bottom) Aggregate Depth: Conditions: ,E-0-7 56 Fcz.ot,~ ° 0uD inches below pipe inches above pipe inches total **If applicable: l anderstand the system type specified is different from the type specified on the application. / accept the specillcations of this permit Owner/Legal Representative Signature: Date: This Construction Authorization is subiect to revocation if the rite nlan near or t6 mt-W r6- - Thn .6,0 ....,A-.a ,,.w.- _ r. _ Construction Authorization is subject to compliance w ions a Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH Authorized State Agent: ~s Date: 5 0 C Co ction Authorization Expiration Date: Five years ❑ No expiration HTE# QE, lS~t3 Q_ Permit # X5460 Harnett County Department of 1),ablic Health ite Sketch PROPERTY LOCATON: ISSUED TO: N~ C) VA I SUBDIVISION \ E.O ac)1,j rj LOT # Authorized State Agent: Eck ~`~t~~(t~ Date: s'