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IPAC RRRRHTE# QC`1 - 51v-c- Harnett County Department of Public Health 2 Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION: ISSUED TO: Cl-"o0 C-N" o SUBDIVISION NEW REPAIR ❑ XPANSION ❑ Type of Structure: 'r`Yo~J• Proposed Wastewater System Type: Vyme l0 aS°lu REcwcS,bh Projected Daily Flow: GPD Number of bedrooms: ' Number of Occupants: max Basement ❑Yes X No Site Improvements required prior to Construction Authorizatic Pump Required:-2Res ❑ No ❑ May be required based on final location and elevations of facilities Type of Water Supply: ❑ Community ~K Public ❑ Well Distance from well +lMSP05b feet Permit valid for. Permit conditions: Authorized State Ageni: Date: tO 0) SEE ATTACHE The issuance of this permit by the Health Department in no way gua antees ante of other permits. The permit holder is responsible for checking with appropriate governing bodies in meet site is subject to revocation if the site plan, plak or the intended use changes. The vement Permit shall not be affected by a change in ownership of the site. This permit is subject to comp) the taws 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 with the attached system layout ISSUED TO: C~ooCN--,W \Ac,r.ES PROPERTY LOCATION: ' 11.Oc-,,E. C-~A SUBDIVISION Facility Type: C`S 0 U_ C-4 x-76 New ❑ Expansion ❑ Repair Basement? ❑ Yes '~'M No Basement Fixtures? ❑ Yes ',No Type of Wastewater System** PU rrve ~ b ~S°/o Q-f-o U `0 N SAS ; Et~\ (Initial) Wastewater Flow: (See note below, if applicable VS) 1-1> (Repair) Installation Requirements/Conditions Number of trenches 3 Septic Tank Size S.0<2, Q gallons Exact length of each trench I ©O feet Trench Spacing: Fee Pump Tank Size toad gallons Trenches shall be installed on contour at a Soil (over inchf Maximum Trench Depth of: 11 inches (Maximum soil cover shall not f (Trench bottoms shall be level to +/-1/4" 36" above the trench bottom) in all directions) Pump Requirements: ft. TDH vs. GPM Aggregate Depth: Conditions: EXTS vl~~ ~~~-L ~US- (6F- ~Bc NUot~EC> ~r ~ ty u~r ~ittpu GN< Uf ~a C.uaaEsa-c A~S7AQAS 4Q.,13(Z.7Tc, 06C Ot \H~ Sys: CONzAC.-c iHL )t4 CW) **If applicable: l understand the system type specified is different from the type specified on the application. l accept the speciTcations of this ~ 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 ownersh Construction Authorization is ect to comc e p ns of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTA c•14e~~e~• ~ t Authorized State Agent: DNS Date: 101 Zk Authorization Expiration Date: td HTE # _5`ts 1 ~zs LCZ Permit # a5t7 5a Harnett Connty Department of hiblic Health Sit(), sketch PROPERTY LOCATON: CAS • C., V..p ISSUED T0: Cti ~cb C•~oo ion SUBDIVISION L( Authorized State Agent Qf-As bL eQ--T-TO1 Y5,(30 Date: A4?t6 O ~Cti~\5 pEn.r.,N so,scn o,) P~Nq Q2ot oSAL 'V- rM tN ~,-1 i6Q ply. OL\vF C~VCLGA QD