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IPAC RRHTE# e6 ~S Z/ZZ / Harnett County Department of Public Health 24417 07-5-- 19o79 lZ/Z Improvement Permit A building permit cannot be issued with only an Improvement Permit PROPERTY LOCATION:-12! S70 111=11 ISSUED TO- A) 6 1141-) NEW C~7 REPAIR ❑ EIiPANSION ❑ Site Improvements required prior to Construction Authorization Issuance: Type of Structure: S14t7 Proposed Wastewater System Type: 2S'~S tZfLDt1~ Projected Daily Flow: ~60 GPD Number of bedrooms: - 5- Number of Occupants: 16 max Basement ❑Yes NLiS o Pump Required: ❑Yes ❑ No 0~ May J required based on final location and elevations of facilities Type of Water Supply, Community Public ❑ Well Distance from well feet Permit valid for. 2-f,-,e years Permit conditions: lb S 2T-"k y-t> ❑ No expiration Authorized State A g Z4 I - Date: ZY -OS SEE ATTACHED SITE SKETCH The issuance of this pe the Health 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 e is subject to revocation 4 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 Dispoul and to conditions of this permit. Construction Authorization (Required for Building Permit) The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .195!1, and AM are incorporated by references into this permit and shall be met Systems shall be installed in accordance with the attached system layout. ISSUED TO: T z Ja 10-t,J PROPERTY LOCATION: SUBDIVISION ~ / LOT # -7 Facility Type Newxpansion ❑ Repair Basement? ❑ Yes No Basement Fixtures? ❑ Yes No Type of Wastewater System** Zw-5% h i.T►~i_fInitial) Wastewater flow. 00 GPD (See note below, if applicable (Repair) IRltdw" Requinaaeats/Coodtt M Septic Tank Size / Z00 gallons Exact length of ea drench 5'D(J feet Trench Spacing. Feet on (enter Pump Tank Size 1,700 gallons Trenches shall be installed on contour at a Soil Cover. _j~~inches Maximum Trench Depth of 2- ~ 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 Aggregate Depth: c;q- inches above pipe Conditions: 7-0 Im L-r 5'r,^ ~ir~ ~w sSt1g.-c a -/2- inches total **N applicable : / understand the system type specified is different from the type specified on the application. / accept the speciTcationr Of this permit Owner/Legal Representative Signature: Date: This (onstruction 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 (onstruction Authorization is subject to compliance with the provisions of the Laws and Rules for Sewage Treatment and Disposal and to the conditions of this permit. SEE ATTACHED SITE SKETCH Authorized State Ag Date: / Z t4 -O;_ fonswction Authorization Expiration Date: -1_7- 2'-f -1 3 07- S- - / 96 7elIx HTE# e96 -S -/l2/Z/Z2 Permit # ZVVI7 Harriett County Department of hiblic Health Site Sketch PROPERTY LO(ATON: 5< /4'SZ, ISSUED T0: SUBDIVISION 4Q~3 S LOT # _ Authorized State A t Date: ~C~ EFL' a~N Y O - r N ©o ~~5 0 gPoo D F ~ IV